How to move forward with M&E of TB/HIV? TB/HIV Core Group New York City April 17, 2008 Riitta Dlodlo.

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Presentation transcript:

How to move forward with M&E of TB/HIV? TB/HIV Core Group New York City April 17, 2008 Riitta Dlodlo

The Key is “Simplicity” AD Harries, World Lung Health Conferences in

Annex 2, table 2 Total TB notifications in 2005 and 2006

Revise and adopt revised indicators Harmonisation demands give & take Let’s view it from perspective of national programmes –HCW out there… filling in monthly report form(s) Too frequent revision may be counterproductive…

Reduce the HIV burden in TB patients Conceptually easy / easier Field tested & implemented Addition: disaggregate by type of TB –new PTB+ –all types of TB Propose: TB treatment outcome analysis by HIV status?

Reduce the TB burden in PLHs Way forward – a new start? ICF New TB cases diagnosed in PLHs / PLHs registered in ART register New TB cases started on TB treatment / New TB cases diagnosed in PLHs IPT PLHs started on IPT / PLHs registered in pre- ART register -?? TB IC New TB cases diagnosed in HCWs / HCWs -?? at sentinel sites

Revision of TB/HIV indicators Probable changes: % of TB patients screened for HIV during treatment ok TB patients with HIV status recorded on TB register/ all TB patients registered % Of screened found to be HIV positive ok HIV positive TB patients / TB patients with HIV status recorded % of TB patients screened for HIV during treatment =1 ? % of TB patients with HIV status recorded on TB register % of PLWH attending testing and counselling and Tx and care who were screened for TB % in Care (Pre ART /ART registers) who had TB status assessed during last visit Of those who were screened for TB symptoms how many were newly diagnosed TB % in Care (on Pre ART /ART registers) who started TB Tx during last year