NTEP Performance Indicator – Percentage Of Multidrug-resistant [MDR]/ Rifampicin-resistant [RR] Patients Initiated on Treatment Out of Totally Diagnosed
MDR/RR-TB treatment initiation rate is a key PMDT indicator. It measures the percentage of diagnosed MDR/RR-TB patients started on treatment, derived from PMDT quarterly reports.
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NTEP Performance Indicator – Percentage Of Multidrug-resistant [MDR]/ Rifampicin-resistant [RR] Patients Initiated on Treatment Out of Totally Diagnosed
This is an indicator to monitor Programmatic Management of Drug-resistant TB (PMDT).
Indicator Details
Indicator: Percentage of MDR/ RR-TB patients initiated on treatment out of totally diagnosed
Numerator: Number of MDR/ RR-TB patients started on treatment during the defined time period.
Denominator: Total number of diagnosed cases of MDR/ RR-TB during the defined time period.
Multiplier: 100
Data source: PMDT quarterly reports
Numerator Description
The numerator includes all the cases of MDR and RR initiated on treatment during the defined period.
Denominator Description
This includes all cases of drug-resistant TB diagnosed in the specified time.
Example
District X has a total of 2 cases of RR-TB alone and one case of MDR-TB diagnosed in the first quarter of 2021. Two among them were initiated on MDR-TB treatment.
% MDR-TB initiated on treatment out of totally diagnosed during the first quarter of 2021 = {2/ (2+1)} * 100 = 66.6%
Assessment
Question: What is the denominator of the percentage of MDR-TB cases initiated on treatment out of the totally diagnosed?
- Option 1: Total diagnosed cases of MDR-TB
- Option 2: Total diagnosed cases of RR-TB
- Option 3: Both 1 and 2 added
- Option 4: Total notified cases of TB
Correct Answer: 3
Correct Explanation: All cases of drug-resistant TB diagnosed in the specified time are included in the denominator of the percentage of MDR-TB cases initiated on treatment out of the totally diagnosed.
Resources
- India TB Report, CTD, MoHFW, GoI, 2022
- Training Modules (5-9) For Programme Managers & Medical Officers, NTEP, CTD, MoHFW, GoI, 2020.
- Guidelines For Programmatic Management Of Drug Resistant TB in India, National TB Elimination Programme, Central TB Division Ministry of Health & Family Welfare, Government of India, New Delhi, March 2021
- INDIA TB REPORT 2022