RNTCP Annual Report 2012 - TBC India

Monitoring and Evaluation System:
Successful implementation of even a perfectly designed
programme entirely depends on a well laid out supervision
and monitoring mechanism. The RNTCP, at the
outset itself, had ensured that supervision and monitoring
is an integral part of the programme and is well defined.
Over the years, it can be correctly said, that a major
reason for the success of the programme has been
the effective supervision and monitoring of each
programme activity and aspect.
The RNTCP has a comprehensive system for regular
supervision and monitoring at all levels - national, state,
district and sub district. A robust surveillance structure
through a well-defined recording and reporting system
forms the lifeline of the RNTCP supervision and monitoring
mechanism. The protocols for supervision through
supervisory visits, review meetings and other means are
clearly laid out in the 'Supervision and Monitoring Strategy'.
Various tools to aid supervision and monitoring
have also been developed and have been widely circulated
for use which include checklists for supervisory visits,
checklists for review meetings, and other means are clearly
laid out in the 'Supervision and Monitoring Strategy'.
Various tools to aid supervision and monitoring have
also been developed and have been widely circulated for
use which include checklists for supervisory visits, checklists
for review meetings, job aids etc…
The various activities and implementation aspects extensively
monitored under RNTCP are Political & Administrative
commitment; Human Resources including
trainings; Physical Infrastructure; Drugs & Logistics;
Quality of services; TB-HIV collaborative activities; Involvement
of NGOs & Private Practitioners; Advocacy,
Communication and Social Mobilization activities; Annual
Action Plans for the Districts and the States including
the Financial management; Involvement of various
institutions; Involvement of Community; Multi-Drug
Resistant TB etc…
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The main indicators to monitor RNTCP implementation
broadly revolve around the number of cases diagnosed
and notified, and the percentage of patients who
are successfully treated among those notified. However,
the programme has further clearly defined indicators for
each activity under the programme, defined further for
each level of service delivery focusing on just not the
outputs but also the inputs and the processes. Regular
feedbacks, supervisory visits, series of review meetings
and internal evaluations ensure early corrections in the
implementation of the programme.
The process of monitoring broadly covers supervisory
visits, review meetings at various levels and programme
evaluation by different levels of health personnel. Measurable
indicators for quality control, programme outcomes
and operational effectiveness are the basis for
programme monitoring.
Collection, Analysis and Feedback on Routine Surveillance
Data: Surveillance data are received through
the monthly (till sub-district levels) and quarterly reports
(from sub-district levels and upwards). The reporting till
district level is paper based and from district onwards
the reports are electronically transmitted to the state as
well as central levels. An accurately compiled quarterly
report provides base level information about the performance
of the programme. Central TB Division and
the States analyze these quarterly reports received from
the States/Districts and feedback is provided to the districts
for further analyses and corrective actions. All the
states were provided feedback on the quarterly reports
in 2011 while more than 60% of the states have provided
feedback to the districts for all the quarters in 2011.
RNTCP presently uses 'EPICENTRE' for its data management
which includes collection, validation, transmission,
analysis and feedback of programme performance
electronically. This is presently being used successfully for