Root Cause Analysis of Low Performance in Percentage of Rifampicin-resistant (RR)/ Multidrug-resistant (MDR)-TB Cases Initiated on Treatment out of the Total Diagnosed

Low performance means the diagnosed cases of MDR/ RR-TB cases are not started on treatment as desired.

Obtain the data from the Programmatic Management of Drug-resistant TB (PMDT) quarterly report and Ni-kshay and analyse in terms of:

Root Cause Analysis for Low Performance in the Percentage of Eligible Beneficiaries Paid under Ni-kshay Poshan Yojana

Low performance means the notified TB cases have not received even the first payment through Direct Benefit Transfer (DBT) under the Ni-kshay Poshan Yojana (NPY) as desired. 

Obtain the data from Ni-kshay and analyse it in terms of:

NTEP Performance Indicator - Percentage of Eligible Beneficiaries Paid Under Ni-kshay Poshan Yojana

This is an indicator used to monitor the implementation of Ni-kshay Poshan Yojana (NPY) scheme.

Root Cause Analysis for Low Performance in Treatment Success Rate

Low performance in treatment success rate means the notified patients are not completing the treatment or cured of TB as desired.

Unsuccessful treatment outcomes are:

(a) Death       

(b) Lost to follow-up 

(c) Treatment failure

Analysing Ni-kshay data would give information on which among the unsuccessful outcomes requires attention. Analyse the data in terms of:

Root Cause Analysis of Low Performance in Percentage of TB Notified Cases with Universal Drug Susceptibility Testing Done  

Low performance means Universal Drug Susceptibility Testing (UDST) is not done for the notified TB patients as desired.

At the TB Unit (TU) level, obtain the list of patients not offered UDST from Ni-kshay. Write against each patient why UDST is not offered. Analyse the reasons.  

TB Performance Indicator - Percentage of TB Notified Patients with Universal Drug Susceptibility Testing (UDST) Done   

This indicator measures the efforts by the programme to get the Universal Drug Susceptibility testing done for TB  patients.

Root Cause Analysis (RCA) for Low Performance in Percentage of TB Notified Patients with Known HIV Status

Low performance in the indicator means that the notified TB cases are not getting HIV tests done as desired.

Analyse the Ni-kshay data and try to gain more insights into the problem. Some examples are given below.

The key questions are

TB Performance Indicator 2 - Percentage of TB Notified Patients with Known HIV Status

This indicator monitors efforts taken by the programme to offer HIV testing to all TB patients.