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Paranaque IMRAD. June 1-3, 2011 Datcha Hotel, Tagaytay City. City Profile of Paranaque City. Total Population 2011 – 531,398 16 Barangays with 2 districts District 1 = 8 Barangays District 2 = 8 Barangays NTP Team Sonia T. Madjus , MD - NTP Medical Coordinator
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Paranaque IMRAD June 1-3, 2011 Datcha Hotel, Tagaytay City
City Profile of Paranaque City Total Population 2011 – 531,398 16 Barangays with 2 districts District 1 = 8 Barangays District 2 = 8 Barangays NTP Team Sonia T. Madjus, MD - NTP Medical Coordinator Reginald Santos, MD – Asst. NTP Medical Coordinator Emelita A. Bote, RN – NTP Nurse Coordinator Emilie Gecale, RMT – Chief Validator Freddie S. Caleja– Data Administrator
Introduction A country were TB is no longer a problem is our mission. Our goal is to reduce the Morbidity and Mortality from TB by half in 2015. With all the efforts and dedications of all the health workers in the implementation of the program, plus uninterrupted supply of anti-TB drugs, still TB is the 5th leading cause of morbidity and 6th as a leading cause of mortality. With these concern, the City of Paranaque ensure the treatment compliance of the TB patients by implementing DOTS Strategy.
Methods • Strategies • TB Registers from the 16 HF were submitted every 5th day of the month. • TB Registers were reviewed and validated by the City NTP Coordinators. • Encoding of TB Registers by ETR Admin. Using PhilETR program.
What problems did you encountered • Late submission of TB Registry for encoding • Wrong categorization and type of patient. • End of contract for some trained health personnel handling the NTP in some HF. • No comparison of data before submission of the report due to conflict schedules of NTP Coordinators.
How did you resolved the problem • Imposed a deadline of submission for the encoding of TB Registry (written explanation within 72 hours for those who do not submit on time). • Review Nurses and Midwives on MOP. • Training of the newly hired health personnel on basic DOTS. • Validation and comparison of data should be done before submitting report.
Identified Problems (related to your data) • Wrong categorization. • Wrong treatment outcome. • No follow-up sputum examination. • Incomplete data on TB Registry (e.g. M.I.) • Penmanship is not legible. • Some HF add patient on TB Reg. without informing the Data Admin. and NTP Coordinators
Discussion To easily encode, analyze and interpret data for TB cases, the PhilETR was designed for the NTP. Based on the data encoded and analyzed, some data are not complete. After the comparison, there are discrepancies between the ETR and PB due to late submission of TB Reg. for encoding. There is also low conversion rate of the City due to incomplete sputum follow-up on some HF. Based on our review, PhilETR is a very important tool in monitoring TB program.
Recommendation • Exercise strict DOTS Strategy implementation. • Refresher course of MOP for DOTS providers focusing in case finding, case holding and proper recording/reporting. • Regular monitoring and supervision on implementation of NTP by HF. • Multi-tasking of Data Administrator.