NTP INDICATORS

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OVERVIEW
The update employs the major
thematic areas of the tuberculosis
(TB) cascade of care.
● Screening

● Testing and diagnosis

● Treatment

● Prevention

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RATIONALE:
To measure the progress of implementation towards the
set goals and objectives. (e.g case notification and
treatment success rate)
● ensure the adherence of program implementers to NTP
policies and guidelines;
● monitors the progress, identify gaps and provide basis
for decision making to improve the implementation.

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 10 NTP KEY INDICATORS
1. Screened by Chest X-ray 6. TB Notification, All forms
2. Contact Investigation (DS/DR/MN)
3. Presumptive Tested 6.1 DSTB w/ MTBN (adult)
4. Bacteriologically 6.2 DSTB w/ MTBN (children)
Confirmed 6.3. DRTB Notification
5. Case Notification Rate 7. Mandatory Notification
(CNR)

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10 NTP KEY INDICATORS
8. Treatment Coverage Rate 9. Treatment Success Rate
(TCR), All forms (TSR), All forms
8.1 TCR DSTB w/ MTBN 9.1 TSR DSTB w/ MTBN
8.2 TCR DSTB 9.2 TSR DSTB
8.3 TCR DRTB 9.3 TSR DRTB
10. LTBI (given TPT)

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Note:
❑ For purposes of discussion, “data sources” in this
presentation, are all from Consolidated ITIS reports and
NOT from the official (as the source of data) Aggregate
ITIS Reports.

❑ For values in percentage (%), reporting is up to two (2)

decimal value (ex. 92.34%)

❑ Values about individuals, always round off to the next

whole number (ex. 35.3 ≈ 36)
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1. Screened by Chest X-ray
● Proportion of population that was screened by chest x-ray
● either by ACF, ICF, PCF
● ECF – not reflected in ITIS. The report is incorporated in the ICF/ACF
Formulas:
Target = Total Population x 11%

Accomplishment
Numerator: Total number screened by CXR (ACF, ICF & PCF)
Denominator: Estimated target
Multiplier: 100
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Screened by Chest X-ray – computing for the facility target

Example: Masangkay Health Center - Total Pop 2023

18,567
Formula:
Target: Total Pop x 11%
18,567 x 0.11 = 2,042 (estimated/target
number of individuals to be screened by chest x-ray in 2023)

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Screened by Chest X-ray – computing for the accomplishment
Data Source (LGU Level): Report 3 Table A plus Passive Case Finding-Special Report
DATA SOURCE (health facility level): REPORT 3 Table A
Note: Source of data: health facility
all participants in the ACF plus radio dept
including out of catchment clients Note: variations depending on
LGU agreements

1,567 1,245
148 389 54

302 77 379
243 77 320
DOH Center for Health Development
Metro Manila 89 5 94 9
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Screened by Chest X-ray – computing for the accomplishment
Report: ACF = 1,567
ICF=1,245
(actual number of individuals
1,567 + 1,245 = 2,812 screened by chest x-ray)
Actual accomp. 2,812 100 =
Est. Target 2,042
X 137.71%
Masangkay Health Center exceeded its target for the number of
individuals screened by chest x-ray for the year 2023. Best
practice: they were able to engage diagnostic facilities with chest
x-ray service to report to NTP.
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3. Presumptive Tested
● Proportion of presumptive TB undergone RDT - laboratory-tested for TB

Formulas:
Target = Total Population x 2%

Accomplishment
Numerator: Total number of presumptive TB examined
Denominator: computed target
Multiplier: 100%

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Presumptive TB Tested – computing for the facility target

Example: Masangkay Health Center

Total Population 2023: 18,567

Formula:
Target = 18,567 x 2% = 371
(est. target of presumptive TB tested)

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Presumptive TB Tested –
computing for the facility’s accomplishment
Data Source (LGU Level): Report 1 Table A Item #1
DATA SOURCE (health facility level): Report 3 Table A
Note:
These is the accomplishments of the
laboratory catering to different
catchment health facilities
Follow-up SM (not for diagnostic)

0 0 0 2867 597 3464 0 0 0 207 0

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Presumptive TB Tested –
computing for the facility’s accomplishment
DATA SOURCE (health facility level): Report 3 Table A

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Presumptive TB Tested –
computing for the facility’s accomplishment

Report 3 Table A: # of presumptive TB tested:

320

Actual accomp. 320 X 100 =

Est. Target 371
86.25%

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5. Case Notification Rate
● Number of Notified (reported) TB, all forms for every 100,000 pop
● Seal of Good Local Governance (SGLG) Scorecard

Formula:
Numerator: Total number of notified TB cases, all forms
Denominator: Total Population
Multiplier: 100,000
Year 2023 Target: Estimated TB incidence rate
650/100,000 population

TB Incidence Rate - The estimated number of new and relapse tuberculosis (TB)
DOH Center for Health Development
Metro Manilaas the rate per 100,000 population.
cases arising in a given year, is expressed 16
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Case Notification Rate (CNR) –
computing for the facility target
Tuberculosis case notification rate - The number of tuberculosis cases reported
per 100,000 population in a given year.
Tuberculosis (TB) case notifications refer to people diagnosed with TB disease
and officially reported as a case to national authorities.

Example: Masangkay Health Center

Estimated TB Incidence Rate
Total Population 2023: 18,567 for the given year
Formula:
Health facility estimated number of= 18,567 X 650 = 121
New & Relapse TB cases 100,000
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 CNR – computing for the facility accomplishment
DATA SOURCE: Report 3 Table B (DS, DR, and MN) or Report 3 Table F

B. Diagnosed TB Cases
Source: Notification Forms, DS-TB Treatment Cards, and DR-TB Treatment Cards
Previously Treated (except
New Relapse Subtotal
Classification Relapse) Total
BC CD BC CD BC CD BC CD
DS 28 45 5 2

Pulmonary DR 0 0 2 0

MN 8 18 0 6 115___
X 100,000
(TP) 18,567
DS 0 1 0 0
Extra-
DR 0 0 0 0
Pulmonary
MN 0
Total = 115
0 0 0
= 620 /100,000 pop
Unknown MN 0 0 0 0

DS 28 46 5 2
Subtotal DR 0 0 2 0
MN 8 18 0 6
DOH Center for Health Development

Total 40 60 6 Metro Manila

9 19
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CNR – computing for the facility accomplishment
DATA SOURCE: Report 3 Table B (DS, DR, and MN) or Report 3 Table F

F. Diagnosed All New and Relapse TB Cases (All Forms) by Age and Sex
Source: Notification Forms, DS-TB Treatment Cards, and DR-TB Treatment Cards
Total TB 0-4 5-14 15-24 25-34 35-44 45-54 55-64 >=65 Total
cases M F M F M F M F M F M F M F M F M F
New 8 4 8 6 13 6 11 8 4 8 8 4 2 5 1 4 55 45
Relapse 0 0 1 0 0 0 0 0 2 2 4 1 2 2 1 0 10 5

Subtotal 8 4 9 6 13 6 11 8 6 10 12 5 4 7 2 4 65 50

Total 12 15 19 19 16 17 11 6 115
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6. TB Case Notification, all forms
● Refers to all diagnosed New and Relapse TB cases
● Number of notified TB cases, all forms

Formula:
Target: TP x Incidence Rate

Accomplishment
Numerator: Total number of New and Relapse TB cases notified
Denominator: Computed target
Multiplier: 100
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TB Case Notification – computing for the facility accomplishment
DATA SOURCE: Report 3 Table B (DS, DR, and MN) or Report 3 Table F

total # of New & Relapse

cases IDENTIFIED 115 x 100
Est/target # of 121
New & Relapse cases
= 95.04%

DS / DR / MN

Tuberculosis (TB) case notifications refer to

DOH Center for people
Health Development diagnosed with TB disease
Metro Manila 22
and officially reported as a case to national authorities.
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 6. TB Notification, All forms (DS/DR/MN)
6.1 DSTB w/ & w/o MTBN (adult)
6.2 DSTB w/ & w/o MTBN (children)
6.3. DRTB Notification (adult/children)

Note:
For purposes of discussion and demonstration, MTBN data
at the health center is filled out.

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DOH Center for Health Development
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 For validation

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 All ages Children Adults

DSTB 81 22 59
DRTB 2 0 2
MN 32 5 27
DOH Center for Health Development
Total 115
Metro Manila
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27 88
 All ages Children Adults DSTB w/ MN = 22 + 5 = 27
(children)
DSTB 81 22 59
DRTB 2 0 2
MN 32 5 27
Total 115 27 88
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Metro Manila
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7. Private Sector Engagement
(Mandatory TB Notification)
● Proportion of TB cases notified by the private sector among total
notified cases & is computed at the LGU level
Formula:
Target = Est/Target Notified cases x 30%
Accomplishment
Numerator: Total number of MTBN report
Denominator: computed target
Multiplier: 100
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Private Sector Engagement (PSE) or MTBN –
computing for the LGU target
Example: Malabon City
Total Population 2023: 380,522

Formula:
Target Notified Cases = 380,522 x 0.65% = 2,473.4 ≈ 2,474
Target PSE contribution = 2,474 x 30% = 742.2 ≈ 743

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Private Sector Engagement (PSE) or MTBN–
computing for the LGU accomplishment
DATA SOURCE: Mandatory TB Notification Special Report or Report 3 Table B

manual computation for the total for each item

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Private Sector Engagement –
computing for the LGU accomplishment
DATA SOURCE: Mandatory TB Notification Special Report or Report 3 Table B
B. Diagnosed TB Cases Source: Notification Forms, DS-TB Treatment Cards, and DR-TB
Treatment Cards

695
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4. Bacteriologically Confirmed
● Proportion of bacteriologically confirmed tuberculosis (BC-TB)
among notified all forms TB cases
● Desired BC:CD RATIO IS = 60:40

Formula:
Target = TB Notification, all forms x 60%
Accomplishment
Numerator: Total number of Bacteriologically confirmed
during the reporting period
Denominator: Total number of Notified TB cases, all forms
Multiplier: 100
DOH Center for Health Development
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Bacteriologically Confirmed TB cases –
computing for the facility target
Example: Masangkay Health Center
Total Population 2023: 18,567

Formula:
Target = # of Notified TB Cases (All forms)
115 x 60% = 69
Target is 69 Bacteriologically Confirmed
TB cases (BCTB), DS/DR/MN, all forms

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Bacteriologically Confirmed TB cases –
computing for the facility accomplishment
DATA SOURCE: Report 3 Table B
B. Diagnosed TB Cases Source: Notification Forms, DS-TB Treatment Cards, and DR-TB
Treatment Cards

BCTB Notified cases = 46

BCTB Notified cases

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BC:CD ratio = 40:60 36
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Bacteriologically Confirmed TB cases –
computing for the facility accomplishment
DATA SOURCE: Report 3 Table B
B. Diagnosed TB Cases Source: Notification Forms, DS-TB Treatment Cards, and DR-TB
Treatment Cards

BCTB
Notified
BC:CD ratio = 40:60 cases

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8. Treatment Coverage Rate (TCR)
● Number of new and relapse TB cases (DS, DR, MN) that were notified
and treated in a given year, divided by the estimated number of
incident TB cases in the same year, expressed as a percentage
Formula:
Target: 90%

Accomplishment
Numerator: Total number of notified and treated TB cases, all forms
Denominator: Total Number of all forms estimated to occur each year
(i.e TP x incidence Rate of TB, all forms)
Multiplier: 100
DOH Center for Health Development
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8. Treatment Coverage Rate
● Number of new and relapse TB cases (DS, DR, MN) that were notified
and treated in a given year, divided by the estimated number of
incident TB cases in the same year, expressed as a percentage
Formula:
formerly “TB Case Detection Rate”
Target: 90%

Accomplishment
Numerator: Total number of notified TB cases, all forms
Denominator: Total Number of all forms estimated to occur
each year (i.e TP x incidence Rate of TB, all forms)
Multiplier: 100
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TCR – computing for the facility target

Example: Masangkay Health Center

Total Population 2023: 18,567

formula for computing the target

Est. # of TB Notified Cases 121
x 90%
Est. # of TB Notified TB
108.9≈ 109
started on treatment
to meet the target of 90% TCR, an
est. minimum of 109 patients must
be started on treatment amongst
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TCR – computing for the facility accomplishment
For Treating Facilities
I. TB Cases Started on Treatment
Previously Treated (except
New Relapse Relapse)
Subtotal
Classification T
BC CD BC CD BC CD BC CD
DS 27 43 5 2
Pulmonary DR 0 0 2 0 87 # Notified, all forms, DS/DR/MN
MN 2 4 0 1 TCR =
Extra-
DS 0 1 0 0 121 Estimated # Notified,
DR 0 0 0 0 all forms, DS/DR/MN
Pulmonary
MN 0 0 0 0
Unknown MN 0 0 0 0 = 0.7190 x 100%
DS 27 44 5 2
Subtotal DR 0 0 2 0 = 71.90%(DS, DR, MN)
MN 2 4 0 1
DOH Center for Health Development
Total 29 48 7 Metro Manila 3
ncroffice.doh.gov.ph = 87 # Notified, all forms, DS/DR/MN
8. Treatment Coverage Rate (TCR), All forms
8.1 TCR DSTB w/ MTBN
8.2 TCR DSTB
8.3 TCR DRTB
85
x 100% = 70.25%
121
Estimated Notified Cases, All Forms,
DS/DR/MN
= 78
Of the 121 est. cases, 30% (37) is
estimated will be contributed by
MTBN. 70% (84) is DSTB+DRTB =7
For this presentation, there are 2
DRTB cases. So, for DSTB only, est. DOH Center for Health Development
Total = 85
Metro Manila 44
notified cases are 82. ncroffice.doh.gov.ph
8. Treatment Coverage Rate (TCR), All forms
8.1 TCR DSTB w/ MTBN

Est. TB Notified DS/DR/MN = 121

MTBN = 37
DSTB = 82 8.2 TCR DSTB
actual DRTB = 2
78 x 100% = 64.46%
121
TCR MTBN
7 8.3 TCR DRTB
x 100% = 5.79%
121 2 x 100% = 1.65%
121
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9. Treatment Success Rate (TSR), all forms
● Proportion of notified (diagnosed) New and Relapse TB cases that were successfully
treated
● cohort: 1 year backward for DSTB, 2 years back for DRTB

FORMULA:
Target: 90%

Accomplishment
Numerator: Total # of TB cases (Cured and Completely treated)
Denominator: Total # of TB all forms registered during a specified period
Multiplier: 100

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TSR – computing for the facility accomplishment
Example: Masangkay Health Center, reporting period is 2023 Target TSR: 90%
DATA SOURCE: ITIS Report 5 Table A

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9.1 TSR DSTB w/ MTBN

122 x 100%
= 38.1%
316

=122
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9.2 TSR DSTB only 9.3 TSR DRTB
The source of data to
compute the DRTB
Treatment Success Rate
= 81 = 78 (TSR) is the DRTB
Register. This must be
done manually and
cannot be generated
from ITIS.

= 38 = 36

114 x 100%
= 95.8%
119
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2. Contact Investigation
● Number of contacts identified per TB case NOTIFIED - (1 TB case : 4 HH contacts)
● 1 Quarter Back – ex. reporting period is Q1 2024, cohort is Q4 2023
Formula:
Target = Estimated TB cases NOTIFIED x 4
Accomplishment
Numerator: Total number of household contacts
Denominator: Computed target
Multiplier: 100
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Contact Investigation – computing for the facility target
Example: Masangkay Health Center, Total Pop= 2023: 18,567

Formula:
Target = Est. NOTIFIED TB cases x 4
121 cases x 4 = 484
(est. # of HH contacts to be investigated)

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 Contact Investigation – computing for the facility accomplishment
Cohort is one quarter back – for the annual report (2023 reporting period) this will
include Q4 2022, Q1-Q3 2023

DATA SOURCE: Report 3, Table P

Children Adult Total
Actual # of
(1) Number of Contacts
Identified
43 133 176 contacts invest. 176 x 100
(2) Among (1), Number of Contacts
Target # of 484
Screened
43 133 176 Contact to be
Pending Evaluation Result 0 0 0 investigated
= 36.36%
Among (1), Number of Contacts
0 0 0
Not Evaluated
(3) Among (2), Number of Contacts DS: DR: TBI: DS: DR: TBI:
5
Diagnosed 0 0 1 4 0 0
(4) Among (3), Number of Contacts
0 4 4
Started on TB Treatment*
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10. TB Preventive Treatment Coverage
● Proportion of eligible patients for TPT that are given TPT

Formula:
Target: Estimated number of Notified cases x 40%

Accomplishment
Numerator: No. given TPT (contacts, PLHIV, and other risk groups)
Denominator: Computed target
Multiplier: 100

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TB Preventive Treatment Coverage
computing for the facility target

Example: Masangkay Health Center

Total Population 2023: 18,567

Formula:
Est. # of Notified cases notified cases = 121 x .40 = 49

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TB Preventive Treatment Coverage
computing for the facility’s accomplishment
Report 3, Table Q
DATA SOURCE:

Q. Individuals Given TPT Source: TPT Card

Tota
6H 3HP 3HR 4R Actual #

Household Contact/Close Contact age 0-4 1 0 3 0 4

l given TPT 9 x 100
Target # 48
Household Contact/Close Contact age 5-14 0 0 3 0 3 to be given
Household Contact/Close Contact Adult 0 0 2 0 2 TPT
= 18.75%
PLHIV 0 0 0 0 0
Clinical Risk Groups 0 0 0 0 0
Total 1 0 8 0 9

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Maraming Salamat po!

DOH Center for Health Development

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