Open-access Characterization of the implementation process of the National Policy to the Tuberculosis Control in Costa Rica, 2012-2015

Summary

Aim: To characterize the implementation process of the National Policy of Tuberculosis Control in Costa Rica 2012-2015.

Methods: The Monitoring and Evaluation Strategy (M&E) was used in order to analyze the objectives of the program according to the context and to obtained indicators for 2012-2015. A case study was proposed to know which components of the policy had been used and to comprehend the implementation process. The information was collected through semi-structured interviews to policy makers and implementers of the policy.

Results: In 2015, Costa Rica had 8.13 reported cases of tuberculosis per 100 000 people. The country achieved the 85 % of successful treatment; however, the cure rate was 60 % and the death rate was 6.55 %.

Conclusions: The country did not perform the recommended collaborative strategies by Pan American Health Organization, did not have inter-sectorial coordination or inter-institutional work with other institutions from the Health System, and did not achieve the participation of the community or the social institutions in the program.

Key Words: Epidemiology; Health Policy; Implementation Science; Qualitative Analysis; Tuberculosis.

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None Centro Centroamericano de Población Ciudad Universitaria Rodrigo Facio, San Pedro de Montes de Oca, San José, CR, 2060, 25111452, 25111450 - E-mail: revista@ccp.ucr.ac.cr
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