Quality of Tuberculosis Services Assessment (QTSA) in Afghanistan

The Quality of Tuberculosis Services Assessment (QTSA) is conducted with the support of four tools: the Facility Audit, the Provider Interview, the Patient Interview, and the Register Review. MEASURE Evaluation—a project funded by the United States Agency for International Development (USAID)—developed these four tools with the assistance of colleagues at USAID, for use by any country. When MEASURE Evaluation ended in 2020, the QTSA portfolio was integrated into the TB Data, Impact Assessment and Communications Hub (TB DIAH) project, an associate award of MEASURE Evaluation. The tools in this case have been adapted for Afghanistan to conduct a QTSA. They have been customized to fit the priorities and context specifically for use in Afghanistan, including a Facility Audit and Patient Interview as part of a custom module on COVID-19, and two additional tools aimed at specific TB care providers: community health workers and health providers at diabetes centers.