2. 1. TPT RECORDING IN THE ART CLINIC
• HIV follow up format: Place for documentation of all types of TPT regimen is ‘TB
prophylaxis/Rx’ column
• INH Preventive Therapy (IPT, 6H); monthly prescription:
IPT1, IPT2, IPT3, IPT4, IPT5, IPT6, IPTc*
• Three months course of daily INH + Rifampicin TPT regimen = 3HR Monthly
prescription: 3HR1, 3HR2, 3HR3, 3HRc
• Three months course of weekly INH + Rifapentine = 3HP TPT regimen; monthly
prescription: 3HP1, 3HP2, 3HP3, 3HPc
• TPT documentation on the ART register also follow same coding principle for the
new 3 month regimens
*For prescriptions more than 1 month at a time indicate # of months dosage prescribed as follows: e.g. for 2
months IPT dose at the start: IPT1-2; if 3 months dose prescribed at the end of the third month: IPT3-6; etc.
3. RECORDING TPT ON THE HIV FOLLOW UP FORMAT – ART
AND PMTCT CLINIC
IPT 3HP
4. 3HP REGIMEN RECORDING TPT ON THE ART AND PMTCT
REGISTERS: ART AND PMTCT CLINIC
PMTCT
ART
5. TPT REPORTING
• Use either paper based or electronic medical recording system for
reporting TPT activities based on the updated indicator definition.
• Enter TPT data both in the paper based and EMR disaggregated by
type of TPT regimen (6H, 3HR, 3HP)
• ‘TPT completed’ is defined as:
• IPT: completion of the 6 month regimen with in a max 9 months
period
• 3HP: Completion of at least 11 (out of the total 12) doses of weekly
3HP with in a max 16 weeks period.
• 3HR: Completion of the 3 month 3HP regimen at least with in a max
of four months
6. MONTHLY SERVICE DELIVERY REPORTING FORMAT
Note: Monthly service delivery reporting format is recently revised to satisfy data demand
on PLHIV TPT.
7. TPT PERFORMANCE MONITORING
• TPT uptake should be regularly measured and status reviewed at different
levels using indicators:
• LTBI treatment for HIV positive clients newly enrolled to care
• TB Screening for HIV positive Clients
• TPT completion rate among newly enrolled PLHIV
• At facility level, TPT completion rate among PLHIV need to be monitored
as data can be easily compiled from source documents.
8. LTBI TREATMENT FOR PLHIV NEWLY ENROLLED
TO CARE
Definition
Proportion of newly enrolled HIV-positive people started on LTBI treatment during the reporting period
Formula
Total number of people living with HIV newly enrolled in HIV care who are started on treatment for
latent TB infection during the reporting period
X100
Total number of LTBI treatment eligible HIV positive clients newly enrolled in to HIV care during the
reporting period
Disaggregation
Age : <15, and >= 15 yrs
Sex: Male, Female Regimen Type: INH, 3HP
Source Pre-ART register, ART register, PMTCT register
Frequency of
Reporting
HP HC/Clinic Hospital WorHO ZHD RHB FMOH
Monthly Monthly Monthly Monthly Monthly Monthly
9. TB SCREENING FOR HIV POSITIVE CLIENTS
Definition
The proportion of patients on ART who were screened for TB during the reporting
period
Formula
Number of patients on ART whose TB status was assessed during the
reporting period
X100
Total number of patients on ART during the reporting period
Disaggregation
Age: - <1, 1-4, 5-9, 10 -14, 15 -19, 20-24, 25-49, >=50
Sex: Male, Female
Source ART register, PMTCT register
Frequency of
Reporting
HP HC/Clinic Hospital WorHO ZHD RHB FMOH
Monthly Monthly Monthly Monthly Monthly Monthly
10. TPT COMPLETION RATE AMONG PLHIV
Definition
Proportion of the total number of newly enrolled HIV-positive people who
completed TPT during the reporting period
Formula
Total number of HIV positive individual newly enrolled in HIV care who
completed TPT during reporting period
X100
Total number of HIV positive clients who started on TPT during the
previous reporting period.
Disaggregation Regimen type: INH, 3HP
Source Pre-ART register, ART register, PMTCT register
Frequency of
Reporting
HP HC/Clinic Hospital WorHO ZHD RHB FMOH
Monthly Monthly Monthly Monthly Monthly Monthly
11. 2. TPT RECORDING IN THE TB CLINIC
• All types of TPT regimens will be recorded on the facility ‘contact screening
and LTBI treatment follow up register’ (column 30: Date, if LTBI/ IPT started
DD/MM/YY)
• Record TPT regimen type (IPT/ 3HR/ 3HP) and document date of monthly
prescriptions under columns ‘Follow-up for latent-TB infection treatment
(IPT’ in EC (DD/MM/YY):
• For patients who discontinue TPT treatment due to TPT drug adverse effect
select ‘others’ under the ‘Outcome’ column and specify the detail under the
Remark column.
12. RECORDING TPT ON THE CONTACT SCREENING & LTBI TREATMENT
FOLLOW UP REGISTER (TB CLINIC)
3HP
01/02/12 01/02/12 28/02/12 26/03/12
13. QUARTERLY SERVICE DELIVERY REPORTING FORMAT
Note: Quarterly service delivery reporting format is recently revised to satisfy data demand
on Child TPT data
14. TPT PERFORMANCE MONITORING
• TPT uptake should be regularly measured and status
reviewed at different levels using indicators:
• LTBI treatment coverage for under fifteen years children
who are contacts of pulmonary TB cases
• As TB screening performance influences TPT uptake, it is
good to track its performance using the following indicator
• TB Screening Coverage for under fifteen years children who
are contacts of pulmonary TB cases
• At facility level, TPT completion rate among under fifteen
contacts need to be monitored as data can be easily compiled
from source documents.
15. LTBI TREATMENT COVERAGE FOR <15 YEARS
CHILDREN WHO ARE CONTACTS OF PTB CASES
Definition
Proportion of children aged <15 years who have history of contact with of pulmonary TB cases started
on LTBI treatment
Formula
Number of children aged < 15 years who are contacts of pulmonary TB cases on LTBI
treatment
X100
Total number of children aged < 15 years who are contact of pulmonary TB cases eligible
for LTBI treatment
Disaggregation Regimen Type: 3HP, 3RH, INH
Source Contact investigation and LTBI register, Unit TB register
Frequency of
Reporting
HP HC/Clinic Hospital WorHO ZHD RHB FMOH
Quarterly Quarterly Quarterly Quarterly Quarterly Quarterly
16. TB SCREENING COVERAGE FOR <15 YEARS CHILDREN
WHO ARE CONTACTS OF PTB CASES
Definition
Proportion of under fifteen years contacts with index of pul TB cases who received TB screening
service during the reporting period
Formula
The number of under fifteen years contacts with index of pulmonary TB cases screened for
TB in the reporting period
X100
Total number of children under fifteen contacts with index of drug susceptible pulmonary TB
cases during the reporting period
Disaggregation None
Source Contact investigation and LTBI register, Unit TB register
Frequency of
Reporting
HP HC/Clinic Hospital WorHO ZHD RHB FMOH
Quarterly Quarterly Quarterly Quarterly Quarterly Quarterly
17. TPT COMPLETION RATE AMONG CONTACTS AGED <15 YEARS
Definition Proportion of the total number of under fifteen contacts who completed TPT during the reporting period
Formula
Total number of under fifteen contacts of pulmonary index cases who completed TPT during
reporting period
X100
Total number of under fifteen contacts of pulmonary index cases who started on TPT during the
previous reporting period.
Disaggregation Regimen type: INH, 3HP
Source Contact investigation and LTBI register
Frequency of
Reporting
The data is captured in contact investigation and LTBI register but it is not reportable data
element.
18. IMPORTANT TIPS ON TPT DATA MONITORING
• Each health facility should have plan for TB preventive therapy
service
• TB focal persons should closely work with HMIS focal persons to
improve TPT data quality
• TB focal persons should monitor TPT performance on regular basis
• Performance monitoring team shall review TPT performance and
design action plan on identified gaps
• HMIS and TB persons should regularly monitor and support TPT
(3HP/3RH) data recording as it is newly introduced intervention.
