1 |

Workshop to accelerate the implementation of the Three Is for HIV/TB and earlier initiation of ART in Southern AfricaMarch 14-18, 2011, Johannesburg, South Africa

Workshop to accelerate the implementation of the Three Is for HIV/TB and earlier initiation of ART in Southern AfricaMarch 14-18, 2011, Johannesburg, South Africa

Eyerusalem Negussie

HIV/AIDS department, World Health Organization

Geneva, Switzerland

Harmonized TB/HIV indicators: overview

Three interlinked patient monitoring systems: Introduction

2 |

3 |

� Overview of indicators

for 3Is

� Introduction to the three

interlinked patient

monitoring systems of

HIV care/ART,

MCH/PMTCT, TB/HIV.

4 |

TB STATUS AT

LAST VISIT

STARTED TB

TREATMENT and ART

HEALTH WORKERS

WITH TB

NEWLY ENROLLED

ON IPT

INFECTION

CONTROL

PRACTICES

Indicator Definition

5 |

�Version 1 (2006)-– Standardized minimum data set with

definitions – Illustrative tools- patient follow up,

cohort analysis, and cross sectional report

– Adaptation guide– Training materials- clinical team, data

clerks and district managers/ supervisors

6 |

Three interlinked patient monitoring systems forHIV care/ART, MCH/PMTCT and TB/HIV

Three interlinked patient monitoring systems for

HIV care/ART, MCH/PMTCT and TB/HIV

�Version 2 (2009):

– Harmonized indicators for

national/international reporting

– Updated for 2010 WHO recommendations

– Includes annual patient monitoring review-

to promote cohort analysis and quality

improvement at facility level

– Emphasizes patient monitoring system be

the primary source of data for quality

improvement

http://www.who.int/hiv/pub/imai/three_patient_monitor/en/index.html

7 |

– TB status assessment

– TB treatment provision

– IPT provision

�On HIV care/ART patient card

�On Pre ART and ART Registers

�On cross-sectional reporting forms

Revised HIV care/ART recording and reporting

8 |

Monitoring at different levelsLevel of data

collection

PurposeMonitoring tools Quantity

Global

National

District/

Region

Facility

Patient

Global summary

indicators

National summary

indicators

District/regional summary

indicators

Facility registers,

logbooks

Patient card/record

Summary indicators for global

reporting (e.g. UA)

Summary indicators for national

planning and reporting

Indicators for district, regional and

national reporting and planning

Clinical team management of groups of

patients, case review, audits, drug

supply management

Individual patient management

Less

More

[1] Adapted from: Health Metrics Network (HMN). Statistics saves lives: strengthening country health information systems (Draft). Geneva, HMN, 2005.

9 |

– Training materials- clinical team, data clerks and district managers/supervisors

10 |

HIV care/ ART card: Front side

11 |

HIV care/ART card: back side HIV care/ART card: back side

12 |

Pre ART registers: TB treatment and IPTPre ART registers: TB treatment and IPT

Record month/year & TB registration numbers- Patients on TB treatmen

Record INH start month/year- IPT

13 |

Pre-ART register: TB status follow upPre-ART register: TB status follow up

�Record TB status at monthly/quarterly visits

14 |

— Record month/year & TB registration numbers- Patients on TB treatment — Record INH start month/year- IPT

15 |

ART Registers: TB status at last visitART Registers: TB status at last visit

—TB status at last visit during the month

16 |

Cross-sectional reporting form

17 |

PreviouQuarter