eposter on tb patient management information system
TRANSCRIPT
Harnessing Digital Application to Improve Recording and Reporting for TB Control in Bangladesh: Roll-Out Experience and Opportunities
M G Kibria*1, M A Taleb1, Z Islam1, S Bashar1, M Q Islam2, Bangladesh1SIAPS/MSH, Bangladesh2National TB Control Program (NTP), Bangladesh
BackgroundFor the National Tuberculosis Control Program (NTP)of Bangladesh, accurate recording and up-to-datereporting of tuberculosis (TB) case data is a majorchallenge. The central manual data repository haslimited variables which hinder epidemiologicalanalysis, and lack of reliable data weakens surveillanceand performance, ultimately increasing the number ofdrug-resistant and multi-drug-resistant (MDR)-TBpatients (proportion of TB cases with MDR-TB: new1.4% and retreatment 29% 1). In 2011, SIAPS assessedNTP’s information management system. After anoptions analysis, NTP adopted the web-based e-TBManager (e-TBM-[http://www.etbmanagerbd.org]) tomanage TB patients and generate key reports andindicators.
Intervention
Conclusion
Results and lessons learned
NTP, in partnership with the World HealthOrganization, piloted e-TBM at 6 sites in November2010. NTP gradually rolled out e-TBM to 255 sitesincluding all MDR sites in Bangladesh; SIAPS trained950 staff from NTP and TB partners and developed 13master trainers to ensure smooth functioning of e-TBM. In August 2015, NTP notified district authoritiesthat use of e-TBM was mandatory for recording andreporting (TB10, TB11, and TB12) TB cases; 20 districts(with full coverage of e-TBM in all sub-districts) wereidentified as sentinel sites where the surveillancecalendar was introduced to monitor and improve dataquality.
*Corresponding author’s email address: [email protected]
As of June 2016, total 192,285 cases were entered intoe-TBM; of which 62% were closed (n=119,809, Figure1). A site performance analysis done in the first quarterof 2016 revealed that 83% sites are maintaining highperformance and number of low performing sitesdecreased from 12 % to 7% (Figure 2). Since theinception of the surveillance calendar (EpidemiologicalWeek-EW), the accuracy of patient data has significantlyimproved (132 cases in EW 1 vs 14 cases in EW 18found which have data quality issues). NTP staffreported that e-TBM enabled them to prepare timelyreports, easily analyze cases, and present at thequarterly coordination meetings to strengthen thedisease surveillance system.
1 2015 Annual Report of National Tuberculosis Control Program of Bangladesh
Use of e-TBM, along with its sustainability, has thepotential to systematically organize criticalsurveillance data and information needed for timelydecision making. With decentralization and highvisibility of TB patient data, stakeholders across thehealth system can make real-time collaborations andprovide feedback to augment TB control inBangladesh.
Total number of registered
cases= 192,285
(“Category A” denotes high
performing site and “Category D” represents
low performing site.