MONITORING AND EVALUATION PLAN - TBC India

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Indicator Average Default Rate of Smear positive Re-Treatment Cases Rationale The RNTCP category II consists of a heterogeneous group of patients, most of whom are smear-positive retreatment cases. These subgroups are different bacteriologically and pathogenetically and defaults of such patients are to be minimized in order to prevent resistance to first line of drugs. Numerator Number of smear positive re-treatment cases defaulted Denominator Total number of smear positive re-treatment cases in same period Data collection Quarterly frequency Measurement TB register Tool Method of measurement Information is collected at TU level on monthly basis from TB register and subsequently collated at district level on quarterly basis. Each district report is collated at respective state level and submitted to CTD Interpretation It underscores the importance of treatment adherence for achieving success. The low treatment efficiency in MDR cases makes it prudent to prevent development of MDR during primary treatment by strict adherence to DOTS, thereby making failed cases more amenable for re-treatment regimen. The focus of treating such cases should be on prompt defaulter retrieval. Other relevant information Indicator Number of districts with new smear positive case detection rate ≥70% in 74 districts Rationale This indicator measures national TB program’s ability to diagnose and collect data on new smear-positive TB cases Numerator Count of districts with CDR of 70% or more Denominator NA Data collection Quarterly frequency Measurement Quarterly report on case finding Tool Method of Quarterly reporting and review measurement Interpretation A high case detection rate will mean that transmission by undiagnosed infectious TB patients is curtailed, leading to the impact of less TB © World Vision India, Axshya India Project Monitoring and Evaluation Plan, October 2010 Page No 64
Other relevant information disease and less TB mortality in the population. The information is collated at state level on quarterly basis from the case finding reports of the districts. Indicator Percentage and number of target districts where at least 90% of all smear positive cases started RNTCP DOTS within 7 days of diagnosis Rationale The priority is to initiate treatment of smear positive cases as soon as possible to make them non-infectious and to cut the chain of transmission of infection. Numerator Number of target districts where at least 90% of all smear positive TB patients are started on treatment within 7 days of diagnosis Denominator Total number of districts covered during the reporting quarter Data collection Quarterly frequency Measurement Quarterly report on Programme management Tool Method of Quarterly reporting & record review measurement Interpretation It reflects the quality of RNTCP programme Other relevant information First, for each district calculate proportion of smear positive patients that were put on DOTS within 7 days of diagnosis. Then count the number of districts where %age is at least 90% or above. Indicator Percentage and number of target districts where at least 40% of registered TB patients (all forms) are supervised through community volunteers Rationale Increased participation of community volunteers in DOT provision. Numerator Number of districts where at least 40% of registered TB patients (all forms) receiving DOT through community Denominator Total number of districts covered during the quarter Data collection Quarterly frequency Measurement Quarterly report on Programme management Tool Method of Quarterly reporting & record review measurement Interpretation It promotes health seeking behavior, adherence and support to the © World Vision India, Axshya India Project Monitoring and Evaluation Plan, October 2010 Page No 65
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MONITORING AND EVALUATION PLAN THE
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1. LIST OF DIAGRAMS Diagram Number
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3. EXECUTIVE SUMMARY The Global Fun
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Following are the objectives behind
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4. INTRODUCTION World Vision India
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the former head of the National Mon
Page 13 and 14: � Skills like capacity to conduct
Page 15 and 16: 5.3 Action Step Recommendation PLAN
Page 17 and 18: 6. INDICATOR DEFINITIONS AND MEASUR
Page 19 and 20: 7. ROUTINE DATA COLLECTION, ANALYSI
Page 21 and 22: where at least 40% of registered TB
Page 23 and 24: Diagram 2 Finance information/repor
Page 25 and 26: 7.4 Infrastructures available for d
Page 27 and 28: Other information products as menti
Page 29 and 30: disseminate the findings of pilot s
Page 31 and 32: the performance of the ACSM program
Page 33 and 34: 9. DATA QUALITY ASSURANCE MECHANISM
Page 35 and 36: appropriately inclusive. informatio
Page 37 and 38: RNTCP schemes Checklist 9 Percentag
Page 39 and 40: Table below describes the Supportiv
Page 41 and 42: 14. Whether the amounts reported as
Page 43 and 44: on various occasions to coordinate
Page 45 and 46: Diagram 4 © World Vision India, Ax
Page 47 and 48: Action Plan Activity 1.1 M&E Assess
Page 49 and 50: 1.5.3 Develop reporting format X WV
Page 51 and 52: Tool workshop with the partners. No
Page 53 and 54: 2. Collaboration with Coordination
Page 55 and 56: 13.2 Monitoring and Evaluation Budg
Page 57 and 58: ANNEXURE A: M&E Framework Template
Page 59 and 60: Percentage of population with corre
Page 61 and 62: ANNEXURE B: Indicator Reference She
Page 63: Data collection Quarterly frequency
Page 67 and 68: Other relevant information proximit
Page 69 and 70: Method of Quarterly reporting and r
Page 71 and 72: 20 Number of sputum samples collect
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Page 75 and 76: Narrative summary of progress (Maxi
Page 77 and 78: 20 Number of sputum samples collect
Page 79 and 80: Most significant change story (Maxi
Page 81 and 82: ANNEXURE D: Data Collection Tools T
Page 83 and 84: Tool 2: Minutes of Meeting format N
Page 85 and 86: Sample identification No.: Name of
Page 87 and 88: Tool 6: MDR-TB patients initiated o
Page 89 and 90: Tool 8: Monthly Report of MDR-TB pa
Page 91 and 92: Name of SR: Name of State: Name of
Page 97 and 98: E Monitoring plan 1 Does the Progra
Page 99 and 100: 3 Did you find cash in the cash box
Page 101 and 102: 13 Have TB forums been formed in th
Page 103 and 104: Tool 4: Supportive Supervision Chec
Page 105 and 106: Tool 6: Supportive Supervision Tool
Page 107 and 108: E SL. FINANCIAL RECORDS AND REPORTS
Page 109 and 110: 19 Are Leave records updated in the
Page 111 and 112: SL. ADVANCES/LOANS & OTHER RECEIVAB
Page 113 and 114: TOOL 7: SUPPORTIVE SUPERVISION TOOL
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NO . 1 Is BRS prepared regularly,da
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. 1 Are the Manager and Accountant
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6 Are adequate records kept for loc
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Table 2: Communication Matrix SN Is
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Standard: Each SR is expected to be
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© World Vision India, Axshya India
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3.4.4.1 3 Training 3.4.4.2 3 Traini
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4.5.4.2 4 4.5.4.3 4 4.5.4.4 4 4.5.4
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ANNEXURE I: Operations Research Des
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