Transcript A Review of Terms

Monitoring and Evaluation:
A Review of Terms
MEASURE
Evaluation
Goals
To provide better treatment for people with
tuberculosis in Country X
To achieve a treatment success rate of 85% in
Country X by the end of 2006
Objectives
To increase the number of pharmacies with
adequate supplies of drugs
To increase to 100% the proportion of
pharmacies implementing NTP guidelines on
drug management by the end of 2005
Objectives – Be SMART
 Specific
 Measurable
 Achievable
 Realistic
 Time-Bound
Inputs
What do you need to implement the program?
Drugs and supplies
Laboratories
Nurses and doctors
DOTS strategy
Money
Process
WHAT DOES THE PROGRAM DO?
Meetings
Training
Workshops
Reporting & Recording
Supervision
OUTPUTS
WHAT DID THE PROGRAM ACHIEVE?
Volume of drugs distributed to regional
storage facilities
Number of primary health-care centers
implementing directly-observed therapy
Number of laboratory technicians trained in
smear microscopy
Number of TB cases tested for HIV
Outcomes
WHAT IS THE GOAL OF THE PROGRAM?
Case Detection
Smear Conversion
Treatment Outcomes
Medium and Long Term OUTCOMES
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Outcomes for overall DOTS implementation
–
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Case detection, Smear conversion, Treatment
success
Medium-term outcomes for NTP
implementation
–
Proportion of TB cases administered directly
observed therapy
IMPACT
WHAT IS THE EFFECT OF THE PROGRAM
ON THE EPIDEMIOLOGY OF TB?
Transmission dynamics of TB
Incidence of pulmonary TB
Changes in mortality due to TB
Decrease in deaths due to HIV-related TB
Prevention of MDR-TB
Monitoring vs. Evaluation

Inputs, Process, Outputs, Outcomes:
 Monitoring

Impact:
 Evaluation
KEY TERMS – Directly Observed
Therapy
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INPUT – NTP guidelines for directly observed
therapy (DOT)
PROCESS – NTP training workshops on how to
implement DOT
OUTPUT – Number of nurses trained on
administration of DOT
Intermediate OUTCOME – Proportion of smear
positive TB cases on DOT increases
Long term OUTCOME – Treatment success rate
increases to 85%
IMPACT – Decrease in morbidity and mortality due
to TB and prevention of MDR -TB