Abstraction Tool for PBCs who have not completed the Contact Screening and TPT Casacde

BUYENDE ST.MATIA MULUMBA HC3 IRUNDU

Short Expiry TPT mop up initiative ( January 2022 to date)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

Index Patient # initiated # initiated # initiated

Unit TB number on INH/ on INH/ on 3HP
(PBCs only) Status of Index PBC Briefly state reason(s) for # of Contacts # of Contacts # of Contacts # of Contacts 100mg 300mg
patient(1.Contacts not enlisted, 2.Contacts missing TPT among contacts identified screened eligible for TPT initiated on TPT
not screened, 3.All contacts pending TPT, (Missed opportunity, Stock challenges,
4. Some contacts pending TPT) (Choose Reason for index PBC not adverse drug reactions, patient
what best describes the status as applicable to the completing the cascade for declined TPT, other reasons (state
index PBC) contact screening (1.PBC them) < 5 yrs ≥5yrs < 5 yrs ≥5yrs < 5 yrs ≥5yrs < 5 yrs ≥5yrs
died, 2.PBC Lost, 3. Missed
Opportunity for CI)

094/22 PBC lost

012/23 PBC died

014/23 PBC died
015/23 PBC lost
Col(2): Status of PBC (1.Contacts not enlisted, 2.Contacts not screened, 3.All contacts pending TPT, 4. Some contacts pending TPT)
Col(3):Reason for missing contact investigation for the index PBC (1.PBC died, 2.PBC Lost, 3. Missed Opportunity)
Short Expiry TPT mop up initiative
Abstraction tool for PLHIV pending TPT

District……………………… Health Facility:…………

(1) (2) (3)
ART number Reason for missing TPT regimen