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TB Seminar 2014 Agenda and issues in NTP M&E System

TB Seminar 2014 Agenda and issues in NTP M&E System. Arun Gautam , Chief, PME section, NTC. Recording and Reporting through HMIS. Status Full implementation of integrated NTP R&R system in HMIS by first of Shrawan 2071 Forms and formats are being distributed to all districts

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TB Seminar 2014 Agenda and issues in NTP M&E System

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  1. TB Seminar 2014Agenda and issues in NTP M&E System ArunGautam, Chief, PME section, NTC

  2. Recording and Reporting through HMIS Status • Full implementation of integrated NTP R&R system in HMIS by first of Shrawan 2071 • Forms and formats are being distributed to all districts • All treatment center will be DOTS center, there will be no sub DOTS center from Shrawan 2071 Issues • All reporting units in the district are trained/oriented for R&R in HMIS- are reporting units ready to use HMIS?- additional day in DOTS workshop for training to report in HMIS- third trimester 2070/71 • Are forms and formats are sufficient? • There should be no discrepancies between NTP and HMIS data so that there will be no problem in cohort while reporting monthly through HMIS

  3. Monitoring and Supervision • Rare practice of using supervision check list • Rare practice of using information of supervision for program improvement and evaluation • Use of District Master Register to monitor patient treatment • Establishing instant feed back system • Use of supervision as a coaching and giving hands on skill to the reporting unit staff for proper recording and reporting • Use of data at regional and district level for program evaluation and developing implementation strategy • Low practice of using supervision for data quality, and addressing local level issues

  4. Reporting of MDR, PPM and PAL • Establishing MDR reporting system through district • Establish a mechanism of reporting the test of MDR suspect (all retreatment cases) by Gene-Xpert • Developing reporting linkage of TB cases diagnosed by TB Reach Project • Insufficient recording and reporting of PPM, PAL and TB-HIV- including cross referral, HIV test of TB patients, services linkage information provided by NTP and NCASC

  5. Other Issues • Revitalizing the physical count and reporting of TB drug • Strengthening Reporting of lab examination- crucial for analyzing suspects • Mapping of out reach population in district- will be added in program management form • Reporting of contact tracing and Community Based DOTS • Use of supervision budget for other purposes • No practice of involving community people in program audit and monitoring • Timely reporting of Anusuchi-2, Aa. Le. Pa. and Ma. Le. Pa • Proper recording and reporting of distribution of nutritional support to retreatment patients

  6. Increasing Data Quality System • There is a practice of reporting cure without following the criteria of cure- sputum result at fifth month and end of treatment • Increasing practice of moving to continuation phase without the sputum test/result of at 2/3 month • Some reporting unit are not updating treatment card and TB register • Use of HMIS data quality program for NTP • Increasing the involvement of supervisors in data quality assurance- through data analysis, using master TB register • Supervisory visit should ensure data quality • Involvement of partners in data audit

  7. THANKYOU

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