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In many parts of the world, Tuberculosis (TB) rates have increased dramatically in recent years. The provision of accurate data and tools for surveillance, program management and supervision has become increasingly essential. The “Electronic TB Register” (ETR.Net) is a–based computer software program, inspired on the World Health Organization (WHO) and International Union Against TB and Lung Disease (IUATLD) recording and reporting formats. Many of the features of ETR.Net are derived from the “Electronic TB Register” software, a TB surveillance project in southern Africa supported by USAID and CDC (Centres for Disease Control). It was developed to provide for more efficient and useful collection, compilation, and analysis of TB data on an ongoing basis. The three main considerations during development and design were for the system to: 

 - generate standard WHO-IUATLD reports,
 - make reports immediately available at a district level, and
 - be extremely user-friendly and allow for flexible sub-district setup
 - have in-country support

Individual patient records are entered from a standard manual facility TB Register into a District-based (Local Service Area-/Sub-district-based) data entry program that provides interactive guidance and support. The program then generates different patient listings, with a management and supervision function (i.e. a list of defaulters), and standard quarterly and annual reports on case finding, sputum conversion, and treatment outcome. In addition to the report tables, the program also provides graphs (time trends) and maps (geographic distribution) on important TB indicators (under construction).

The first prototype of the ‘Electronic TB Register’ program was developed in Botswana in 1995, through collaboration between the Ministry of Health, Botswana, and the Centers for Disease Control and Prevention, Atlanta, Georgia, USA. The aim of the program was to provide the Botswana National TB Program with a powerful tool for TB program management and supervision. In 1999/2000 a considerable effort was made to make the program more generic and the software was piloted and then implemented in South Africa. In 2002/2003 the program, which was initially developed for the DOS environment, was re-designed in the Windows environment for added flexibility and ease of use.

Due to in country needs and support – the ETR.Net software has been developed, based on the previous software, and supported by:

The National TB Control Program
WAMTechnology CC
Medical Research Council
US Centres for Disease Control USAID

The ‘Electronic TB Register’ is a public use software that can be obtained free of cost and can be implemented, with adequate equipment, at a minimum cost. Limited computer experience is required for a person to effectively operate the programme.

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About ETR.Net
What is ETR.Net?
A description of the ETR.Net software tool and its functions.
Using ETR.Net
Information regarding the use of ETR.Net.
General information regarding ETR.Net and its origins.
Country Implementations
ETR.Net has been implemented in several countries, follow this link for detailed information.
Implementation Recommendations
Learn more about the requirements and pre-requisites for implementing ETR.Net.
Technical Information
Detailed technical information, including development platform and hardware/software requirements.
Useful Links
Useful links related to ETR.Net, Tuberculosis and other general information.

Popular Downloads
Multimedia Demonstration Kit
The Multimedia Demonstration Kit is an interactive introduction to ETR.Net. This kit contains almost all of the resources available on this web site.
Demonstration Version
Download a fully operational version of the ETR.Net software, which has been pre-configured for demonstration purposes (e.g. demo data, etc.).
Software User Manual
Download a copy of the ETR.Net software user manual.
A brief informational brochure.
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