Standardized Monitoring of DOTS components and TB financing

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Presentation transcript:

Standardized Monitoring of DOTS components and TB financing Holger Sawert 3rd Meeting DEWG, Montreal, 2002

Logical framework in TB control Goal objectives activities inputs Eliminate TB as a public health problem detect and cure cases DOTS staff, equipment supplies Mortality, prevalence CDR, success rate ?

How can ‘DOTS’ be measured? Five components commitment smear-Dx DOT SCC Recording/reporting Nine ‘basic operations’ NTP with central unit Plan/budget Manual recording/reporting training lab network DOT services drugs / Dx supplies supervision

Quantifying DOTS components

Sri Lanka - summary indicators

Sri Lanka - Management indicators

Logical framework in TB control Goal objectives activities inputs Eliminate TB as a public health problem detect and cure cases DOTS staff, equipment supplies Mortality, prevalence CDR, success rate ?

Budgeting for DOTS programs

Determining the ‘funding gap’

Financial monitoring - round 1 22 HBCs contacted mid August 7 forms received by 3 October all forms with at least partial budget/infrastructure information 6 forms with complete budget data 2 forms with complete infrastructure information

Some preliminary statistics

Observations -round 1 Need better tools for standardized budgeting for core DOTS components difficulties in determining ‘infrastructure costs’

Is money enough?

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