Group 1
GOAL: Improve case detection to 70%
OBJECTIVES
ACTIVITIES
INDICATORS
MEASUREMENT
DATA SOURCES
Increased
coverage of
microscopy units
Needs assessment
Establishment of
additional
laboratories
Laboratory coverage
Number of microscopy units/Total
population
Progress reports,
census
RESPONSIBLE
PARTY
TB program manager,
population unit
Improved quality
of diagnosis
Training/retraining of
lab technicians
Development and
implementation of
QA protocol
Number of lab technicians trained/
Total number of lab technicians
Number of units using QA
protocol/Total number of units
Number of units meeting QA
targets/Total number of units
Progress reports
TB program manager
Improved referral
of chest
symptomatics
Training/retraining
of doctors on
importance of DOTS
strategy
Number of trained doctors/Total
number of doctors
Number of new adults outpatients
with referral for sputum test/Total
number of new adult outpatients
Health facility
reports
Provincial TB manager
Improved
community
awareness of TB
IEC campaign
Proportion of lab
technicians trained in
smear microscopy
Number of labs
implementing QA
protocol
Proportion of labs
meeting QA target
Proportion of trained
doctors
Proportion of new adult
outpatients receiving
referral for sputum test
?? – would like to
brainstorm with others
about this
Increased
involvement of
private sector
Motivation/training of
private practitioners
on case detection
and reporting
system
Percent of symptomatics
referred from private
sector
Number of symptomatics referred
from private sector/Total number
of symptomatics identified
Routing reporting
system
Private and public
managers
Group 2
GOAL: To achieve 70% case detection and 85% treatment success rate
OBJECTIVES
Improve case
detection rate
Improve
treatment
success rate
Increase political
commitment for
TB control
ACTIVITIES
INDICATORS
Strengthen
laboratory logistics
Capacity building of
the technical staff
Expand DOTS to
private providers,
prisons
Involve community
and NGOs
IEC
Active case finding
Establish/strengthen
laboratory network
countrywide,
including QA
Improve case
management
Strengthen drug
management
Improve recording
and reporting
system
Improve supervision
Case notification rate
Existence of
comprehensive
laboratory network
TB microscopy coverage
TB microscopy units
submitting slides for
rechecking
TB suspects who are
smear positive
Smear negative cases
properly diagnosed
(See Compendium of Indicators
for measurement of indicators)
Quarterly reports
TB lab register
Census
NTP records
MOH records
TB suspect
register
TB treatment
cards
Patients receiving DOT
Patients prescribed
correct regimen
Existence of QA for TB
drugs
Stockout of drugs at TB
units
Completeness of
reporting
Accuracy of reporting
Supervision of DOTS
implementation
Conversion rate
Increased funds for NTP
Number of IEC materials
disseminated
(See Compendium of Indicators
for measurement of indicators)
National
guidelines
TB register
Pharmaceutical
committee records
Approved
workplans
Supervision
reports
National, regional,
district TB managers
Facility managers
(See Compendium of Indicators
for measurement of indicators)
Program records
National, regional,
district TB managers
Facility managers
Advocacy
IEC
MEASUREMENT
DATA SOURCES
RESPONSIBLE
PARTY
National, regional,
district TB managers
Facility managers
Group 3
GOAL: To control TB in Country X
OBJECTIVES
ACTIVITIES
INDICATORS
MEASUREMENT
Increase case
detection rate to
70%
Referral of
symptomatics from
general health
services and
community
Establishment of QA
in laboratories
IEC
Implementation of
public/private mix
program
Ensure proper use
of diagnostic
resources
Number of symptomatics referred
from private sector/Total number
of symptomatics identified
Number of microscopy units/Total
population
Number of lab technicians trained/
Total number of lab technicians
Number of activities conducted
Number of partners involved with
DOTS/ Number of actors
providing TB diagnosis and
treatment
Should be 1/0.8
Laboratory
register
NTP records
To have correct
smear positive to
smear negative
ratio
Increase
treatment
success rate
Proportion of
symptomatics referred
for diagnosis
Number of microscopy
units fully equipped
Number of trained
laboratory technicians
IEC plans in place
Number of private sector
practitioners, NGOs,
medical college and
other actors involved
Ratio of smear negative
to smear positive TB
cases
TB register
NTP program
manager
Patients under DOT
6.1, 6.3, 7.1, 8.1
(See compendium)
(See Compendium of Indicators
for measurement of indicators)
TB cards
DOT provider
Logistic system for
TB drugs
Following proper
DOTS guidelines
DATA SOURCES
RESPONSIBLE
PARTY
Medical services in
general health
services
National and provincial
managers