Transcript Status of RNTCP in Gujarat

Status of RNTCP in Gujarat
DTOs Quarterly Review Meeting, Ahmedabad
25th Oct 2013
Dr. PV Dave
State TB Officer
Gujarat
3rd Quarter 2013
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1
Health & Family Welfare Dept, Govt of Gujarat
What is Tuberculosis ?
• Tuberculosis (TB) is a highly infectious bacterial
disease caused by Mycobacterium tuberculosis.
TB can affect any part of the body. When it
affects the lungs it is called pulmonary TB. The
commonest form of TB is pulmonary TB. TB in
any other part of the body (i.e. other than lungs)
is called extra pulmonary TB.
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Health & Family Welfare Dept, Govt of Gujarat
India is the highest TB burden country accounting for an estimated
one quarter of all TB cases worldwide
Global annual incidence = 8.8 million
India annual incidence = 2.3 million
India, 26%
Other, 18%
India is 16th among 22 High Burden
Countries (in terms of TB incidence rate)
Other HBC,
15%
China, 11%
Philipines, 3%
DR Congo, 3%
Pakistan, 5%
Ethopia, 3%
Indonesia, 5%
Bangladesh,
4%
South Africa,
6%
Nigeria, 2%
Source: WHO Geneva; WHO Report 2011 Global Tuberculosis Control
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Health & Family Welfare Dept, Govt of Gujarat
RNTCP Vision and Goal
• Vision
• The vision of the Government of India is a “TB-free India
- through achieving Universal Access by provision of
quality diagnosis and treatment for all TB patients in the
community”
• Goal
• The goal of TB Control Programme is to decrease the
morbidity and mortality by early diagnosis and early
treatment to all TB cases thereby cutting the chain of
transmission
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Health & Family Welfare Dept, Govt of Gujarat
RNTCP Objectives as per 12th FYP
• Early detection and treatment of at least 90% of estimated all type of TB
cases in the community, including Drug resistant and HIV associated TB.
• Successful treatment of at least 90% of new TB patients, and at least 85% of
previously-treated TB patients
• Reduction in default rate of new TB cases to less than 5% and re-treatment
TB cases to less than 10%
• Initial screening of all re-treatment smear-positive till 2015 and all Smear
positive TB patients by year 2017 for drug-resistant TB and provision of
treatment services for MDR-TB patients;
• Offer of HIV Counselling and testing for all TB patients and linking HIVinfected TB patients to HIV care and support;
• Extend RNTCP services to patients diagnosed and treated in the private
sector.
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Health & Family Welfare Dept, Govt of Gujarat
HEALTH IN THE MILLENNIUM DEVELOPMENT GOALS
Goal 6: Combat HIV/AIDS, malaria and other diseases
• Target 6c: Halt and begin to reverse the incidence of malaria and other major diseases
including TB.
• Indicator 6.9: Incidence, prevalence and death rates associated with TB
• Indicator 6.10: Proportion of TB cases detected and cured under DOTS
Stop TB Partnership targets
• By 2005: At least 70% of people with sputum smear-positive TB will be diagnosed (i.e.
under the DOTS strategy), and at least 85% successfully treated. The targets of a case
detection rate of at least 70% and a treatment success rate of at least 85% were first set by
the World Health Assembly of WHO in 1991.
• By 2015: The global burden of TB (per capita prevalence and death rates) will be reduced
by 50% relative to 1990 levels.
• By 2050: The global incidence of active TB will be less than 1 case per million population
per year.
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Health & Family Welfare Dept, Govt of Gujarat
RNTCP – Goal and Objectives
• Goal
• The goal of TB control Programme is to decrease mortality and
morbidity due to TB and cut transmission of infection until TB
ceases to be a major public health problem in India.
• Objectives:
• To achieve and maintain a case detection of at least 70% of new
sputum positive TB patients
• To achieve and maintain a cure rate of at least 85% in such patients
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Health & Family Welfare Dept, Govt of Gujarat
Directly Observed Treatment, Short-course
(DOTS) – a five point strategy


Political and Administrative
commitment
Good Quality Diagnosis by Sputum
smear microscopy

Uninterrupted supply of good quality drugs

Directly observed treatment (DOT)

Systematic monitoring and
accountability
TB Register
Note: Directly Observed Treatment (DOT) is only one of the five components of DOTS strategy
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Health & Family Welfare Dept, Govt of Gujarat
Annual Risk of TB Infection (ARTI) - 1
• One of the key epidemiological indicators of the tuberculosis situation in a
community
• It represents the proportion of population that gets newly infected (or re-infected)
with tubercle bacilli over the course of one year.
• Currently the average ARTI in the country as a whole is estimated to be 1.5%.
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Health & Family Welfare Dept, Govt of Gujarat
Annual Risk of TB Infection (ARTI) - 2
• It has been estimated that for every one percent annual risk of tuberculosis infection, there
are about
• 50 new pulmonary sputum smear positive (NSP) cases
• 50 new pulmonary sputum smear negative (NSN) cases
• 25 re-treatment pulmonary cases
• 10 extra-pulmonary cases
• Totaling to 135 cases
…………..per 100,000 population per year.
• This means that, with an ARTI of 1.6% for West Zone (including Gujarat), there will be
• 80 new smear positive cases,
• 80 new smear-negative cases,
• 40 re-treatment cases, and
• 16 extra-pulmonary cases,
• totaling to 216 cases
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……………per 100,000 population per year.
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Health & Family Welfare Dept, Govt of Gujarat
Estimated* Incidence of TB in India
(No. of NSP Cases per 100,000 population, per year)
* Estimated from ARTI survey
North
East
West
South
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National
75
North Zone
95
East Zone
65**
West Zone
80
South Zone
50**
** For programme monitoring
purpose estimated cases in East &
South zones have been kept at the
national level of 75
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Health & Family Welfare Dept, Govt of Gujarat
Structure of RNTCP
Central TB Division,
DGHS, New Delhi
Designated IRL and
DOTS-Plus site
Nodal point for
TB control
One/ 5 lakh (2.5 lakh in
hilly/ difficult/ tribal area)
One/ lakh (0.5 lakh in hilly/
difficult/ tribal area)
TBHV
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State TB Cell
District TB
Centre
Tuberculosis
Unit
Designated
Microscopy Centre
DOT Centre
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DDG-TB, CMO-TB
STO, Deputy STO,
MO, Accountant, IEC Officer,
TB-HIV Coordinator, SA, DEO
DTO, MO-DTC,
LT, DEO, Driver
Urban TB Coordinators,
Communication Facilitator
MO-TC
STS, STLS
MO, LT
DOT Provider – MPW, NGO, PP,
Community Volunteer
Health & Family Welfare Dept, Govt of Gujarat
RNTCP Infrastructure in Gujarat
State TB Cell, Gandhinagar
1
State TB Training & Demonstration Centre / Intermediate
Reference Laboratory - Ahmedabad
1
District TB Centers (reporting units)
30
TB Units
144
Designated Microscopy Centers
754
Peripheral Health Institutes (PHIs)
1942
DOTS providers
43417
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Health & Family Welfare Dept, Govt of Gujarat
Human Resource – State level,
3rd Quarter 2013
Name of the post
Number in Place
Percentage in Place & trained
1
1
100%
1(regular)
1
100%
STDC Director
1
1
100%
Assistant Program
Officer/Epidemiologist
1
0
NA
TB –HIV coordinator
1
1
100%
IEC officer
1
1
100%
State Accountant
2
2
100%
State DEO
2
2
100%
IRL Microbiologist
1
1
100%
Urban TB –Coordinators
1
1
100%
DEO (IRL)
1
1
100%
Sr LT - IRL
1
1
100%
Statistician *
1
1
100%
Statistical Assistant *
3
3
100%
STO
Medical Officer STC
Number sanctioned
* STC+STDC
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Health & Family Welfare Dept, Govt of Gujarat
Other Human Resource in the state under TB cadre
Level *
Number
sanctioned
Number (%)
in Place
State TB Cell
3
3
100.00
Research Officer
STDC
1
0
NA
Research Assistant
STDC
1
0
NA
Statistical Assistant
STDC
1
0
NA
Computer
STDC
2
1
100.00
TB Supervisor
STDC
3
1
100.00
9
9
100.00
Name of the post
TB Supervisor
District TB
Treatment Organizer Centre/ADTC
Percentage in place &
trained
TB Supervisor
District TB
Centre/ADTC
66
57
100.00
Statistical Assistant
District TB
Centre/ADTC
23
14
100.00
Health Visitor
District TB
Centre/ADTC
28
15
100.00
* Level: STC/ STDC/DTC/ADTC/periphery
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Health & Family Welfare Dept, Govt of Gujarat
Human Resource – District Level,
3rd Quarter 2013
Name of the post
Number sanctioned
Number in Place
Percentage in place
& trained
DTO
30
21
100
Senior DOTS Plus
TB-HIV Supervisor
30
29
100
District DEO
30
28
96
Part time
Accountant
30
30
100
MOTC
144
137
96
STS
144
141
87
STLS
144
143
95
TBHV
218
192
92
LT
754
701
98
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Health & Family Welfare Dept, Govt of Gujarat
Achievements at a Glance
3rd Quarter 2013
• Gujarat state has been in the target zone, consecutively since last more than Seven Years
• 28 / 30 (93%) reporting units are in the target zone
• 119/144 (83%) TUs in target zone
• TB Suspects Examined – 3Q13
: 1,23,055
• New Smear Positive Case Detection Rate – 3Q13
: 74%
• New Smear Positive Cure Rate – 3Q12
: 87%
• Total TB patients put on treatment
: 18,444
• New Smear Positive Cases put on treatment
: 9283
Since the inception of RNTCP up to 30-9-13
• Total TB suspect Examined
• Total TB Patients put on DOTS treatment,
• New Smear Positive patients put on treatment : 4,25,278
• Additional lives saved
• Identification of MDR TB Suspects
• Diagnosis of MDR TB Cases
• MDR TB Cases Put on CAT – IV
• XDR TB Cases Put on CAT – V
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: 46,79,151
: 9,97,884
: 1,79,619
: 45,538
: 5,802
: 4,592
: 72
Health & Family Welfare Dept, Govt of Gujarat
Annualized New Smear Positive Case Detection Rate and Treatment
SuccessPositive
Rate in DOTS
areas
of Gujarat,Rate and Treatment
Detection
Case
Annualized New Smear
2000-3Q13
areas of Gujarat, 2000-3Q13
Success Rate in DOTS
100%
90%
80%
70%
60%
40%
1st Q 00
2nd Q 00
3rd Q 00
4th Q 00
1st Q 01
2nd Q 01
3rd Q 01
4th Q 01
1st Q 02
2nd Q 02
3rd Q 02
4th Q 02
1st Q 03
2nd Q 03
3rd Q 03
4th Q 03
1st Q 04
2nd Q 04
3rd Q 04
4th Q 04
1st Q 05
2nd Q 05
3rd Q 05
4th Q 05
1st Q 06
2nd Q 06
3rd Q 06
4th Q 06
1st Q 07
2nd Q 07
3rd Q 07
4th Q 07
1st Q 08
2nd Q 08
3rd Q 08
4th Q 08
1st Q 09
2nd Q 09
3rd Q 09
4th Q 09
1st Q 10
2nd Q 10
3rd Q 10
4th Q 10
1st Q 11
2nd Q 11
3rd Q 11
4th Q 11
1st Q 12
2nd Q 12
3rd Q 12
4th Q 12
1st Q 13
2nd Q 13
3rd Q 13
50%
Success rate
Annualised New S+ve CDR
Linear (Annualised New S+ve CDR)
•Population projected from 2001 censu s
•Estimated no. of NSP cases - 80/100,000 popu lation p er year (based on recent ARTI repo rt)
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Health & Family Welfare Dept, Govt of Gujarat
Success Rate Vs Case Detection Rate (3Q12/3Q13)
Success Rate Vs Case Detection Rate (3Q12/3Q13)
HIGH SUCCESS LOW DETECTION
HIGH SUCCESS HIGH DETECTION
95
TARGET ZONE
Anand, Banaskantha, Bhavnagar,
Junagadh, Mehsana, Porbandar,
Rajkot, Srt Muni. Corp., Dang,
VMC, Valsad
Sabarkantha
90
Surat-R
G'nagar
Success Rate (%)
Bharuch
Gujarat
Kachchh, S'nagar
A'bad (R) Patan
Chhotaudepur
Kheda
A'bd Muni. Corp.
80
75
Panchmahals (G)
Vadodara (R)
Amreli
85
Narmada
Dahod
Navsari
Jamnagar
Vyara
LOW SUCCESS LOW DETECTION
60
65
70
75
LOW SUCCESS HIGH DETECTION
80
85
90
95
100
105
Case Detection Rate (%)
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Health & Family Welfare Dept, Govt of Gujarat
TB Suspects Examined per
lac per quarter
3rd Quarter 2011
BAN AS KAN TH A
PATAN
KAC HCHH
MAHESANA
SAB AR KAN TH A
3rd Quarter 2013
GANDH INAGAR
PA NCH
MA HALS
AMC
KHEDA
SURENDR ANAGAR
DAHOD
AHMED ABAD
Expected : 150 / Lac / Qtr
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
BA
R
PO
BHARUCH
TB Suspect
Examined Per Lac
< 100
100 - 149.9
>=150
BHA VNAGAR
AMRELI
SURAT
JUNAGADH
VYARA
SMC
NAV SA RI
BAN AS KAN TH A
THE
DANGS
VALS AD
Gujarat: 190
PATAN
KAC HCHH
MAHESANA
SAB AR KAN TH A
3rd Quarter 2012
GANDH INAGAR
PA NCH
MA HALS
AMC
BAN AS KAN TH A
SURENDR ANAGAR
KHEDA
DAHOD
AHMED ABAD
PATAN
KAC HCHH
VAD ODAR A
ANA ND
MAHESANA
SAB AR KAN TH A
JAMNAGAR
GANDH INAGAR
KHEDA
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
BA
R
PO
TB Suspect
Examined Per Lac
< 100
100 - 149.9
>= 150
BHARUCH
NARMADA
AR
ND
A
B
R
PO
PA NCH
MA HALS
AMC
SURENDR ANAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
TB Suspect
Examined Per Lac
< 100
100 - 149.9
> 150
BHARUCH
BHA VNAGAR
AMRELI
JUNAGADH
SURAT
SMC
VYARA
BHA VNAGAR
AMRELI
JUNAGADH
NAV SA RI
SURAT
SMC
NAV SA RI
Gujarat: 175
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THE
DANGS
VYARA
THE
DANGS
VALS AD
VALS AD
Gujarat: 197
20
Health & Family Welfare Dept, Govt of Gujarat
TB Suspects Examined
per lakh per
Quarter
Expected : 150 / Lac / Qtr
Dhanera
Khedbrahma
Deesa
Palanpur
Vav
Danta
Rann of Kachchh
Patan
Radhanpur
Idar
Kheralu
Cha na sma
Nak htrana
Himat
nagar Dhan
Ma nsa
Bhac hau
Kadi
Anjar
Viram
gam
Dhr angadhra
Mandv i
Morbi
Jamnagar_D TC
Bavla Matar
Balas
inor
Nadiad
Sarsa
Kham
bhat
DT C_Rural
An kla v
Santram
pur
Lalpur
Godhra
Savli
Halol
Baroda
B aw ch a w a d
Bh aruch
Shihor
Porbandar
TB Suspect
Examined Per Lac
< 100
100 - 149.9
>= 150
No Data
Kavant
Rajpipla
Babr a
Valia
Ju nag adh
Junagadh
_Urba n
_R ural
Amreli
_DT C
Palitana
Sa va r
ku ndla
Mangr ol
Mandavee
Kamrej
Su ra t
Vyara
Songadh
Nav sari
Una
Nizar
Bardoli
Rajula
Veraval
Dediapada
Hansot
Talaja
Keshod
CU P
Pavi_
Sank Jetpur
Padr a
Jetpur
Upleta
D'baria Garbada
Dhanpur
Go tri Ju b ili b a u gheda
Amod
Botad
Kotda S hangani
Jhalod
kh eda Dahod
Dhandhuka
Kham bhalia
Fatehp ura
Shahera
Mora Lim
Atars
umba
Petlad
Muli
Dhr ol
Meghraj
sura
G'nagar
_DT C Dahe
gam
Surendr a
nagar
#
3rd Quarter 2013
Bhiloda
Visnagar
Mehs ana
_DT C
Rapar
Bhuj_DT C
TB Units – Gujarat
Diodar
Vansda Ahwa
Gandevi
Chikhli
Valsad
Pardi
Gujarat: 197
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Bhilad
Dharam pur
Kapr ada
Health & Family Welfare Dept, Govt of Gujarat
3Q 2011
NSP Case Detection Rate
BAN AS KAN TH A
PATAN
KAC HCHH
MAHESANA
SAB AR KAN TH A
3Q 2013
GANDH INAGAR
PA NCH
MA HALS
AMC
KHEDA
SURENDR ANAGAR
DAHOD
Expected : 70%
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
BA
R
PO
BHARUCH
NSP Case Detection Rate
< 59.5%
59.51% - 69.5%
> 69.5%
BHA VNAGAR
BAN AS KAN TH A
AMRELI
SURAT
JUNAGADH
VYARA
SMC
THE
DANGS
NAV SA RI
PATAN
KAC HCHH
VALS AD
MAHESANA
SAB AR KAN TH A
Gujarat State: 76%
GANDH INAGAR
3Q 2012
PA NCH
MA HALS
AMC
SURENDR ANAGAR
KHEDA
DAHOD
AHMED ABAD
BAN AS KAN TH A
VAD ODAR A
ANA ND
JAMNAGAR
PATAN
KAC HCHH
MAHESANA
RAJKOT
SURENDR ANAGAR
PA NCH
MA HALS
KHEDA
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
NSP Ca se D etection R ate
< 59 .5%
59.51 % - 69.5%
> 69 .5%
BHARUCH
BHA VNAGAR
AMRELI
JUNAGADH
SURAT
SMC
VYARA
BHARUCH
BA
R
PO
NS P Cas e Detection Rate
< 59.5%
59.51% - 69.5%
> 69.5%
NARMADA
AR
ND
A
B
R
PO
SAB AR KAN TH A
GANDH INAGAR
AMC
CHHOTA
UDEP UR
VMC
BHA VNAGAR
AMRELI
JUNAGADH
NAV SA RI
SURAT
SMC
THE
DANGS
VYARA
NAV SA RI
THE
DANGS
VALS AD
VALS AD
Gujarat: 74%
Gujarat State: 72%
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22
Health & Family Welfare Dept, Govt of Gujarat
NSP Case Detection Rate
Expected : 70%
TB Units – Gujarat
Dhanera
Khedbrahma
Deesa
Vav
Danta
Rann of Kachchh
Diodar
Patan
Radhanpur
Idar
Kheralu
Cha na sma
Bhiloda
Visnagar
Mehs ana
_DT C
Rapar
Nak htrana
Himat
nagar Dhan
Ma nsa
Bhuj_DT C
3rd Quarter 2013
Palanpur
Bhac hau
Kadi
Anjar
Viram
gam
Dhr angadhra
Mandv i
Morbi
Jamnagar_D TC
#
Bavla Matar
Balas
inor
Nadiad
Sarsa
Kham
bhat
DT C_Rural
An kla v
Santram
pur
Lalpur
Godhra
Savli
Halol
Baroda
B aw ch a w a d
Bh aruch
Shihor
Porbandar
Valia
_R ural
NSP Ca se D etection R ate
< 59 .5%
59.51 % - 69.5%
> 69 .5%
No D ata
Kavant
Rajpipla
Babr a
Ju nag adh
Junagadh
_Urba n
Amreli
_DT C
Palitana
Sa va r
ku ndla
Mangr ol
Mandavee
Kamrej
Keshod
Nizar
Bardoli
Su ra t
Vyara
Rajula
Songadh
Nav sari
Una
Dediapada
Hansot
Talaja
Veraval
CU P
Pavi_
Sank Jetpur
Padr a
Jetpur
Upleta
D'baria Garbada
Dhanpur
Go tri Ju b ili b a u gheda
Amod
Botad
Kotda S hangani
Jhalod
kh eda Dahod
Dhandhuka
Kham bhalia
Fatehp ura
Shahera
Mora Lim
Atars
umba
Petlad
Muli
Dhr ol
sura
G'nagar
_DT C Dahe
gam
Surendr a
nagar
Meghraj
Vansda Ahwa
Gandevi
Chikhli
Valsad
Pardi
Gujarat: 74%
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23
Bhilad
Dharam pur
Kapr ada
Health & Family Welfare Dept, Govt of Gujarat
4Q 2012
NSP Conversion Rate
BAN AS KAN TH A
PATAN
KAC HCHH
MAHESANA
SAB AR KAN TH A
PA NCH
MA HALS
AMC
KHEDA
SURENDR ANAGAR
2Q 2013
Expected : 90%
GANDH INAGAR
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
BA
R
PO
BHARUCH
AMRELI
NS P Conver sion Rate
< 84.5%
84.51% - 89.5%
> 89.5%
BAN AS KAN TH A
BHA VNAGAR
SURAT
JUNAGADH
VYARA
SMC
THE
DANGS
NAV SA RI
PATAN
KAC HCHH
MAHESANA
VALS AD
SAB AR KAN TH A
Gujarat State: 92%
GANDH INAGAR
PA NCH
MA HALS
AMC
SURENDR ANAGAR
1Q 2013
KHEDA
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
BAN AS KAN TH A
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
PATAN
MAHESANA
SAB AR KAN TH A
GANDH INAGAR
PA NCH
MA HALS
AMC
KHEDA
SURENDR ANAGAR
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
NARMADA
AR
ND
A
B
R
PO
KAC HCHH
NSP Co nversio n Ra te
< 84 .5%
84.51 % - 89.5%
> 89 .5%
BHARUCH
BHA VNAGAR
AMRELI
JUNAGADH
SURAT
SMC
VYARA
RAJKOT
AR
ND
NARMADA
BA
R
PO
NS P Conver sion Rate
< 84.5%
84.51% - 89.5%
> 89.5%
NAV SA RI
BHARUCH
THE
DANGS
BHA VNAGAR
AMRELI
SURAT
JUNAGADH
SMC
VYARA
NAV SA RI
VALS AD
THE
DANGS
Gujarat: 92%
VALS AD
Gujarat: 91%
www.gujhealth.gov.in
24
Health & Family Welfare Dept, Govt of Gujarat
NSP Conversion Rate
Expected : 90%
TB Units – Gujarat
Dhanera
Khedbrahma
Deesa
Palanpur
Rann of Kachchh
Diodar
Patan
Radhanpur
Bhiloda
Visnagar
Mehs ana
_DT C
Rapar
Himat
nagar Dhan
Ma nsa
Bhac hau
Kadi
Anjar
Viram
gam
Dhr angadhra
Mandv i
Morbi
Jamnagar_D TC
Idar
Kheralu
Cha na sma
Nak htrana
Bhuj_DT C
2nd Quarter 2013
Danta
Vav
#
Bavla Matar
Balas
inor
Nadiad
Sarsa
Kham
bhat
DT C_Rural
An kla v
Santram
pur
Lalpur
Savli
Halol
Baroda
B aw ch a w a d
Bh aruch
Shihor
Porbandar
Valia
Ju nag adh
NSP Co nversio n Ra te
<= 84 .5 %
84.51 % - 89.5%
> 89 .5%
No D ata
Kavant
Rajpipla
Babr a
Junagadh
_Urba n
_R ural
Amreli
_DT C
Palitana
Sa va r
ku ndla
Mangr ol
Mandavee
Kamrej
Su ra t
Vyara
Songadh
Nav sari
Una
Nizar
Bardoli
Rajula
Veraval
Dediapada
Hansot
Talaja
Keshod
CU P
Pavi_
Sank Jetpur
Padr a
Jetpur
Upleta
D'baria Garbada
Dhanpur
Go tri Ju b ili b a u gheda
Amod
Botad
Kotda S hangani
Jhalod
kh eda Dahod
Godhra
Dhandhuka
Kham bhalia
Fatehp ura
Shahera
Mora Lim
Atars
umba
Petlad
Muli
Dhr ol
sura
G'nagar
_DT C Dahe
gam
Surendr a
nagar
Meghraj
Vansda Ahwa
Gandevi
Chikhli
Valsad
Pardi
Gujarat: 92%
www.gujhealth.gov.in
25
Bhilad
Dharam pur
Kapr ada
Health & Family Welfare Dept, Govt of Gujarat
1Q 2012
NSP Success Rate
BAN AS KAN TH A
PATAN
KAC HCHH
MAHESANA
SAB AR KAN TH A
GANDH INAGAR
KHEDA
3Q 2012
Expected : 85%
PA NCH
MA HALS
AMC
SURENDR ANAGAR
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
NARMADA
BA
R
PO
BHARUCH
NSP Success Rate
< 80%
80% - 84.5%
> 84.5%
BAN AS KAN TH A
BHA VNAGAR
AMRELI
SURAT
JUNAGADH
VYARA
SMC
THE
DANGS
NAV SA RI
PATAN
KAC HCHH
VALS AD
MAHESANA
SAB AR KAN TH A
Gujarat State: 87%
GANDH INAGAR
PA NCH
MA HALS
AMC
2Q 2012
SURENDR ANAGAR
KHEDA
DAHOD
AHMED ABAD
BAN AS KAN TH A
VAD ODAR A
ANA ND
JAMNAGAR
PATAN
KAC HCHH
CHHOTA
UDEP UR
VMC
RAJKOT
MAHESANA
SAB AR KAN TH A
KHEDA
DAHOD
AHMED ABAD
VAD ODAR A
ANA ND
JAMNAGAR
CHHOTA
UDEP UR
VMC
RAJKOT
AR
ND
BA
R
PO
NARMADA
NSP Success Rate
< 80%
80% - 84.5%
> 84.5%
BHARUCH
BHARUCH
B
R
PO
PA NCH
MA HALS
AMC
SURENDR ANAGAR
NARMADA
AR
D
N
A
GANDH INAGAR
NSP Success Rate
< 80%
80% - 84.5%
84.51 - 200
BHA VNAGAR
AMRELI
JUNAGADH
SURAT
SMC
VYARA
BHA VNAGAR
AMRELI
JUNAGADH
SURAT
SMC
NAV SA RI
VYARA
NAV SA RI
THE
DANGS
THE
DANGS
VALS AD
VALS AD
Gujarat: 87%
Gujarat State: 86%
www.gujhealth.gov.in
26
Health & Family Welfare Dept, Govt of Gujarat
NSP Success Rate
Expected : 85%
TB Units – Gujarat
Dhanera
Khedbrahma
Deesa
Palanpur
Vav
Diodar
Patan
Radhanpur
Bhiloda
Visnagar
Mehs ana
_DT C
Rapar
Himat
nagar Dhan
Ma nsa
Bhac hau
Kadi
Anjar
Viram
gam
Dhr angadhra
Mandv i
Morbi
Jamnagar_D TC
Idar
Kheralu
Cha na sma
Nak htrana
Bhuj_DT C
3rd Quarter 2012
Danta
Rann of Kachchh
#
Bavla Matar
Balas
inor
Nadiad
Sarsa
Kham
bhat
DT C_Rural
An kla v
Santram
pur
Lalpur
Godhra
Savli
Halol
Baroda
B aw ch a w a d
Bh aruch
Shihor
Porbandar
NS P S uccess Rate
< 80%
80% - 84.5%
> 84.5%
No Data
Kavant
Rajpipla
Babr a
Valia
Ju nag adh
Junagadh
_Urba n
_R ural
Palitana
Amreli
_DT C
Sa va r
ku ndla
Mangr ol
Mandavee
Kamrej
Vyara
Rajula
Songadh
Nav sari
Una
Nizar
Bardoli
Su ra t
Veraval
Dediapada
Hansot
Talaja
Keshod
CU P
Pavi_
Sank Jetpur
Padr a
Jetpur
Upleta
D'baria Garbada
Dhanpur
Go tri Ju b ili b a u gheda
Amod
Botad
Kotda S hangani
Jhalod
kh eda Dahod
Dhandhuka
Kham bhalia
Fatehp ura
Shahera
Mora Lim
Atars
umba
Petlad
Muli
Dhr ol
sura
G'nagar
_DT C Dahe
gam
Surendr a
nagar
Meghraj
Vansda Ahwa
Gandevi
Chikhli
Valsad
Pardi
Bhilad
Gujarat: 87%
www.gujhealth.gov.in
27
Dharam pur
Kapr ada
Health & Family Welfare Dept, Govt of Gujarat
Rate of change in suspects examined per lakh population (compared
to same quarter in previous year)
3Q13 Vs 3Q12
Dahod
Ahmedabad (R)
Gandhinagar
Banaskantha
Chhotaudepur
Panchmahals
Vyara
Navsari
Surat (R)
Kachchh
Junagadh
The Dangs
Patan
Bharuch
Amreli
Narmada
Sabarkantha
Kheda
Vadodara (R)
SMC
VMC
Mehsana
Anand
Rajkot
Surendranagar
Bhavnagar
-1.16%
Jamnagar
-1.30% AMC
Porbandar
-5.13%
Valsad
-5.55%
www.gujhealth.gov.in
41.94%
38.27%
36.73%
36.05%
30.87%
23.45%
23.16%
22.05%
19.99%
19.92%
16.50%
14.54%
13.42%
11.16%
11.00%
10.60%
9.95%
9.42%
8.70%
8.63%
8.56%
Gujarat State : 12.6%
6.13%
5.74%
5.21%
2.03%
1.58%
28
Health & Family Welfare Dept, Govt of Gujarat
Rate of change in suspects examined per s+ case diagnosed
(compared to same quarter in previous year) 3Q13 Vs 3Q12
-16.89%
Ahmedabad (R)
Vadodara (R)
Banaskantha
Kachchh
Navsari
Dahod
Gandhinagar
Junagadh
Vyara
Porbandar
Amreli
Narmada
Chhotaudepur
Surat (R)
Bharuch
Rajkot
Surendranagar
Jamnagar
The Dangs
Sabarkantha
Bhavnagar
Panchmahals
AMC
-0.37%
Mehsana
-2.95%Patan
-3.78% VMC
-5.03%
Anand
-6.35%
Kheda
-6.38%
SMC
Valsad
www.gujhealth.gov.in
43.42%
28.20%
27.03%
25.48%
24.52%
19.95%
19.48%
18.71%
18.69%
14.58%
13.59%
11.20%
8.98%
6.77%
6.22%
5.07%
3.33%
2.96%
2.79%
2.45%
1.38%
0.47%
0.11%
29
Gujarat State : 6.7%
Health & Family Welfare Dept, Govt of Gujarat
RNTCP case finding at State level:
Gujarat
20,000
18,000
140,000
120,000
16,000
14,000
12,000
100,000
80,000
10,000
8,000
6,000
4,000
60,000
40,000
20,000
2,000
0
1Q04
2Q04
3Q04
4Q04
1Q05
2Q05
3Q05
4Q05
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
0
Positive diagnosed
Suspects examined
www.gujhealth.gov.in
30
Health & Family Welfare Dept, Govt of Gujarat
Total Case Notification Rate V/S NSP Case
Notification Rate: Gujarat
180
160
140
120
100
80
60
40
20
1Q04
2Q04
3Q04
4Q04
1Q05
2Q05
3Q05
4Q05
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
0
Total Case Notification Rate
www.gujhealth.gov.in
31
NSP Case Notification Rate
Health & Family Welfare Dept, Govt of Gujarat
NSP Case Notification Rate
V/S
NSN Case Notification Rate
80
70
60
50
40
30
20
10
1Q04
2Q04
3Q04
4Q04
1Q05
2Q05
3Q05
4Q05
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
0
NSP Case Notification Rate
www.gujhealth.gov.in
32
NSN Case Notification Rate
Health & Family Welfare Dept, Govt of Gujarat
Positive Notification Rate from PMR V/S
Positive Notification Rate from CFR
140
120
100
80
60
40
20
1Q04
2Q04
3Q04
4Q04
1Q05
2Q05
3Q05
4Q05
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
0
Positive Notification Rate from PMR
www.gujhealth.gov.in
Poitive Notification Rate from CFR
33
GAP
Health & Family Welfare Dept, Govt of Gujarat
NSP Notification Rate V/S RT Positive Case
Notification Rate
80
70
60
50
40
30
20
10
NSP Case Notification Rate
www.gujhealth.gov.in
RT Positive Notification Rate
34
3Q13
2Q13
1Q13
4Q12
3Q12
2Q12
1Q12
4Q11
3Q11
2Q11
1Q11
4Q10
3Q10
2Q10
1Q10
4Q09
3Q09
2Q09
1Q09
4Q08
3Q08
2Q08
1Q08
4Q07
3Q07
2Q07
1Q07
4Q06
3Q06
2Q06
1Q06
4Q05
3Q05
2Q05
1Q05
4Q04
3Q04
2Q04
1Q04
0
Relapse Notification Rate
Health & Family Welfare Dept, Govt of Gujarat
Re-Treatment typewise Notification rate trend
Gujarat
40
35
30
25
20
15
10
5
1Q04
2Q04
3Q04
4Q04
1Q05
2Q05
3Q05
4Q05
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
0
Relapse Notification Rate
Failure Case Notification Rate
TAD Notification Rate
RT Positive Notification Rate
www.gujhealth.gov.in
35
Health & Family Welfare Dept, Govt of Gujarat
Sputum conversion of NSP patients registered in
2nd quarter 2013
% of NSP smear coverted at the end of IP
% of NSP smear positive at end of three months
% of NSP w hose end of IP smear result Not available
AMC
85.6%
91.2%
90.0%
90.4%
90.3%
91.1%
91.8%
89.4%
90.9%
90.9%
92.5%
92.4%
93.0%
92.2%
89.5%
The Dangs
Amreli
Porbandar
Bhavnagar
Jamnagar
Chhot a Udepur
Kachchh
Surendranagar
VMC
Bharuch
Surat
Sabarkant ha
Banaskant ha
Ahmadabad
75%
www.gujhealth.gov.in
4.4%
80%
85%
10.0%
0.0%
8.8%
1.2%
8.7%
1.1%
8.5%
1.4%
8.3%
1.1%
7.7%
0.5%
7.7%
3.0%
7.6%
1.6%
7.5%
1.7%
7.5%
0.4%
7.2%
0.7%
6.9%
0.3%
6.8%
1.1%
6.7%
3.8%
6.7%
90%
36
95%
100%
Health & Family Welfare Dept, Govt of Gujarat
Sputum conversion of RT Sm +ve patients
registered in 2nd quarter 2013
% of RT SM+ve smear coverted at the end of IP
% of RT SM+ve smear positive at end of three months
% of RT SM+ve w hose end of IP smear result Not available
K achchh
52.5%
30.4%
39.1%
67.5%
70.8%
77.8%
70.1%
62.7%
63.1%
69.9%
75.7%
73.7%
61.2%
75.3%
81.1%
78.0%
P or bandar
Jamnagar
Chhot a Udepur
T he Dangs
Sur at
A mr el i
Gandhi nagar
A hmadabad
Sabar kant ha
SM C
P at an
VMC
B har uch
B havnagar
30%
www.gujhealth.gov.in
14.8%
40%
50%
60%
37
32.8%
30.4%
7.7%
24.8%
4.6%
24.6%
0.0%
22.2%
7.8%
22.1%
15.3%
22.0%
15.4%
21.5%
9.7%
20.4%
4.1%
20.1%
6.2%
20.1%
18.8%
20.0%
5.4%
19.4%
1.1%
17.9%
4.1%
17.9%
70%
80%
90%
100%
Health & Family Welfare Dept, Govt of Gujarat
0%
www.gujhealth.gov.in
38
76.3%
77.1%
Ahmadabad (R)
Chhotaudepur
90.9%
The Dangs
98.8%
100.0%
100.0%
Gandhinagar
Panchmahals
3rd Quarter 2013
Dahod
92.3%
90.5%
Junagadh
Vadodara (R)
90.0%
84.6%
Vyara
100%
SMC
84.2%
82.6%
80.0%
Sabarkantha
Bharuch
Surat (R)
77.8%
75.9%
Narmada
Kheda
75.5%
90%
Patan
73.0%
Gujarat
Anand
67.1%
Jamnagar
63.2%
Surendranagar
66.3%
63.2%
Navsari
Mahesana
62.3%
Bhavnagar
66.0%
62.0%
Rajkot
80%
Banaskantha
61.5%
59.2%
VMC
10%
61.1%
20%
Porbandar
Kachchh
60%
57.6%
70%
Valsad
42.9%
50%
AMC
30%
29.6%
40%
Amreli
% of PHIs referring 2-3% of new adult OPD
Health & Family Welfare Dept, Govt of Gujarat
Trend of treatment outcomes in Re-treatment +ve Cases
Gujarat
Transferred
out
Defaulted
Failure
Died
Completed
Cure
80%
70%
66.1%
60%
50%
40%
30%
20%
14.9%
8.7%
10%
www.gujhealth.gov.in
39
2Q12
1Q12
4Q11
3Q11
2Q11
1Q11
4Q10
3Q10
2Q10
1Q10
4Q09
3Q09
2Q09
1Q09
4Q08
3Q08
2Q08
1Q08
4Q07
3Q07
2Q07
1Q07
4Q06
3Q06
2Q06
1Q06
4Q05
3Q05
2Q05
1Q05
0%
3Q12
6.1%
2.0%
0.9%
Health & Family Welfare Dept, Govt of Gujarat
Major indicators – Internal Evaluations3Q13
District
Surendranagar
Chhotaudepur
Aug-13
Sept-13
Difference in NSP Cure rate b/w TB register and Quarterly Reports
4.8%
2.0%
Difference in SP-RT Cure rate b/w TB register and Quarterly Reports
2.4%
2.0%
DOT Rate in NSP interviewed
70%
74%
Place & Timing of DOT Convenient
100%
100%
Proportion of patients aware of their illness
95%
95%
Wrong Categorization
10%
10%
Aware about duration of Treatment
100%
95%
Attended a PP interaction meeting or community meeting
0%
15%
Initial home visit has done
80%
60%
Eligible children received chemoprophylaxis
50%
27%
Practicing proper cough etiquettes
61%
72%
Know their HIV status (Sr. No. 29)
16%
22%%
www.gujhealth.gov.in
40
Health & Family Welfare Dept, Govt of Gujarat
Other Health Sector - 3Q13
www.gujhealth.gov.in
41
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
6%
4Q12
1Q13
2Q13
5%
3Q13
Ahmedabad Zone
5.5%
5.3%
4.7%
4.4%
4%
3.8%
3.7%
3.4%
3.3%
3%
3.0%
2.6%
2.6%
2.4%
2.2%
2.3%
2.0%
1.9%
2%
2.7%
2.6%
2.5%
1.8%
1.6%
1.4%
1.3%
1.0%
1%
S'
na
ga
r
Li
m
bd
i
H
G
G
H
C
H
K
he
da
ad
ia
d
N
H
C
G
H
G
H
Pe
tla
d
So
la
0%
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
42
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
5%
1Q13
4Q12
4%
2Q13
Gandhinagar Zone
3Q13
3.8% 3.8%
3.6%
3.2%
3.0%
2.9%
3%
2.5%
2.3% 2.2%
2.2%
2.3%
2.0%
1.9%
2%
1%
2.0%
2.6%
2.5%
2.5%
2.5%
2.1%
1.9%
2.1%
2.1%
2.0%
1.8%
2.5%
2.5%
2.1%
2.0% 2.0%
1.6%
0.9%
0.8%
0.8%
0.7% 0.7%
0.6%
G
H
Hi
m
at
na
ga
r
G
H
Bh
ilo
da
H
G
H
G
G
H
Pa
ta
n
Un
jh
a
G
an
dh
in
ag
ar
G
H
M
eh
sa
na
G
H
Vi
sn
ag
ar
De
es
a
H
G
G
H
Pa
la
np
ur
0%
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
43
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
6%
4Q12
1Q13
2Q13
Surat Zone
3Q13
5%
4%
3.8%
3.9%
3.1% 3.0%
3%
2.9%
2.7%
2.5%
2.4% 2.4% 2.4% 2.3%
2.5%
2.4%
2.2%
2.0%
2%
1.4%
1.5%
1.3%
0.9% 1.0%
1%
Dh
ar
am
pu
r
Va
ls
ad
G
H
a
Va
sn
d
H
G
H
G
G
H
G
H
Na
vs
a
Ah
w
ri
a
0%
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
44
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
13%
12%
11%
10%
9%
8%
7%
6%
5%
4%
3%
2%
1%
0%
12.5%
4Q12
5.3%
5.3%
4.7%
4.3%
1Q13
2Q13
4.2%
3Q13
4.2%
4.0%
4.0%
3.9%
3.3%
3.0% 3.0%
2.9%
2.8%
2.6%
2.4%
3.9%
3.7% 3.5%
3.4%
2.3%
2.0% 2.0%
1.7%
1.4%
1.0%
2.1%
1.9%
1.9%
1.6%
os
na
ba
iH
Sa
n
H
Ja
m
tra
m
aw
G
G
H
G
H
D
Lu
n
ev
.B
D
H
G
pu
r
ad
a
ar
ia
ah
od
os
H
ev
ad
ia
K
C
H
R
ha
ru
ch
aj
pi
pl
a
0.0%
B
H
C
Vadodara Zone
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
45
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
6%
4Q12
1Q13
2Q13
Bhavnagar Zone
3Q13
4.9%
5%
4.1%4.1%
4%
3.2%
3%
3.2%
2.9%
2.8%
2.1%
1.9%
2%
1.9%
1.6%
1.4%
1.3%
1%
2.6%2.6%2.5%
2.4%
2.0%2.1%2.1%
2.6%2.5%
2.1%
1.2%
0.7%
0.8%
0.7%0.6%
Po
rb
an
d
ar
Ve
ra
va
l
H
G
H
G
H
H
G
G
G
Ju
na
ga
dh
an
a
Pa
lit
La
th
i
H
G
H
G
H
Am
Sa
vr
ku
nd
la
re
li
0%
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
46
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referrals
Civil / Gen. Hospitals (last 4 quarters)
6%
4Q12
1Q13
2Q13
Rajkot Zone
3Q13
5%
4.2%
4.1%
4%
3.9%
3.6%
3.8%
3.2%
3%
2.8%
2.5%
2%
3.2%
3.9%
3.5%
3.2%
2.9%
2.8%
2.6% 2.6%
2.5%
2.4%
2.3%
2.9%
2.8%
2.4%
2.4% 2.5%
2.0%
1.8% 1.9%
2.3%
2.2%
2.2%
1.9%
2.1%
2.1%
1.8%
1.7%
1.6%
1%
CH
M
or
bi
Up
le
ta
H
G
Dh
or
aj
i
H
Je
tp
ur
G
G
G
H
H
G
on
da
l
Ho
s
P
K
G
H
Ra
m
ba
ug
,B
hu
j
G
H
K
G
G
H
Kh
am
bh
al
iy
a
0%
Norms 2-3% of new adult OPD for sputum microscopy
www.gujhealth.gov.in
47
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referral Rate of Medical Colleges (1)
7.0
4Q12
1Q13
2Q13
3Q13
6.0
5.7
TB Suspects Examination Rate
6.0
5.0
4.4
4.2
4.0
3.73.8
3.7
3.53.6 3.6
3.83.8
3.5
3.5
3.33.2
3.0
3.73.8
2.52.6
2.3
2.12.02.0
2.12.1 2 2.1
2.0
1.31.3
1.1
1.0
1.0
0.0
BJMC Ahd
NHLM, Ahd
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MP SHAH,
Jam
PDU, Raj
48
CU SHAH,
Srn
GMC Bhav
L. G.
Hospital
GKGH, Bhuj
Health & Family Welfare Dept, Govt of Gujarat
Chest Symptomatic Referral Rate of Medical Colleges (2)
14.0
4Q12
1Q13
2Q13
3Q13
12.3
TB Suspects Examination Rate
12.0
10.0
8.4
7.9
8.0
7.5
7.1
6.0
5.2 5.4
4.5 4.7
4.2
4.0
4.5
4.5
4.9 4.8 5.1
4.0
2.0 2.2 2.0 2.0
2.0
0.0
GMC Vad
www.gujhealth.gov.in
GMC Surat
SMIMER SMC
49
PS, Anand
PIPERIA Vad
Health & Family Welfare Dept, Govt of Gujarat
7000
6000
5000
4000
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
3000
2000
1000
0
2445
2774
3118
3486
4351
4399
4736
4973
4938
5218
5335
5341
5154
5887
3412
3470
3540
3610
3799
3826
3889
3700
3818
3927
3721
4009
4610
4759
4812
4858
4812
PP Involvement – Gujarat - since 2006
Contribution of PPs in RNTCP
3rd Q 13
Patients (no)
PPs involved
% of total of
state
4812
Referral of suspects
2572
2.1%
NSP patients put on DOTS
653
7.0%
Total TB patients put on DOTS
1337
7.2%
www.gujhealth.gov.in
50
Health & Family Welfare Dept, Govt of Gujarat
Referral of TB Suspects from Health Facilities
Gujarat 3rd Quarter 2013
8%
7.5%
7%
6%
5%
4.7% 4.5%
4%
3.0% 2.9%
2.8% 2.8% 2.7%
2.6%
3%
2.4%
1.9% 1.8% 1.8%
2%
1.3%
1%
0.7%
0.0% 0.0% 0.0%
0%
DTC
UHC
Jail
Med
Col
PHC
New Adult OPD
96059 258968 6190 549564 2E+06
Referred Cases
7242
12097
281
16730 45272
% of referral
7.5%
4.7%
4.5%
3.0%
www.gujhealth.gov.in
2.9%
CHC
NGOGIA
NGOTB
2849 101083 3049
NGOGas- Corpo
CH-GH
Other
Petrl
Sec
61713 614710 3261
ESIS
State
Disp
Rly
CGHS
12690 94025 71467 43553 13998
SteelMines
Arm e
d
Force
320
1967
79
2782
81
1613
14527
61
227
1665
947
286
0
0
0
2.8%
2.8%
2.7%
2.6%
2.4%
1.9%
1.8%
1.8%
1.3%
0.7%
0.0%
0.0%
0.0%
51
Health & Family Welfare Dept, Govt of Gujarat
ESIS Referral of TB Suspects
Gujarat 3rd Quarter 2013
4%
3.3%
3%
2.6%
2.5%
2.4%
2.3%
1.9%
2%
1.7%
1.7%
1.7%
1.0%
1%
0.5%
0.3%
0%
0.2%
0.2%
0.0%
Panchm Mehsan
Bhavnag
Valsad
ahal
a
ar
VMC
SMC
Jam nag
Bharuch
ar
AMC
Kheda
Navsari
Surat
(R)
Surendr
anagar
Rajkot
Gandhin
agar
New Adult OPD
424
2401
5496
452
12819
4906
409
1758
57755
399
436
328
4232
1320
890
Referral
14
62
136
11
300
95
7
30
973
4
2
1
8
2
20
3.3%
2.6%
2.5%
2.4%
2.3%
1.9%
1.7%
1.7%
1.7%
1.0%
0.5%
0.3%
0.2%
0.2%
0.0%
%
www.gujhealth.gov.in
52
Health & Family Welfare Dept, Govt of Gujarat
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
2Q08
3Q08
4Q08
1Q09
2Q09
3Q09
4Q09
1Q10
2Q10
3Q10
4Q10
1Q11
2Q11
3Q11
4Q11
1Q12
2Q12
3Q12
4Q12
1Q13
2Q13
3Q13
150
100
www.gujhealth.gov.in
53
133
140
153
155
165
152
157
141
153
144
142
131
162
160
200
190
191
250
95
107
300
225
237
244
263
254
270
261
265
267
266
267
251
256
NGOs Involvement – Gujarat
Reporting
format
changed
50
0
Health & Family Welfare Dept, Govt of Gujarat
Involvement - as a DOT Provider in RNTCP
3Q13
CBVs, 8.4%
Govt. Health Worker,
16.8%
Gram Mitra, 0.7%
Contractual TBHVs,
1.3%
AWW, 7.9%
PPs, 8.5%
NGOs, 0.5%
ASHA, 54.8%
Cured Pts, 1.2%
www.gujhealth.gov.in
54
Health & Family Welfare Dept, Govt of Gujarat
Status of Staffing
No. of MOTCs vacant (7 / 144)
• AMC (2), Jamnagar (2), Kheda (1), Narmada (1), Navsari (1)
No. of Contractual STSs vacant (3 / 144)
• Kheda (1), Narmada (1), Valsad (1)
No. of Contractual STLSs vacant (1 / 144)
• Banaskantha (1)
No. of Contractual TBHVs vacant (26/218)
• AMC (17), Anand (1), Bharuch (1), Dahod (1), Junagadh (1),
Patan (1), Rajkot (2), Surendranagar (2)
www.gujhealth.gov.in
55
Health & Family Welfare Dept, Govt of Gujarat
Status of Training
• Untrained MO-TCs (4)
• Junagadh (1), Porbandar (1), The Dangs (1), VMC (1)
• Untrained STS (12)
• AMC (1), Anand (1), Bharuch (1), Chhotaudepur (1), Dahod (3), Kheda (1),
Patan (1), Surat-R (1), Vadodara-R (1), VMC (1)
• Untrained STLS (7)
• Anand (1), Bhavnagar (1), Dahod (1), Narmada (1), Panchmahals (2),
Surat-R (1)
• Number of DMC LTs untrained (11)
• Banaskantha (2), Chhotaudepur (1), Navsari (4), The Dangs (1), VMC (3)
www.gujhealth.gov.in
56
Health & Family Welfare Dept, Govt of Gujarat
Status Report of MOTCs Monthly Worksheet in 3rd Q 13
(From July to September-13)
Report received
Sr.
No.
Name Of DTC
Total
No. of
TUs
July
August
September
TOTAL
Total
Reports
to be
received
% of
Reports
received
1
Ahmedabad (R)
3
2
2
3
7
9
77.8%
2
AMC
10
4
6
0
10
30
33.3%
3
Amreli
4
4
4
4
12
12
100.0%
4
Anand
4
4
2
0
6
12
50.0%
5
Banaskantha
6
6
6
0
12
18
66.7%
6
Bharuch
5
5
5
5
15
15
100.0%
7
Bhavnagar
6
0
0
0
0
18
0.0%
8
Chhotaudepur
4
1
2
3
6
12
50.0%
9
Dahod
8
2
2
3
7
24
29.2%
10
Gandhinagar
3
3
3
3
9
9
100.0%
11
Jamnagar
4
1
1
1
3
12
25.0%
12
Junagadh
6
0
0
0
0
18
0.0%
13
Kachchh
7
3
4
0
7
21
33.3%
14
Kheda
5
5
3
3
11
15
73.3%
15
Mahesana
4
4
4
4
12
12
100.0%
www.gujhealth.gov.in
57
Health & Family Welfare Dept, Govt of Gujarat
Status Report of MOTCs Monthly Worksheet in 3rd Q 13
(From July to September-13)
Report received
Sr. No.
Name Of DTC
Total
No.of
T.Us.
July
August
September
TOTAL
Total
Reports to
be received
% of reports
received
16
Navsari
4
4
4
4
12
12
100.0%
17
Narmada
3
3
3
3
9
9
100.0%
18
Panchmahal
7
7
7
7
21
21
100.0%
19
Patan
3
1
2
1
4
9
44.4%
20
Porbandar
1
1
1
1
3
3
100.0%
21
Rajkot
7
7
7
7
21
21
100.0%
22
Sabarkantha
6
6
6
6
18
18
100.0%
23
Surat-R
5
5
4
3
12
15
80.0%
24
SMC
9
9
9
9
27
27
100.0%
25
Surendranagar
4
4
0
4
8
12
66.7%
26
The Dangs
1
1
0
1
2
3
66.7%
27
Vadodara (R)
3
0
3
3
6
9
66.7%
28
VMC
3
0
0
0
0
9
0.0%
29
Valsad
5
5
5
5
15
15
100.0%
30
Vyara
4
4
4
4
12
12
100.0%
144
101
99
87
287
432
66.4%
Gujarat state
www.gujhealth.gov.in
58
Health & Family Welfare Dept, Govt of Gujarat
Thank You
www.gujhealth.gov.in
59
Health & Family Welfare Dept, Govt of Gujarat