In 2012, under the Global Fund grant, a Draft National Plan for TB/HIV Co-infection Monitoring and Assessment was developed in Ukraine for 2013-2016, which complies with WHO recommendations. This plan includes indicators of output, outcome and impact which fully reflect actual state of epidemics and efficiency of measures envisaged by the National TB Plan.
However, the applicable regulations have only two indicators for “Tuberculosis” component which estimate the effectiveness of TB measures taken within general treatment network. They are represented in the Procedure on Extra Fees for Volume and Quality of Work Done Payable to Healthcare Professionals that provide primary medical assistance approved with the Decree of the Cabinet of Ministers of Ukraine dated December 30, 2013 No. 977:
- performance indicator for a plan of X-ray examination within a medical risk group (90 percent and over);
- indicator of specific weight of patients with acid-resistant bacteria (+) in sputum among all patients suspicious of TB or its relapse who underwent bacteriologically tested at TB laboratories of level I after seeking for medical care at primary health care facilities (from 5 to 10 percent inclusive).
2. TB indicators (output, outcome, impact) should be included in monitoring the implementation of the health care reform (see Annex 4). TB is a condition which encompasses several areas as it is often the result of socioeconomic determinants and poor access to health care. For this reason, it can be used as a proxy for monitoring the overall development and performance of the health sector.