Effective tuberculosis treatment has been shown to have significant effect on the control of tuberculosis.
Completion of treatment of active cases is therefore the most important priority of tuberculosis control
programmes. Descriptive statistics with a retrospective cohort study design used to analyze secondary data set
(2007-2010) of patients accessing TB-DOTS treatment in two facilities (Nnamdi Azikiwe University Teaching
Hospital, NAUTH and Department of Health Services Tuberculosis and Leprosy Control Unit Nnewi North
Local Government Area (L.G.A.) Secretariat, DHSTLCU ) as public health facilities and other two facilities (
Immaculate Heart of Catholic Church Hospital, IHCCH and Diocesan Anglican Communion Hospital, DACH)
as private health facilities in Nnewi North L.G.A., Anambra State. Gender of patients were male: female
54%(1016 patients) : 46% (883 patients) and 53%(63 patients) : 47%(56 patients) in public and private health
facilities respectively . Using WHO (1996) standards the health facilities adjudged as efficient were: in 2007,
private facilities using the indicator of treatment failure rate; private facilities using the indicator of death rate;
public facilities and private facilities using the indicator of transfer-out rate ; public facilities using the indicator
of treatment completion rate. In 2008, effective health facilities were: private health facilities using the indicator
of failure rate; public and private health facilities using the indicator of transfer-out rate; private facilities using
the indicator of treatment completion rate. In 2009, effective health facilities were public and private health
facilities using indicator of treatment failure rate; public and private health facilities using the indicator of death
rate; public and private facilities using the indicator of transfer out; public and private facilities using the
indicator of treatment completion rate. In 2010, effective health facilities were: private health facilities using the
indicator of cure rate; private facilities using the indicator of death rate ; public and private facilities using the
indicator of transfer-out; public facilities using the indicator of treatment completion rate. In conclusion, private
health facilities were more effective than public health facilities by the several indicators over the four year
period. Future research is needful to use primary and secondary data sets in assessment of TB control program
effectiveness; technical efficiency assessment using non-parametric statistics will assess the validity of assessing
effectiveness using only the WHO standards; identify centre-specific factors associated with poor treatment
outcome; institutionalizing a reward system for effective TB-DOTS facilities will engender healthy competition
in the Public Private Mix for sustained effectiveness; the Monitoring and Evaluation tools especially the
treatment card for data capture should be improved upon for comprehensiveness of patients socio-economic
history.