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RCA for low performance in Percentage of Children given TPT from the Total Eligible Children Identified
Learning ObjectivesPercentage of Children given TPT from the Total Eligible Children Identified
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 :
- Who did not receive the chemoprophylaxis? (Person Analysis) - Are they contacts of cases notified from the public sector/ private sector, of a specific gender or population group?
- Whether they belong to a specific geographic area? (Place Analysis) - Specific Peripheral Health Institute (PHI)/ TB Unit (TU)? Difficult to access area?
- Is poor performance in a particular time period? (Time Analysis) - If yes, is it uniform for all cases throughout a specific time period?
Process involved in Tuberculosis Preventive Treatment (TPT) for children less than 5 years:
- Complete contact tracing of the index case
- Rule out active TB
- Prepare the list of children less than 5 years eligible for treatment
- Initiate and complete TPT
Case to case audit of the eligible children who did not receive chemoprophylaxis to find the cause can be done.
Obtain more information from the parents, health care workers and source records.
Some of the causes are listed below.
Possible Causes | Suggested Solutions | |
Was the child initiated on treatment? If No |
Patient-related causes:
Provider-related causes:
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How is treatment adherence? |
Is non-adherence due to:
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Is it due to the non-availability of drugs? |
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Are there any issues in reporting? |
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Note: This page describes only an approach for analysis of low performance and has not captured the entire list of problems or solutions. The root cause analysis may be modified according to the local context.
Resources
- India TB Report, CTD, GoI, 2022.
- TB Training Modules (5-9) for Programme Managers and Medical Officers, NTEP, CTD, MoHFW, GoI, 2020.
- Collaborative Framework to Address the Burden of Tuberculosis among Children and Adolescents, MoHFW, 2021.
Assessment
Question | Option1 | Option 2 | Option3 | Option 4 | Correct answer | Explanation | Page id | Pretest | Post-test |
Which of these is not a possible cause for poor performance in percentage chemoprophylaxis for eligible children? | Parent apprehension | Ignorance of the provider | Child moving out of the area and lost-to-follow-up | Regular follow-up | 4 | Regular follow-up cannot be the possible cause for poor performance in percentage chemoprophylaxis for eligible children. |
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