Monitoring Process of Monitoring Process of the National TB Control the National TB Control

Program (NTP) in the Program (NTP) in the PhilippinesPhilippines

Monitoring Process of Monitoring Process of the National TB Control the National TB Control

Program (NTP) in the Program (NTP) in the PhilippinesPhilippines

Anna Marie Celina G. Garfin, MDMedical Specialist IV

National Center for Disease Prevention and Control Department of Health

Anna Marie Celina G. Garfin, MDMedical Specialist IV

National Center for Disease Prevention and Control Department of Health

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Health Care System

DOH – Central Office

Center for Health Development

Provincial/City Health Office

Rural Health Unit/ PPMD Unit*

* Public or private health facility

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Responsible persons – records and reports

DOH – Central Office

Center for Health Development

Provincial/City Health Office

Rural Health Unit/PPMD Unit

Designated NTP Staff

Medical Nurse MT

Medical Nurse MT

Medical/PPMD unit administrator Nurse MT

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Flow of reports

DOH – Central Office

Center for Health Development

Provincial/City Health Office

Rural Health Unit/ PPMD Unit

Submits quarterly reports

Consolidates submitted quarterly reports per municipality, PPMD

unit

Consolidates submitted quarterly reports per Province, City and

PPMD unit

Consolidates submitted quarterly reports per region

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Reporting Forms

Quarterly report on laboratory activities

Quarterly report on case finding

Quarterly report on treatment outcome

Quarterly report on drug inventory

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Sources of Data

Quarterly report on laboratory activities– Laboratory Register

Quarterly report on case finding– TB Register

Quarterly report on treatment outcome– TB register

Quarterly report on drug inventory– Physical inventory– Stock cards

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Data gathered

Distribution of new smear-positive cases according to age and sex

Number of smear-positive cases referred by private physicians

Number of new smear-positive cases detected by PPMD units

Number of private referring physicians Distribution of patients as to classification

of TB (Pulmonary and Extra-pulmonary) Distribution of patients as to type of TB

Patients( new, relapse, failure, RAD, trans-in, other)

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Indicators

Three sputum collection rate Positivity rate Proportion of pul. smear-positive cases

out of total pul. cases Case detection Rate Case notification Rate of new smear-

positive cases per 100,000 population

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Indicators

Sputum conversion rate at the end of two months of treatment for new smear-positive cases (%)

Treatment outcomes for each of new smear-positive cases, new smear-negative cases, relapse cases, and failure cases (%)

Additionality

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Who does the monitoring?

Monitoring team– Representatives from the public and

private sector•Department of Health – Central and

Regional levels•Local government unit – Provincial

level•Philippine Coalition Against TB•Tropical Disease Foundation, Inc.

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How is monitoring done?

How data are analyzed?– Correctness, consistency, and

completeness– Compare data with standard indicators– Interpret trends– Identify factors that hinders or

facilitates achievement of standards– Draw recommendations

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How Feedback is done?

Right after the visit Consultative workshops Planning workshops

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