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Tracina C. Cropper CDC, Senior Public Health Advisor
CDC Division of Tuberculosis Elimination Hawaii Department of Health
Pacific Islands TB Controllers Association Conference
September 12, 2017
Disclosure None
Objectives Describe NTIP List the National TB Program Objectives and Performance Targets for 2020 Discuss using NTIP for continuous program improvement Discuss program assessment, does it work? Why? Why not?
What is NTIP? National Tuberculosis Indicator Project
- The National Tuberculosis Indicators Project (NTIP) is a monitoring system for tracking the progress of U.S. tuberculosis (TB) control programs toward achieving the national TB program objectives.
- This system provides TB programs with reports that describe their progress, based on data already reported to the CDC. (Hawaii and USAPI through Epi-Anywhere)
- These reports can help programs prioritize prevention and control activities, as well as program evaluation efforts.
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
National TB Program Objectives and Performance Targets for 2020
How can we use NTIP data? TB Programs can use NTIP reports to:
Monitor local progress toward achieving the national TB program objectives Help conduct cohort reviews Report progress under the terms of cooperative agreements Set priorities for improvements and resource allocation Validate data Provide technical assistance to community partners and local programs Provide outreach and training
Hawaii Focus Area: Known HIV Status
Increase the proportion of TB patients who have a positive or negative HIV test result reported to 98.0%.
Known HIV Status
NTIP Hawaii
Examples
3% 2%
22%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
State Performance National Average
Updated as of December 28, 2012
Percent of TB Cases with HIV Results Hawaii, 2003–2012 National
Objective 88.7%
3% 2%
22%
45%
62%
51% 56%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
State Performance National Average
Updated as of December 28, 2012
Percent of TB Cases with HIV Results Hawaii, 2003–2012 National
Objective 88.7%
3% 2%
22%
45%
62%
51% 56%
78%
88%
98%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
State Performance National Average
Updated as of December 28, 2012
Percent of TB Cases with HIV Results Hawaii, 2003–2012 National
Objective 88.7%
3% 2%
22%
45%
62%
51% 56%
78%
88%
98% 97% 99% 97% 97%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
State Performance National Average
Updated as of September 2, 2017
Percent of TB Cases with HIV Results Hawaii, 2003–2016 National
Objective 98%
Limitations
NTIP Hawaii
Examples of
Limitations
NTIP Hawaii
Examples of
Limitations
NTIP Hawaii
Examples of
Limitations
122 124 117 115 123 117 115 136 127 119
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0
20
40
60
80
100
120
140
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
No. of Hawaii Cases Foreign-born (Hawaii Definition) Foreign-born (CDC Definition)
Trends in TB Cases and Percentage of Foreign-born Persons (Hawaii vs. CDC Definition)
Hawaii, 2007–2016 No. of Cases Percentage
Updated as of May 1, 2017
When do we use NTIP? Continuously
Each individual program should establish how often NTIP will be reviewed - (weekly, monthly, quarterly, bi-annual or annually)
Does it work???
Summary
Thank You
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