Jacquelyn Potvin, Kelsi Chappell, Kate Balestracci, Geoffrey W Greene, Sara Sweetman, Sarah Amin
Formative evaluation of a STEAM and nutrition education summer program for low-income youth
Evaluation and program planning
realworld tuberculosis tb surveillance data generally incomplete due underreporting underdiagnosis inventory study aimed assess quantify incompletion surveillance systems southwestern china inventory study conducted randomly selected health facilities hf multistage stratified cluster sampling participants included period august 2020 provincelevel prefecturelevel hf period june december 2020 categories hf respectively clinical committee confirmed medical records matched national notifiable disease reporting system nndrs tuberculosis information management system tbims define report register status underreporting underregister rates evaluated based matched data factors associated underreport underregister assessed 2level logistic multilevel model mlm enrolled 7749 confirmed tb cases analysis province representative overall underreport rate nndrs 16 95 confidence interval 95 ci 13 19 overall underregister rate tbims 96 95 ci 89103 various underreport underregister rates displayed different stratifications background tb disease burden hf level hf category data source medical record hf among prefectures province intraclass correlation coefficient icc 057 underreporting null mlm indicating facilitylevel cluster effect contributes great share variation total variance twolevel logistic mlm showed data source medical records hf diagnostic category tb type tb associated underreporting adjusting factors p 005 icc underregister 042 hf level hf category data source medical records hf diagnostic category tb type tb associated underregister adjusting factors p 005 inventory study depicted incomplete tb reporting registering nndrs tbims southwestern china implied surveillance quality improvement would help advance tb prevention control strategy