Metrics

Activities

• Established Technology Platform for ACTS in District Mewat (Haryana) & Chest Clinics Jahangir Puri and Mangol Puri (North Delhi) and Districts Wakiso & Kampala (Uganda) all TB Units, DMCs, PHIs and providers & patients;

• Established Ground teams of Volunteers for ACTS – Active Case Screening Volunteers;

• Orientation and Refresher Trainings with TB Management and Infrastructure teams on ACTS;

• Deployment of Mobile Toolkits for all – Patients, Community Providers, Treatment Supervisors, Lab Technicians, PHI staff and ASHAs and DOTS providers;

• Development of Training manuals and communication material for ACTS;

• Provisioning Mobile Devices for loaning patients (who do not have mobiles;

• Conducted Community awareness sessions and ACSM activities with health providers and School Children

• Tie-up with Local providers like Community radio, Recharge Centres

Output

• Increase in Patient recruitment for ACTS (as against DOTS) for self management;

• Increase in Case Findings and Active testing;

• Reduction in Treatment initiation periods;

• Increase is Active Compliance and Adherence;

• Increase in timely follow-ups;

• Increase in Treatment Completion;

• Increase in Community level awareness around TB

Outcome

• New case finding and increased load of patient #;

• Control in TB Transmission and spread rates;

• Increase in compliance (also evidence based VoT adherence);

• Increase in timely follow-ups;

• Increase in conversion rates from IP to CP;

• Increase in Treatment Completion rates;

• Decrease in MDR cases;

• Curtailing stigma attached to Tuberculosis

Impact

• Overall decrease in TB infection and transmission in the intervention area;

• Increased level of awareness of TB at community level;

Indicators

• % of total Patients put under ACTS (as compared to DOTS) in the area of intervention;

• % of new patients detected through Active Case Detection;

• Adherence rate of ACTS patients;

• Initiation time (period) of Treatment from time of detection;

• Follow-up rates;

• Sputum Conversion rate;

• Treatment completion rates;

Monitoring Mechanisms

• Patient Recruitment details registered on ACTS platform

• Patient Treatment cards and Registers,

• Patient compliance Report Videos with Time stamps;

• IEC material and digital stories developed

• Community Activity Reports,

• Training Photos and attendance sheets

Assumptions

• Delay in providing screening and diagnostic reports;

• Delay at TB Unit staff and resentment in taking up ACTS;

• Delay in providing screening and diagnostic reports

• Issues of Internet connection;

• Socio-cultural barriers in some Communities.