Composite indicator: new tool for monitoring RNTCP performance in India

Int J Tuberc Lung Dis. 2014 Jul;18(7):840-2. doi: 10.5588/ijtld.13.0986.

Abstract

India's Revised National Tuberculosis Control Programme (RNTCP) used the international benchmarks of 70% case detection rate and 85% treatment success rate among new smear-positive tuberculosis (TB) cases for assessing programme performance. This approach overemphasises outcomes and focuses on quantitative benchmarks without sufficient regard to developing systems to monitor appropriate programme practice to achieve a minimum standard of TB care services. The RNTCP has developed a novel composite indicator tool based on a logical framework pathway to move beyond narrow-focused outcome indicators such as case detection to encourage a broad-based analysis of programme implementation. The constituent indicators are from routinely monitored information, spanning input, process, output and outcome indicators across various thematic categories of the RNTCP.

MeSH terms

  • Antitubercular Agents / therapeutic use*
  • Benchmarking
  • Humans
  • India
  • National Health Programs*
  • Program Development
  • Program Evaluation
  • Quality Indicators, Health Care*
  • Sputum / microbiology
  • Tuberculosis / diagnosis
  • Tuberculosis / drug therapy*

Substances

  • Antitubercular Agents