1. Free State TB Information
17 August 2011 1

2. Outline Free State Tuberculosis Incidence Treatment Outcomes
Direct Observed Treatment (DOT)
Drug Resistant Tuberculosis

3. 24 372 Number of TB cases reported 2010 Fezile Dabi Lejweleputswa 3549
6679
Fezile Dabi
3549
Thabo Mofutsanyana
4748
Xhariep
1445
Motheo
7951

4. Districts and Free State
Population for province
MID-YEAR 2011
Districts and Free State
Data Element
Total
FEZILE DABI
Total population
LEJWELEPUTSWA
MOTHEO
THABO MOFUTSANYANA
XHARIEP

5. 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

6. 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

7. 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

8. 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%

9. Drug Resistant Tuberculosis
Currently 265 Multi Drug Resistant (MDR) Tuberculosis and 7 Extensively Drug Resistant (XDR) Tuberculosis patients are on treatment.

10. 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 in Q1 and in Q2

11. CHALLENGES Employer support Family support Treatment interruption
Defaulting
Stigma
Psycho social determinants

12. THANK YOU