Free State TB Information 17 August 2011 1
Outline Free State Tuberculosis Incidence Treatment Outcomes Direct Observed Treatment (DOT) Drug Resistant Tuberculosis
24 372 Number of TB cases reported 2010 Fezile Dabi Lejweleputswa 3549 6679 Fezile Dabi 3549 Thabo Mofutsanyana 4748 Xhariep 1445 Motheo 7951
Districts and Free State Population for province MID-YEAR 2011 Districts and Free State Data Element Total FEZILE DABI Total population 503 943 LEJWELEPUTSWA 694 510 MOTHEO 818 954 THABO MOFUTSANYANA 769 762 XHARIEP 143 200 2 930 369
Tuberculosis Incidence In Free State TUBERCULOSIS CASE FINDING Districts and Free State Total Tuberculosis Cases Diagnosed & Treated Number of All TB Incidence all case Per 100,000 population FEZILE DABI 3,601 720 LEJWELEPUTSWA 6,683 963 MOTHEO 7,947 977 THABO MOFUTSANYANA 4,748 619 XHARIEP 1,441 1011 FREE STATE 24,420 837
Tuberculosis Positive Outcome In Free State Tuberculosis Positive Outcomes Total New Smear + Districts & Free State New Sputum Smear Cure Rate Completed Treatment Success N % FEZILE DABI 1,073 71% 85 6% 1,158 77% 1,509 LEJWELEPUTSWA 1,392 69% 109 5% 1,501 74% 2,032 MOTHEO 1,607 68% 169 7% 1,776 75% 2,378 THABO MOFUTSANYANA 1,650 58 3% 1,708 2,207 XHARIEP 300 79% 18 318 84% 379 FREE STATE 6,022 439 6,461 76% 8,505
Negative Outcome In Free State Districts & Free State Negative Treatment Outcome Total New Smear + Died Defaulted N % FEZILE DABI 190 13% 52 3% 1,509 LEJWELEPUTSWA 233 12% 134 7% 2,032 MOTHEO 239 10% 145 6% 2,378 THABO MOFUTSANYANA 304 14% 55 2,207 XHARIEP 24 13 379 FREE STATE 990 399 5% 8,505
Direct Observe Treatment (DOT) District / Province Type of DOT Facility DOT Community Self-supervised N % FEZILE DABI 489 30% 933 56% 234 14% LEJWELEPUTSWA 1,376 42% 1,584 48% 315 10% MOTHEO 1,596 33% 1,832 37% 1,462 THABO MOFUTSANYANA 882 1,635 62% 125 5% XHARIEP 167 63% 38 60 23% FREE STATE DOT coverage 83% No DOT 17%
Drug Resistant Tuberculosis Currently 265 Multi Drug Resistant (MDR) Tuberculosis and 7 Extensively Drug Resistant (XDR) Tuberculosis patients are on treatment.
TB/HIV INTEGRATION Percentage of TB/HIV patients on CPT increased from 77% to 80,4% Low percentage of TB/HIV patients access ART.Q1 at 24,6% Q 2 at 56% Increase in HIV positive patients initiated on IPT from 7907 in Q1 and 8523 in Q2
CHALLENGES Employer support Family support Treatment interruption Defaulting Stigma Psycho social determinants
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