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

2. 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 ?

3. 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

4. Quantifying DOTS components

5. Sri Lanka - summary indicators

6. Sri Lanka - Management indicators

8. 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 ?

9. Budgeting for DOTS programs

10. Determining the ‘funding gap’

12. 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

13. Some preliminary statistics

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

16. Is money enough?