Monitoring of tuberculosis control programme - recording, reporting and supervision
Unnikrishnan, P. and Jagannatha, P.S. (2002) Monitoring of tuberculosis control programme - recording, reporting and supervision. NTI Bulletin, 38 (3&4). pp. 11-17.
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The national TB control programme has put in place a recording and reporting system to systematically evaluate the patient's progress and treatment outcome, as well as overall programme performance. The system includes a laboratory register that contain a log of all chest symptomatics and patients who had a smear test done; treatment cards that detail the intake of medication and results of follow up sputum examination; and the TB register which lists patients starting on treatment and monitors their individual and collective progress towards cure. A health worker is responsible for supervising each administrative area or institution in the district and uses the district/sub district TB register to monitor the progress and treatment outcome of all patients in that district. This provides the district or local health chief with rapid feed back on programme performance in the district and allow for monitoring of the epidemic overall. Recording and reporting system allows for targeted, individualized follow up to help patients who may not be making satisfactory progress and rapid management assessment of the overall performance of each institution, district, state and national. There is a strong system of accountability and checks and balances that make false reporting of data difficult. A good record/report demonstrates that services were provided to the patient and establish that services provided were necessary. Reporting is auditing of our own records. This helps the programme managers to evaluate the strengths and weaknesses of the system of TB case management.
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