Root cause analysis for low performance- suggested solutions- case studies along 9

Root Cause Analysis of Low Performance in Percentage of People Living with HIV (PLHIV) given Isoniazid (INH) Preventive Treatment (IPT) Against Total Eligible PLHIV

Low performance means the eligible PLHIV are not getting the INH preventive therapy as desired. The data is available with National AIDS Control Organisation (NACO) and analyse it in terms of: 

Root cause analysis for low performance- suggested solutions- case studies along 8

 Root Cause Analysis in Percentage of Children given Chemoprophylaxis from the Total Eligible Children Identified

 

The low performance means the children less than 5 years of age who are eligible for chemoprophylaxis are not receiving it as desired.

The data is available in Ni-kshay; analyse it in terms of :

Root cause analysis for low performance of Percentage Expenditure Against Approved Record of Proceedings [ROP]

Root Cause Analysis for Low Performance in Percentage Expenditure Against Approved Record of Proceedings (ROP)

 

Low performance means the fund for National TB Elimination Programme (NTEP) is not utilised as expected.

The data for the same is available in Public Financial Management System (PFMS) portal and the non-utilisation of funds can occur in two scenarios:

1. Absent or delayed fund flow

2. Non-utilisation of the already available fund

 

Analyse the data as follows:

Root cause analysis for low performance- suggested solutions- case studies along 6

Root Cause Analysis of Low Performance in Percentage of Rifampicin-resistant (RR)/ Multidrug-resistant (MDR)-TB Cases Initiated on Treatment out of the Total Diagnosed

 

Low performance means the diagnosed cases of MDR/ RR-TB cases are not started on treatment as desired.

Obtain the data from the Programmatic Management of Drug-resistant TB (PMDT) quarterly report and Ni-kshay and analyse in terms of:

Root cause analysis for low performance of Percentage of Eligible Beneficiaries Paid under Ni-kshay Poshan Yojana

Root Cause Analysis for Low Performance in the Percentage of Eligible Beneficiaries Paid under Ni-kshay Poshan Yojana

 

Low performance means the notified TB cases have not received even the first payment through Direct Benefit Transfer (DBT) under the Ni-kshay Poshan Yojana (NPY) as desired. 

Obtain the data from Ni-kshay and analyse it in terms of:

Root Cause Analysis for Low Performance - Suggested Solutions - Case Studies along 4

Root Cause Analysis for Low Performance in Treatment Success Rate

 

Low performance in treatment success rate means the notified patients are not completing the treatment or cured of TB as desired.

Unsuccessful treatment outcomes are:

(a) Death       

(b) Lost to follow-up 

(c) Treatment failure

 

Analysing Ni-kshay data would give information on which among the unsuccessful outcomes requires attention. Analyse the data in terms of:

Root cause analysis for low performance of Percentage of TB Notified Cases with Universal Drug Susceptibility Testing Done

Root Cause Analysis of Low Performance in Percentage of TB Notified Cases with Universal Drug Susceptibility Testing Done  

Low performance means Universal Drug Susceptibility Testing (UDST) is not done for the notified TB patients as desired.

At the TB Unit (TU) level, obtain the list of patients not offered UDST from Ni-kshay. Write against each patient why UDST is not offered. Analyse the reasons.  

Root cause analysis for low performance of Percentage of TB Notified Patients with Known HIV Status

Root Cause Analysis (RCA) for Low Performance in Percentage of TB Notified Patients with Known HIV Status

Low performance in the indicator means that the notified TB cases are not getting HIV tests done as desired.

Analyse the Ni-kshay data and try to gain more insights into the problem. Some examples are given below.

The key questions are

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