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Composite indicator: new tool for monitoring RNTCP performance in India
A K Bansal1, N Kulshrestha1, S B Nagaraja1
1<label>*</label>Central TB Division, Directorate of General Health Services, Ministry of Health and Family Welfare, New Delhi, India.
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.
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