1 Health & Family Welfare Dept, Govt of Gujarat DTOs Quarterly Review Meeting, Ahmedabad 6 th Aug, 2014 Dr. PV Dave State TB Officer Gujarat 2 nd Quarter 2014 Status of RNTCP in Gujarat

2 Health & Family Welfare Dept, Govt of Gujarat TB Suspects Examined – 2Q14: 1,21,329 Total TB patients put on treatment: 20,264 Annualized total TB case notification rate: 128 Annualized incident TB case notification rate: 108 Success rate in All New TB patients – 2Q13: 89% Success rate in All Retreatment TB patients – 2Q13: 74% Since the inception of RNTCP up to Total TB suspect Examined: 50,60,596 Total TB Patients put on DOTS treatment, : 1,04,9200 New Smear Positive patients put on treatment : 4,53,808 Additional lives saved : 1,88,856 Identification of MDR TB Suspects: 67,206 Diagnosis of MDR TB Cases: 7,407 MDR TB Cases Put on CAT – IV : 6,002 XDR TB Cases Put on CAT – V : 261 Achievements at a Glance 2 nd Quarter 2014

3 Health & Family Welfare Dept, Govt of Gujarat Human Resource – District Level, 2 nd Quarter 2014 Name of the postNumber sanctionedNumber in PlacePercentage in place & trained DTO Senior DOTS Plus TB-HIV Supervisor District DEO Part time Accountant MOTC STS STLS TBHV LT

4 Health & Family Welfare Dept, Govt of Gujarat No. of MOTCs vacant (9 / 203) Bhavnagar (2), Chhotaudepur (1), Dahod (1), Devbhumi Dwarka (2), Jamnagar (3) No. of Contractual STSs vacant (9 / 203) Bharuch (1), Dahod (2), Jamnagar (3), Kachchh (2), Narmada (1) No. of Contractual STLSs vacant (7 / 144) AMC (2), Dahod (1), Devbhumi Dwarka (1), Gandhinagar (1), Kachchh (1), Vyara (1), No. of Contractual TBHVs vacant (16/218) Ahmedabad-R (1), AMC (5), Arvalli (1), Banaskantha (2), Bharuch (1), Botad (1), Devbhumi Dwarka (1), Mahisagar (1), Sabarkantha (1), VMC (2) No. of DMCs with vacant LT post (35/761) Banaskantha (8), Dahod (4), Kutch (3), Surat-R (2), Patan (2), Ahmedabad-R (2), Bharuch (2), Bhavnagar (2), Botad (2), Valsad (2), Chhota udepur (1), Devbhumi Dwarka (1), Narmada (1), Surendranagar (1), Dang (1), Amreli (1), Status of Staffing

5 Health & Family Welfare Dept, Govt of Gujarat Status of Training Untrained MO-TCs (16) Banaskantha (8), Dahod (1), Kachchh (3), Narmada (1), Navsari (1), SMC (1), Vyara (1) Untrained STS (3) AMC (1), Dahod (1), Kachchh (1) Untrained STLS (8) AMC (1), Bhavnagar (2), Botad (1), Dahod (1), Panchmahals (1), Surat-R (1), Vyara (1) Number of DMC LTs untrained (3) Ahmedabad-R (1), Valsad (1), VMC (1)

6 Health & Family Welfare Dept, Govt of Gujarat Success Rate Vs Case Detection Rate (2Q13/2Q14)

7 Health & Family Welfare Dept, Govt of Gujarat Annualized total case notification rate (Including private sector) Gujarat: 146

8 Health & Family Welfare Dept, Govt of Gujarat Annualized total case notification rate Gujarat: 128

9 Health & Family Welfare Dept, Govt of Gujarat Trend in annualized TB case notification under RNTCP, by type of cases

10 Health & Family Welfare Dept, Govt of Gujarat Annualized TB case notification rate under RNTCP, by type of case 2Q14

11 Health & Family Welfare Dept, Govt of Gujarat Annualized TB case notification rate under RNTCP, by type of case 2Q14

12 Health & Family Welfare Dept, Govt of Gujarat TB Suspects Examined per lac per quarter 2 nd Quarter 2014 Gujarat: nd Quarter 2013 Gujarat: nd Quarter 2012 Gujarat: 159

13 Health & Family Welfare Dept, Govt of Gujarat TB Suspects Examined per lakh per Quarter TB Units – Gujarat 2 nd Quarter 2014 Gujarat: 191

14 Health & Family Welfare Dept, Govt of Gujarat % of PHIs referring 2-3% of new adult OPD Gujarat 2 nd Quarter 2014

15 Health & Family Welfare Dept, Govt of Gujarat Rate of change in suspects examined per lakh population (compared to same quarter in previous year) 2Q14 Vs 2Q13 Gujarat State : 11.9%

16 Health & Family Welfare Dept, Govt of Gujarat Rate of change in suspects examined per s+ case diagnosed (compared to same quarter in previous year) 2Q14 Vs 2Q13 Gujarat State : 7.6%

17 Health & Family Welfare Dept, Govt of Gujarat Success Rate in new cases Gujarat: 89% 2Q 2013 Expected : 90%

18 Health & Family Welfare Dept, Govt of Gujarat Success Rate in Re-treatment cases Gujarat: 74% 2Q 2013 Expected : 85%

19 Health & Family Welfare Dept, Govt of Gujarat Treatment outcome, type wise (2Q14)

20 Health & Family Welfare Dept, Govt of Gujarat Trend in NSP treatment outcome

21 Health & Family Welfare Dept, Govt of Gujarat Trend in RT SP treatment outcome

22 Health & Family Welfare Dept, Govt of Gujarat Treatment outcome in NSP TB patients in 2Q14 (Districts below 90%)

23 Health & Family Welfare Dept, Govt of Gujarat Treatment outcome in Retreatment Smear positive TB patients registered in 2Q13

24 Health & Family Welfare Dept, Govt of Gujarat Sputum conversion of NSP patients registered in 1 st quarter 2014

25 Health & Family Welfare Dept, Govt of Gujarat Sputum conversion of RT Sm +ve patients registered in 1 st quarter 2014

26 Health & Family Welfare Dept, Govt of Gujarat Major indicators – Internal Evaluations - 2Q14 DistrictSurat-RDangBanaskantha Apr-14May-14Jun-14 Difference in NSP Cure rate b/w TB register and Quarterly Reports3.8%0%3.1% Difference in SP-RT Cure rate b/w TB register and Quarterly Reports4.2%0%3.6% DOT Rate in NSP interviewed76%100%65% Place & Timing of DOT Convenient100% 85% Proportion of patients aware of their illness100% 84% Wrong Categorization10%0% Aware about duration of Treatment95%96%100% Attended a PP interaction meeting or community meeting19%0%21% Initial home visit has done81%70% Eligible children received chemoprophylaxis75%50%20% Practicing proper cough etiquettes74%73%65% Know their HIV status40%0%11%

27 Health & Family Welfare Dept, Govt of Gujarat Other Health Sector - 2Q14

28 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Ahmedabad Zone

29 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Gandhinagar Zone

30 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Surat Zone

31 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Vadodara Zone

32 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Bhavnagar Zone

33 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Rajkot Zone

34 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referral Rate of Medical Colleges (1)

35 Health & Family Welfare Dept, Govt of Gujarat Chest Symptomatic Referral Rate of Medical Colleges (2)

36 Health & Family Welfare Dept, Govt of Gujarat Contribution of PPs in RNTCP 2 nd Q 14 Patients (no) % of total of state PPs involved5438 Referral of suspects % NSP patients put on DOTS7087.2% Total TB patients put on DOTS % PP Involvement – Gujarat - since 2006

37 Health & Family Welfare Dept, Govt of Gujarat Referral of TB Suspects from Health Facilities Gujarat 2 nd Quarter 2014

38 Health & Family Welfare Dept, Govt of Gujarat ESIS Referral of TB Suspects Gujarat 2 nd Quarter 2014

39 Health & Family Welfare Dept, Govt of Gujarat NGOs Involvement – Gujarat Reporting format changed

40 Health & Family Welfare Dept, Govt of Gujarat Involvement - as a DOT Provider in RNTCP 2Q14

41 Health & Family Welfare Dept, Govt of Gujarat Status Report of MOTCs Monthly Worksheet in 2nd Q 14 (From Apr. to Jun. - 14) Sr. No. Name Of DTC Total No. of TUs Report received Total Reports to be received % of Reports received AprilMayJuneTOTAL 1 Ahmedabad (R) % 2 AMC % 3 Amreli % 4 Anand % 5 Banaskantha % 6 Bharuch % 7 Bhavnagar % 8 Chhotaudepur % 9 Dahod % 10 Gandhinagar % 11 Jamnagar % 12 Junagadh % 13 Kachchh % 14 Kheda % 15Mahesana %

42 Health & Family Welfare Dept, Govt of Gujarat Sr. No.Name Of DTC Total No.of T.Us. Report received Total Reports to be received % of reports received AprilMayJune TOTAL 16 Navsari % 17 Narmada % 18 Panchmahal % 19 Patan % 20 Porbandar % 21 Rajkot % 22 Sabarkantha % 23 Surat-R % 24 SMC % 25 Surendangar % 26 The Dangs % 27 Vadodara-Rural % 28 VMC % 29 Valsad % 30 Vyara % Gujarat state % Status Report of MOTCs Monthly Worksheet in 2nd Q 14 (From Apr. to Jun. - 14)

43 Health & Family Welfare Dept, Govt of Gujarat MOTC Reminder

44 Health & Family Welfare Dept, Govt of Gujarat Thank You