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: 1900
    100%
    reached value: 2166
    114%

    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.

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: 9600
    100%
    reached value: 7952
    83%

    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: 8026
    100%
    reached value: 7413
    92%

    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: 550
    100%
    reached value: 799
    145%

    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: 170
    100%
    reached value: 228
    134%

    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: 262
    100%
    reached value: 389
    148%

    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: 1620
    100%
    reached value: 2079
    128%

    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: 20627
    100%
    reached value: 28042
    136%

    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: 29040
    100%
    reached value: 20912
    72%

    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: 1100
    100%
    reached value: 1375
    125%

    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: 2135
    100%
    reached value: 2280
    107%

    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: 360
    100%
    reached value: 394
    109%

    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: 454
    100%
    reached value: 419
    92%

    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: 275
    100%
    reached value: 390
    142%

    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: 8.1
    100%
    reached value: 7.1
    88%

    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: 82
    100%
    reached value: 85
    104%

    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: 82
    100%
    reached value: 81.36
    99%

    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.