- The fourth progress report for 6th Round TB Grant
- The third progress report for 6th Round TB Grant
- Second progress report TB Grant Round 6
- First Progress Report TB Grant Round 6
TB
This section provides:
- General information on the goal, objectives and activities of the TB programme funded by the Global Fund and implemented through The Romanian Angel Appeal Foundation;
- Information on the implementation progress of the activities and main achievements registered:
The fifth progress report for 6th Round TB Grant
- target underachieved
- target overachieved
Reporting period: October 2009 - December 2009
PPM (Public Private Mix)
TB: PPM (Public Private Mix)
Number of private practitioners/family doctors trained in DOTS strategy
Reached value: 1156 Planned target: 1000 Value to target ratio: 116% 116% planned target: 1000reached value: 1156
Timely detection and quality treatment of cases
Number of new smear-positive cases detected under DOTS among the general population
Reached value: 19964 Planned target: 22400 Value to target ratio: 89% 89% planned target: 22400reached value: 19964
Target substantially met (89.1%): 1,787 New P Sm+ TB cases registered during 1st of October 2009 and 31st of December 2009. The data are provisional because until 12th of February 2010, the Data Collection Unit from Marius Nasta Institute had not received all the data from the counties for the above mentioned period. Actually, following the correspondence with the NTP manager regarding this indicator, we have update data for the New P Sm+ TB cases registered during the last four semesters. Update figures are as follows: 4,384 in Semester 1 (versus 4,350 initially reported), 4,800 in Semester 2 (versus 5,260 initially reported), 4,387 in Semester 3 (versus 4,403 initially reported) and 4,606 in Semester 4 (versus 4,594 initially reported). If for Semester 1, 2 and 3, the data are final, for Semester 4, they are still provisional. We will check again the data for the Semester 4+Q9 for the next PU/DR. Thus the new cumulative target is 19,964 (89.1%) versus 22,400 New P Sm+ TB cases planned to be identified. Source: NTP data collection system as per correspondence between RAA and M. Nasta Institute dated 12th of February 2010.
Number of new smear-positive TB cases registered under DOTS who are successfully treated
Reached value: 17039 Planned target: 17650 Value to target ratio: 97% 97% planned target: 17650reached value: 17039Target substantially met (96.5%): Out of 1,942 New P Sm+ TB cases registered during 1st of October 2008-31st of December 2008, 1,552 (79.92%) cases were successfully treated. The figures are provisional; not all cases have been evaluated by 12th of February 2009. Actually, following the correspondence with the NTP manager regarding this indicator, we have update data for the New P Sm+ TB cases who are successfully treated registered during the last four semesters. Update figures are as follows: 3,716 out of 4,537 in Semester 1, 4,185 out of 5,065 in Semester 2, 3,620 out of 4,417 in Semester 3 and 3,966 out of 4,808 in Semester 4. If for 2007 the data are final, for 2008, they are still provisional. We will check again the data for 2008 for the next PU/DR. Thus the new cumulative target is 17,039 (89.1%) versus 17,650 New P Sm+ TB cases planned to be successfully treated.
Source: NTP data collection system as per correspondence between RAA and M. Nasta Institute dated 12th of February 2010.Number of homeless TB suspects identified and referred to medical services
Reached value: 652 Planned target: 420 Value to target ratio: 155% 155% planned target: 420reached value: 652Target exceeded (155.2%): Additionally to 588 TB suspects identified in Phase 1, another 64 TB suspects were identified in Quarter 9. 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 counseling, 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
Reached value: 175 Planned target: 130 Value to target ratio: 135% 135% planned target: 130reached value: 175Target exceeded (134.6%): For the 2nd phase of the grant, this indicator has been changed in "Number of TB cases detected among homeless". Additionally to 150 TB cases identified in phase 1 (28 in Semester I + 35 in Semester II + 37 in Semester III +50 in Semester IV) among the homeless children and youngsters, in quarter 9, there have been diagnosed another 25 TB cases.
Number of people trained to provide TB education, referral and DOTS to homeless
Reached value: 352 Planned target: 192 Value to target ratio: 183% 183% planned target: 192reached value: 352Target exceeded (183.3%): Additional to the 249 persons and 72 peers identified among the homeless trained for supporting DOT and IEC activities among homeless children and youngsters by the end of Phase 1, there have been trained another 19 peers in quarter 9 and another 12 peers during the last semester. The SR responsible with this activity (Save the Children) has identified more persons (staff and peer educators) to support the outreach activities; the training activity was carried-on within the approved budget.
Social assistance and psychological counseling
Number of TB patients reached with nutritional support
Reached value: 2079 Planned target: 1620 Value to target ratio: 128% 128% planned target: 1620reached value: 2079Target exceeded (128.3%): By 31st of December 2009, 2,079 TB patients (unique personal numeric codes registered in the database) have been reached with incentives. Besides the distribution of incentives, the TB patients received IEC materials (TB patients' rights chart and other materials) and also benefited from TB related discussions with the Red Cross volunteers.
Prevention: BCC - community outreach
Number of people from vulnerable communities reached with TB health education through community based activities
Reached value: 18194 Planned target: 14227 Value to target ratio: 128% 128% planned target: 14227reached value: 18194Target exceeded (127.4%): 251 in Quarter 9 additionally to 1,269 persons reached with IEC activities through interventions among homeless children and youngsters in Phase 1 and 149 in Quarter 9 , additionally to 16,525 persons reached with IEC through interventions among other vulnerable groups: poor, rroma, isolated, remote communities in Phase 1. The activities were performed within the planned budget. According to reports received from the TB county managers and verified by RAA, more than 100,000 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 penitentiary staff trained in TB prevention, education, and control activities
Reached value: 1313 Planned target: 1431 Value to target ratio: 92% 92% planned target: 1431reached value: 1313Target substantially met (91.8%): Due to the fact that the addendum to the sub-grant agreement was signed by PIU TB NAP at the end of Q9, the activities regarding the supervision visits in penitentiaries could not been carried out as planned during this last quarter. The target reported is the same as the one reported at the end of Phase 1: 887 penitentiary staff trained in airborne infection control + 45 doctors from the penitentiary system + 381 TB health educators working in penitentiaries = 1,313 medical and non-medical staff.
Number of NTP staff trained in program management, surveillance, epidemiology and financial management
Reached value: 827 Planned target: 700 Value to target ratio: 118% 118% planned target: 700reached value: 827Target exceeded (118.1%): 34 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 (660 cumulative with Phase 1 + another 167 persons trained in Phase 1 in distance learning system).
Number of prisoners reached with TB health education sessions
Reached value: 11921 Planned target: 18480 Value to target ratio: 65% 65% planned target: 18480reached value: 11921Target partially met (64.5%): In Q9, the PR intensively supported the PIU TB NAP in the following areas: strengthening of organizational capacity, preparing the annexes of the addendum (M&E plan, procurement plan, budget, workplan, project description, etc.), finding the proper solutions for ensuring the staff financial motivation, and on recovering some project indicators, without which this indicator could not be achieved. The delay in concluding the sub-grant agreement has led to delays in developing, producing and implementing the e-learning platform and the 4 e-learning modules for prisoners. Thus, even if the deadline for these activities was 30th of June 2009, they were completed only by the end of Q9. Unfortunately, by the end of Q9, the health educators’ database has not been completed, so the e-learning platform although properly installed, it is still not used in penitentiaries. Following the discussions with PIU TB NAP’s coordinator, it is our understanding that this delay is due to a difficult correspondence with penitentiaries’ managers, but we received ensurance that by the end of Q10 this issue will be solved and the target will be recovered gradually by the end of the 2nd phase of the program.
MDR-TB
TB: MDR-TB
Number of patients enrolled in MDR-TB treatment
Reached value: 193 Planned target: 200 Value to target ratio: 96% 96% planned target: 200reached value: 193Target substantially met (96.5%): By 31st of December 2009, 193 MDR-TB patients were enrolled in the 3rd cohort of MDR-TB patients approved by GLC. 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: 104 Planned target: 104 Value to target ratio: 100% 100% planned target: 104reached value: 104Target achieved (100%): For this quarter, there have not been included new training activities for family doctors on PAL. The target reported is the same as the one reported at the end of Phase 1: 104 family doctors (FDs) trained in using the PAL guidelines.
Empower people, ACSM
Empower people, ACSM
Number of decision makers and journalists sensitized with advocacy, communication, and social mobilization (ACSM) activities
Reached value: 332 Planned target: 260 Value to target ratio: 128% 128% planned target: 260reached value: 332Target exceeded (127.7%): For this quarter, there have not been included new training activities for decision makers and journalists on ACSM. The target reported is the same as the one reported at the end of Phase 1: 102 journalists and 230 decision makers (public health managers, TB network staff, community assistants/nurses, rroma mediators, school teachers).
Impact indicators
TB mortality rate
Registered number of deaths due to TB (all forms) per year, per 100,000 population
Reached value: 7.62 Planned target: 8 Value to target ratio: 95% 95% planned target: 8reached value: 7.62The mortality rate for year 2008 is 7.62 per 100.000 population; data source National Institute for Statistics as per correspondence dated 10th of November 2009.
Case detection rate
Number and percentage of new smear-positive TB cases detected under DOTS (diagnosed and reported to the national health authority) out of the total estimated number of new smear-positive TB cases per year
Reached value: 85 Planned target: 85 Value to target ratio: 100% 100% planned target: 85reached value: 85The 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: 82.49 Planned target: 83 Value to target ratio: 99% 99% planned target: 83reached value: 82.49The treatment success rate for New Pulmonary Smear positive TB cases is 82.49% for 2007 cohort; Out of 9,487 New Pulmonary TB cases registered during 2006, 7,826 were successfully treated; Data source: Data collection system of the National TB Control Programme Central Unit, as per correspondence dated 12th of February 2010
Target exceeded (115.6%): There have not been included activities related to the trainings in DOTS Strategy of private practitioners/family doctors for this quarter. The target reported is the same as the one reported at the end of Q8: 1,156 GPs have been trained in DOTS strategy and TB case management, based on a revised training curriculum, in 50 training sessions covering all regions.