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Monitoring and Evaluation: A Review of Terms

This review of terms and objectives aims to provide better treatment for people with tuberculosis in Country X and achieve a treatment success rate of 85% by the end of 2006. The program focuses on increasing the availability of drugs, adherence to NTP guidelines, and implementing directly observed therapy (DOT). The desired outcomes include case detection, smear conversion, and overall improvement in DOTS implementation.

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Monitoring and Evaluation: A Review of Terms

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  1. Monitoring and Evaluation:A Review of Terms MEASURE Evaluation

  2. Goals To provide better treatment for people with tuberculosis in Country X To achieve a treatment success rate of 85% in Country X by the end of 2006

  3. Objectives To increase the number of pharmacies with adequate supplies of drugs To increase to 100% the proportion of pharmacies implementing NTP guidelines on drug management by the end of 2005

  4. Objectives – Be SMART • Specific • Measurable • Achievable • Realistic • Time-Bound

  5. Inputs What do you need to implement the program? Drugs and supplies Laboratories Nurses and doctors DOTS strategy Money

  6. Process WHAT DOES THE PROGRAM DO? Meetings Training Workshops Reporting & Recording Supervision

  7. OUTPUTS Volume of drugs distributed to regional storage facilities Number of primary health-care centers implementing directly-observed therapy Number of laboratory technicians trained in smear microscopy Number of TB cases tested for HIV WHAT DID THE PROGRAM ACHIEVE?

  8. Outcomes Case Detection Smear Conversion Treatment Outcomes WHAT IS THE GOAL OF THE PROGRAM?

  9. Medium and Long Term OUTCOMES • Outcomes for overall DOTS implementation • Case detection, Smear conversion, Treatment success • Medium-term outcomes for NTP implementation • Proportion of TB cases administered directly observed therapy

  10. IMPACT Transmission dynamics of TB Incidence of pulmonary TB Changes in mortality due to TB Decrease in deaths due to HIV-related TB Prevention of MDR-TB WHAT IS THE EFFECT OF THE PROGRAM ON THE EPIDEMIOLOGY OF TB?

  11. Monitoring vs. Evaluation • Inputs, Process, Outputs, Outcomes: • Monitoring • Impact: • Evaluation

  12. KEY TERMS – Directly Observed Therapy • INPUT – NTP guidelines for directly observed therapy (DOT) • PROCESS – NTP training workshops on how to implement DOT • OUTPUT – Number of nurses trained on administration of DOT • Intermediate OUTCOME – Proportion of smear positive TB cases on DOT increases • Long term OUTCOME – Treatment success rate increases to 85% • IMPACT – Decrease in morbidity and mortality due to TB and prevention of MDR -TB

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