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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.

TB Performance Indicator - Percentage of Target TB Notification Achieved

Percentage of Target TB notification achieved is one of the most important indicators to assess the National TB Elimination Programme (NTEP) performance at the state/ UT, district or TB Unit (TU) level.

The Central TB Division assesses the States/ Union Territories (UTs) achievements and performances utilising nine key indicators by using the State TB score.

State TB score indicators are shown in the table below and the maximum attainable total score is 100.

Programme monitoring indicator is a comprehensive tool used to measure and report the performance of the programme from time to time.

The District TB Officer (DTO) at the District TB Centre (DTC) has the overall responsibility for the physical and financial management of the National TB Elimination Programme (NTEP) at the district level as per the guidelines.

The DTO is also responsible for the involvement of other sectors in NTEP to ensure better compliance and is assisted by a Medical Officer (MO), statistical assistant and other paramedical staff. For each district, there should be a full-time DTO, who is trained in NTEP.

The Medical Officer-TB Control (MO-TC) at the TB Unit (TU) has the overall responsibility for the management of the National TB Elimination Programme (NTEP) at the sub-district level and is assisted by the Senior Treatment Supervisor (STS) and the Senior TB Lab Supervisor (STLS).

The MO-TC is responsible for supervising the work of the TU and of the STS and STLS, in addition to his/her other responsibilities. These visits are conducted on a systematic basis and the protocol to be followed during these visits is shown in the figure below.

At the Tuberculosis Unit (TU), the presiding supervisory team uses a standardized checklist mandated by the National TB Elimination Programme (NTEP) during their periodic supervisory visits. The report and copies of the checklist may be shared with appropriate authorities within 1 week of completing the supervisory visit.

These appropriate authorities include the Central TB Division, Ministry of Health and Family Welfare (MoHFW) and respective district and state authorities, who will in turn initiate remedial measures in a timely and appropriate manner.

The Senior Treatment Supervisor (STS) is a part of the Tuberculosis Unit (TU) team at the sub-district level in the National TB Elimination Programme (NTEP).

The STS is responsible for supervising the treatment of the patients and works closely with treatment supporters and Primary Health Care system.

The objective of these supervisory visits is to supervise patients' treatment and to monitor the programme at the TU level. They also support the treatment supporters to carry out their role efficiently and troubleshoot the issue that they might face.

Concept of Supervision