MONITORING AND EVALUATION PLAN - TBC India
MONITORING AND EVALUATION PLAN - TBC India
MONITORING AND EVALUATION PLAN - TBC India
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Indicator Average Default Rate of Smear positive Re-Treatment Cases<br />
Rationale The RNTCP category II consists of a heterogeneous group of patients,<br />
most of whom are smear-positive retreatment cases. These subgroups<br />
are different bacteriologically and pathogenetically and defaults of such<br />
patients are to be minimized in order to prevent resistance to first line<br />
of drugs.<br />
Numerator Number of smear positive re-treatment cases defaulted<br />
Denominator Total number of smear positive re-treatment cases in same period<br />
Data collection Quarterly<br />
frequency<br />
Measurement TB register<br />
Tool<br />
Method of<br />
measurement<br />
Information is collected at TU level on monthly basis from TB register<br />
and subsequently collated at district level on quarterly basis. Each<br />
district report is collated at respective state level and submitted to<br />
CTD<br />
Interpretation It underscores the importance of treatment adherence for achieving<br />
success. The low treatment efficiency in MDR cases makes it prudent<br />
to prevent development of MDR during primary treatment by strict<br />
adherence to DOTS, thereby making failed cases more amenable for<br />
re-treatment regimen. The focus of treating such cases should be on<br />
prompt defaulter retrieval.<br />
Other relevant<br />
information<br />
Indicator Number of districts with new smear positive case detection<br />
rate ≥70% in 74 districts<br />
Rationale This indicator measures national TB program’s ability to diagnose and<br />
collect data on new smear-positive TB cases<br />
Numerator Count of districts with CDR of 70% or more<br />
Denominator NA<br />
Data collection Quarterly<br />
frequency<br />
Measurement Quarterly report on case finding<br />
Tool<br />
Method of Quarterly reporting and review<br />
measurement<br />
Interpretation A high case detection rate will mean that transmission by undiagnosed<br />
infectious TB patients is curtailed, leading to the impact of less TB<br />
© World Vision <strong>India</strong>, Axshya <strong>India</strong> Project<br />
Monitoring and Evaluation Plan, October 2010 Page No 64