TB Seminar 2014Agenda and issues in NTP M&E SystemARUN GAUTAM,

CHIEF, PME SECTION, NTC

Recording and Reporting through HMIS

Status

1. Full implementation of integrated NTP R&R system in HMIS by first of Shrawan 2071

2. Forms and formats are being distributed to all districts

3. All treatment center will be DOTS center, there will be no sub DOTS center from Shrawan 2071

Issues

All reporting units in the district are trained/oriented for R&R in HMIS- are reporting units ready to use HMIS?- additional day in DOTS workshop for training to report in HMIS- third trimester 2070/71

Are forms and formats are sufficient?

There should be no discrepancies between NTP and HMIS data so that there will be no problem in cohort while reporting monthly through HMIS

Monitoring and Supervision Rare practice of using supervision check list

Rare practice of using information of supervision for program improvement and evaluation

Use of District Master Register to monitor patient treatment

Establishing instant feed back system

Use of supervision as a coaching and giving hands on skill to the reporting unit staff for proper recording and reporting

Use of data at regional and district level for program evaluation and developing implementation strategy

Low practice of using supervision for data quality, and addressing local level issues

Reporting of MDR, PPM and PAL Establishing MDR reporting system through district

Establish a mechanism of reporting the test of MDR suspect (all retreatment cases) by Gene-Xpert

Developing reporting linkage of TB cases diagnosed by TB Reach Project

Insufficient recording and reporting of PPM, PAL and TB-HIV- including cross referral, HIV test of TB patients, services linkage information provided by NTP and NCASC

Other Issues Revitalizing the physical count and reporting of TB drug

Strengthening Reporting of lab examination- crucial for analyzing suspects

Mapping of out reach population in district- will be added in program management form

Reporting of contact tracing and Community Based DOTS

Use of supervision budget for other purposes

No practice of involving community people in program audit and monitoring

Timely reporting of Anusuchi-2, Aa. Le. Pa. and Ma. Le. Pa

Proper recording and reporting of distribution of nutritional support to retreatment patients

Increasing Data Quality System1. There is a practice of reporting cure without following the criteria of cure- sputum result at fifth

month and end of treatment

2. Increasing practice of moving to continuation phase without the sputum test/result of at 2/3 month

3. Some reporting unit are not updating treatment card and TB register

Use of HMIS data quality program for NTP

Increasing the involvement of supervisors in data quality assurance- through data analysis, using master TB register

Supervisory visit should ensure data quality

Involvement of partners in data audit

THANK YOU