Program Monitoring Indicators

Programme monitoring indicator is a comprehensive tool used to measure and report the performance of the programme from time to time.

Significance 

• Helps to assess the progress of the programme periodically at each hierarchical level.
• Provide insight into the aspects that may have an impact on final outcome. 
• Helps to make decisions on undertaking corrective course of actions whenever required. 

Grouping of programmes monitoring indicators

The national strategic plan (2017-2025) has classified programme monitoring indicators under the four strategic pillars of the End TB strategy which include:

1) Detect:  The indicators included are primarily related to early identification of presumptive TB cases, prompt diagnosis using high sensitivity diagnostic tests and providing universal access to quality TB diagnosis and focuses on TB notification (public and private) and Laboratory and diagnostic services coverage

Examples of Program monitoring indicators under this pillar are:  Total TB patients notified against the target; % of diagnosed TB patients offered rapid molecular test.

2) Treat: The indicators included are primarily related to initiating appropriate anti-TB treatment for all diagnosed TB patients in both public and private and successfully sustaining them on treatment until completion through patient-friendly systems, social support. 

Examples of Program monitoring indicators under this pillar are: Proportion of notified TB patients initiated on treatment in Public and Private; Treatment success rate for RR TB; Proportion of notified TB patients using ICT supported adherence; Proportion of notified TB patients receiving financial support through DBT.

3) Prevent: The indicators included are primarily related to preventing the emergence of TB in susceptible populations and focuses on Air-borne Infection Control (AIC) in secondary and tertiary care settings, diagnosis of Latent TB infection (LTBI) and coverage of TB preventive treatment services.

Examples of Program monitoring indicators under this pillar are:  Proportion of tertiary and secondary facilities with budgeted action plan for AIC in TB facilities; Proportion of identified/eligible individuals for preventive therapy / LTBI s - initiated on treatment.

4) Build: The indicators included are primarily related to building and strengthening enabling policies, empowering the institutions and human resources with enhanced capacities to prevent, care for and eliminate TB.

Examples of Program monitoring indicators under this pillar are: No. of rapid molecular laboratories established; Proportion of sanctioned positions (newly created positions in this NSP) filled; Proportion of Patient Provider Support Agency (PPSA) units established at the state level; Proportion of electronic drugs and supply chain management systems deployed in the districts.

Resources

NATIONAL STRATEGIC PLAN FOR TUBERCULOSIS ELIMINATION 2017–2025, Central TB Division, Ministry of Health with Family Welfare, India.

India TB Report,2022

 Assessment