The TB Performance-based Monitoring and Evaluation Framework
The Performance-based Monitoring and Evaluation Framework (PBMEF) is a key component of USAID ’s effort to ensure accountability for effective use of investments in tuberculosis (TB) programs at the global, regional, country, and project levels and accelerate progress to end the TB epidemic. The PBMEF was developed as a comprehensive tool by TB DIAH , in collaboration with USAID, to help USAID Missions, USAID implementing partners (IPs) and advisors, national governments’ health ministries, and national TB programs (NTPs) track progress against TB in a country and improve the measurement of critical TB program results.
The PBMEF streamlines and prioritizes indicators for monitoring progress toward global TB milestones and targets in USAID’s bilaterally-supported TB countries. It underpins USAID’s Global TB Strategy 2023-2030 and is fully aligned with the World Health Organization (WHO) End TB Strategy 2015-2030 and the Stop TB Partnership’s Global Plan to End TB 2023-2030, as well as the commitments and targets set at the United Nations High-Level Meeting (UNHLM) in 2023 on ending TB.
In 2021, the PBMEF was introduced in the publication Navigating Tuberculosis Indicators: A Guide for TB Programs. Since that time, the WHO developed new guidelines on TB surveillance and updated the definitions of some of the “standard” TB indicators. Additionally, the UNHLM on TB articulated a new set of bold commitments and targets, and USAID released its new Global TB Strategy (2023-2030) with its 90-90-90 + prevention results framework and strategic objectives of reach, cure, prevent, innovate, and sustain. The End TB Now Act of 2023 (ETNA) was also introduced in the U.S. Congress, which, upon passing, will bring additional and greatly expanded reporting requirements.
To address these changes, TB DIAH is working with USAID and its advisors and partners through the TB Data Special Interest Group (TB Data SIG) to update the PBMEF.