ENRS Egypt pilot progress report1

1
ENRS Egypt pilot progress report-1-

• Dr. Samiha Baghdadi
• MO WHO/EMRO

2
Components of E-Nominal monitoring package

• E - Nominal register
• Services activities report, including suspect
  register
• Drugs consumption report
• E-Laboratory Register

3
First step E - Nominal register

• Justification-positive points
• Improve accuracy and timeliness
• Facilitate supervision and increase its
  efficiency
• Facilitate locating the patients as per their
  residency not only their place of diagnosis.
• A base line for comprehensive NTP database
  connected to GIS for improved planning and
  research
• Contribute to human resource development

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First step E - Nominal register

• Justification-feasibility
• The possibility to relay on district register
  which is the most important register/ document in
  TB RR system.
• It has all the information of the patients
  concentrated at the district level
• The DOTS reports are based on the register
• It is easy to show the impact of the E-system
• It is easy to be the entrance for the whole
  package
• From practice entering data was good opportunity
  to review the district register (type of
  supervision)

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Pilot description

• 16 districts 2 provinces
• 20 of population and 14 of chest facilities.
• 11 burden (1445/tot 2003)
• 8 computers out of 16 (50). One of them was out
  of work
• 93 response. One center did not receive
  patients.

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Evaluation

• Who
• Technician/Doctor
• Methodology
• 25 in the district, 25 in the CU, 20 personal
  effort, 30 by GTC and CU. Total response (15/16
  93)

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What is E-TB Register?

• It is the district register saved in an
  electronic file on Excel
• ADAPTING DONE
• The file should be based in the place of
  diagnosis (the diagnostic center/chest clinic)
• DONE
• The worker in charge of updating the e- register
  had to be the district coordinator.
• NOT ALWAYS STATISTICAL OFFCER IN CHARGE ( )
• there is a need to review the role of the doctor,
  the technician and the GTC

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What do we need?

• Staff needs to know excel only
• DONE
• Training will not take more than 2-3 days
• CORRECT
• No need for special software
• CORRECT
• Updated and expansion of data base is easy.
• RELATIVELY due to lack of computers and
• Computers are needed however they can be shared
  with other programmes. More over the work can be
  done anywhere, and on any computer. 50

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Flow of information

• From DST /Chest clinic to Governorate/monthly on
  5th of the month (diskette, CD, e-mail)
• From GCT to CU/monthly on 7th of the month
  (diskette, CD, e-mail)
• CU will compile and discuss monthly on 10th of
  the month this was done individually plus
  supervision during the first 3 months. The close
  monitoring period needs 6 months at least.

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Results

• Information received by district, it is good for
  evaluation of each district performance.
• Next step was compiling and verification of data
  accuracy by GTC (plus CU) and his/her report
  about the governorate. The role of the GTC is
  needs discussion.
• Then compiling by CU and their report.
• Task force composed of Focal point CU, GTC plus
  NTP manager with WHO. Urgent meeting is needed.
  And the monthly meeting could be with them and
  the CU only and the quarterly meeting with all
  workers.
• There is a need to send letter of thanks to the
  responding centres plus comments on the work done
  where needed

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Results

• Examples of comments
• G7 comments
• 2003 patients (1,2 ), verify the real Q in 2004
  pts, role of hospital, adding 2003 cases to 2003,
  complete the information till the end of
  September/November
• G2,3 comments
• Missing items are code number, date of diagnosis
  and results of Fup tests, age group
• Address, treatment results. Consequently 2003
  problem also is expected. Q3 information is not
  available also.
• G4 code number is wrong, 2 EP without sub
  diagnosis (line 156, 163), 2 NP without sputum
  for diagnosis (155, 158). 159 has 3rd mth test on
  28/10??

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Plan of expansion

• Continue the pilot (computers, frequency of
  reporting, task force, 2 meetings 15 Dec, 15
  Feb., prepare 2004 reports from the products at
  DST level or GTC).
• Discuss the copy of register problem /
  supervision 2003 patients
• Prepare detailed plan for expansion by task force
  during Jan 2005.
• Expansion to 3-4 Gov each quarter (15 Gov by
  2005).