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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
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� Overview of indicators
for 3Is
� Introduction to the three
interlinked patient
monitoring systems of
HIV care/ART,
MCH/PMTCT, TB/HIV.
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TB STATUS AT
LAST VISIT
STARTED TB
TREATMENT and ART
HEALTH WORKERS
WITH TB
NEWLY ENROLLED
ON IPT
INFECTION
CONTROL
PRACTICES
Indicator Definition
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�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
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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
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– 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
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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.
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– Training materials- clinical team, data clerks and district managers/supervisors
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HIV care/ ART card: Front side
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HIV care/ART card: back side HIV care/ART card: back side
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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
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Pre-ART register: TB status follow upPre-ART register: TB status follow up
�Record TB status at monthly/quarterly visits
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— Record month/year & TB registration numbers- Patients on TB treatment — Record INH start month/year- IPT
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ART Registers: TB status at last visitART Registers: TB status at last visit
—TB status at last visit during the month
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Cross-sectional reporting form
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PreviouQuarter