World Health Organization Regional Office for the Western PacificWorld Health Organization Regional Office for the Western Pacific

Strengthening TB surveillance: regional perspective

Tom HiattStop TB and Leprosy EliminationWorld Health OrganizationRegional Office for the Western Pacific

Ninth TAG and NTP Managers Meeting in WPRManila, Philippines 9–12 December 2014

World Health Organization Regional Office for the Western Pacific

Implementation of revised case definitions

Cambodia Complete

China Under discussion and planning

Lao PDR Training underway, in revised guidelines

Malaysia Complete

Mongolia In revised guidelines

Papua New Guinea Planned

Philippines Complete for PMDT, other facilities in Jan 2015

Viet Nam In upcoming revised guidelines, planned for 2015

World Health Organization Regional Office for the Western Pacific

Mechanism for data analysisby subnational level staff

Cambodia Limited analysis from subnational staff

ChinaAnalysis primarily at the national level with feedback to subnational

Lao PDR Irregular meetings at central and provincial levels

Malaysia Analyses presented at regular meetings

Mongolia Yearly meetings in the rural TB units, Quarterly in UB

Papua New Guinea

Analyses presented at quarterly reviews at the regional level

Philippines Review at regional and provincial/city level

Viet NamRegion and provinces conduct analyses at 3, 6, 12 month intervals

World Health Organization Regional Office for the Western Pacific

Recording and reporting systems

Recording and reporting system

Status of patient-based electronic system

Cambodia eTB manager for PMDT onlyFull roll-out, 100% entry of enrolled patients

ChinaElectronic for DS-TB and PMDT (TBIMS)

Full roll-out, 100% entry of enrolled patients

Lao PDR Paper-basedElectronic for PMDT under development

MalaysiaElectronic DS-TB and PMDT (MyTB)

Full roll-out, 100% entry of enrolled patients

World Health Organization Regional Office for the Western Pacific

Recording and reporting systems

Recording and reporting system

Status of patient-based electronic system

MongoliaPaper-based and electronic (TUBIS)

Full roll-out, entry complete for PMDT patients only

Papua New Guinea Paper-based

PhilippinesPaper-based and electronic (ITIS)

Full roll-out for PMDT sites with ~80% entry, pilot roll-out to DS-TB sites with very low entry

Viet Nam

Paper and electronic for PMDT (eTB manager) and DS-TB (VITIMES)

Partial roll-out for PMDT and DS-TB sites with complete entry of enrolled PMDT patients only (~65% for DS-TB)

World Health Organization Regional Office for the Western Pacific

Recording and reporting – electronic systems challenges

• Low levels of data entry• Internet connection • Hardware requirements• Increase in reporting load for patient-

based systems• Double recording (reporting) • Systems are strong on M&E, but weak on

health worker utility