1. Guidance on completion of Isoniazid Preventive Therapy register

4. Column 1: Document the details of index case

6. Paste an individual child clinic sticker over these columns.
If there is no sticker available, document the child’s name, surname, gender, age, address and contact number.

8. Appropriate clinical assessment
TB Screening and VCT

10. IPT start date and monthly follow up dates with weight and symptom review

12. Outcomes 1 - Completed IPT course,
2 - Started TB treatment (specify TB register number),
3 - Lost to follow-up (>2 months),
4 - Moved,
5 - Negative IPT perception (parent),
6 - IPT adverse event (specify), 7 - Other (specify)
SHEET TOTAL

13. Monthly follow up of children who initiated IPT
Follow-up HIV result, if applicable, and document result in child IPT register
Screen for TB – It is very important to check the weight at each visit: If the child does not gain weight or loses weight, the child should be seen as symptomatic and needs further investigation (as below). Document in individual child clinic folder.
If asymptomatic – adjust IPT according to weight (use prescription chart in individual child clinic folder), make note in the individual child clinic folder, complete the child IPT register and give a follow-up date for the next month.
If symptom(s) present – complete TST, CXR and/or gastric aspirate/other sputum sample as necessary, evaluate for disease (use TB SUSPECT SCREENING TOOL and file in the individual child clinic folder)
If a diagnosis of active TB is made – complete child IPT register and complete information in the TB register
If no TB diagnosis is made – adjust IPT according to weight (use prescription chart in individual child clinic folder), make note in the individual child clinic folder, complete the child IPT register and give a follow-up date for the next month.

14. Monthly Statistics Total for the year December November September
January
February
March
April
May
June
July
August
September
October
November
December
Total for the year
IPT outcome 1
IPT outcome 2
IPT outcome 3
IPT outcome 4
IPT outcome 5
IPT outcome 6
IPT outcome 7

15. Quarterly Statistics Quarter 1
CHILDREN UNDER FIVE YEARS OF AGE* WITH A SPUTUM POSITIVE TB CONTACT
Quarter 1
Number of children under five years of age recorded in the IPT register as household contacts of a sputum positive TB case
Number of children under 5 years of age in the IPT register that started IPT
Number of children under five years of age recorded in the IPT register who completed 6 months of IPT
(complete this section only once 6 months have passed since the last month of each quarter)
HIV POSITIVE CHILDREN OLDER THAN FIVE YEARS OF AGE WITH A SPUTUM POSITVE TB CONTACT**
Number of HIV positive children older than five years of age recorded in the IPT register as household contacts of a sputum positive TB case
Number of HIV positive children older than five years of age recorded in the IPT register that started IPT
Number of HIV positive children older than five years of age recorded in the IPT register who completed 6 months of IPT