Surveillance, Monitoring and Evaluation Working Group

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Presentation transcript:

Surveillance, Monitoring and Evaluation Working Group 2nd Global TB/HIV Working Group Meeting Durban, South Africa 14-16 June 2002

Surveillance Information for action Ongoing Systematic Collection, analysis, interpretation and dissemination of public health data

Surveillance What? Who? How?

What to Survey? Prevalence of HIV among TB patients Smear + Smear - Extra pulmonary TB New TB cases Re-treatment

How to Survey HIV among TB? Systematic Regular Collaborative HIV anonymous Part of national HIV surveillance Revisit WHO/IUATLD guidelines

What to Survey? TB among HIV infected people Important for monitoring epidemic trend and intervention impact

How to Survey TB Among HIV? Long term: establish a national anonymous HIV reporting system including AIDS indicator diseases Short term: cohort studies

Who Should do the Surveillance? Joint activity between the NAP and the NTP

Surveillance: Other Points Quality assurance Data feedback to service providers Monitoring possible relation between HIV and MDR-TB

Monitoring and Evaluation Monitoring X Evaluation Monitoring activities Evaluating outcomes Guidelines: comprehensive set of indicators Local prioritisation required Review standardized data collection tool Indicators should link to overall objectives and goals

Monitoring and Evaluation Targets Aspirational targets: difficult but inevitable Outcome (impact on TB/HIV) Operational targets Measurable Level specific: district/national/international Informed by modelling

Monitoring and Evaluation Monitoring X Evaluation Monitoring activities Evaluating outcomes Guidelines: comprehensive set of indicators Local prioritisation required