The seventh progress report for 6th Round TB Grant
- target underachieved
- target overachieved
PPM (Public Private Mix)
TB: PPM (Public Private Mix)
Number of private practitioners/family doctors trained in DOTS strategy
Reached value: 2166 Planned target: 1900 Value to target ratio: 114% 114% planned target: 1900reached value: 2166

Timely detection and quality treatment of cases
Number of new smear-positive cases notified under DOTS among the general population
Reached value: 7952 Planned target: 9600 Value to target ratio: 83% 83% planned target: 9600reached value: 7952

Target substantially met (82.83%):7,952 New P Sm+ TB cases registered during 1st of January-31st of December 2010 (2,244 in Quarter 10, 2,055 in Quarter 11, 2,028 in Quarter 12 and 1,625 in Quarter 13). Source: Data collection system of the National TB Control Programme Central Unit, as per correspondence dated 14th of February 2011. Reason: constant decreasing since 2002 of the registered case notification rate.
Number of new smear-positive TB cases registered under DOTS who are successfully treated
Reached value: 7413 Planned target: 8026 Value to target ratio: 92% 92% planned target: 8026reached value: 7413

Target substantially met (92,36%): Out of 9,111 New P Sm+ TB cases registered in 2009, 7,413 (81,36%) cases were successfully treated. Source: Data collection system of the National TB Control Programme Central Unit, as per correspondence dated 14th of February 2011.
Number of homeless TB suspects identified and referred to medical services
The SR responsible with this activity (Save the Children) has finished the project in Q12
Reached value: 799 Planned target: 550 Value to target ratio: 145% 145% planned target: 550reached value: 799

Target exceeded (145.3%): Additionally to 763 TB suspects identified reported by the end of Q11, another 36 TB suspects were identified in Q 12. Due to intensive activities among the target group of beneficiaries, the constant identification of new locations in Bucharest and in other 3 counties, as a result of IEC activities and face-to-face discussions with homeless children and youngsters, provision of social services and support and psychological counselling, more than the planned number of TB suspects have been identified. All TB suspects have been referred to the medical services.
Number of TB cases detected among homeless
The SR responsible with this activity (Save the Children) has finished the project in Q12
Reached value: 228 Planned target: 170 Value to target ratio: 134% 134% planned target: 170reached value: 228

Target exceeded (134.1%): Additionally to 213 TB cases identified until Q11 among the homeless children and youngsters, there have been diagnosed another 15 TB cases.
Number of people trained to provide TB education, referral and DOTS to homeless
The SR responsible with this activity (Save the Children) has finished the project in Q11
Reached value: 389 Planned target: 262 Value to target ratio: 148% 148% planned target: 262reached value: 389

The SR responsible with this activity (Save the Children) has finished the project in Q11.
Social assistance and psychological counseling
Number of TB patients reached with nutritional support
The SR responsible with this activity (Red Cross Romania) has finished the project in Q10.
Reached value: 2079 Planned target: 1620 Value to target ratio: 128% 128% planned target: 1620reached value: 2079

The SR responsible with this activity (Red Cross Romania) has finished the project in Q10.
Prevention: BCC - community outreach
Number of people from vulnerable communities reached with TB health education through community based activities
Reached value: 28042 Planned target: 20627 Value to target ratio: 136% 136% planned target: 20627reached value: 28042

Target exceeded (135.95%): 244 in Q12 additionally to 1,779 persons reached with IEC activities through interventions among homeless children and youngsters by the end of Q11 and 4,501, additionally to 21,518 persons reached with IEC through interventions among other vulnerable groups: poor, rroma, isolated, remote communities by the end of Q11. The activities were performed within the planned budget. According to reports received from the TB county managers, more than 180,000 persons have been reached with IEC activities in TB units using the TV-DVD players, videos and other materials elaborated under the grant.
Supportive Environment: Human resources
Number of prisoners reached with TB health education sessions
Reached value: 20912 Planned target: 29040 Value to target ratio: 72% 72% planned target: 29040reached value: 20912

Target partially met (72%): Additionally to 16,258 prisoners reached by the end of Q11, another 4,654 prisoners have been reached with TB health education sessions during this semester. (in Q12 and Q13, 758 prisoners reached by e-learning platform).
Number of NTP staff trained in program management, surveillance, epidemiology and financial management
Reached value: 1375 Planned target: 1100 Value to target ratio: 125% 125% planned target: 1100reached value: 1375

Target exceeded (125%): 230 staff from the TB network have been trained (by residential training) in general management, quality management, project and financial management, TB surveillance and communication and advocacy (Cumulative 1,208 persons trained by residential sessions + another 167 persons trained in Phase 1 in distance learning system).
Number of penitentiary staff trained in TB prevention, education, and control activities
Reached value: 2280 Planned target: 2135 Value to target ratio: 107% 107% planned target: 2135reached value: 2280

Target exceeded (106.8%): Following the trainings for health educators and the supervision visits performed by the PIU TB NAP, 143 persons have been trained to be health educators and 192 staff penitentiary have been trained in airborne infection control.
MDR-TB
TB: MDR-TB
Number of patients enrolled in MDR-TB treatment
Reached value: 394 Planned target: 360 Value to target ratio: 109% 109% planned target: 360reached value: 394

Target exceeded (109.4%): By the end of Q13, 394 MDR-TB patients were enrolled in the treatment. The MDR TB patients' enrolment and treatment is advised by the 2 MDR-TB commissions of NTP functioning alongside with the 2 MDR-TB centers.
PAL strategy implementation
PAL strategy implementation
Number of persons trained for Practical Approach to Lung Health
Reached value: 419 Planned target: 454 Value to target ratio: 92% 92% planned target: 454reached value: 419

Target substantially met (92.3%): During this semester, 186 family doctors from 4 counties have been trained in using the PAL guidelines (additionally to 233 family doctors trained by the end of Q11)
Remark: Following the M&E visit performed by TB monitoring and evaluation officer for the data reported for Q9-Q11, 3 family doctors have been deleted. Thus, the total number of family doctors trained at the end of Q11 is 129 versus 132 previous reported.
Empower people, ACSM
Empower people, ACSM
Number of decision makers and journalists sensitized with advocacy, communication, and social mobilization (ACSM) activities
Reached value: 390 Planned target: 275 Value to target ratio: 142% 142% planned target: 275reached value: 390

Target exceeded (141.8%): 21 journalists have been sensitized regarding the advocacy, communication, and social mobilization activities in a workshop especially designed for journalists.
Remark: Following the M&E visit performed by TB monitoring and evaluation officer for the data reported for Q9-Q11, 7 journalists have been added. Thus, the total number of journalists trained at the end of Q11 is 369 versus 362 previous reported.
Impact indicators
TB mortality rate
Registered number of deaths due to TB (all forms) per year, per 100,000 population
Reached value: 7.1 Planned target: 8.1 Value to target ratio: 88% 88% planned target: 8.1reached value: 7.1

The mortality rate for year 2009 is 7.1 per 100,000 population; data source: Data collection system of the National TB Control Programme Central Unit, as per correspondence dated 14th of February 2011.
Case notification rate
Notification Rate of NSP cases: Number of new smear-positive pulmonary TB patients registered and reported to the national health authority in the past year (x 100,000) among total population
Reached value: 85 Planned target: 82 Value to target ratio: 104% 104% planned target: 82reached value: 85

The case detection rate for new smear positive pulmonary TB cases for year 2007 is 85%. The last information available: Global Tuberculosis Control WHO Report 2009.
Treatment success rate
Number and percentage of new smear-positive pulmonary TB cases registered under DOTS that are successfully treated
Reached value: 81.36 Planned target: 82 Value to target ratio: 99% 99% planned target: 82reached value: 81.36

The treatment success rate for New Pulmonary Smear positive TB cases is 81.36% for 2009 cohort; Out of 9,111 New Pulmonary Smear Positive TB cases registered during 2009, 7,413 were successfully treated; Data source: Data collection system of the National TB Control Programme Central Unit, as per correspondece dated 14th of February 2011.
Target exceeded (114%): Additionally to 1,822 private practitioners/family doctors trained in DOTS strategy and TB case management by the end of Q11, another 344 have been trained during Q12 (203) and Q13 (141).
Remark: Following the M&E visit performed by TB monitoring and evaluation officer for the data reported for Q9-Q11, 5 family doctors have been removed. Thus, the total number of private practitioners/family doctors trained in DOTS strategy and TB case management at the end of Q11 is 1,822 versus 1,827 previous reported.