3.5.10 Area 10 – Monitoring and evaluation

Step 10.1 – Monitor implementation of the diagnostic test

Step 10.2 – Monitor and evaluate impact of the diagnostic test

Step 10.1 – Monitor implementation of the diagnostic test

During the initial planning phase, countries should establish a set of key indicators and milestones that can be used to monitor the implementation process. Once the testing services have been launched, use of the services should be tracked.

Step 10.2 – Monitor and evaluate impact of the diagnostic test

A framework for monitoring and evaluation of the impact of a diagnostic test is essential to inform decision-making. Often, the objective of new or improved TB diagnostic tests is to improve the laboratory confirmation of TB or the detection of drug resistance. Indicators to assess the impact of test objectives should be developed. For each such indicator, programmes should define the purpose, target, data elements and data sources as well as how the indicator is to be calculated, process indicators and corresponding data elements that contribute to the main indicator.

In-depth analyses of the process indicators may be useful as follow-up investigations, to elucidate the test’s contribution to patient outcomes and to identify opportunities for interventions towards increasing impact.

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