Data to be collected | Data source | Outcomes measure |
---|---|---|
TB-HIV integration indicators |  |  Clinical outcomes |
TIER.Net, community care givers, autopsy reports | - Mortality rates—number of deaths among TB and HIV patients accessing care in study clinics from date clinic enrolled to 18 months post enrolment. | |
TIER.Net | - Proportion of patients retained in care—proportion of HIV-infected patients enrolled in care at clinics and alive 12 months. | |
TIER.Net | - Viral load testing coverage—proportion of patients on ART with viral loads test done among those eligible for viral load test at requested time points. | |
TIER.Net | - Viral load suppression—proportion of patients with undetectable viral load tests among those receiving 12 monthly viral load test. | |
TIER.Net and clinic TB registers | - TB treatment outcomes at end of study period— - Cure rates: proportion of new smear-positive patients that are smear-negative in the last month of treatment and on at least one other occasion at least 30 days prior. - Loss to follow-up rates: proportion of new smear-positive patients that interrupted TB treatment for 2 consecutive months or more. - Treatment failure rates: Proportion of new smear-positive patients that are smear-positive at the end of TB treatment period. - Death rate: proportion of new smear-positive patients that died during TB treatment. - Transfer-out rate: proportion of new smear-positive pulmonary TB patients registered that were transferred to another district and for whom the TB treatment outcome is unknown. | |
 |  Process outcome - HCT Coverage—proportion of patients with unknown HIV status tested for HIV | |
TIER.Net, DHIS and clinic-based registers | ||
TIER.Net, DHIS and clinic-based registers | - Co-infection—proportion of TB patients co-infected with HIV | |
TIER.Net, DHIS and clinic-based registers | - Time to ART initiation (in days)—time in days between diagnosis of HIV infection diagnosis and ART initiation. | |
TIER.Net, DHIS and clinic-based registers | - TB screening coverage among HIV-infected patients— a) Proportion of HIV-infected patients receiving TB screening and b) Frequency of TB screening during follow-up | |
TIER.Net, DHIS and clinic-based registers | - IPT initiation— a) Proportion of HIV-infected TB negative patients initiated on IPT and b) Proportion of patients completing IPT course. | |
TIER.Net, DHIS and clinic-based registers | - CPT uptake among co-infected patients—proportion of eligible HIV-positive patients initiated on CPT | |
TB-HIV service integration in the facility macro-environment | Survey instrument developed by Uyei et al. 2014 [7] | Measured TB-HIV integration in terms of: ➢ Organization—such as co-location of services, combined patient records, information management, and joint training ➢ Structure—existent practice of joint service delivery, ➢ Process—behavior and practice of delivering services ➢ Culture—work place culture and personal identification with integrated service delivery |
Clinic profile tool aimed at assessing clinics’ infrastructure, capacity, and systems in place to implement TB-HIV integration services | A CAPRISA designed tool | - Resources inventory and needs for implementation of TB-HIV integration services, e.g., available guidelines, protocols, policies, trained staff. - Existing quality improvement interventions, processes and measurements - District level leadership and support |
Clinic culture, leadership, resources, etc. | The COACH tool designed by Bergstrom et al. 2015 [56] | - Clinic leadership and support - Staff knowledge and skills - Perceptions of work culture at PHC |
Staff Work-related Quality of Life | WHO Work-related Quality of Life Scale | Work-related quality of life for staff at PHC |