MONITORING AND EVALUATION PLAN - TBC India

on various occasions to coordinate between them. Sharing of tools and training manuals are classical
examples of coordination with both civil society PRs.
Similar Coordination committees will be formed at State and District level between Programme
managers and civil society implementing agencies (SRs) to jointly monitor the programme activities.
There are States where multiple civil society partners are working and requires regular coordination.
With the State TB Officers and WHO Consultants, State and District level coordination committees will
be formed that would regularly review the program performance and ensure synergy between all the
partners.
Coordination with existing RNTCP M&E system
RNTCP has a systematic monitoring mechanism which accounts for the outcome of every patient put
on treatment. There is a standardized recording and reporting structure in place. The cure rate and
other key indicators are monitored regularly at every level of the health system and supervision is
intensified if an area is not meeting the desired expectations. Routine reporting in the RNTCP is
generated from the peripheral health institution (PHI) level upwards. The existing national reporting
formats captures data including case finding, smear conversion rates, treatment outcomes and other
programme interventions including ACSM and trainings. The RNTCP also monitors status on key staff
positions and training; involvement of medical colleges, partners and stakeholders. The RNTCP also has
a well established system of quarterly programme review at district and state level where available data
on programme performance are reviewed from higher level. This GF supported project will utilize the
existing RNTCP mechanism of recording and reporting available at district and state level to report
outcomes on case finding, case holding and treatment outcomes. As there would be co-implementation
of activities in each of the project districts by both the RNTCP and civil society partners in this project,
it will not be possible to attribute any incremental performance to one agency. However, as all efforts in
this project are towards supporting the national strategy it would be appropriate to attribute all
improvement to the national programme. This mechanism will ensure that there is no parallel reporting
on TB outcome indicators or duplication of existing efforts. Several activities and processes under the
civil society component are unique. Therefore process and output indicators for ongoing monitoring will
have to be unique for which a separate tool will be required.
© World Vision India, Axshya India Project
Monitoring and Evaluation Plan, October 2010 Page No 43