Abstract

In 2014, the MEASURE Evaluation project, upon the request of the U.S. Agency for International Development (USAID) mission in Kiev, initiated an impact evaluation to study two STbCU programmatic priorities: 1) providing social support services to improve TB treatment adherence; and 2) improving integration of TB and HIV services to reduce mortality through early diagnosis and treatment for TB-HIV co-infected patients. To evaluate the impact of these program efforts, MEASURE Evaluation designed two independent but complementary studies: the Social Support study and the TB-HIV Integration study. These datasets contain Phase 2 data for the Social Support study. The study employed a mixed-methods approach, with a quasi-experimental quantitative evaluation design complemented by qualitative descriptive work to inform the findings. Data collection included surveys of medical facilities, patient chart abstraction, and provider, patient, and project staff in-depth interviews. TB diagnosis and treatment data were abstracted from medical records for five cohorts of TB patients to provide data on patients at high risk for defaulting on TB treatment, including those who did and did not receive any social support, patients at low risk for defaulting, and patients seen during 2014 and 2015. Data on risk distribution in the population of TB patients were abstracted from charts of patients seen in TB facilities during 2014 and 2014. Datasets include data from patient’s chart abstraction, health facility and Ukrainian Red Cross Society regional offices surveys as well as transcripts from in-depth interviews with patients, providers and project staff. Phase 2 data were collected in 2016.

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