Directrices estructurales para la sostenibilidad del plan de control de infecciones de tuberculosis en instituciones prestadoras de servicios de salud, distrito de Cali, 2021.

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Title:	Directrices estructurales para la sostenibilidad del plan de control de infecciones de tuberculosis en instituciones prestadoras de servicios de salud, distrito de Cali, 2021.
Alternate Title:	Structural guidelines for the sustainability of the tuberculosis infection control plan.
Authors:	Espinosa, Mónica^1,2, Luna, Lucy del Carmen^3,4, Rojas, Claudia^1,4, Puerto, Gloria Mercedes^1,4, Pacheco, Robinson^4,5, Castro, Claudia Marcela^1,4 ccastro@ins.gov.co
Source:	Biomédica: Revista del Instituto Nacional de Salud. sep2026, Vol. 46 Issue 3, p466-480. 15p.
Subjects:	Infection control, Sustainability, Employee training, Health facilities, Environmental regulations, Policy analysis, Tuberculosis, Government regulation
Geographic Terms:	Cali (Colombia), Colombia
Abstract (English):	Introduction. The district of Santiago de Cali is the second territorial entity with the highest number of tuberculosis cases in Colombia. Since 2016, the Secretaría de Salud Pública has implemented the infection control plan in health service provider institutions with active tuberculosis programs, making its evaluation necessary. Objective. To contrast the regulatory aspects and contextual elements that influence the operation of the infection control plan for tuberculosis, in order to document good practices and areas for improvement in health service provider institutions. Materials and methods. An evaluative study with a mixed-methods approach was conducted to analyze institutional capacities of the infection control plan. The quantitative component included document review and assessment of administrative, environmental, and respiratory control measures. The qualitative component-through a case study-analyzed regulations, governance, financing, information systems, infrastructure, and staff training. Data were integrated through triangulation. Results. Average compliance of the infection control plan was 70.8% for administrative measures, 62.1% for environmental control, and 90.5% for respiratory health control. The study identified the absence of specific national regulations, high staff turnover, lack of training, gaps in investment and environmental system maintenance, and weak monitoring of occupational tuberculosis. Strengths included the identification of respiratory symptomatic individuals and the availability of respiratory protection equipment. Conclusions. Structural gaps were identified, associated with the lack of a national regulatory framework, governance weaknesses, financial limitations, and deficiencies in monitoring and training. It is recommended to define responsibilities, allocate resources, and establish operational protocols in health service provider institutions. Ensuring the sustainability of the infection control plan requires monitoring indicators, periodic audits, and continuous training. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. El distrito de Santiago de Cali es la segunda entidad territorial con mayor número de casos de tuberculosis en Colombia. Desde el 2016, la Secretaría de Salud Pública implementó el plan de control de infecciones en las instituciones prestadoras de servicios de salud con programas activos contra la tuberculosis, lo que hizo necesaria su evaluación. Objetivo. Contrastar los aspectos normativos y los elementos contextuales que influyen en la operación del plan de control de infecciones de tuberculosis, para documentar buenas prácticas y áreas de oportunidad en las instituciones prestadoras de servicios de salud. Materiales y métodos. Se llevó a cabo un estudio evaluativo con enfoque mixto para analizar las capacidades institucionales del plan de control de infecciones. El componente cuantitativo incluyó la revisión documental y la evaluación de las medidas administrativas, ambientales y de protección respiratoria. Con el componente cualitativo, mediante el estudio de caso, se analizaron la normatividad, la gobernanza, el financiamiento, los sistemas de información, la infraestructura y la formación del personal. La información se integró mediante triangulación. Resultados. El cumplimiento promedio del plan de control de infecciones fue del 70,8 % en las medidas administrativas, del 62,1 % en el control ambiental y del 90,5 % en de protección respiratoria. Se identificó la ausencia de normatividad nacional específica, frecuente rotación del personal, falta de capacitación, brechas en inversión y mantenimiento ambiental, e insuficiente monitoreo de la tuberculosis ocupacional. Entre las fortalezas, se destacaron la captación de pacientes sintomáticos respiratorios y la disponibilidad de elementos de protección respiratoria. Conclusiones. Se evidenciaron brechas estructurales asociadas con la falta de un marco normativo nacional, debilidades de gobernanza, limitaciones financieras y deficiencias en el seguimiento y en la formación. Se recomienda determinar responsabilidades, asignar recursos y establecer protocolos operativos en las instituciones prestadoras de servicios de salud. La sostenibilidad del plan de control de infecciones requiere indicadores de seguimiento, auditorías periódicas y capacitación continua. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction. The district of Santiago de Cali is the second territorial entity with the highest number of tuberculosis cases in Colombia. Since 2016, the Secretaría de Salud Pública has implemented the infection control plan in health service provider institutions with active tuberculosis programs, making its evaluation necessary. Objective. To contrast the regulatory aspects and contextual elements that influence the operation of the infection control plan for tuberculosis, in order to document good practices and areas for improvement in health service provider institutions. Materials and methods. An evaluative study with a mixed-methods approach was conducted to analyze institutional capacities of the infection control plan. The quantitative component included document review and assessment of administrative, environmental, and respiratory control measures. The qualitative component-through a case study-analyzed regulations, governance, financing, information systems, infrastructure, and staff training. Data were integrated through triangulation. Results. Average compliance of the infection control plan was 70.8% for administrative measures, 62.1% for environmental control, and 90.5% for respiratory health control. The study identified the absence of specific national regulations, high staff turnover, lack of training, gaps in investment and environmental system maintenance, and weak monitoring of occupational tuberculosis. Strengths included the identification of respiratory symptomatic individuals and the availability of respiratory protection equipment. Conclusions. Structural gaps were identified, associated with the lack of a national regulatory framework, governance weaknesses, financial limitations, and deficiencies in monitoring and training. It is recommended to define responsibilities, allocate resources, and establish operational protocols in health service provider institutions. Ensuring the sustainability of the infection control plan requires monitoring indicators, periodic audits, and continuous training. [ABSTRACT FROM AUTHOR]
ISSN:	01204157
DOI:	10.7705/biomedica.8210