The objectives of this study were to: (1) report tuberculosis (TB) program performance for northern First Nations in the province of Manitoba; (2) present methods for TB program performance measurement using routinely collected surveillance data; and (3) advance dialogue on performance measurement of Canadian TB programs.
Data on a retrospective cohort of people diagnosed with TB in Manitoba between January 1, 2008 and December 31, 2010, and their contacts, were extracted from the Manitoba TB Registry. Performance measures based on US-CDC were analyzed. Adjusted probability ratios (aPR) and 95% confidence intervals (CIs) were reported with comparisons between on-/off-reserve First Nations, adjusted for age, sex, and treatment history.
A cohort of n?=?149 people diagnosed with TB and n?=?3560 contacts were identified. Comparisons off-/on-reserve: Treatment completion (aPR?=?1.03; 95% CI 0.995-1.07); early detection (aPR?=?0.87; 95% CI 0.57-1.33); HIV testing and reporting (aPR?=?0.42; 95% CI 0.21-0.83); pediatric TB (age?