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TB Notes Newsletter
No.
3, 2007
National Tuberculosis Indicators Project (NTIP): An
Update
Standardized program objectives, and indicators that measure
progress toward those objectives, are essential for states to
undertake evaluation and program improvement. The Program Evaluation
and Surveillance Teams in DTBE, in collaboration with state
partners, formed workgroups to build evaluation capacity by
establishing a framework for an integrated approach to program
planning, monitoring, and evaluation.
Through a collaborative process, 16 high-priority national TB
program objectives were identified. Targets for the top four
objectives (i.e., completion of therapy, TB case rate, contact
investigation, and laboratory reporting) were set, and indicators
for measuring progress toward these objectives were proposed.
Modeled after the Tuberculosis Indicators Project (TIP) developed
in the California Department of Health, the National Tuberculosis
Indicators Project (NTIP) will be a web-based system for monitoring
progress that can be used at the national, state, and local levels.
This system will reinforce the national priorities for TB programs
and standardize measurement for tracking progress using existing
reportable data.
The development of the NTIP includes various players and is
taking place in multiple stages. Representatives from four states—
Steve Hughes from New York
State, Deborah Sodt and Wendy Sutherland from
Minnesota, Katie Garman and Erin Holt from
Tennessee, and Barbara Stone from
Colorado—are integral partners in the development of this project.
Public health laboratory staff from Minnesota,
Tennessee, and Colorado
are also included in the discussion on the laboratory objective.
Members of the Surveillance team and Mycobacteriology Laboratory
Branch from DTBE serve as the technical review team.
During weekly meetings led by DTBE’s Kai Young and John Jereb
(and Heather Morrow-Almeida during her assignment here), group
members work on refining the objectives and indicators and
developing standardized calculation methodologies and report
templates. Four standards (utility, feasibility, propriety, and
accuracy) are used to assess each element of the individual
indicator reports, as well as the reports’ expected application to
the effort of program evaluation, particularly at the state and
local levels.
Currently, 12 of the
16 objectives have
been addressed in focus-group meetings since January 2007. The
review of the remaining objectives and their respective indicator
reports is expected to be completed in summer 2007. The web-based
monitoring system to produce the indicator reports is being
developed concurrently.
Overall, the process for developing the NTIP has established
mutual understanding of and agreement on the national TB program
objectives. Moreover, the indicators and calculations for monitoring
progress toward objectives are being standardized. DTBE staff as
well as state and local programs will be able to use these report
templates for measuring progress toward the objectives.
—
Reported by Kai Young, Heather Morrow-Almeida, and John
Jereb
Div of TB Elimination
Last Reviewed: 05/18/2008 Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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