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IERH - Monitoring and Evaluation (M&E) Tool for TB

What is the tool?

The Monitoring and Evaluation (M&E) Tool for TB Programs is a free, easy-to-use monitoring and evaluation tool for TB programs in refugee camps, resource-poor and other post-conflict settings. It is designed to improve the quality of TB programs and to be a reference for programs. It can be completed in a single 8-hour day.

This tool is the first designed to evaluate an entire TB program that is inclusive, easy to use, and user-friendly. In addition, it is:

  • Adaptable
  • Thorough
  • Field-tested

Who should use it?

The tool is for evaluators who represent national or regional headquarters of organizations that provide healthcare services in resource-limited settings or the United Nations High Commissioner for Refugees (UNHCR). In addition, it is designed to be used by medical and laboratory refugee camp staff or others in post-conflict, resource-limited settings who plan, organize, conduct, and supervise TB activities.

Why was it developed?

TB is one of the world’s most deadly diseases, killing almost 2 million people each year. TB is highly contagious and is easily spread among displaced persons in close quarters such as refugee camps. International collaborative efforts to sustain quality TB programs are necessary to ensure the proper treatment of patients and to curb the spread of the disease. An M&E framework is an integral part of a quality program.

What does it include?

The kit includes worksheets, references and resources, posters, and a patient charter. The tool evaluates four components:

  • Laboratory
  • Clinical case management and treatment
  • Health education
  • Data management and logistics

Who developed the tool?

The International Rescue Committee and the Centers for Disease Control and Prevention collaborated to develop this tool with input from TB and refugee health experts of other organizations and agencies. Designers pilot-tested the tool 13 times at 8 TB control programs in Kenya, and modified and retested the program based on feedback from the field.

How do I download the tool?

You can download the entire tool [PDF - 4.15.MB]

Or you can download specific components

Component 1: Laboratory Evaluation–Acid-Fast Bacilli Microbiology (AFB) Tool [PDF - 346 KB]

  • Part 1: Evaluation Worksheet
  • Part 2: Scoring Guide
  • Part 3: Explanation Worksheet

Component 2: Health Education Evaluation Tool [PDF - 254 KB]

  • Part 1: Evaluation Worksheet
  • Part 2: Scoring Guide
  • Part 3: Explanation Worksheet

Component 3: Clinical Encounter Evaluation Tool [PDF - 358 KB]

  • Part 1: Evaluation Worksheet
  • Part 2: Scoring Guide
  • Part 3: Explanation Worksheet

Component 4: Data Management and Logistics Tool [PDF - 2.67 KB]

  • Part 1: Evaluation Worksheet
  • Part 2: Scoring Guide
  • Part 3: Explanation Worksheet

Appendix A: Supplemental Health Education Materials [PDF - 1.23 MB]

  • Sputum Collection
  • Mild Side Effects of TB Drugs and Their Management
  • TB Admission Talk

Appendix B: TB Patient Rights and Duties [PDF - 303 KB]

Appendix C: Program Implementation [PDF - 503 KB]

  • Evaluation Worksheet
  • Scoring Guide
  • Explanation Worksheet

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