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1 Dr Carmelia Basri Dr Nadia Tarmizi National TB Control Program Indonesia M&E WORKSHOP MEASURE Evaluation, New Delhi, 1Feb2006.

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Presentation on theme: "1 Dr Carmelia Basri Dr Nadia Tarmizi National TB Control Program Indonesia M&E WORKSHOP MEASURE Evaluation, New Delhi, 1Feb2006."— Presentation transcript:

1 1 Dr Carmelia Basri Dr Nadia Tarmizi National TB Control Program Indonesia M&E WORKSHOP MEASURE Evaluation, New Delhi, 1Feb2006

2 Indonesia : 22 High Burden Countries 1.India 2.China 3.Indonesia 4.Bangladesh 5.Nigeria 6.Pakistan 7.South Africa 8.Philippines 9.Russia 10.Ethiopia 11.Kenya 12.DR Congo 13.Viet Nam 14.UR Tanzania 15.Brazil 16.Thailand 17.Zimbabwe 18.Cambodia 19.Myanmar 20.Uganda 21.Afghanistan 22.Mozambique Indonesia 10% Bangladesh 4% China 15% China 15% India 30% India 30% Other 28% Philippines 3% Pakistan 4% Nigeria 3% South Africa 2% Russia 1%

3 Chronology of events leading to rapid scaling up of DOTS CDR Gerdunas* established First Partnership Meeting HRD Program (Dutch) Started Stepwise training 5 YSP GDF GFATM Prop TB Partners Forum TBCTA CIDA start-up GFATM start-up ISAC Start-up Hospital DOTS *Gerdunas = National Integrated Movement to Fight against TB

4 Health Service UnitTotalInvolved in DOTS Health Center Lung Clinic Lung Hospital District Hospital Provincial Hospital Army Hospital Private Hospital Police Hospital Private Practitioner 7.356 34 9 340 70 65 724 35 7200 (>98%) 34 (100%) 9 (100%) 85 (25%) 14 (20%) 20 (28%) 95 (12%) 5 (15%) ??? (piloting 5 provinces) DOTS Services Population220 Million Provinces 33 District/Municipalities 445

5 PREVALENCE Survey 2004

6 6 160 210 107 64 working estimates of incidence to be applied at provincial level.

7 Case Detection Rate 2004

8 Program performance and epidemiologic impact

9 …road to reach the Global Target by 2005 WHO Global TB Report 2005 40 50 60 70 80 90 100 020406080100 Case Detection Rate (%) Success Rate (%) TARGET ZONE 2003 2002 2001 2000 2004 2005 Progress in 2002-2003 Progress in 2001-2002 Progress in 2000-2001


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