1. FRANCIS GAUSI
and
THOMAS NYIRENDA
MALAWI

2. 1 TB case for every 3 AIDS cases, 1 TB case for every 50 HIV infected people.

3. TB BURDEN IN MALAWI

4. CASE NOTIFICATION RATE PER 100,000

5. CASES NOTIFIED IN THE SOUTHERN PART OF MALAWI

6. CASES NOTIFIED IN THE CENTRAL PART OF MALAWI

7. CASES NOTIFIED IN THE NORTHERN PART OF MALAWI

11. DEFINITIONS OF TREATMENT OUTCOME
Cure rates = completing treatment with negative smears
Treatment completed = completing treatment without smear examination
Treatment Success = Those who have been cured plus those who have completed treatment

12. CURE & TREATMENT SUCCESS FOR SMEAR POSITIVE ADULTS

13. TREATMENT OUTCOME FOR SM+VE ADULTS
Year
Total Sm+ve cases
Cured
Rx Comp.
Failure
Defaulter
T/Out
Died
1994
6285
68 %
5 %
1 %
7 %
3 %
16 %
1995
6278
65 %
6 %
4 %
19 %
1996
6702
63 %
6 %
21 %
1997
7567
69 %
2 %
4 %
3 %
21 %
1998
8824
66 %
1 %
4 %
4 %
22 %
1999
8185
69 %
2 %
21 %
2000
8297
70 %
4 %
3 %
2001
8313
67 %
6 %
19 %

14. OUTSTANDING DATA ANALYTICAL PROBLEMS
The Malawi National TB Control Program needs a proper management system at regional and central level
Inadequate human resources
One data person responsible for all operational research and all other data activities
Data management section needs to be strengthened in terms of capacity building

15. POSSIBLE UNIQUE FEATURES OF MALAWI NTP
Follow up and recording of treatment outcomes in smear negative and EPTB cases has only started in 2001
Information on duration of cough and DOT options have been added to the TB register from 2001