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Integrating TB IC indicators in the NTPs’s monitoring, evaluation and reporting process. National TB Infection Control Seminar. S’celo S. Dlamini Director: Research, Information, Monitoring, Evaluation & Surveillance. 12 th of August 2015. Background. What we know about transmission…
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Integrating TB IC indicators in the NTPs’s monitoring, evaluation and reporting process National TB Infection Control Seminar S’celo S. Dlamini Director: Research, Information, Monitoring, Evaluation & Surveillance 12th of August 2015
Background • What we know about transmission… • Transmission occurs at different levels: • In congregate settings; • In households; and • Health care facilities
Background • Who is affected… • General population and • Health care providers • More so with high risk groups of the above… • Including immuno-compromised individuals
Background • Who has to do something about it… • General population; • Health care providers; • Management in stakeholder settings
Background • WHO recommendation… • Infection control requires action at national and subnational levels to provide managerial direction, and at health facility level to implement TB infection control measures
Importance of Indicators What are they… Indicators simply put show us whether we are achieving our target SMART Indicators… You know what smart is… Types of indicators… Input, process, output and outcome Application of indicators… Direct and indirect measures
Levels of Indicators & quantity Facility Indicators… Often many as they measure both inputs, processes & outputs Sub-national Indicators… Not as many as facility… National Indicators… As few as possible - minimum Global Indicators… Much fewer…
Indicators Structural… More technical & specific Indicators specific to prevention… Use of PPEs etc… Indicators specific to control and management… Focus on measures to reduce further infections
List of current Indicators • TB client 5yrs & older screened @ health facilities 4 TB symptoms rate; • TB client 5yrs & older initiated on treatment rate; • TB Rif Resistant clients treatment initiation rate; • TB new client success rate; • TB client loss to follow up rate; • TB client death rate; • TB MDR client loss to follow up rate; • TB MDR client death rate; • TB MDR treatment success rate • TB/HIV co-infected client on ART rate; • % of inmates screened for TB annually • % of mines providing routine TB screening • # of community members in 6 Peri-mining districts screened for TB
Previous important Indicator • Previously the APP had : • Number of Correctional Services Management areas with risk assessments undertaken
Proposal for integration of IC Indicators • The purpose of this presentation is to facilitate the development of SMART indicators that will: • Ensure compliance; • Influence behavioural change; • Enable innovations on IPCs; & • Provide a pool of information to work from • On reporting & data flow, the Department has an approved District Health Management Information System (DHMIS) Policy of 2011 – as well as accompanying SOPs for all levels.
What you need to do... • We need to develop a list of indicators that we will include in the next reporting cycle – i.e. 2016/2017 financial year. • What do we do in the meantime…
Thank You... • Remember: What is not recorded is not reported; what is not reported is not done…