In the process of maximising benefits of the electronic reporting system for the NHLS, weekly alerts providing a line listing of cases diagnosed with RR TB by the Xpert MTB/RIF assay are emailed to the nine provincial and 52 district managers in each province for public health action. This was initiated in collaboration with the TB Cluster of the DoH, with the aim of reducing the gap betweendiagnosis and treatment. The reporting has been expanded to include cases diagnosed by LPA and DST, ensuring that all cases of drug-resistant TB (DR-TB) can be easily identified. This has provided an important tool for case management in the health system and to support continued efforts with patient tracing initiatives by the respective teams in the field. The electronic surveillance system has also been improved to provide a web-based interface, including quarterly data on both TB and DR-TB cases and allowing the information to be viewed down to sub-district level. The dashboard is still being refined and further automation of the data processing underlying the dashboard is being developed.

Figure 1: Beta-version of TB surveillance dashboard