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Information system Tuberculosis

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Cure sputum positive cases. Reduce transmission. DOTS : political commitment ... What we can learn from the laboratory book. External quality control ... – PowerPoint PPT presentation

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Title: Information system Tuberculosis


1
Information system - Tuberculosis
  • Objectives
  • Information culture
  • Integration
  • Coverage

2
Tuberculosis controlObjectives
  • Reduce mortality
  • Detect new cases
  • Cure sputum positive cases
  • Reduce transmission
  • DOTS political commitment
  • diagnosis through microscopy
  • drugs supply
  • observed therapy
  • recording and reporting

3
Tuberculosis controlInformation culture
  • Central management unit (MoH)
  • National standard formats
  • TBMUs -gt Province -gt CU -gt MoH
  • Used as basis for supervision
  • Emphasis on treatment outcome
  • Function in isolation

4
Tuberculosis controlWhat kind of data?
  • Classification
  • New pulm. sm
  • Pulm. sm
  • Extra pulm.
  • Transfer in
  • Retreatment
  • Relapse
  • Treatment outcome
  • Cured
  • Treatm. Completed
  • Dead
  • Transferred out
  • Chronic
  • Lost

5
Tuberculosis controlWhat sources of data?
  • Laboratory book
  • TB suspects, results of 3 smears, follow-ups
  • Treatment card
  • Demographic data, classification, treatment,
    weight, regularity, lab.res.
  • Registration book
  • Classification, treatment outcome, comments
  • Supervision reports
  • Problems, solutions, data quality

6
Tuberculosis controlWhat we can learn from the
laboratory book
  • External quality control
  • Work load and in service training
  • Suspect/positive ratio
  • Quality of diagnostic microscopy routine
  • Quality of follow-up
  • Transfer to treatment cards

7
Tuberculosis controlWhat we can learn from the
treatment cards
  • Accuracy of diagnosis/classification
  • Weight gain/loss
  • Address and social background
  • Treatment regularity
  • Regimen and drug reactions
  • Treatment outcome
  • Transfer to registration book

8
Tuberculosis controlWhat we can learn from the
registration book
  • Incidence and classification / PHC unit
  • Treatment outcome / PHC unit
  • Childhood TB (active transmission)
  • Mortality (HIV etc)
  • Extra pulmonary TB (HIV, M.bovis etc)
  • Gender balance
  • Transfer to CU/MoH reports

9
Tuberculosis controlThe problem of coverage
  • WHO target Detect 70 of estimated new cases
  • What is the basis for the estimate?
  • Competition and distortion
  • What about old cases?
  • Alternative geographical and social
    accessibility (GIS/season/social strata/etc)

10
Tuberculosis controlIntegration in PHC
  • In principle, but often not in reality
  • Resources (transport, pharmacy, statistician,
    laboratory, supervision, data)
  • Culture (treatment outcome, data quality,
    district management)
  • Power (drugs, supervision, commitment)
  • Satisfaction (outcome data)
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