0 - 1 - Front Page Outside 1Q13 · Rann of Kachchh Lalpur Nakhtrana Muli Vav Una Dhrol Bhuj_DTC Rapar Morbi Amod Surendra nagar Idar Botad Shihor Talaja Mandvi Dhandhuka Dhrangadhra

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

NSP Case Detection Rate< 59.5%59.51% - 69.5%> 69.5%

Annualized New Smear Positive Case Detection Rate and Treatment Success Rate in DOTS areas of Gujarat, 2000-1Q13

•Population projected from 2001 census•Estimated no. of NSP cases - 80/100,000 population per year (based on recent ARTI report)

40%

50%

60%

70%

80%

90%

100%

1st Q

00

2nd

Q 0

03r

d Q

00

4th

Q 0

01s

t Q 0

12n

d Q

01

3rd

Q 0

14t

h Q

01

1st Q

02

2nd

Q 0

23r

d Q

02

4th

Q 0

21s

t Q 0

32n

d Q

03

3rd

Q 0

34t

h Q

03

1st Q

04

2nd

Q 0

43r

d Q

04

4th

Q 0

41s

t Q 0

52n

d Q

05

3rd

Q 0

54t

h Q

05

1st Q

06

2nd

Q 0

63r

d Q

06

4th

Q 0

61s

t Q 0

72n

d Q

07

3rd

Q 0

74t

h Q

07

1st Q

08

2nd

Q 0

83r

d Q

08

4th

Q 0

81s

t Q 0

92n

d Q

09

3rd

Q 0

94t

h Q

09

1st Q

10

2nd

Q 1

03r

d Q

10

4th

Q 1

01s

t Q 1

12n

d Q

11

3rd

Q 1

14t

h Q

11

1st Q

12

2nd

Q 1

23r

d Q

12

4th

Q 1

21s

t Q 1

3

Annualised New S+ve CDR Success rateLinear (Annualised New S+ve CDR)

TB Suspects examined per 100,000 population, 2003-1Q13Gujarat

126

174

163

180

190

181189

196

175

159

178

143

151

147145147138

132

157 160156

125

143

165 165 163

148

177

162

179

160

209

193

161

142

158

173

189

162

190

186

120

130

140

150

160

170

180

190

200

210

220

1Q03

2Q03

3Q03

4Q03

1Q04

2Q04

3Q04

4Q04

1Q05

2Q05

3Q05

4Q05

1Q06

2Q06

3Q06

4Q06

1Q07

2Q07

3Q07

4Q07

1Q08

2Q08

3Q08

4Q08

1Q09

2Q09

3Q09

4Q09

1Q10

2Q10

3Q10

4Q10

1Q11

2Q11

3Q11

4Q11

1Q12

2Q12

3Q12

4Q12

1Q13

TB s

uspe

cts

exam

ined

per

100

,000

Pop

ulat

ion

TB suspects

Population in Gujarat covered under DOTS and total tuberculosis patients put on treatment each quarter (1Q00-1Q13)

1828

1

0

100

200

300

400

500

600

700

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20122013

Quarter / Year

Tota

l pat

ient

s tr

eate

d

0

5000

10000

15000

20000

25000

Popu

latio

n co

vere

d (la

kh)

Total Patients TreatedPopulation coverage (in lakh)

Rann of Kachchh

Lalpur

Nakhtrana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Dant a

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda

KavantKotda Shangani

Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'bar ia#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petl ad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_UrbanJunagadh

_Rural

Mansa

GotriJub ilibaugBawchawad

NSP Case Detection Rate< 59.5%59.51% - 69.5%> 69.5%No Data

Rann of Kachchh

Lalpur

Nakhtrana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Santrampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_Urban

Junagadh_Rural

Mansa

GotriJubilibaugBawchawad

NSP Success Rate< 80%80% - 84.5%> 84.5%No Data

Revised National TB Control Programme

Dear Colleagues,

We are pleased to inform you that state of Gujarat is achieving twin objectives of RNTCP since 29 quarters and this has given more faith in the community for TB control efforts made by the state. RNTCP performance during 1st quarter 2013 During the quarter 118306 suspects were examined, 15116 sputum positive cases were diagnosed, and a total of 18281 all TB cases were registered for treatment. The annualized total case notification rate is 117 cases per 100,000 population. With a total of 9036 New Smear Positive cases being registered for treatment, the new smear positive TB case Notification Rate (annualized) for the 1st quarter 2013 is 58 per 100,000 population. In addition to this, 1693 new Smear Negative cases, 2797 New Extra Pulmonary cases registered for treatment in this quarter. The treatment success rate amongst the New Smear Positive pulmonary TB cases registered in the 1st Quarter 2012 is 87% and the Sputum Conversion rate of patients registered during 4th Quarter 2012 is 92%. In TB-HIV intensified services 94% patients were tested for HIV out of 18281 total patients registered during 1st quarter 2013. PMDT: During this quarter, among 6405 identified MDR-TB suspects 5989 MDR-TB suspects were tested for drug resistance. Total 463 patients were diagnosed as having drug resistant and eligible for Cat-IV drugs. Total 371 patients put on cat-IV drugs. Trainings, Supervision and Review meetings: In addition to quarterly review meeting, from state level two internal evaluations were conducted in the quarter for districts namely Ahmedabad Municipal Corporation and Rajkot. One batch of refresher training was organized for STLS during the quarter. Capacity building workshop on operational Research was organized at Vadodara. 40 faculties from 11 medical colleges of Gujarat actively participated in the workshop. As an outcome 13 concept papers on various research topics presented at the end of the workshop. NGO-PP & ACSM workshop of Gujarat State was carried out at State TB Training and Demonstration centre, Ahmedabad on January 28th, 2013 under directives from Central TB Division, GOI New Delhi. The aim of workshop was to review the status of ACSM and NGO-PP activities in the RNTCP in the state and to share and disseminate information and learning of successful NGO-PP and ACSM interventions among all stakeholders. Observation of World TB Day 2013 at Ahmedabad The World TB day 2013 was observed with the key messages of global theme: “Zero TB Deaths: Stop TB in my life time”. The key activities in this event included awards for appreciation of good performance among health personnel, NGOs & private practitioners and release of annual performance report ‘TB- Gujarat 2013’. This event was successful in increasing awareness among community regarding services available under programme and has brought visibility to tuberculosis control. In relation with World TB day, state officials organized live broadcast using SATCOM, (Bhaskaracharya Institute for Space Applications and Geo-informatics) for all health workers of Gujarat on RNTCP basics with Q&A session. As per approved state PIP 2013-14 Gujarat, benchmark for Annualized New Smear Positive Detection Rate of TB will be 75%; and Success Rate among New Smear Positive Treatment initiated on DOTS will be 90%. The performance will be assessed on the basis of NIKSHAY in near future, which needs to be undertaken on high priority by all.

Dr Pradip Patel I/C Director STDC

Ahmedabad (Gujarat)

Dr PV Dave State TB Officer

Gandhinagar (Gujarat)

Success Rate Vs Case Detection Rate (3Q11/3Q12)

73

76

79

82

85

88

91

94

97

60 65 70 75 80 85 90 95

Case Detection Rate (%)

Succ

ess

Rat

e (%

)

Panchmahals (G)

Bharuch

Gujarat

HIGH SUCCESS HIGH DETECTIONHIGH SUCCESS LOW DETECTION

LOW SUCCESS LOW DETECTION LOW SUCCESS HIGH DETECTION

TARGET ZONE

VyaraNarmada

Rajkot, Ahmedabad (R), G'nagar, Bhavnagar, Patan, Mehsana, Amreli, Valsad, Srt Muni. Corp., Anand, Banaskantha, Junagadh

Dahod

Surat-R

Porbandar

Chhotaudepur

Kheda

A'bd Muni. Corp.

Dangs

Vadodara (R)Sabarkantha

Jamnagar Navsari

Kachchh

Vdr Muni. Corp.

S'nagar

Success Rate Vs Case Detection Rate (1Q12/1Q13)

Sr. No. Indicator Rate

1 Population covered (in lacs)

2 TB Suspects examined out of total new adult OPD

3 TB Suspects examined per lac population perquarter

4 Sputum Smear Positive Patients diagnosed 13%

5 Sputum Smear Positive Patients living in thedistrict and put on DOTS 93%

6 Annualised New Sputum Smear PositiveNotification rate per Lac 58

7 Annualised New Sputum Positive CaseDetection Rate 72%

8 Annualised New Sputum Smear NegativeNotification rate per Lac 11

9 Annualised New Case Notification rate perLac 87

10 Annualised Total Case Detection Rate perLac 117

11 Annualised New EP Case Notification rateper Lac 18

12 Annualised Smear Positive Case Notificationrate per Lac 78

8081 out of

7703 out of

7742 out of

16 Identification of MDR Suspects17 Diagnosis of MDR TB Cases18 MDR TB Cases put on CAT IV

RNTCP Performance of Gujarat State at a glance (Key indicators) 1st Quarter 2013 (Jan-Feb-Mar 2013)

Achievement

624.54120

1,693

118,306

189

15,116

12,528

9,036

58

18,281

13,601

12,211

86%8950

2,797

87%8950

92%8804

6,405463371

13 3 Months Sputum Conversion of New Smear Positive cases registered in 4th quarter 2012

15 Success Rate of New Sputum Positive Patients registered in 1st quarter 2012

14 Cure Rate of New Sputum Positive Cases registered in 1st quarter 2012

District

Population (in lakh)

covered by RNTCP

No. of suspects examined

Suspects examined per lakh

population

Rate of change in suspects

examined per lakh

population (compared to same quarter in previous

year)

No of Smear positive patients

diagnosed

Suspects examined per smear positive

case diagnosed

Rate of change in suspects

examined per s+ case

diagnosed (compared to same quarter in previous

year)

Annualized smear positive

case notification

rate (reported by RNTCP

DMCs)

Annualized smear positive

case notification rate [from CFR: sm +

cases (NSP + Rel + TAD) * 4

/ Pop]

Total patients

registered for

treatment

Annualized total case notificatio

n rate

Annualized new smear

positive case

notification rate

New smear positive

case Detection

rate


negative case

notification rate

Annualized new extra pulmonary

case notification

rate

Annualized previously

treated case notification

rate

Ahmedabad (R) 16.9 3375 199 25.85% 442 7.6 10.03% 104 77 432 102 57 71% 6 10 28

AMC 57.6 9447 164 1.72% 1544 6.1 3.92% 107 72 2128 148 50 62% 15 43 38

Amreli 15.7 3059 195 6.29% 310 9.9 -1.32% 79 70 343 88 57 71% 5 8 18

Anand 21.6 3927 182 -3.25% 549 7.2 5.92% 102 85 729 135 58 72% 22 18 37

Banaskantha 32.2 5746 178 7.76% 836 6.9 7.63% 104 81 882 109 57 71% 7 10 36

Bharuch 16.0 2788 174 -0.82% 408 6.8 2.85% 102 85 496 124 64 80% 13 15 29

Bhavnagar 29.8 5591 188 19.02% 632 8.8 9.55% 85 75 760 102 56 71% 7 16 23

Chhotaudepur 10.3 1835 177 5.64% 241 7.6 0.30% 93 96 299 116 64 80% 8 4 38

Dahod 22.0 5756 262 14.85% 579 9.9 11.36% 105 98 670 122 65 81% 8 10 38

Gandhinagar 14.4 3036 212 7.00% 330 9.2 6.18% 92 74 380 106 57 71% 7 13 29

Jamnagar 22.3 4151 186 5.39% 389 10.7 14.07% 70 66 554 99 50 63% 4 21 23

Junagadh 28.4 4925 174 11.43% 530 9.3 9.47% 75 70 639 90 57 72% 4 9 19

Kachchh 21.6 3703 171 5.08% 384 9.6 19.95% 71 62 450 83 49 62% 6 9 19

Kheda 23.8 3848 162 -0.40% 675 5.7 -8.31% 114 83 680 114 60 75% 15 10 30

Mehsana 21.0 4213 201 0.11% 427 9.9 6.58% 81 68 502 96 57 71% 6 14 19

Narmada 6.1 1240 203 -19.52% 160 7.8 -12.52% 105 101 204 134 71 89% 9 19 35

Navsari 13.8 2656 193 9.73% 340 7.8 2.08% 99 79 422 123 59 73% 13 22 29

Panchmahals 24.7 4002 162 -1.15% 685 5.8 -0.21% 111 94 833 135 66 82% 20 12 36

Patan 13.9 3032 218 -4.01% 352 8.6 7.60% 101 80 388 112 56 71% 8 10 37

Porbandar 6.1 1078 178 13.12% 117 9.2 17.01% 77 73 203 134 64 80% 34 17 18

Rajkot 39.3 8002 204 3.00% 832 9.6 0.09% 85 68 900 92 56 70% 5 11 19

Sabarkantha 25.1 3861 154 -6.31% 662 5.8 1.62% 105 81 831 132 59 74% 24 11 36

SMC 46.2 9447 205 41.90% 918 10.3 23.09% 80 73 1586 137 57 72% 9 40 31

Surat (R) 16.7 3858 231 -0.09% 670 5.8 -6.13% 160 102 608 145 73 91% 15 18 39

Surendranagar 18.2 3852 212 8.16% 471 8.2 4.62% 104 79 487 107 56 70% 7 13 32

The Dangs 2.3 426 182 -0.50% 49 8.7 -2.94% 84 80 56 96 56 70% 3 12 24

Vadodara (R) 15.4 4515 293 3.12% 662 6.8 -6.85% 172 99 533 138 69 86% 10 17 44

Valsad 17.6 2959 168 0.19% 343 8.6 -0.48% 78 74 459 104 57 72% 7 13 26

VMC 17.2 2410 140 -6.63% 371 6.5 -12.21% 86 67 516 120 49 61% 15 26 29

Vyara 8.3 1568 188 0.90% 208 7.5 20.38% 100 99 311 149 75 94% 26 13 35

Gujarat State 624.5 118306 189 6.3% 15116 7.8 5.2% 97 78 18281 117 58 72% 11 18 30

and Treatment Outcomes (2012, First quarter)Performance of RNTCP Case Detection (2013, First quarter), Smear Conversion (2012, Fourth quarter),

District

Ahmedabad (R)

AMC

Amreli

Anand

Banaskantha

Bharuch

Bhavnagar

Chhotaudepur

Dahod

Gandhinagar

Jamnagar

Junagadh

Kachchh

Kheda

Mehsana

Narmada

Navsari

Panchmahals

Patan

Porbandar

Rajkot

Sabarkantha

SMC

Surat (R)

Surendranagar

The Dangs

Vadodara (R)

Valsad

VMC

Vyara

Gujarat State

Annualized previously

treated smear

positive case

notification rate

3 month conversion rate of new

smear positive patients

3 month conversion

rate of retreatment

patients

NSP Success

Rate

Proportion of all

registered TB cases

with known status

Proportion of TB

patients known to be HIV infected

among tested

Proportion of TB

patients known to

be HIV infected among

registered

Proportion of HIV

infected TB patients put on

CPT( RT report)

Proportion of HIV

infected TB patients put on ART( RT

report)

20 14 4% 91% 73% 86% 289 89% 306 94% 214 87% 358 83% 95% 5% 5% 96% 70%

22 137 9% 85% 66% 76% 960 93% 1017 98% 693 86% 431 20% 89% 6% 5% 99% 83%

13 10 4% 92% 74% 89% 255 93% 269 99% 216 91% 240 70% 86% 4% 3% 100% 100%

28 20 4% 94% 81% 88% 431 94% 440 96% 377 94% 503 69% 83% 4% 3% 94% 85%

24 31 5% 93% 76% 89% 625 96% 647 99% 512 94% 665 75% 95% 3% 3% 100% 100%

21 12 3% 93% 81% 87% 303 89% 340 100% 243 87% 281 57% 93% 5% 5% 100% 100%

19 27 5% 94% 77% 87% 536 96% 556 99% 402 92% 529 70% 92% 4% 3% 100% 100%

32 5 2% 92% 74% 88% 229 92% 248 100% 162 88% 194 65% 100% 4% 4% 100% 100%

33 20 4% 94% 78% 91% 522 97% 531 99% 437 96% 399 60% 99% 5% 5% 100% 100%

17 12 4% 94% 73% 86% 250 94% 261 98% 207 95% 266 70% 99% 5% 5% 100% 89%

16 26 6% 91% 64% 85% 339 91% 349 94% 263 87% 377 68% 89% 6% 5% 100% 95%

13 28 6% 93% 69% 89% 484 97% 498 100% 383 91% 477 75% 99% 2% 2% 100% 100%

13 23 7% 90% 63% 88% 321 96% 330 99% 253 89% 328 73% 99% 4% 4% 63% 38%

23 17 3% 91% 69% 86% 445 90% 457 92% 383 89% 424 62% 96% 3% 3% 100% 100%

11 28 7% 93% 76% 87% 320 89% 343 96% 278 91% 258 51% 89% 10% 9% 100% 96%

29 6 4% 95% 85% 91% 138 90% 154 100% 112 96% 175 86% 96% 4% 4% 100% 86%

21 19 6% 92% 86% 86% 262 96% 268 98% 215 97% 332 79% 97% 5% 5% 100% 95%

29 37 6% 95% 77% 90% 547 94% 579 100% 486 96% 692 83% 98% 3% 3% 100% 96%

24 10 4% 91% 65% 87% 244 87% 277 99% 222 93% 279 72% 97% 3% 3% 97% 94%

9 17 10% 90% 53% 91% 105 95% 110 100% 99 92% 68 33% 100% 7% 7% 94% 0%

12 57 8% 93% 75% 88% 648 96% 671 100% 562 98% 357 40% 95% 6% 5% 100% 99%

22 26 4% 92% 84% 87% 455 89% 496 97% 413 89% 631 76% 92% 4% 4% 100% 97%

16 102 8% 92% 71% 87% 790 94% 833 99% 552 96% 493 31% 100% 7% 7% 100% 75%

28 13 3% 93% 72% 90% 392 92% 425 100% 306 93% 495 81% 96% 2% 2% 100% 83%

23 13 4% 92% 65% 82% 348 97% 357 100% 225 92% 332 68% 99% 8% 8% 89% 86%

24 1 2% 88% 88% 95% 44 94% 47 100% 37 93% 44 79% 100% 0% 0% 75% 0%

30 11 3% 93% 76% 86% 360 94% 368 97% 241 94% 334 63% 96% 5% 5% 100% 93%

17 11 3% 90% 78% 87% 295 90% 324 99% 240 93% 344 75% 98% 3% 3% 100% 100%

18 23 6% 87% 70% 85% 263 91% 282 98% 206 84% 141 27% 88% 10% 8% 97% 89%

24 11 5% 95% 89% 91% 186 90% 205 100% 170 96% 234 75% 96% 3% 3% 100% 88%

20 767 6% 92% 74% 87% 11386 93% 11988 98% 9109 92% 10681 58% 94% 4.8% 4.5% 97% 86%

No (%) of all cured Smear Positive cases

having end of treatment follow- up

sputum done within 7 days of last dose

No (%) of cases (all forms of TB)

registered receiving DOT

through a community volunteer

Performance of RNTCP Case Detection (2013, First quarter), Smear Conversion (2012, Fourth quarter), and Treatment Outcomes (2012, First quarter)

No (%) of pediatric cases out of all New

cases

No (%) of all Smear Positive cases started RNTCP DOTS

within 7 days of diagnosis

No (%) of all Smear Positive cases

registered within one month of

starting RNTCP DOTS treatment

Regist-ered Cure Comp-

leted Died Failure Defaulted

Trans out

Switch to CAT

IV

Regist-ered

Comp-leted Died Failure Default

edTrans

out

Switch to CAT

IV

Regist-ered

Comp-leted Died Failure Default

edTrans

out

Switch to CAT

IVAhmedabad (R) 237 86% 0% 5% 3% 5% 0% 1% 42 90% 2% 2% 5% 0% 0% 57 93% 2% 0% 4% 2% 0%

AMC 810 75% 1% 5% 5% 9% 2% 2% 228 78% 10% 1% 10% 1% 0% 530 87% 3% 1% 8% 2% 0%

Amreli 230 89% 0% 5% 2% 4% 0% 0% 24 92% 0% 0% 8% 0% 0% 18 89% 0% 0% 11% 0% 0%

Anand 311 88% 0% 5% 2% 4% 0% 1% 139 93% 6% 0% 1% 0% 0% 75 89% 4% 0% 7% 0% 0%

Banaskantha 452 88% 0% 3% 2% 6% 0% 0% 57 96% 2% 0% 2% 0% 0% 67 96% 0% 0% 4% 0% 0%

Bharuch 260 87% 0% 4% 2% 5% 0% 0% 63 78% 5% 0% 16% 2% 0% 73 96% 0% 0% 3% 1% 0%

Bhavnagar 410 87% 0% 4% 2% 7% 1% 0% 94 94% 2% 0% 2% 2% 0% 74 93% 3% 0% 4% 0% 0%

Chhotaudepur 167 87% 1% 4% 1% 7% 0% 0% 32 84% 3% 0% 13% 0% 0% 17 100% 0% 0% 0% 0% 0%

Dahod 348 91% 0% 3% 1% 4% 0% 1% 61 98% 0% 0% 0% 2% 0% 73 97% 3% 0% 0% 0% 0%

Gandhinagar 210 86% 0% 5% 2% 4% 2% 1% 28 89% 7% 0% 4% 0% 0% 53 98% 2% 0% 0% 0% 0%

Jamnagar 294 85% 0% 6% 3% 4% 1% 1% 20 80% 5% 0% 5% 10% 0% 83 93% 2% 0% 5% 0% 0%

Junagadh 408 88% 0% 4% 1% 5% 0% 1% 58 90% 2% 0% 9% 0% 0% 47 91% 2% 2% 2% 2% 0%

Kachchh 270 87% 1% 2% 6% 3% 0% 0% 31 87% 6% 0% 6% 0% 0% 50 94% 4% 0% 2% 0% 0%

Kheda 362 86% 0% 6% 5% 3% 0% 0% 111 85% 6% 1% 8% 0% 0% 59 92% 2% 0% 7% 0% 0%

Mehsana 292 87% 0% 6% 2% 4% 0% 0% 28 89% 11% 0% 0% 0% 0% 64 88% 13% 0% 0% 0% 0%

Narmada 113 91% 0% 2% 4% 3% 0% 0% 16 94% 6% 0% 0% 0% 0% 23 91% 9% 0% 0% 0% 0%

Navsari 200 86% 0% 8% 4% 1% 1% 1% 79 89% 10% 1% 0% 0% 0% 55 98% 2% 0% 0% 0% 0%

Panchmahals 415 90% 0% 4% 3% 2% 0% 0% 116 94% 3% 0% 3% 0% 0% 57 96% 4% 0% 0% 0% 0%

Patan 199 87% 0% 6% 3% 3% 2% 0% 50 92% 4% 0% 4% 0% 0% 25 100% 0% 0% 0% 0% 0%

Porbandar 99 91% 0% 3% 1% 4% 0% 1% 42 98% 2% 0% 0% 0% 0% 20 95% 0% 0% 5% 0% 0%

Rajkot 548 88% 1% 4% 1% 4% 2% 0% 79 86% 5% 1% 8% 0% 0% 125 94% 4% 0% 2% 0% 0%

Sabarkantha 371 87% 0% 4% 3% 6% 0% 0% 141 91% 6% 0% 4% 0% 0% 60 98% 0% 0% 2% 0% 0%

SMC 516 86% 0% 2% 2% 6% 3% 0% 116 87% 2% 0% 9% 2% 0% 366 93% 1% 0% 4% 2% 0%

Surat (R) 284 90% 0% 5% 2% 3% 0% 0% 52 92% 2% 0% 6% 0% 0% 88 94% 5% 0% 1% 0% 0%

Surendranagar 251 75% 7% 11% 2% 5% 0% 0% 45 89% 7% 0% 4% 0% 0% 61 92% 2% 0% 7% 0% 0%

The Dangs 37 95% 0% 5% 0% 0% 0% 0% 11 82% 9% 0% 9% 0% 0% 7 71% 0% 0% 29% 0% 0%

Vadodara (R) 222 86% 0% 7% 3% 3% 0% 1% 48 81% 8% 0% 10% 0% 0% 57 89% 7% 0% 4% 0% 0%

Valsad 245 87% 0% 5% 1% 6% 0% 1% 24 88% 0% 0% 13% 0% 0% 59 98% 2% 0% 0% 0% 0%

VMC 239 85% 0% 8% 1% 4% 0% 3% 51 84% 10% 0% 6% 0% 0% 108 95% 1% 0% 2% 2% 0%

Vyara 150 91% 0% 3% 3% 3% 0% 0% 59 97% 3% 0% 0% 0% 0% 41 90% 7% 2% 0% 0% 0%

Gujarat State 8950 86.1% 0.4% 4.7% 2.6% 4.8% 0.8% 0.3% 1945 88.4% 5.2% 0.3% 5.4% 0.5% 0.1% 2492 92.3% 2.6% 0.3% 3.9% 1.0% 0.0%

New Extra Pulmonary

Treatment Outcome of New cases for 1st quarter 2012

DistrictNew Smear Positive New Smear Negative

Type of retreatment case Cured Success Died Failure Defaulted Transferr

ed outSwitch to

CAT IVNo.

registeredRelapse 67.1% 68.7% 8.8% 5.8% 12.5% 1.0% 3.2% 1996Failure 46.3% 46.9% 9.1% 13.7% 22.3% 2.3% 5.7% 175TAD 58.6% 60.4% 9.4% 4.7% 20.9% 1.7% 3.0% 1325

Total 62.9% 64.5% 9.0% 5.8% 16.2% 1.3% 3.3% 3496

No. registere

dCured Success Died Failure Defaulted Transferre

d outSwitch to

CAT IVNo.

registered Cured Success Died Failure Defaulted Transferred out

Switch to CAT IV

No. registere

dCured Success Died Failure Defaulted Transferr

ed outSwitch to

CAT IV

Ahmedabad 35 71.4% 77.1% 5.7% 2.9% 11.4% 0.0% 2.9% 7 42.9% 42.9% 14.3% 28.6% 0.0% 0.0% 14.3% 32 46.9% 46.9% 9.4% 9.4% 25.0% 0.0% 9.4%AMC 125 54.4% 56.0% 10.4% 7.2% 18.4% 1.6% 6.4% 29 34.5% 34.5% 3.4% 13.8% 31.0% 13.8% 3.4% 245 46.9% 49.4% 8.2% 3.3% 29.8% 4.9% 4.5%Amreli 39 53.8% 53.8% 5.1% 10.3% 25.6% 0.0% 5.1% 4 25.0% 25.0% 0.0% 25.0% 25.0% 0.0% 25.0% 16 75.0% 75.0% 12.5% 0.0% 12.5% 0.0% 0.0%Anand 138 73.9% 73.9% 9.4% 4.3% 8.0% 0.0% 4.3% 8 50.0% 50.0% 12.5% 12.5% 12.5% 0.0% 12.5% 43 53.5% 53.5% 18.6% 4.7% 23.3% 0.0% 0.0%Banaskantha 95 78.9% 82.1% 2.1% 6.3% 8.4% 0.0% 1.1% 4 75.0% 75.0% 0.0% 0.0% 25.0% 0.0% 0.0% 97 66.0% 67.0% 9.3% 4.1% 17.5% 0.0% 2.1%Bharuch 55 67.3% 67.3% 9.1% 10.9% 12.7% 0.0% 0.0% 3 66.7% 66.7% 0.0% 0.0% 33.3% 0.0% 0.0% 20 70.0% 70.0% 5.0% 0.0% 25.0% 0.0% 0.0%Bhavnagar 65 73.8% 75.4% 10.8% 0.0% 12.3% 0.0% 1.5% 9 44.4% 44.4% 22.2% 11.1% 22.2% 0.0% 0.0% 56 55.4% 55.4% 16.1% 7.1% 19.6% 0.0% 1.8%Chhotaudepur 41 75.6% 78.0% 7.3% 4.9% 9.8% 0.0% 0.0% 1 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8 75.0% 75.0% 0.0% 12.5% 12.5% 0.0% 0.0%Dahod 62 82.3% 82.3% 6.5% 0.0% 9.7% 0.0% 1.6% 1 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 118 73.7% 75.4% 7.6% 3.4% 9.3% 0.8% 3.4%Gandhinagar 31 80.6% 80.6% 6.5% 0.0% 9.7% 3.2% 0.0% 1 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 18 77.8% 77.8% 11.1% 0.0% 5.6% 0.0% 5.6%Jamnagar 71 54.9% 54.9% 11.3% 4.2% 18.3% 1.4% 9.9% 5 60.0% 60.0% 20.0% 0.0% 20.0% 0.0% 0.0% 27 44.4% 44.4% 7.4% 7.4% 29.6% 0.0% 11.1%Junagadh 67 64.2% 64.2% 4.5% 11.9% 13.4% 1.5% 4.5% 9 66.7% 66.7% 22.2% 0.0% 11.1% 0.0% 0.0% 21 61.9% 61.9% 14.3% 4.8% 14.3% 0.0% 4.8%Kachchh 54 48.1% 63.0% 7.4% 16.7% 13.0% 0.0% 0.0% 8 0.0% 0.0% 0.0% 50.0% 50.0% 0.0% 0.0% 48 45.8% 54.2% 14.6% 12.5% 18.8% 0.0% 0.0%Kheda 83 72.3% 72.3% 4.8% 3.6% 18.1% 0.0% 1.2% 8 62.5% 62.5% 0.0% 12.5% 25.0% 0.0% 0.0% 82 63.4% 64.6% 7.3% 9.8% 18.3% 0.0% 0.0%Mehsana 54 74.1% 74.1% 14.8% 1.9% 7.4% 1.9% 0.0% 2 50.0% 50.0% 50.0% 0.0% 0.0% 0.0% 0.0% 14 57.1% 57.1% 7.1% 7.1% 28.6% 0.0% 0.0%Narmada 24 50.0% 54.2% 25.0% 12.5% 4.2% 0.0% 4.2% 3 66.7% 66.7% 33.3% 0.0% 0.0% 0.0% 0.0% 0Navsari 59 74.6% 76.3% 8.5% 5.1% 6.8% 0.0% 3.4% 1 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 13 53.8% 53.8% 15.4% 7.7% 15.4% 7.7% 0.0%Panchmahals 126 60.3% 64.3% 14.3% 11.9% 7.9% 0.0% 1.6% 22 59.1% 59.1% 9.1% 4.5% 27.3% 0.0% 0.0% 63 71.4% 74.6% 9.5% 3.2% 9.5% 0.0% 3.2%Patan 98 58.2% 58.2% 6.1% 10.2% 18.4% 2.0% 5.1% 3 66.7% 66.7% 0.0% 33.3% 0.0% 0.0% 0.0% 9 55.6% 55.6% 11.1% 0.0% 22.2% 0.0% 11.1%Porbandar 17 82.4% 88.2% 0.0% 5.9% 5.9% 0.0% 0.0% 2 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 0.0% 5 80.0% 80.0% 20.0% 0.0% 0.0% 0.0% 0.0%Rajkot 82 72.0% 72.0% 4.9% 2.4% 11.0% 2.4% 7.3% 13 53.8% 53.8% 0.0% 7.7% 15.4% 0.0% 23.1% 44 59.1% 59.1% 22.7% 4.5% 11.4% 0.0% 2.3%Sabarkantha 135 72.6% 74.8% 8.9% 5.9% 8.9% 0.0% 1.5% 7 57.1% 71.4% 14.3% 14.3% 0.0% 0.0% 0.0% 56 71.4% 71.4% 7.1% 7.1% 12.5% 0.0% 1.8%SMC 103 59.2% 59.2% 6.8% 4.9% 18.4% 5.8% 4.9% 10 50.0% 50.0% 0.0% 20.0% 30.0% 0.0% 0.0% 124 53.2% 55.6% 3.2% 0.8% 31.5% 4.8% 4.0%Surat-R 70 81.4% 81.4% 5.7% 2.9% 10.0% 0.0% 0.0% 3 33.3% 33.3% 0.0% 0.0% 66.7% 0.0% 0.0% 25 60.0% 60.0% 8.0% 4.0% 24.0% 4.0% 0.0%Surendranagar 51 58.8% 64.7% 9.8% 5.9% 11.8% 0.0% 7.8% 0 51 49.0% 56.9% 7.8% 3.9% 27.5% 0.0% 3.9%The Dangs 4 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0 1 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0%Vadodara 62 74.2% 75.8% 14.5% 1.6% 8.1% 0.0% 0.0% 3 33.3% 33.3% 0.0% 0.0% 33.3% 0.0% 33.3% 34 58.8% 58.8% 11.8% 5.9% 17.6% 2.9% 2.9%Valsad 56 58.9% 58.9% 12.5% 1.8% 23.2% 1.8% 1.8% 3 33.3% 33.3% 33.3% 0.0% 0.0% 0.0% 33.3% 25 44.0% 44.0% 12.0% 4.0% 40.0% 0.0% 0.0%VMC 55 47.3% 47.3% 18.2% 5.5% 18.2% 5.5% 5.5% 4 25.0% 25.0% 0.0% 25.0% 25.0% 0.0% 25.0% 22 72.7% 72.7% 4.5% 9.1% 9.1% 0.0% 4.5%Vyara 39 82.1% 82.1% 5.1% 2.6% 5.1% 0.0% 5.1% 2 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 8 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Gujarat State 1996 67.1% 68.7% 8.8% 5.8% 12.5% 1.0% 3.2% 175 46.3% 46.9% 9.1% 13.7% 22.3% 2.3% 5.7% 1325 58.6% 60.4% 9.4% 4.7% 20.9% 1.7% 3.0%

TAD

District-wise outcome of Smear Positive Retreatment cases First quarter 2012 (excluding "Others")

Outcome of Smear Positive Retreatment cases for Gujarat StateFirst quarter 2012 (excluding "Others")

FailureDistrict

Relapse

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

6500

7000

1Q07

2Q07

3Q07

4Q07

1Q08

2Q08

3Q08

4Q08

1Q09

2Q09

3Q09

4Q09

1Q10

2Q10

3Q10

4Q10

1Q11

2Q11

3Q11

4Q11

1Q12

2Q12

3Q12

4Q12

1Q13

M DR TB SuspectsM DR TB DetectedM DR TB put on Treatment

Treatment Outcome Gujarat

Switch to CAT V, 3, 0.4%

Still on Treatment, 12,

1.7%

Died, 178, 24.6%

Defaulted, 154, 21.3%

Failure, 92, 12.7%

Success rate, 283, 39.1%

Treatment stop, 1, 0.1%

Success rate Died Defaulted Failure

Treatment stop Switch to CAT V Still on Treatment

Trend in identification of MDR suspects Gujarat

Interim Outcome at 6 months of treatment Gujarat (3Q07–2Q12)

Culture Not Known, 199, 8%

Culture NEG, 1341, 54%

Defaulted, 208, 9%

Died, 218, 9%

Culture Positive, 479, 20%

Culture NEG Culture Positive Died Defaulted Culture Not Known

Interim Outcome at 12 months of treatment Gujarat (3Q07 – 4Q11)

Treatment stop, 1, 0.1% Switch to CAT V,

12, 0.7%

Culture Positive, 307, 18.8%

Culture Not Known, 124,

7.6%

Died, 269, 16.5%

Alive, on Rx & Culture -ve, 729,

44.6%

Defaulted, 191, 11.7%

Alive, on Rx & Culture ‐ve Culture Positive Culture Not Known Died Defaulted Treatment stop Switch to CAT V

DOTS-Plus status

Criteria-C implemented all over Gujarat since 1st June 2012. CAT-V also started for 36 XDR Patients in Gujarat.

Sr. No. DISTRICT Total No.

of TUsTotal No. of DMCs

Total No. of PHIs other than DMCs

Total No. of Sputum

collection centres

Total No. of DOT

Centres/providers

TB Patient Provider Meetings

Community

Meetings

School based

activities

Sensitizations: PRI /

PPs/NGOs

etc

Outdoor publicity : Local folk/mass media campaign/

mela

Med Colleges NGO PPs1 Ahmedabad-R 3 19 40 40 882 1 1 26 20 16 1 4 22 AMC 10 54 78 0 381 2 29 544 78 55 55 1 763 Amreli 4 16 38 37 2534 0 0 31 13 15 3 0 44 Anand 4 23 40 44 810 1 8 183 29 20 7 1 55 Banaskantha 6 37 68 40 667 0 4 108 57 33 0 1 26 Bharuch 5 22 47 17 2528 0 2 177 33 22 0 0 17 Bhavnagar 6 31 46 21 460 1 2 296 54 26 0 0 08 Chhotaudepur 4 19 29 29 1114 0 1 1 8 8 2 0 09 Dahod 8 42 39 38 1736 0 2 40 17 16 6 0 810 Gandhinagar 3 18 25 31 270 0 14 107 30 9 3 0 111 Jamnagar 4 22 51 51 2207 1 2 147 11 14 7 0 1412 Junagadh 6 29 55 53 440 0 1 194 14 18 4 1 113 Kachchh 7 34 69 34 921 1 6 75 12 22 1 3 714 Kheda 5 28 44 40 4717 0 3 167 20 10 2 0 4115 Mahesana 4 24 56 56 364 0 3 68 46 11 3 0 116 Narmada 3 12 16 22 1826 0 1 63 3 5 50 3 1317 Navsari 4 21 34 32 886 0 1 22 10 35 0 3 118 Panchmahals 7 38 46 36 3004 0 1 285 25 33 12 0 019 Patan 3 19 35 36 2918 0 0 128 13 14 1 0 520 Porbandar 1 5 12 6 108 0 0 51 3 3 319 0 021 Rajkot 7 35 44 86 620 1 3 179 34 51 14 1 122 Sabarkantha 6 37 65 52 3500 0 13 60 39 38 15 7 323 SMC 9 39 11 0 1693 1 2 1269 104 135 164 3 19724 Surat-R 5 31 39 42 469 1 8 70 34 23 0 3 025 Surendranagar 4 17 41 78 1616 1 14 113 8 8 0 1 026 The Dangs 1 4 7 7 45 0 0 4 2 3 0 0 327 Vadodara-R 3 19 33 33 669 2 1 113 18 19 6 3 128 Valsad 5 24 34 34 2022 0 6 202 25 31 0 0 629 VMC 3 13 27 5 120 1 1 55 27 20 0 0 4530 Vyara(surat) 4 16 23 18 1674 0 2 34 8 11 10 1 6

144 748 1192 1018 41201 14 131 4812 795 724 685 36 444TOTAL

Programme Infrastructure and Involvement of other sectors in RNTCP of Gujarat - 1st Quarter 2013

Involvement of Other sectors

S F V S F V S F V S F V S F V S F V1 Ahmedabad (R) 0 1 1 0 3 3 0 3 3 0 3 3 0 19 17 2 2 1 12 AMC 1 1 0 1 10 10 0 10 5 5 10 8 2 54 53 1 49 41 83 Amreli 0 0 0 0 4 4 0 4 4 0 4 4 0 16 14 2 3 3 04 Anand 0 1 1 0 4 4 0 4 4 0 4 4 0 23 23 0 6 6 05 Banaskantha 1 1 1 0 6 6 0 6 6 0 6 6 0 37 31 6 3 3 06 Bharuch 0 1 1 0 5 5 0 5 5 0 5 5 0 22 22 0 4 3 17 Bhavnagar 0 1 1 0 6 6 0 6 6 0 6 6 0 31 28 3 9 9 08 Chhotaudepur 1 0 0 0 4 4 0 4 3 1 4 4 0 19 18 1 0 0 09 Dahod 1 0 0 0 8 8 0 8 8 0 8 8 0 42 37 5 2 2 0

10 Gandhinagar 1 0 0 0 3 3 0 3 3 0 3 3 0 18 18 0 4 4 011 Jamnagar 0 0 0 0 4 3 1 4 4 0 4 4 0 22 20 2 8 8 012 Junagadh 0 1 0 1 6 6 0 6 6 0 6 6 0 29 24 5 7 7 013 Kachchh 1 1 0 1 7 7 0 7 7 0 7 7 0 34 32 2 5 3 214 Kheda 0 0 0 0 5 5 0 5 4 1 5 5 0 28 28 0 4 4 015 Mehsana 0 1 1 0 4 4 0 4 4 0 4 4 0 24 24 0 4 4 016 Narmada 1 0 0 0 3 3 0 3 3 0 3 3 0 12 12 0 1 1 017 Navsari 1 1 1 0 4 4 0 4 4 0 4 3 1 21 20 1 3 3 018 Panchmahals 0 1 1 0 7 7 0 7 7 0 7 6 1 38 35 3 3 3 019 Patan 1 0 0 0 3 3 0 3 1 2 3 3 0 19 14 5 2 1 120 Porbandar 0 0 0 0 1 1 0 1 1 0 1 1 0 5 5 0 2 2 021 Rajkot 1 1 1 0 7 7 0 7 7 0 7 7 0 35 35 0 16 16 022 Sabarkantha 1 1 1 0 6 6 0 6 6 0 6 6 0 37 37 0 2 2 023 SMC 1 1 1 0 9 9 0 9 9 0 9 9 0 39 39 0 36 36 024 Surat (R) 0 1 1 0 5 5 0 5 5 0 5 5 0 31 31 0 1 1 025 Surendranagar 1 1 1 0 4 4 0 4 4 0 4 4 0 17 16 1 4 4 026 The Dangs 1 0 0 0 1 1 0 1 1 0 1 1 0 4 4 0 0 0 027 Vadodara 1 0 0 0 3 3 0 3 3 0 3 3 0 19 19 0 2 2 028 Valsad 0 0 0 0 5 5 0 5 5 0 5 5 0 24 23 1 4 4 029 VMC 1 1 0 1 3 3 0 3 2 1 3 3 0 13 13 0 17 12 530 Vyara (Surat) 1 0 0 0 4 4 0 4 4 0 4 4 0 16 15 1 0 0 0

17 17 13 4 144 143 1 144 134 10 144 140 4 748 707 41 203 185 18

Status of key staff under RNTCP during 1st Quarter 2013Sr. No. Name of DTC DTO 2nd MO MOTC STS STLS DMC LT TBHV (Contractual)

Total

S = Sanctioned F = Filled V = Vacant

(a) (b)

HIV Positive

HIV Negative

HIV Positive

HIV Negative

HIV Positive

HIV Negative

HIV Positive

HIV Negative

HIV Positive

HIV Negative

HIV Positive

HIV Negative

1 Ahmedabad (R) 2740 3 293 1 32 1 0 0 1 2 33 2 30 45 12 AMC 12474 230 608 10 26 0 12 7 6 17 44 15 28 979 123 Amreli 2618 23 119 0 1 0 0 0 0 0 1 0 1 181 24 Anand 3436 48 445 3 32 0 0 1 0 4 32 3 28 365 75 Banaskantha 8992 95 771 1 79 0 2 1 0 2 81 2 76 245 16 Bharuch 2053 11 157 2 10 0 1 0 0 2 11 2 9 192 47 Bhavnagar 8966 95 675 3 9 1 8 3 6 7 23 7 23 340 38 Chhotaudepur 1890 3 287 0 27 0 5 0 0 0 32 0 26 171 09 Dahod 7594 32 680 2 25 3 4 3 1 8 30 8 30 407 2

10 Gandhinagar 3538 35 241 0 26 1 5 1 0 2 31 2 22 38 111 Jamnagar 5885 14 374 0 24 1 0 0 0 1 24 1 22 194 312 Junagadh 8724 86 697 3 17 0 0 0 0 3 17 3 17 311 313 Kachchh 4195 83 315 10 14 2 1 2 1 14 16 14 15 214 414 Kheda 3318 73 440 5 43 0 1 0 1 5 45 3 33 531 415 Mahesana 8362 37 908 0 62 3 2 0 1 3 65 3 55 59 116 Narmada 698 3 49 0 6 0 1 1 0 1 7 1 6 71 017 Navsari 5293 20 485 3 57 1 6 1 0 5 63 4 59 259 618 Panchmahals 3081 11 280 2 39 2 4 1 0 5 43 4 41 402 219 Patan 5067 20 281 0 25 0 1 1 0 1 26 1 26 83 420 Porbandar 3168 17 207 1 3 2 0 1 0 4 3 4 3 190 221 Rajkot 12008 191 685 6 18 3 8 6 4 15 30 15 30 705 2322 Sabarkantha 4497 44 559 4 53 6 7 1 0 11 60 11 45 360 123 SMC 13613 156 485 1 17 0 0 1 0 2 17 2 17 929 1024 Surat (R) 7238 89 398 6 45 1 2 0 4 7 51 6 49 306 425 Surendranagar 7502 24 613 3 29 2 4 0 1 5 34 5 33 210 326 The Dangs 513 2 53 1 6 0 1 0 0 1 7 1 7 53 127 Vadodara (R) 6890 97 306 5 29 0 1 1 1 6 31 5 29 330 928 Valsad 5386 60 264 2 19 0 2 4 0 6 21 4 20 206 029 VMC 985 3 59 0 8 0 0 0 0 0 8 0 7 145 230 Vyara(Tapi) 1923 15 226 3 18 1 3 0 2 4 23 3 23 115 3

162647 1620 11960 77 799 30 81 36 29 143 909 131 810 8636 118Total

Total TB cases

Of the above persons referred to RNTCP investigation No. diagnosed as having:

Sputum positive TB Sputum negative TB Extra-pulmonary TB

Sr. No.

District (RNTCP reporting units)

I. TOTAL NUMBER OF

CLIENTS ATTENDING ICTC

in the month (Excluding

PPTCT Client) *

II. REFERRAL OF SUSPECTED TUBERCULOSIS CASES FROM ICTC TO RNTCP

ICTC TB/HIV Report 4Q2012, GujaratIII. REFERRAL FROM

RNTCP TO ICTC

No of RNTCP

registered TB patients tested for

HIV at ICTC

Out of above (a),

No. detected to

be HIV Positive

(b)(a) (c)No of persons

suspected to have TB referred to RNTCP

Unit

Out of above (b), diagnosed TB

patients, number receiving DOTS

Sputum positive TB

Sputum negative TB

Extra-pulmonary TB

1 BJMC, Ahmedabad Ahmedabad 12189 2.1% 252 8 9 89 106 53 25 14 4

2 VS Gen. Hos. , Ahmedabad Ahmedabad 3925 2.0% 79 1 0 13 14 7 6 6 0

3 New Civil Hos., Surat Surat 10143 1.3% 130 2 0 15 17 3 14 10 0

4 SMIMER, Surat Surat 6512 3.4% 222 4 1 20 25 17 7 5 0

5 Reliance, Surat Surat 2632 3.4% 89 2 2 8 12 3 8 8 1

6 PDU, Rajkot Rajkot 8505 2.2% 184 22 0 17 39 24 7 7 1

7 MGS Gen. Hos., S'nagar Surendranagar 2550 9.5% 242 13 10 10 33 30 3 3 0

8 Gen. Hos., Junagadh Junagadh 3819 1.3% 48 1 0 0 1 1 0 0 0

9 GG Gen. Hos., Jamnagar Jamnagar 2259 4.4% 100 9 4 8 21 19 2 0 0

10 Gen. Hos., Himatnagar Sabarkantha 3601 3.3% 118 6 20 6 32 29 1 13 9

11 Gen. Hos., Palanpur Banaskantha 3175 4.0% 126 1 17 18 36 25 5 11 3

12 Gen. Hos., Navsari Navsari 1822 2.9% 52 0 7 4 11 4 0 0 0

13 Gen. Hos., Amreli Amreli 1911 3.6% 69 8 4 8 20 16 4 3 0

14 Gen. Hos., Bhuj Kutch 2474 5.2% 128 18 9 10 37 36 0 0 1

15 Sir T Hos., Bhavnagar Bhavnagar 4768 3.2% 151 5 5 9 19 19 0 0 0

16 Gen. Hos. Mehsana Mehsana 3747 5.9% 220 5 7 29 41 35 4 4 0

17 SSG Hos. Vadodara Vadodara 6415 3.7% 238 9 7 33 49 12 37 26 0

18 Gen. Hosp. Patan Patan 3217 2.6% 83 3 2 1 6 5 1 0 0

19 Gen. Hosp. Godhra Panchmahal 947 7.6% 72 2 5 12 19 19 0 0 0

20 Gen. Hosp. Porbandar Porbandar 1175 2.0% 23 0 0 0 0 0 0 0 0

21 Gen. Hosp. Bharuch Bharuch 1590 2.3% 37 3 0 2 5 2 0 0 0

22 Gen. Hosp. Valsad Valsad 2612 4.9% 127 5 4 1 10 7 3 2 0

23 Gen. Hosp. Nadiad Kheda 3293 3.2% 104 7 5 7 19 12 7 7 0

24 Gen Hosp Dahod Dahod 1512 5.9% 89 6 5 22 33 27 3 2 1

25 Gen. hosp. Gandhinagar Gandhinagar 363 4.7% 17 1 0 1 2 2 0 0 0

21 95156 3.1% 3000 141 123 343 607 407 137 121 20

e) Out of (d), number of TB

patients receiving RNTCP treatment within

the district

Referral Rate among

attending HIV Positive persons

g) Out of (f), number

started on treatment

h) Out of (d), number of TB

patients receiving Non-

RNTCP treatment

f) Out of (d), number of TB

patients referred outside

district for RNTCP

treatment

No. of ART Centres - 25

Total

ART Centre TB/HIV Report for 4Q12, Gujarat

b) No. of TB Suspects

referred from ART to RNTCP

Of the above persons referred to RNTCP investigation No. diagnosed as having: d) Total

Diagnosed TB

Patients

No. of ARTCs reported - 25

Sr. No.

Name of Reporting Unit (ART Center) District

a) Number of HIV positive patients

attending ART centre during the month(Pre-

ART and ART)

District New Cases Registered

Treatment Success Died Failure Default Transferre

d Out

Retreatment Cases

Registered

Treatment Success Died Failure Default Transferre

d out

All TB Cases

Registered

No of Patients on CPT

No of Patients on ART

Ahmedabad 21 20 1 0 0 0 2 2 0 0 0 0 23 22 16

AMC 87 63 10 1 9 4 22 14 3 1 4 0 109 108 90

Amreli 10 7 2 0 1 0 4 1 1 1 1 0 14 14 14

Anand 17 10 4 1 2 0 16 8 4 2 2 0 33 31 28

Banaskantha 8 6 1 0 1 0 3 2 1 0 0 0 11 11 11

Bharuch 21 16 2 0 2 1 2 2 0 0 0 0 23 23 23

Bhavnagar 10 8 1 0 1 0 7 3 1 0 3 0 17 17 17

Chhotaudepur 4 1 1 0 2 0 1 0 1 0 0 0 5 5 5

Dahod 22 20 2 0 0 0 7 7 0 0 0 0 29 29 29

Gandhinagar 18 14 3 0 1 0 1 1 0 0 0 0 19 19 17

Jamnagar 14 11 2 0 1 0 8 5 2 0 1 0 22 22 21

Junagadh 15 14 1 0 0 0 12 9 2 0 1 0 27 27 27

Kachchh 11 9 0 0 1 1 21 16 2 2 1 0 32 20 12

Kheda 16 12 2 0 2 0 6 2 2 1 1 0 22 22 22

Mehsana 34 27 7 0 0 0 15 9 4 1 1 0 49 49 47

Narmada 7 7 0 0 0 0 0 0 0 0 0 0 7 7 6

Navsari 17 12 3 1 1 0 5 4 0 1 0 0 22 22 21

Panchmahals 6 2 3 0 1 0 22 16 4 0 2 0 28 28 27

Patan 20 16 3 0 1 0 15 11 1 2 1 0 35 34 33

Porbandar 15 13 0 0 2 0 1 1 0 0 0 0 16 15 0

Rajkot 54 43 8 0 2 1 21 13 4 0 3 1 75 75 74

Sabarkantha 14 14 0 0 0 0 15 12 1 1 1 0 29 29 28

SMC 74 61 2 2 7 2 57 39 6 1 9 2 131 131 98

Surat-R 23 19 4 0 0 0 6 4 1 0 1 0 29 29 24

Surendranagar 21 19 0 0 2 0 14 10 1 0 3 0 35 31 30

The Dangs 4 3 1 0 0 0 0 0 0 0 0 0 4 3 0

Vadodara 14 9 5 0 0 0 1 1 0 0 0 0 15 15 14

Valsad 9 7 1 1 0 0 6 4 2 0 0 0 15 15 15

VMC 26 20 3 2 1 0 9 6 2 0 1 0 35 34 31

Vyara 6 5 0 1 0 0 2 2 0 0 0 0 8 8 7

Gujarat State 618 488 72 9 40 9 301 204 45 13 36 3 919 895 787

Treatment Outcome of HIV positive TB patients registered in 1Q12


District No TU

Popu-lation (in

lakh) covered

by RNTCP



population

Rate of change in suspects examined per lakh

population (compared

to same quarter in previous

year)

No of Smear

positive patients

diagnosed


case diagnosed

Rate of change in suspects examined

per s+ case

diagnosed (compared


year)

Annualized smear

positive case

detection rate (from

PMR)

Annualized smear

positive case

notification rate [from CFR: sm + cases (NSP

+ Rel + TAD) * 4 /

Pop]

Total patients

registered for treatment

Annualized total case

notification rate


positive case

notification rate

New smear positive

case detection

rate


negative case

notification rate

Annualized new extra

pulmonary case

notification rate

Annualized

previously treated

case notificatio

n rate

Annualized

previously treated

smear positive

case notificatio

n rate

Ahmedabad 1 Bavla 5.7 1787 314 16.1% 265 6.7 9.6% 186 78 156 110 58 73% 7 13 29 20

Ahmedabad 2 Dhandhuka 5.4 805 149 155.3% 59 13.6 93.7% 44 76 123 91 56 70% 4 7 25 21

Ahmedabad 3 Viramgam 5.9 783 134 -5.3% 118 6.6 -26.5% 81 76 153 104 56 70% 8 10 30 20

AMC 4 Amaraiwadi 5.8 516 90 -19.5% 75 6.9 10.3% 52 60 171 119 44 55% 13 31 30 16

AMC 5 Central_zone 5.8 1460 253 0.7% 316 4.6 -2.1% 219 91 239 166 55 69% 15 46 49 35

AMC 6 Chandlodia 5.8 714 124 -5.6% 78 9.2 32.7% 54 53 158 110 33 42% 10 27 39 19

AMC 7 East_zone 5.8 1138 197 6.4% 152 7.5 -6.0% 105 81 255 177 59 74% 22 51 40 22

AMC 8 L.G. Hospital 5.8 879 152 0.4% 165 5.3 8.3% 114 65 201 139 41 51% 15 46 36 24

AMC 9 Memnagar 5.8 1081 188 13.4% 204 5.3 8.4% 142 68 175 122 51 63% 6 31 34 17

AMC 10 North_zone 5.8 981 170 0.6% 141 7.0 8.2% 98 69 231 160 49 61% 18 54 39 21

AMC 11 North-central_zone 5.8 764 133 4.7% 138 5.5 -15.8% 96 81 246 171 59 74% 14 56 42 22

AMC 12 South_zone 5.8 1096 190 6.2% 145 7.6 1.4% 101 91 277 192 61 76% 32 46 53 30

AMC 13 West_zone 5.8 818 142 1.7% 130 6.3 16.8% 90 61 175 122 47 59% 8 43 22 13

Amreli 14 Amreli_DTC 4.3 2034 477 27.2% 214 9.5 14.9% 201 88 111 104 75 94% 3 9 17 13

Amreli 15 Babra 3.9 286 73 -34.4% 32 8.9 -54.2% 33 66 81 83 57 71% 5 8 12 9

Amreli 16 Rajula 3.6 352 97 -17.0% 34 10.4 11.7% 38 54 70 77 34 43% 3 11 29 20

Amreli 17 Savarkundla 3.8 387 101 -7.6% 30 12.9 -18.6% 31 68 81 84 58 73% 7 5 14 9

Anand 18 Anklav 5.7 955 167 -5.5% 94 10.2 11.4% 66 91 184 128 57 71% 22 6 43 34

Anand 19 Khambhat 4.6 707 153 -1.1% 110 6.4 -11.3% 95 90 182 157 61 76% 42 13 40 29

Anand 20 Petlad 5.6 1405 253 -0.2% 238 5.9 5.4% 171 82 181 130 58 72% 14 22 36 24

Anand 21 Sarsa 5.7 860 151 -7.1% 107 8.0 21.9% 75 78 182 128 56 70% 14 29 29 22

Banaskantha 22 Danta 4.9 881 180 10.6% 130 6.8 2.1% 106 93 159 130 59 74% 13 6 52 34

Banaskantha 23 Deesa 5.9 1183 201 9.9% 187 6.3 -3.1% 127 79 176 120 56 70% 8 22 33 22

Banaskantha 24 Dhanera 3.3 531 159 29.6% 77 6.9 28.3% 92 77 81 97 56 70% 5 6 30 20

Banaskantha 25 Diodar 6.2 1050 168 13.8% 127 8.3 26.7% 81 77 150 96 57 71% 3 5 31 20

Banaskantha 26 Palanpur 6.2 1217 197 0.5% 183 6.7 6.7% 118 90 202 130 56 70% 10 16 48 34

Banaskantha 27 Tharad 5.7 884 155 -3.5% 132 6.7 1.1% 93 71 114 80 56 70% 3 1 20 15

Bharuch 28 Amod 4.1 580 141 -9.2% 72 8.1 1.3% 70 73 105 102 56 70% 4 14 20 17

Bharuch 29 Bharuch 4.5 798 178 6.2% 129 6.2 6.3% 115 80 136 121 57 71% 19 12 32 23

Bharuch 30 Hansot 3.9 585 151 -2.8% 57 10.3 -1.2% 59 74 116 120 59 73% 15 15 30 15

Bharuch 31 Jhagadia 2.0 493 242 2.5% 122 4.0 -4.3% 239 116 78 153 94 118% 14 14 29 22

Bharuch 32 Valia 1.5 332 221 -1.7% 28 11.9 46.4% 74 117 61 162 77 96% 11 24 43 40

Bhavnagar 33 Bhavnagar_Urban 6.5 1853 283 2.1% 286 6.5 -0.1% 175 80 198 121 56 70% 4 30 31 24

Bhavnagar 34 Botad 4.8 738 153 37.8% 57 12.9 48.0% 47 69 105 87 56 69% 3 7 21 13

Bhavnagar 35 Mahuva 4.7 705 151 #DIV/0! 80 8.8 #DIV/0! 68 79 132 113 57 72% 15 18 23 22

Bhavnagar 36 Palitana 4.6 857 185 26.5% 72 11.9 -5.8% 62 79 124 107 59 73% 10 16 22 20

Bhavnagar 37 Shihor 4.9 812 165 6.3% 90 9.0 -8.4% 73 73 115 94 57 71% 7 11 19 16


District No TU

Ahmedabad 1 Bavla

Ahmedabad 2 Dhandhuka

Ahmedabad 3 Viramgam

AMC 4 Amaraiwadi

AMC 5 Central_zone

AMC 6 Chandlodia

AMC 7 East_zone

AMC 8 L.G. Hospital

AMC 9 Memnagar

AMC 10 North_zone

AMC 11 North-central_zone

AMC 12 South_zone

AMC 13 West_zone

Amreli 14 Amreli_DTC

Amreli 15 Babra

Amreli 16 Rajula

Amreli 17 Savarkundla

Anand 18 Anklav

Anand 19 Khambhat

Anand 20 Petlad

Anand 21 Sarsa

Banaskantha 22 Danta

Banaskantha 23 Deesa

Banaskantha 24 Dhanera

Banaskantha 25 Diodar

Banaskantha 26 Palanpur

Banaskantha 27 Tharad

Bharuch 28 Amod

Bharuch 29 Bharuch

Bharuch 30 Hansot

Bharuch 31 Jhagadia

Bharuch 32 Valia

Bhavnagar 33 Bhavnagar_Urban

Bhavnagar 34 Botad

Bhavnagar 35 Mahuva

Bhavnagar 36 Palitana

Bhavnagar 37 Shihor

3 month conversion rate of

new smear positive patients


retreatment patients

Treatment Success rate of new


Treatment success

rate among smear

positive previously treated

cases

Proportion of all

registered TB

cases with

known HIV

status

Proportion of TB patients

known to be HIV

infected among tested


known to be HIV

infected among

registered

Proportion of HIV infected

TB patients put on

CPT( RT report)


TB patients put on

ART( RT report)

4 4% 89% 72% 85% 73% 107 96% 105 95% 77 89% 105 67% 94% 4% 4% 88% 38%

5 6% 93% 88% 85% 61% 89 86% 103 100% 65 87% 109 89% 98% 4% 4% 100% 83%

5 5% 90% 66% 87% 50% 93 84% 98 88% 72 86% 144 94% 93% 8% 7% 100% 89%

11 9% 87% 76% 84% 55% 80 93% 82 95% 75 96% 16 9% 84% 10% 8% 100% 46%

13 8% 85% 57% 79% 57% 122 93% 122 93% 80 93% 26 11% 77% 5% 4% 100% 100%

9 9% 93% 76% 71% 45% 65 86% 75 99% 61 87% 55 35% 99% 9% 9% 100% 70%

22 11% 88% 77% 90% 70% 110 95% 116 100% 109 100% 103 40% 99% 4% 4% 100% 93%

10 7% 83% 74% 77% 51% 87 93% 94 100% 69 85% 32 16% 78% 8% 6% 100% 100%

12 10% 87% 47% 66% 36% 95 97% 98 100% 64 98% 67 38% 99% 3% 3% 100% 100%

18 10% 84% 61% 68% 50% 92 92% 95 95% 70 100% 67 29% 81% 7% 6% 100% 82%

14 8% 76% 62% 72% 45% 100 85% 117 100% 78 98% 15 6% 84% 5% 4% 100% 83%

13 7% 84% 73% 71% 54% 127 97% 131 100% 87 96% 2 1% 99% 5% 5% 100% 50%

15 10% 83% 50% 84% 29% 82 94% 87 100% 0 0% 48 27% 90% 3% 3% 89% 89%

3 3% 93% 61% 90% 69% 88 94% 92 98% 69 93% 94 85% 88% 3% 3% #DIV/0! #DIV/0!

1 1% 91% 86% 87% 52% 62 95% 64 98% 54 92% 48 59% 85% 4% 4% 100% 100%

4 9% 90% 75% 86% 64% 47 96% 48 98% 45 87% 51 73% 91% 5% 4% 100% 100%

2 3% 91% 67% 91% 44% 58 89% 65 100% 48 91% 47 58% 80% 5% 4% 100% 100%

2 2% 93% 84% 85% 67% 124 95% 128 98% 84 86% 132 72% 83% 1% 1% 100% 63%

5 4% 94% 76% 93% 71% 96 92% 100 96% 96 96% 145 80% 80% 3% 2% 71% 71%

8 6% 94% 66% 85% 57% 105 92% 104 91% 90 95% 106 59% 85% 4% 3% 100% 100%

5 4% 96% 97% 89% 77% 106 95% 108 96% 107 98% 120 66% 83% 9% 7% 100% 100%

4 4% 93% 63% 88% 73% 104 92% 113 100% 76 93% 146 92% 95% 1% 1% 100% 100%

14 11% 94% 69% 86% 72% 114 98% 115 99% 90 96% 129 73% 98% 2% 2% 100% 100%

0 0% 91% 94% 85% 79% 58 91% 63 98% 50 93% 67 83% 95% 1% 1% #DIV/0! #DIV/0!

2 2% 93% 94% 92% 81% 115 96% 118 98% 104 95% 95 63% 95% 4% 4% 100% 100%

9 7% 90% 73% 90% 71% 136 98% 137 99% 106 96% 153 76% 92% 4% 4% 100% 100%

2 2% 94% 74% 90% 73% 98 97% 101 100% 86 93% 75 66% 93% 4% 4% 100% 100%

3 4% 93% 67% 86% 71% 67 89% 75 100% 56 82% 67 64% 91% 5% 5% 100% 100%

5 5% 90% 77% 85% 64% 79 88% 90 100% 58 87% 56 41% 100% 6% 6% 100% 100%

3 3% 93% 80% 91% 83% 66 92% 72 100% 56 90% 65 56% 93% 9% 9% 100% 100%

1 2% 93% 88% 87% 62% 52 88% 59 100% 38 90% 51 65% 85% 2% 1% 100% 100%

0 0% 95% 94% 86% 57% 39 89% 44 100% 35 85% 42 69% 92% 2% 2% 100% 100%

10 7% 95% 74% 83% 59% 131 100% 131 100% 89 96% 169 85% 97% 4% 4% 100% 100%

2 3% 92% 50% 87% 61% 79 95% 83 100% 78 96% 69 66% 95% 3% 3% 100% 100%

5 5% 95% 80% #DIV/0! #DIV/0! 90 97% 92 99% 0 #DIV/0! 85 64% 86% 3% 2% #DIV/0! #DIV/0!

3 3% 96% 82% 88% 58% 85 93% 91 100% 64 90% 51 41% 88% 3% 2% 100% 100%

3 3% 90% 83% 86% 62% 86 96% 87 97% 69 91% 82 71% 92% 6% 5% 100% 100%


started RNTCP DOTS within 7 days of

diagnosis





registered within one month of starting

RNTCP DOTS treatment


cases

No (%) of all cured Smear Positive

cases having end of treatment follow-

up sputum done within 7 days of

last dose


District No TU

Popu-lation (in

lakh) covered

by RNTCP



population




year)

No of Smear

positive patients

diagnosed


case diagnosed


per s+ case

diagnosed (compared


year)

Annualized smear

positive case


PMR)

Annualized smear

positive case


+ Rel + TAD) * 4 /

Pop]

Total patients



notification rate


positive case

notification rate

New smear positive

case detection

rate


negative case

notification rate


pulmonary case

notification rate

Annualized

previously treated

case notificatio

n rate

Annualized

previously treated

smear positive

case notificatio

n rate

Bhavnagar 38 Talaja 4.2 626 150 43.8% 47 13.3 68.6% 45 69 86 83 55 68% 2 9 17 14

Chhotaudepur 39 Chhotaudepur 2.3 540 235 11.1% 90 6.0 -20.9% 156 113 80 139 78 98% 10 12 38 35

Chhotaudepur 40 Kavant 2.9 435 151 24.3% 37 11.8 94.8% 51 80 73 101 60 74% 8 4 28 21

Chhotaudepur 41 Pavi_Jetpur 2.6 448 174 -6.9% 52 8.6 -1.6% 81 93 72 112 56 70% 3 0 48 37

Chhotaudepur 42 Sankheda 2.6 412 159 -1.9% 62 6.6 -17.9% 96 101 74 115 65 81% 11 0 39 36

Dahod 43 Dahod 3.3 1079 322 1.3% 167 6.5 -22.9% 200 118 137 164 77 96% 14 19 51 42

Dahod 44 Devgadhbaria 2.7 685 253 44.8% 54 12.7 71.9% 80 84 74 109 56 70% 1 15 35 28

Dahod 45 Dhanpur 2.7 513 190 -0.3% 38 13.5 38.7% 56 80 61 90 58 72% 6 3 24 22

Dahod 46 Fatehpura 2.6 589 230 39.5% 67 8.8 28.8% 105 100 74 116 58 72% 3 9 45 42

Dahod 47 Garbada 2.8 605 213 33.2% 45 13.4 17.3% 63 79 66 93 56 70% 8 6 23 23

Dahod 48 Jhalod 2.7 945 349 12.0% 90 10.5 -7.4% 133 111 84 124 68 85% 1 7 47 43

Dahod 49 Limdi 2.6 580 224 #DIV/0! 46 12.6 #DIV/0! 71 127 101 156 84 104% 14 6 48 43

Dahod 50 Limkheda 2.6 760 298 24.7% 72 10.6 21.7% 113 80 73 114 60 74% 17 11 25 20

Gandhinagar 51 Dahegam 4.9 818 166 10.8% 97 8.4 -6.2% 79 75 125 102 57 71% 7 9 29 18

Gandhinagar 52 Gandhinagar_DTC 4.5 1103 245 2.4% 131 8.4 7.1% 116 72 130 116 58 72% 10 20 28 14

Gandhinagar 53 Mansa 4.9 1115 226 8.9% 102 10.9 15.9% 83 75 125 101 57 71% 5 10 30 19

Jamnagar 54 Dhrol 5.3 543 102 25.6% 29 18.7 63.0% 22 45 79 59 31 39% 2 6 20 14

Jamnagar 55 Jamnagar_DTC 6.1 2210 361 5.8% 224 9.9 12.0% 146 79 218 142 57 72% 6 48 31 22

Jamnagar 56 Khambhalia 6.0 725 121 1.6% 83 8.7 13.2% 55 71 151 101 56 70% 7 15 23 15

Jamnagar 57 Lalpur 4.9 673 138 -4.5% 53 12.7 -2.9% 43 69 106 87 56 70% 1 11 19 13

Junagadh 58 Junagadh_Rural 4.4 697 158 16.6% 43 16.2 29.8% 39 66 82 74 56 70% 1 5 13 10

Junagadh 59 Junagadh_Urban 4.3 1061 247 3.7% 149 7.1 2.8% 139 79 108 101 57 71% 1 10 29 22

Junagadh 60 Keshod 5.7 869 153 -8.5% 81 10.7 3.0% 57 63 109 77 56 70% 2 3 16 6

Junagadh 61 Kodinar 5.0 737 147 40.6% 102 7.2 -0.6% 81 75 116 93 58 73% 7 6 21 17

Junagadh 62 Una 4.0 578 144 21.6% 67 8.6 27.7% 67 66 104 103 57 71% 9 19 19 9

Junagadh 63 Veraval 5.0 983 199 15.7% 88 11.2 20.3% 71 74 120 97 59 74% 5 15 19 15

Kachchh 64 Anjar 3.2 498 156 9.1% 40 12.5 58.1% 50 73 72 90 56 70% 3 9 23 16

Kachchh 65 Bhachau 2.3 365 161 -0.1% 48 7.6 2.0% 85 70 54 95 56 70% 4 14 21 14

Kachchh 66 Bhuj_DTC 4.3 1138 264 3.0% 133 8.6 0.9% 123 66 112 104 56 70% 12 18 19 10

Kachchh 67 Gandhidham 3.0 337 113 10.5% 45 7.5 -7.6% 60 63 55 74 50 62% 1 5 17 13

Kachchh 68 Mandvi 3.9 630 163 8.7% 53 11.9 73.1% 55 51 63 65 36 45% 6 5 18 14

Kachchh 69 Nakhtrana 2.1 404 188 -4.6% 18 22.4 27.1% 34 43 41 76 32 40% 19 4 22 11

Kachchh 70 Rapar 2.8 331 117 16.2% 47 7.0 33.3% 66 66 53 75 56 70% 0 4 14 10

Kheda 71 Balasinor 4.6 656 144 -8.5% 137 4.8 12.1% 120 103 152 133 72 90% 19 6 36 31

Kheda 72 Kathlal 4.8 703 146 -5.6% 127 5.5 -27.4% 105 82 131 108 56 70% 17 2 32 26

Kheda 73 Mahudha 4.8 737 152 -2.6% 96 7.7 -14.1% 79 75 136 112 56 70% 16 13 27 19

Kheda 74 Matar 4.7 767 163 7.5% 118 6.5 -16.2% 100 84 128 109 60 75% 8 9 31 24


District No TU

Bhavnagar 38 Talaja

Chhotaudepur 39 Chhotaudepur

Chhotaudepur 40 Kavant

Chhotaudepur 41 Pavi_Jetpur

Chhotaudepur 42 Sankheda

Dahod 43 Dahod

Dahod 44 Devgadhbaria

Dahod 45 Dhanpur

Dahod 46 Fatehpura

Dahod 47 Garbada

Dahod 48 Jhalod

Dahod 49 Limdi

Dahod 50 Limkheda

Gandhinagar 51 Dahegam

Gandhinagar 52 Gandhinagar_DTC

Gandhinagar 53 Mansa

Jamnagar 54 Dhrol

Jamnagar 55 Jamnagar_DTC

Jamnagar 56 Khambhalia

Jamnagar 57 Lalpur

Junagadh 58 Junagadh_Rural

Junagadh 59 Junagadh_Urban

Junagadh 60 Keshod

Junagadh 61 Kodinar

Junagadh 62 Una

Junagadh 63 Veraval

Kachchh 64 Anjar

Kachchh 65 Bhachau

Kachchh 66 Bhuj_DTC

Kachchh 67 Gandhidham

Kachchh 68 Mandvi

Kachchh 69 Nakhtrana

Kachchh 70 Rapar

Kheda 71 Balasinor

Kheda 72 Kathlal

Kheda 73 Mahudha

Kheda 74 Matar







Treatment success

rate among smear


cases

Proportion of all

registered TB

cases with

known HIV

status


known to be HIV



known to be HIV

infected among

registered


TB patients put on

CPT( RT report)


TB patients put on

ART( RT report)



diagnosis








cases




last dose

4 6% 95% 88% 89% 84% 65 90% 72 100% 102 87% 73 85% 88% 3% 2% 100% 100%

0 0% 93% 77% 87% 80% 58 89% 65 100% 47 96% 50 63% 100% 5% 5% 100% 100%

4 8% 91% 78% 89% 73% 55 95% 58 100% 38 79% 54 74% 100% 4% 4% 100% 100%

0 0% 90% 71% 85% 80% 57 95% 60 100% 35 85% 52 72% 100% 6% 6% 100% 100%

1 2% 93% 71% 91% 78% 59 91% 65 100% 42 91% 38 51% 100% 0% 0% #DIV/0! #DIV/0!

6 6% 97% 81% 90% 81% 94 95% 96 97% 76 94% 89 65% 100% 12% 12% 100% 100%

2 4% 93% 61% 95% 79% 53 93% 57 100% 55 100% 44 59% 100% 3% 3% 100% 100%

0 0% 95% 69% 93% 81% 51 94% 54 100% 61 97% 39 64% 100% 2% 2% 100% 100%

1 2% 92% 83% 90% 79% 62 97% 62 97% 73 95% 42 57% 100% 1% 1% #DIV/0! #DIV/0!

4 8% 92% 95% 88% 56% 56 100% 54 96% 36 95% 36 55% 94% 3% 3% 100% 100%

2 4% 92% 80% 90% 64% 75 100% 75 100% 77 96% 40 48% 100% 1% 1% 100% 100%


2 4% 95% 92% 89% 96% 51 100% 51 100% 59 97% 54 74% 99% 8% 8% 100% 100%

3 3% 96% 75% 85% 75% 85 92% 91 99% 66 90% 99 79% 100% 5% 5% 100% 50%

6 6% 95% 76% 86% 80% 79 98% 81 100% 68 99% 79 61% 98% 5% 5% 100% 89%

3 3% 90% 68% 86% 79% 86 92% 89 96% 73 95% 88 70% 100% 5% 5% 100% 100%

3 6% 93% 90% 89% 50% 51 85% 59 98% 40 75% 53 67% 92% 7% 6% 100% 100%

9 5% 91% 53% 82% 36% 119 98% 121 100% 78 93% 186 85% 92% 6% 5% 100% 90%

9 8% 92% 54% 85% 53% 87 82% 85 80% 76 83% 77 51% 84% 5% 4% 100% 100%

5 6% 90% 76% 85% 82% 82 98% 84 100% 69 93% 61 58% 86% 9% 8% 100% 100%

0 0% 93% 75% 90% 57% 71 97% 73 100% 60 94% 66 80% 100% 1% 1% 100% 100%

5 6% 95% 75% 89% 77% 83 98% 85 100% 72 97% 75 69% 99% 2% 2% 100% 100%

1 1% 94% 60% 88% 47% 87 98% 88 99% 56 73% 65 60% 100% 4% 4% 100% 100%

4 4% 93% 80% 86% 77% 90 96% 94 100% 66 94% 93 80% 100% 1% 1% 100% 100%

14 16% 93% 64% 86% 64% 65 98% 66 100% 57 95% 82 79% 98% 0% 0% 100% 100%

4 4% 93% 65% 93% 54% 88 96% 92 100% 72 94% 96 80% 98% 3% 3% 100% 100%

2 4% 91% 67% 86% 58% 58 100% 58 100% 40 87% 46 64% 100% 7% 7% 0% 0%

2 5% 94% 100% 94% 67% 39 98% 40 100% 33 94% 41 76% 100% 2% 2% 100% 100%

9 10% 88% 70% 90% 53% 68 96% 67 94% 52 93% 87 78% 98% 0% 0% 100% 0%

2 5% 90% 50% 85% 30% 43 91% 47 100% 26 81% 41 75% 100% 5% 5% 100% 100%

2 4% 90% 50% 85% 64% 49 100% 49 100% 43 88% 42 67% 97% 3% 3% 100% 0%

4 14% 90% 60% 91% 44% 22 96% 23 100% 22 92% 36 88% 98% 5% 5% 100% 0%

2 5% 90% 50% 87% 53% 42 89% 46 98% 37 88% 35 66% 98% 6% 6% 100% 100%

2 2% 92% 68% 86% 69% 105 90% 101 86% 95 89% 84 55% 92% 1% 1% 100% 100%

3 3% 91% 56% 85% 74% 87 88% 90 91% 70 85% 96 73% 97% 1% 1% 100% 100%

4 4% 91% 87% 88% 63% 85 93% 87 96% 78 94% 88 65% 94% 2% 2% 100% 100%

2 2% 92% 70% 86% 73% 88 89% 94 95% 72 91% 71 55% 100% 6% 6% 100% 100%


District No TU

Popu-lation (in

lakh) covered

by RNTCP



population




year)

No of Smear

positive patients

diagnosed


case diagnosed


per s+ case

diagnosed (compared


year)

Annualized smear

positive case


PMR)

Annualized smear

positive case


+ Rel + TAD) * 4 /

Pop]

Total patients



notification rate


positive case

notification rate

New smear positive

case detection

rate


negative case

notification rate


pulmonary case

notification rate

Annualized

previously treated

case notificatio

n rate

Annualized

previously treated

smear positive

case notificatio

n rate

Kheda 75 Nadiad 4.8 985 204 5.6% 197 5.0 -4.0% 163 74 133 110 56 69% 13 17 24 18

Mehsana 76 Kadi 4.4 841 192 -2.9% 64 13.1 11.0% 58 64 96 88 57 71% 4 15 13 7

Mehsana 77 Kheralu 5.8 979 169 -2.3% 115 8.5 -4.9% 80 69 124 86 58 73% 2 8 17 11

Mehsana 78 Mehsana_DTC 5.2 1319 254 7.6% 142 9.3 10.2% 109 68 141 109 56 70% 8 25 20 12

Mehsana 79 Visnagar 5.6 1074 191 -3.6% 106 10.1 12.8% 75 71 141 100 56 70% 9 11 25 15

Narmada 80 Dediapada 2.8 450 162 -28.2% 55 8.2 10.7% 79 95 88 126 66 83% 7 20 33 29

Narmada 81 Rajpipla 1.8 512 288 8.0% 73 7.0 -19.4% 164 115 73 164 76 95% 16 29 43 38

Narmada 82 Tilakwada 1.5 278 180 -34.9% 32 8.7 -29.7% 83 96 43 112 75 94% 3 5 29 21

Navsari 83 Chikhli 3.3 783 239 21.6% 76 10.3 -13.7% 93 78 79 96 57 72% 6 9 24 21

Navsari 84 Gandevi 3.5 614 178 6.7% 84 7.3 -12.2% 97 73 96 111 58 72% 9 23 21 15

Navsari 85 Navsari 4.8 865 181 12.7% 141 6.1 12.9% 118 91 182 152 60 75% 18 31 44 31

Navsari 86 Vansda 2.3 394 175 -9.1% 39 10.1 20.9% 69 66 65 115 59 73% 21 20 16 7

Panchmahals 87 Ghoghamba 2.5 418 165 -3.3% 57 7.3 -1.6% 90 80 71 112 65 81% 16 9 22 16

Panchmahals 88 Godhra 4.8 780 164 -4.2% 169 4.6 -4.9% 142 87 181 152 57 71% 24 17 49 30

Panchmahals 89 Halol 4.7 765 161 -8.4% 159 4.8 -20.3% 134 114 193 163 79 98% 24 22 39 35

Panchmahals 90 Kadana 2.7 440 164 9.5% 57 7.7 9.4% 85 87 76 114 61 77% 18 4 30 25

Panchmahals 91 Mora 2.7 345 130 -0.5% 46 7.5 12.2% 69 99 83 125 68 85% 11 11 35 32

Panchmahals 92 Santrampur 2.7 388 145 -6.9% 54 7.2 -21.1% 81 85 76 113 61 76% 12 10 30 24

Panchmahals 93 Shahera 4.6 866 187 8.1% 143 6.1 30.6% 123 95 153 132 66 82% 24 4 38 29

Patan 94 Chanasma 4.5 774 171 -9.9% 70 11.1 16.1% 62 85 124 110 57 72% 2 11 39 27

Patan 95 Patan 5.6 1334 239 -14.5% 203 6.6 -1.6% 145 83 171 122 60 75% 13 9 41 23

Patan 96 Radhanpur 3.8 924 245 25.3% 79 11.7 11.3% 84 71 93 99 50 62% 7 11 31 21

Porbandar 97 Porbandar 6.1 1078 178 13.1% 117 9.2 17.0% 77 73 203 134 64 80% 34 17 18 9

Rajkot 98 ADTC Morbi 6.2 997 161 10.4% 117 8.5 8.4% 76 71 127 82 57 71% 3 6 16 14

Rajkot 99 DTC Urban 6.5 2445 377 7.2% 352 6.9 2.9% 217 69 160 99 56 70% 2 15 25 13

Rajkot 100 Jetpur 5.9 1222 209 -7.2% 94 13.0 7.4% 64 64 148 101 56 70% 16 15 14 8

Rajkot 101 Kotda Sangani 4.8 645 134 11.3% 56 11.5 -13.1% 46 68 112 93 56 70% 5 14 17 12

Rajkot 102 PKH 6.5 888 137 -0.7% 90 9.9 -2.3% 55 66 131 81 56 70% 3 2 19 10

Rajkot 103 Rural Rajkot 4.8 750 158 3.0% 40 18.8 -5.7% 34 73 112 94 56 70% 2 14 22 17

Rajkot 104 Upleta 4.7 1055 225 -1.1% 83 12.7 -6.7% 71 70 110 94 56 70% 7 10 20 14

Sabarkantha 105 Bhiloda 2.8 433 152 -9.4% 81 5.3 1.2% 114 91 104 146 66 82% 35 11 34 25

Sabarkantha 106 Dhansura 5.7 729 128 -7.6% 130 5.6 7.7% 92 78 168 118 56 70% 18 12 32 22

Sabarkantha 107 Himatnagar 6.1 1174 192 -9.5% 238 4.9 -4.9% 156 86 235 154 57 71% 28 12 50 29

Sabarkantha 108 Idar 5.1 687 136 -2.2% 88 7.8 -8.5% 69 67 131 103 56 70% 13 10 24 11


District No TU

Kheda 75 Nadiad

Mehsana 76 Kadi

Mehsana 77 Kheralu

Mehsana 78 Mehsana_DTC

Mehsana 79 Visnagar

Narmada 80 Dediapada

Narmada 81 Rajpipla

Narmada 82 Tilakwada

Navsari 83 Chikhli

Navsari 84 Gandevi

Navsari 85 Navsari

Navsari 86 Vansda

Panchmahals 87 Ghoghamba

Panchmahals 88 Godhra

Panchmahals 89 Halol

Panchmahals 90 Kadana

Panchmahals 91 Mora

Panchmahals 92 Santrampur

Panchmahals 93 Shahera

Patan 94 Chanasma

Patan 95 Patan

Patan 96 Radhanpur

Porbandar 97 Porbandar

Rajkot 98 ADTC Morbi

Rajkot 99 DTC Urban

Rajkot 100 Jetpur

Rajkot 101 Kotda Sangani

Rajkot 102 PKH

Rajkot 103 Rural Rajkot

Rajkot 104 Upleta

Sabarkantha 105 Bhiloda

Sabarkantha 106 Dhansura

Sabarkantha 107 Himatnagar

Sabarkantha 108 Idar







Treatment success

rate among smear


cases

Proportion of all

registered TB

cases with

known HIV

status


known to be HIV



known to be HIV

infected among

registered


TB patients put on

CPT( RT report)


TB patients put on

ART( RT report)



diagnosis








cases




last dose

6 6% 91% 70% 86% 64% 80 90% 85 96% 68 88% 85 64% 97% 4% 4% 100% 100%

4 5% 92% 80% 87% 70% 62 89% 68 97% 61 90% 40 42% 98% 7% 7% 100% 100%

6 6% 95% 91% 89% 82% 92 92% 95 95% 74 91% 70 56% 94% 8% 7% 100% 88%

12 10% 90% 68% 88% 62% 77 88% 86 98% 65 92% 89 63% 93% 15% 13% 100% 100%

6 6% 96% 73% 86% 69% 89 89% 94 94% 78 93% 59 42% 73% 10% 7% 100% 100%

2 3% 100% 82% 98% 78% 58 88% 66 100% 45 90% 87 99% 97% 1% 1% 100% 100%

4 7% 91% 82% 87% 36% 49 96% 51 100% 37 100% 51 70% 96% 7% 7% 100% 100%

0 0% 93% 100% 87% 57% 31 84% 37 100% 30 100% 37 86% 93% 5% 5% 100% 0%

1 2% 92% 75% 74% 63% 62 97% 64 100% 35 88% 71 90% 96% 1% 1% 100% 100%

6 8% 92% 86% 92% 67% 63 100% 63 100% 52 100% 73 76% 95% 5% 5% 100% 100%

10 8% 90% 87% 86% 68% 102 94% 104 95% 86 98% 147 81% 97% 8% 8% 100% 91%

2 4% 97% 100% 91% 87% 35 95% 37 100% 42 100% 41 63% 98% 2% 2% #DIV/0! #DIV/0!

3 5% 97% 91% 88% 54% 48 94% 51 100% 39 93% 59 83% 96% 0% 0% 100% 67%

9 7% 94% 69% 93% 61% 101 97% 104 100% 77 96% 163 90% 97% 7% 7% 100% 100%

14 10% 91% 59% 86% 53% 129 96% 135 100% 88 94% 170 88% 96% 2% 2% 100% 100%

2 4% 98% 86% 95% 80% 56 97% 56 97% 60 95% 62 82% 99% 0% 0% 100% 100%

4 7% 93% 78% 85% 65% 54 82% 66 100% 55 95% 71 86% 100% 2% 2% #DIV/0! #DIV/0!

1 2% 95% 74% 92% 86% 55 96% 57 100% 53 100% 59 78% 100% 1% 1% 100% 100%

4 4% 96% 88% 92% 70% 104 95% 110 100% 114 97% 108 71% 100% 2% 2% 100% 100%

3 4% 92% 90% 89% 68% 86 90% 96 100% 68 88% 65 52% 96% 2% 2% 100% 100%

3 3% 90% 41% 88% 50% 108 93% 116 100% 103 94% 142 83% 95% 4% 4% 95% 95%

4 6% 90% 100% 85% 68% 50 75% 65 97% 51 98% 72 77% 100% 2% 2% 100% 86%

17 10% 90% 53% 91% 79% 105 95% 110 100% 99 92% 68 33% 100% 7% 7% 94% 0%

4 4% 91% 79% 86% 63% 102 94% 107 98% 89 100% 53 42% 91% 3% 3% 100% 100%

7 6% 97% 71% 88% 70% 112 100% 112 100% 98 100% 78 49% 96% 7% 6% 100% 100%

21 17% 90% 86% 91% 71% 88 94% 94 100% 80 94% 40 27% 95% 1% 1% 100% 100%

5 5% 91% 77% 90% 70% 78 95% 82 100% 68 93% 52 46% 89% 4% 4% 100% 100%

4 4% 91% 75% 87% 54% 103 96% 107 100% 92 100% 23 18% 95% 10% 10% 100% 100%

9 10% 95% 71% 89% 67% 84 97% 87 100% 70 100% 54 48% 99% 7% 7% 100% 92%

7 8% 92% 69% 88% 80% 81 99% 82 100% 65 100% 57 52% 96% 8% 7% 100% 100%

2 3% 90% 92% 87% 74% 61 94% 64 98% 64 100% 80 77% 93% 6% 6% 100% 100%

2 2% 92% 79% 86% 71% 91 82% 109 98% 87 86% 144 86% 92% 5% 4% 100% 83%

11 7% 92% 85% 87% 71% 130 98% 131 99% 99 96% 183 78% 90% 4% 4% 100% 100%

3 3% 93% 88% 86% 86% 82 96% 82 96% 73 89% 95 73% 95% 6% 6% 100% 100%


District No TU

Popu-lation (in

lakh) covered

by RNTCP



population




year)

No of Smear

positive patients

diagnosed


case diagnosed


per s+ case

diagnosed (compared


year)

Annualized smear

positive case


PMR)

Annualized smear

positive case


+ Rel + TAD) * 4 /

Pop]

Total patients



notification rate


positive case

notification rate

New smear positive

case detection

rate


negative case

notification rate


pulmonary case

notification rate

Annualized

previously treated

case notificatio

n rate

Annualized

previously treated

smear positive

case notificatio

n rate

Sabarkantha 109 Khedbrahma 2.7 376 142 -4.2% 69 5.4 0.2% 104 86 88 133 68 85% 21 12 30 18

Sabarkantha 110 Meghraj 2.7 462 168 0.3% 56 8.3 27.5% 82 89 105 153 63 78% 41 10 39 26

SMC 111 BP 5.4 1158 216 49.7% 86 13.5 38.1% 64 76 165 123 61 77% 4 25 33 15

SMC 112 Hirabaug 4.6 1791 389 70.5% 300 6.0 -1.6% 261 72 159 138 57 72% 12 43 26 15

SMC 113 Karanj 5.2 950 183 #DIV/0! 95 10.0 #DIV/0! 73 90 247 190 72 89% 10 67 42 18

SMC 114 Katargam 5.3 1230 232 90.0% 103 11.9 37.4% 78 68 176 133 51 63% 5 38 39 17

SMC 115 Limbayat 5.1 839 165 32.7% 62 13.5 27.9% 49 66 138 108 49 62% 3 34 22 16

SMC 116 Navagam 5.3 841 159 #DIV/0! 65 12.9 #DIV/0! 49 72 213 161 57 71% 18 54 32 16

SMC 117 Pandesara 5.3 970 183 #DIV/0! 60 16.2 #DIV/0! 45 72 206 155 57 71% 15 47 37 15

SMC 118 Rander 4.9 796 162 57.3% 70 11.4 34.6% 57 72 128 104 57 71% 1 21 25 15

SMC 119 Udhana 5.1 872 171 29.4% 77 11.3 -5.0% 60 68 154 121 56 71% 13 27 24 12

Surat-R 120 Bardoli 4.0 693 175 -10.9% 112 6.2 -32.1% 113 103 138 139 83 103% 10 14 32 20

Surat-R 121 Kamrej 3.3 550 166 8.7% 92 6.0 15.5% 111 110 152 183 75 94% 28 30 51 35

Surat-R 122 Mandvee 2.5 375 152 7.6% 66 5.7 -7.8% 107 125 107 174 86 108% 24 11 52 39

Surat-R 123 Mangrol 2.9 596 207 -8.7% 111 5.4 -16.0% 154 97 93 129 71 89% 17 8 33 26

Surat-R 124 Surat 4.1 1644 400 4.2% 289 5.7 3.8% 281 83 118 115 56 71% 3 21 34 26

Surendranagar 125 Dhrangadhra 4.1 444 109 -10.5% 39 11.4 -11.3% 38 74 92 90 56 70% 4 9 22 18

Surendranagar 126 Muli 4.5 551 122 15.8% 63 8.7 -2.8% 56 76 115 102 56 70% 7 12 27 20

Surendranagar 127 Patdi 2.9 254 89 -4.7% 37 6.9 -13.5% 52 85 78 109 56 70% 6 8 39 29

Surendranagar 128 Surendranagar 6.7 2603 387 12.1% 332 7.8 11.6% 197 81 202 120 56 70% 8 17 39 26

The Dangs 129 Ahwa 2.3 426 182 -0.5% 49 8.7 -2.9% 84 80 56 96 56 70% 3 12 24 24

Vadodara 130 Baroda 5.3 2357 444 6.8% 378 6.2 -5.5% 285 89 163 123 65 81% 8 14 37 24

Vadodara 131 Padra 5.4 997 185 -4.5% 77 12.9 19.9% 57 83 173 128 59 74% 10 22 36 24

Vadodara 132 Savli 4.7 1161 246 3.0% 207 5.6 -17.0% 176 128 197 167 83 104% 11 14 59 45

Valsad 133 Bhilad 3.0 454 154 -8.5% 49 9.3 -5.1% 66 77 83 112 58 73% 7 22 26 19

Valsad 134 Dharampur 2.3 416 185 5.4% 44 9.5 19.4% 78 69 50 89 57 71% 2 12 18 12

Valsad 135 Kaprada 2.5 383 151 3.2% 48 8.0 -6.0% 76 79 59 93 58 73% 5 6 24 21

Valsad 136 Pardi 5.1 776 153 0.0% 85 9.1 11.3% 67 73 151 119 57 71% 15 17 30 16

Valsad 137 Valsad 4.8 930 193 1.6% 117 7.9 -11.7% 97 73 116 96 57 71% 4 8 27 17

VMC 138 Bawchawad 6.2 876 142 -7.8% 106 8.3 0.0% 69 69 196 127 45 57% 24 23 34 24

VMC 139 Gotri 5.9 942 159 6.5% 197 4.8 -4.9% 133 68 184 125 47 59% 12 33 31 20

VMC 140 Jubilibaug 5.1 592 115 -20.7% 68 8.7 -32.4% 53 63 136 106 56 70% 8 23 19 7

Vyara 141 Nizar 2.0 310 159 7.0% 38 8.2 0.2% 78 96 60 123 63 79% 12 14 33 33

Vyara 142 Songadh 2.4 507 214 -7.7% 51 9.9 45.4% 86 83 83 140 73 91% 27 13 27 10

Vyara 143 Valod 1.9 335 177 -0.8% 49 6.8 25.6% 104 112 83 175 89 111% 34 17 36 23

Vyara 144 Vyara 2.1 416 196 10.3% 70 5.9 10.5% 132 107 85 160 75 94% 32 8 43 32

624.5 118306 189 6.3% 15116 7.8 5.2% 97 78 18281 117 58 72% 11 18 30 20Gujarat State


District No TU

Sabarkantha 109 Khedbrahma

Sabarkantha 110 Meghraj

SMC 111 BP

SMC 112 Hirabaug

SMC 113 Karanj

SMC 114 Katargam

SMC 115 Limbayat

SMC 116 Navagam

SMC 117 Pandesara

SMC 118 Rander

SMC 119 Udhana

Surat-R 120 Bardoli

Surat-R 121 Kamrej

Surat-R 122 Mandvee

Surat-R 123 Mangrol

Surat-R 124 Surat

Surendranagar 125 Dhrangadhra

Surendranagar 126 Muli

Surendranagar 127 Patdi

Surendranagar 128 Surendranagar

The Dangs 129 Ahwa

Vadodara 130 Baroda

Vadodara 131 Padra

Vadodara 132 Savli

Valsad 133 Bhilad

Valsad 134 Dharampur

Valsad 135 Kaprada

Valsad 136 Pardi

Valsad 137 Valsad

VMC 138 Bawchawad

VMC 139 Gotri

VMC 140 Jubilibaug

Vyara 141 Nizar

Vyara 142 Songadh

Vyara 143 Valod

Vyara 144 Vyara

Gujarat State







Treatment success

rate among smear


cases

Proportion of all

registered TB

cases with

known HIV

status


known to be HIV



known to be HIV

infected among

registered


TB patients put on

CPT( RT report)


TB patients put on

ART( RT report)



diagnosis








cases




last dose

7 10% 91% 89% 86% 81% 43 75% 50 88% 40 85% 87 99% 91% 0% 0% 100% 100%

1 1% 93% 69% 87% 66% 48 79% 60 98% 50 76% 42 40% 93% 0% 0% 100% 100%

6 5% 94% 69% 91% 61% 98 96% 102 100% 79 98% 20 12% 100% 5% 5% 100% 100%

12 9% 85% 68% 82% 58% 76 92% 83 100% 90 93% 50 31% 100% 9% 9% 100% 63%


11 9% 86% 72% 89% 46% 86 96% 84 93% 76 97% 57 32% 100% 13% 13% 100% 52%

13 12% 96% 82% 85% 73% 80 95% 83 99% 122 98% 23 17% 99% 4% 4% 100% 73%



4 4% 92% 65% 89% 60% 79 90% 88 100% 81 96% 60 47% 98% 4% 4% 100% 92%

7 6% 90% 65% 87% 45% 81 93% 85 98% 104 92% 67 44% 100% 6% 6% 100% 95%

2 2% 92% 73% 86% 76% 90 88% 102 100% 60 91% 107 78% 96% 5% 4% 100% 71%

4 4% 93% 71% 91% 80% 84 92% 91 100% 74 93% 120 79% 95% 1% 1% 100% 86%

2 3% 92% 71% 95% 77% 73 95% 77 100% 52 96% 91 85% 95% 1% 1% 100% 67%

1 1% 98% 79% 93% 77% 67 96% 70 100% 58 95% 90 97% 96% 1% 1% 100% 100%

4 5% 91% 64% 89% 64% 78 92% 85 100% 62 91% 87 74% 97% 3% 3% 100% 100%

1 1% 91% 71% 86% 83% 73 97% 75 100% 53 95% 64 70% 101% 3% 3% 100% 75%

5 6% 90% 57% 66% 42% 82 96% 84 99% 28 97% 72 63% 97% 8% 8% 82% 82%

0 0% 88% 70% 85% 58% 58 95% 61 100% 41 85% 55 71% 97% 9% 9% 100% 100%

7 5% 95% 68% 90% 68% 135 99% 137 100% 103 93% 141 70% 99% 11% 10% 82% 82%

1 2% 88% 88% 95% 100% 44 94% 47 100% 37 93% 44 79% 100% 0% 0% 75% 0%

0 0% 93% 82% 80% 72% 112 95% 116 98% 73 95% 94 58% 94% 6% 6% 100% 100%

6 5% 97% 77% 91% 63% 107 96% 110 98% 88 95% 112 65% 98% 4% 4% 100% 75%

5 4% 90% 71% 86% 72% 141 93% 142 94% 80 92% 128 65% 96% 4% 4% 100% 100%

1 2% 90% 100% 90% 60% 55 96% 56 98% 43 93% 53 64% 98% 4% 4% 100% 100%

2 5% 90% 83% 80% 40% 36 92% 39 100% 28 100% 38 76% 98% 0% 0% 100% 100%

3 7% 91% 67% 86% 33% 45 90% 50 100% 30 88% 50 85% 95% 0% 0% 100% 100%

4 4% 91% 81% 89% 71% 78 85% 91 99% 74 93% 120 79% 99% 3% 3% 100% 100%

1 1% 90% 56% 85% 46% 81 92% 88 100% 65 94% 83 72% 100% 5% 5% 100% 100%

10 7% 84% 67% 86% 61% 96 90% 107 100% 70 72% 85 43% 76% 9% 7% 91% 82%

10 7% 88% 74% 83% 25% 91 91% 100 100% 62 85% 52 28% 91% 8% 7% 100% 100%

3 3% 90% 71% 85% 65% 76 94% 75 93% 74 99% 4 3% 99% 13% 13% 100% 88%

4 9% 97% 100% 91% 90% 44 94% 47 100% 37 97% 51 85% 100% 7% 7% 100% 100%

3 4% 96% 92% 90% 92% 48 98% 49 100% 54 98% 57 69% 96% 0% 0% 100% 100%

0 0% 93% 83% 97% 62% 46 87% 52 98% 39 93% 72 87% 89% 4% 4% 100% 100%

4 6% 95% 87% 88% 86% 48 84% 57 100% 40 95% 54 64% 100% 2% 2% 100% 50%

767 6% 92% 74% 87% 64% 11386 93% 11988 98% 9109 92% 10681 58% 94% 5% 5% 97% 86%

Success Rate Vs Case Detection Rate (1q12/1q13)

65

70

75

80

85

90

95

40 45 50 55 60 65 70 75 80 85 90 95


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS HIGH DETECTIONHIGH SUCCESS LOW DETECTION


Central Zone(AMC)

South Zone(AMC)

Amaraiwadi(AMC)

Khambhat(AND)

Kathlal(KHD), Mahudha(KHD), ,Dhrangadhra(SNR), Patdi(SNR),Dhandhuka(AMD), Viramgam(AMD)

North-Central Zone(AMC)

Balasinor(KHD)

West Zone(AMC)

East Zone(AMC)

Memnagar(AMC)

L.G. Hosp.(AMC)

Chandlodia (AMC)

North Zone(AMC)

Matar(KHD)Bavla(AMD),Anklav(AND),Petlad(AND)

Muli(SNR)

Nadiad(KHD)

Sarsa(AND)

S'nagar(SNR)

80

85

90

95

60 65 70 75 80 85 90


Succ

ess

Rat

e (%

)

Meghraj (SK)

Target ZoneHIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION


Patan_DTC

Deesa(BK), Dhanera(BK),Idar(SK), Dehgam (GNR)Mansa (GNR), Kadi (MEH), Visnagar (MEH), Dhansura(SK),Himmatnagar(SK)

Gandhinagar_DTC

Radhanpur(PTN)

Khedbrahma(SK)

Diodar(BK)

Tharad(BK),Palanpur(BK)

Kheralu(MEH)

Danta(BK)

Mehsana_DTCBhiloda(SK)

Chanasma (PTN)

Ahmedabad Zone

Gandhinagar Zone


80

85

90

95

40 45 50 55 60 65 70 75 80 85 90 95


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION


Amreli_DTC

Junagadh_Urban

Veraval(JNG)

Una(JNG),Shihor(BVG)

Keshod(JNG)

Babra(AMR)

Savarkundla(AMR)

Palitana(BVN)

Kodinar(JNG)

Bhavnagar(Urban)

Rajula(AMR)

Botad(BVG)

Talaja(BVN)

Junagadh_Rural

80

85

90

95

35 40 45 50 55 60 65 70 75 80 85


Succ

ess

Rat

e (%

)

Target Zone



Dhrol (Jmn)

PorbandarNakhtrana(KTC)

Mandvi (KTC)

Anjar(KTC)Lalpur(JMN),Khambhalia(JMN)

Bhachau (KTC)

Jamnagar_DTC

Gandhidham(KTC)

Jetpur(RJT)

Bhuj(KTC), Kotda Shangani(RJT)

Rural Rajkot

Upleta(RJT), DTC Urban(RJT)

PKH (RJT), Rapar(KTC)

Morbi(RJT)

Bhavnagar Zone

Rajkot Zone


70

75

80

85

90

95

100

60 65 70 75 80 85 90 95 100 105 110 115


Succ

ess

Rat

e (%

)

Target Zone



Mangrol(Sur-R)

Vyara DTC

Valod(VYR)

Nizar(VYR) Kamrej(Sur-R)

Ahwa(DNG)

Bhilad(VLD) BP(SMC)Katargam(SMC)

Navsari DTC

Mandavee(Sur-R)

Bardoli(Sur-R)

Songadh(VYR)

Vansda(NVS)

Limbayat(SMC)

Hirabaug

Valsad(VLD)

Gandevi(NVS)

Udhana(SMC)Kaprada(VLD)

Chikhli(NVS)

Dharampur(VLD)

Rander,Pardi(VLD),Surat_DTC

75

80

85

90

95

100

55 60 65 70 75 80 85 90 95 100 105 110 115 120


Succ

ess

Rat

e (%

)

Target ZoneHIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION

LOW SUCCESSLOW DETECTION LOW SUCCESS HIGH DETECTION

Sankheda

Sahera(PM)

Jhalod

ValiaMora

Rajpipla

Kadana

Garbada(DHD)

Tilakwada

Dediapada

Chhotaudepur

Hansot

JhagadiaBharuch,Pavijetpur,Jubilibaug

Kavant, Limkheda

SavliHalol

DahodPadra

Dhanpur(DHD)

Devgadhbaria

Santrampur

Godhra

Gotri(VMC)

Baroda

Bawchawad

Ghoghamba

Fatehpura

Amod

Surat Zone

Vadodara Zone

Total Populatio

n (In lacs)

IRL for district DOTS Plus site for district

Number of S+ Re-

treatment cases

registered in districts implementing DOTS

Plus in 1Q13

Number of MDR TB Suspects subjected

to C-DST in 1Q13

Proportion of S+ RT cases registered in

districts implementing PMDT who were tested

for MDR-TB $

Number of MDR TB Cases

detected in 1Q13

Number of MDR TB Cases

detected that were

registered and

initiated on Cat-IV

treatment in 1Q13 #

Number of MDR TB

Case registered

and initiated on Cat IV in

the 4 cohorts 6-9

months prior 2Q12

(a)

Ahmedabad-R 16.9 IRL Ahmedabad BJMC Abad 204 186 91% 15 10 8 2 25% 1 0% 1 13%AMC 57.6 IRL Ahmedabad BJMC Abad 757 673 89% 75 70 112 51 46% 13 12% 14 13%

Amreli 15.7 C & DST JMD BJMC Abad 92 88 96% 8 3 5 4 80% 1 20% 0 0%Anand 21.6 IRL Ahmedabad BJMC Abad 297 271 91% 10 8 11 4 36% 3 27% 1 9%

Banaskantha 32.2 IRL Ahmedabad BJMC Abad 382 401 105% 29 16 13 6 46% 0 0% 0 0%Bharuch 16.0 IRL Ahmedabad GMC Vadodara 146 142 97% 5 5 15 5 33% 1 7% 0 0%

Bhavnagar 29.8 IRL Ahmedabad BJMC Abad 216 213 99% 17 14 17 9 53% 3 18% 0 0%Chhotaudepur 10.3 IRL Ahmedabad GMC Vadodara 129 112 87% 10 7 5 3 60% 0 0% 2 40%

Dahod 22.0 IRL Ahmedabad GMC Vadodara 254 237 93% 18 15 12 2 17% 2 17% 1 8%Gandhinagar 14.4 IRL Ahmedabad BJMC Abad 143 127 89% 7 8 17 13 76% 0 0% 0 0%

Jamnagar 22.3 C & DST JMD M.P.ShahMC, Jamnagar 189 150 79% 13 12 21 13 62% 3 14% 3 14%

Junagadh 28.4 C & DST JMD M.P.ShahMC, Jamnagar 189 180 95% 25 20 28 17 61% 5 18% 3 11%

Kachchh 21.6 C & DST JMD BJMC Abad 167 151 90% 10 4 15 8 53% 0 0% 1 7%Kheda 23.8 IRL Ahmedabad BJMC Abad 291 259 89% 15 13 14 5 36% 0 0% 2 14%

Mehsana 21.0 IRL Ahmedabad BJMC Abad 141 132 94% 9 5 7 5 71% 2 29% 0 0%Narmada 6.1 IRL Ahmedabad GMC Vadodara 69 72 104% 4 0 5 2 40% 1 20% 0 0%Navsari 13.8 IRL Ahmedabad GMC Surat 153 154 101% 9 8 8 5 63% 1 13% 0 0%

Panchmahal 24.7 IRL Ahmedabad GMC Vadodara 333 278 83% 17 20 23 12 52% 3 13% 3 13%Patan 13.9 IRL Ahmedabad BJMC Abad 177 163 92% 10 9 15 7 47% 2 13% 2 13%

Porbandar 6.1 C & DST JMD M.P.ShahMC, Jamnagar 57 55 96% 2 1 3 0 0% 1 33% 0 0%

Rajkot 39.3 C & DST JMD M.P.ShahMC, Jamnagar 227 228 100% 14 7 23 9 39% 6 26% 1 4%

Sabarkantha 25.1 IRL Ahmedabad BJMC Abad 268 249 93% 24 25 19 8 42% 3 16% 2 11%SMC 46.2 IRL Ahmedabad GMC Surat 419 402 96% 54 51 22 16 73% 2 9% 1 5%

Surat-R 16.7 IRL Ahmedabad GMC Surat 217 221 102% 11 8 7 4 57% 2 29% 1 14%Surendranagar 18.2 C & DST JMD BJMC Abad 238 206 87% 13 5 15 7 47% 1 7% 2 13%

The Dang 2.3 IRL Ahmedabad GMC Surat 21 21 100% 0 0 2 2 0% 0 0% 0 0%Vadodara -R 15.4 IRL Ahmedabad GMC Vadodara 212 212 100% 6 5 11 6 55% 0 0% 2 18%

Valsad 17.6 IRL Ahmedabad GMC Surat 154 151 98% 8 5 7 5 71% 1 14% 0 0%VMC 17.2 IRL Ahmedabad GMC Vadodara 174 169 97% 17 12 21 13 62% 3 14% 2 10%Vyara 8.3 IRL Ahmedabad GMC Surat 89 86 97% 8 5 6 3 50% 1 0% 0 0%

Gujarat 624.5 6405 5989 94% 463 371 487 246 51% 61 13% 44 9%

DOTS Plus Implementation, Diagnosis, 6 months interim, 12 months Culture Conversion and Treatment Outcome of MDR TB Case

(Reported by Districts of Implementing State)

District

Indicators on Coverage of MDR TB Services Indicators on 6 months interim report

Out of a, No. (%) who are alive, on treatment and culture

negative

Out of a, No. (%) who died

Out of a, No. (%) who

defaulted

Indicators on MDR TB Case Finding

Ahmedabad-RAMC

AmreliAnand

BanaskanthaBharuch

BhavnagarChhotaudepur

DahodGandhinagar

Jamnagar

Junagadh

KachchhKheda

MehsanaNarmadaNavsari

PanchmahalPatan

Porbandar

Rajkot

SabarkanthaSMC

Surat-RSurendranagar

The DangVadodara -R

ValsadVMCVyara

Gujarat

District

Number of MDR TB

cases registered

in the cohort, 12-15 months

prior (4Q11) (b)

Number of MDR TB

cases registered in the cohort,

31-33 months

prior 3Q10 (c)

Out of c, No.

reported as Cured

Out of c, No. reported as Treatment Completed

Out of c, Success

Rate

3 1 33% 1 33% 1 33% 0 0% 0 0% 0 0% 5 2 0 40% 1 20% 1 20% 1 20% 0 0% 0 0%61 27 44% 11 18% 6 10% 10 16% 6 10% 1 2% 41 11 4 37% 15 37% 7 17% 3 7% 0 0% 1 2%0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 4 2 0 50% 0 0% 2 0% 0 0% 0 0% 0 0%5 3 60% 1 20% 0 0% 0 0% 1 20% 0 0% 12 4 0 33% 3 25% 3 25% 2 17% 0 0% 0 0%6 3 50% 0 0% 0 0% 1 17% 2 33% 0 0% 9 3 0 33% 2 22% 1 11% 2 22% 1 11% 0 0%2 1 50% 0 0% 0 0% 0 0% 0 0% 0 0% 4 1 0 25% 2 50% 0 0% 1 25% 0 0% 0 0%2 2 100% 0 0% 0 0% 0 0% 0 0% 0 0% 9 2 2 44% 2 22% 1 11% 2 22% 0 0% 0 0%1 0 0% 0 0% 1 100% 0 0% 1 100% 0 0% 5 1 2 60% 1 20% 0 0% 1 20% 0 0% 0 0%4 1 25% 0 0% 1 25% 2 50% 0 0% 0 0% 10 1 0 10% 4 40% 4 40% 1 10% 0 0% 0 0%6 3 50% 1 17% 0 0% 2 33% 0 0% 0 0% 4 0 0 0% 1 25% 1 25% 2 50% 0 0% 0 0%

8 4 50% 0 0% 0 0% 4 50% 0 0% 0 0%

19 8 42% 3 16% 1 0% 6 32% 1 5% 0 0%

9 5 56% 0 0% 2 22% 1 11% 1 11% 0 0% 0 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%6 1 17% 1 17% 2 33% 2 33% 0 0% 0 0% 9 3 1 44% 2 22% 3 33% 0 0% 0 0% 0 0%5 3 60% 0 0% 0 0% 1 0% 1 0% 0 0% 4 1 0 25% 1 25% 2 50% 0% 0% 0%0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 1 1 0 100% 0 0% 0 0% 0 0% 0 0% 0 0%1 1 0% 0 0% 0 0% 0 0% 0 0% 0 0%13 5 38% 1 8% 1 8% 2 15% 3 23% 1 8% 22 11 0 50% 6 27% 3 14% 1 5% 1 0% 0 0%4 2 50% 2 50% 0 0% 0 0% 0 0% 0 0% 5 2 0 40% 2 40% 1 20% 0 0% 0 0% 0 0%

4 2 50% 1 25% 0 0% 0 0% 1 0% 0 0%

5 4 80% 1 20% 0 0% 0 0% 0 0% 0 0% 5 2 0 40% 2 40% 1 20% 0 0 0

3 2 67% 0 0% 1 33% 0 0% 0 0% 0 0% 15 6 0 40% 3 20% 2 13% 2 13% 2 13% 0 0%5 5 100% 0 0% 0 0% 0 0% 0 0% 0 0%3 3 0% 0 0% 0 0% 0 0% 0 0% 0 0%7 2 29% 2 29% 3 43% 0 0% 0 0% 0 0% 9 5 0 56% 1 11% 3 33% 0 0% 0 0% 0 0%1 0 0% 0 0% 0 0% 0 0% 1 0% 0 0% 0 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%5 2 40% 1 20% 0 0% 1 20% 1 20% 0 0% 4 2 0 50% 1 0% 0 0% 1 0% 0 0% 0 0%1 0 0% 1 100% 0 0% 0 0% 0 0% 0 0%3 1 33% 0 0% 0 0% 1 0% 1 33% 0 0% 9 3 0 33% 2 0% 4 0% 0 0% 0 0% 0 0%0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

192 91 47% 27 14% 19 10% 33 17% 20 10% 2 1% 186 63 9 39% 51 27% 39 21% 19 10% 4 2% 1 1%

DOTS Plus Implementation, Diagnosis, 6 months interim, 12 months Culture Conversion and Treatment Outcome of MDR TB Case

(Reported by Districts of Implementing State)

Out of b, No. (%) who died

Out of b, No. (%) who defaulted

Indicators on 12 months Culture Conversion Report

Switch to CAT V

Switch to Cat V

Indicators on Treatment Outcome of MDR TB Cases

Still on treatment

Out of b, No. (%) who are alive, on

treatment and culture negative

Out of c, No. (%) who failed

treatment

Out of c, No. (%) who died

Out of c, No. (%) who

defaulted


treatment and culture positive


treatment and culture not known

Intermediate Reference Laboratory, Ahmedabad Gujarat State

Quarterly Report on Laboratory Performance – 4Q12

Culture workload (from culture register)

DST workload and results (from DST register) [DST results summary combined all methods]

Month

Diagnostic Sputum

SPECIMENS inoculated

Follow‐Up SPECIMENS inoculated

Solid DST

Processed

Liquid DST

Processed

LPA DST done

Total H+R Sens

Total H+R Res

Total H only Res

Total R only Res

Total KA+OF & K

only Res

OCT‐12 666 732 808 652 63 68 25 NOV‐12 616 928 645 486 59 72 28 DEC‐12 674 926

760 611 46 78 25

Performance indicators

Numerator(No.) Denominator(No.) Per (%)

(1) Specimens (all) received within 72 hours of sputum collection IN 4‐8 °C ( F‘UP )

2512 2586 97.13

(2)Specimens (all) received within 72 hours of sputum collection in 4‐8°C (Diag.)

5868 6024 97.41

(3) Number of specimen rejected at the lab due to various reason (eg. Leakage, inadequate quantity, etc)

10 8620 0.11

(4) Specimens (all) with cultures reported as Mtb. complex ( F’UP) 796 2586 30.78 (5) Smear‐positive diagnostic specimens reported as culture‐positive ( Invalid samples )

156 216 72.22

(6) Smear negative diagnostic specimens reported as culture positive ( “A” & “B” “ C”)

368 1740 21.14

(7) Specimens for F’UP 4&5 reported as contaminated results with Liquid culture.

235 894 26.29

(8) Specimens (all) with culture‐contaminated results (by L ‐ J culture system) ( F’UP)

102 2586 3.94

(9) Specimens (all diagnostic) with culture results reported as NTM .

166 6024 2.75

(10) Patients (XDR suspects) with 2nd Line DST completed with L‐J OR LIQUID OR LPA.

NA NA NA

(11) Patients (with diagnostic specimens) with DST completed within the benchmark turn‐around time (by LPA)

1918 2142 89.54

(12) Patients (all) with final culture results reported to providers within 1 days of declaration of result ( F’UP )

2514 2586 97.00

(13) Patients with final DST results reported to providers within 1 days of declaration of result (Diag)

2146 2213 96.97

(14)Number and Percentage of invalid LPA results 108 2142 5.01

(15) Number of events of LPA contamination in the quarter 00 00

Sensitivity (%) Specificity (%) H: 100 100 R: 100 100 E (opt): 100 100

(16) Most recent DST panel test performance (Report Date _2012 Solid/ Liquid Culture 1st line AND we have cleared 2nd line L‐J DST panel testing satisfactorily in 2012.. (Reference lab_( NIRT )

S (opt): 63 100 (17) Most recent On‐Site Evaluation ‐ 04/03/13 to 09/03/2013 Date: 4/3/13

Ref. Laboratory: NIRT, CHENNAI Evaluator: DR. SELVAKUMAR DR. BALAJI

• We are accredited for 2nd line L‐ J DST, March‐2013

Sr. No. DMC Name

Annual total slide volume*

Annual positive

slide volume*

Slide positivity

rate (SPR)*

Nos. of slides

rechecked during the

quarter

HFP HFN LFP LFN QETotal

number of errors

No of DMCs with HF errors during 4Q12

1 Ahmedabad-R 27408 3836 14 915 0 2 0 1 2 5 2 / 182 AMC 102706 15653 15 2635 0 7 0 5 0 12 6 / 543 Amreli 30991 2888 9 1302 0 0 0 0 0 0 0 / 164 Anand 45313 5393 12 1497 0 3 0 1 0 4 3 / 235 Banaskantha 52673 7666 15 1482 0 3 0 1 1 5 3 / 376 Bharuch 29805 3394 11 1434 0 0 0 0 1 1 0 / 227 Bhavnagar 50999 5154 10 2427 0 0 0 0 0 0 0 / 318 Chhotaudepur 17869 1950 11 1068 0 1 2 1 0 4 1 / 199 Dahod 52501 5537 11 2678 1 2 0 2 2 7 2 / 42

10 Gandhinagar 29796 3285 11 1146 0 0 0 1 0 1 0 / 1811 Jamnagar 37646 3517 9 1815 1 2 0 2 2 7 2 / 2212 Junagadh 49504 4885 10 1932 0 0 0 0 0 0 0 / 2913 Kachchh 31068 3779 12 1501 0 1 1 4 0 6 1 / 3414 Kheda 46350 6092 13 1623 0 4 0 0 3 7 4 / 2815 Mehsana 44106 4163 9 1647 0 0 0 0 1 1 0 / 2416 Narmada 14949 1202 8 948 0 0 0 4 2 6 0 / 1117 Navsari 28433 2817 10 1491 0 0 0 0 0 0 0 / 2218 Panchmahal 54948 7830 14 1743 0 0 1 0 2 3 0 / 3819 Patan 33428 3321 10 1469 0 2 0 6 2 10 2 / 1920 Pobandar 12393 1178 10 492 0 0 0 0 0 0 0 / 521 Rajkot 74880 7214 10 2640 0 0 0 0 2 2 0 / 3522 Sabarkantha 48787 6156 13 2084 0 1 0 2 0 3 1 / 3723 Surat-R 41208 6279 15 1444 0 0 0 2 1 3 0 / 3124 SMC 71238 6585 9 3026 0 5 0 15 1 21 4 / 3925 Surendranagar 35404 4356 12 1265 0 0 0 0 0 0 0 / 1726 The Dang 5025 419 8 385 0 0 0 0 0 0 0 / 427 Vadodara-R 40843 5033 12 1215 2 2 0 3 0 7 3 / 1928 VMC 27391 3977 15 741 0 0 0 0 0 0 0 / 1229 Valsad 29119 2403 8 1554 0 1 0 4 4 9 1 / 2330 Vyara 19112 1935 10 998 0 0 1 2 0 3 0 / 16

Total 1185893 137897 11.6 46597 4 36 5 56 26 127 35 / 745 (4.6%)

Annexure-E Compilation for 4th Quarter 2012 of Gujarat State

Sr. No. Name of District

Nos. of TB suspects examined

for diagnosis

Nos. of TB suspects

found to be positive

Nos. of TB suspects

undergoing repeat

diagnostic examination

Nos. of TB suspects found to

be positive on repeat diagnostic

examination

Nos. of follow-up patients

examined

Nos. of follow-up patients

found to be positive

Total nos. of positive

slides examined

Total nos. of negative

slides examined

Total nos. of negative and

positive slides

examined

1 Ahmedababad (R) 3614 349 51 7 759 83 830 7893 87232 AMC 8462 1314 283 42 3591 433 3347 21169 245163 Amreli 3262 311 97 6 872 31 659 7447 81064 Anand 4127 533 178 8 1432 100 1230 10082 113125 Banaskantha 6343 767 123 21 1911 141 2357 14274 166316 Bharuch 2777 382 52 9 917 37 803 6641 74447 Bhavnagar 5715 654 66 12 1553 83 1199 13166 143658 Chhotaudepur 1944 272 61 9 494 47 574 4212 47869 Dahod 5359 532 706 22 1275 68 1237 13290 14527

10 Gandhinagar 3229 279 69 11 857 34 635 7627 826211 Jamnagar 4303 362 45 9 883 64 743 9372 1011512 Junagadh 5100 493 50 13 1525 100 1095 12032 1312713 Kachchh 3404 387 86 6 902 107 910 7324 823414 Kheda 3816 591 96 8 1766 102 1354 9961 1131515 Mehsana 4313 421 62 12 1152 45 901 10011 1091216 Narmada 1276 135 56 3 453 19 307 3199 350617 Navsari 2693 337 32 5 1043 66 778 6751 752918 Panchmahal 4643 625 125 11 2007 178 1578 11946 1352419 Patan 3563 320 63 3 842 60 765 7948 871320 Pobandar 1001 100 47 8 417 19 242 2677 291921 Rajkot 8022 707 126 23 2083 115 1670 18579 2024922 Sabarkantha 4764 675 252 27 1728 54 1464 11633 1309723 Surat (R) 3816 614 90 8 1304 85 1378 8862 1024024 SMC 7843 734 166 27 2253 144 1694 18411 2010525 Surendranagar 3860 435 44 2 840 80 973 8259 923226 The Dang 458 40 10 1 148 8 92 1089 118127 Vadodara (R) 4905 604 57 3 1088 87 1352 10505 1185728 VMC 2769 325 17 4 1005 59 751 6800 755129 Valsad 3325 304 96 13 831 36 654 7728 838230 Vyara 1855 209 77 6 847 39 471 5087 5558

TOTAL 120561 13811 3283 339 36778 2524 32043 283975 316018

Laboratory abstract report for the 4th Quarter 2012 of Gujarat StateAnnexure-M

Preliminary findings of operational research: team Gujarat

1. Effect of family DOT on treatment success rates among new TB patients in children: a non-inferiority trial under Revised National TB Program, Gujarat, India

Background: World Health Organization recommends direct observation of therapy (DOT) to support Tuberculosis (TB) patients and ensure treatment completion. As per national programme guidelines in India, a DOT provider can be anybody who is acceptable and accessible to the patient and accountable to the health system, except a family member. This poses challenges among children with TB, who may be more comfortable taking medicines from their parents/family members than from unfamiliar DOT providers. There is no evidence from India if provision of DOT by a family member is inferior to standard practice. Methods: We conducted a non-inferiority trial to assess the effect of Family DOT on treatment success rates among children with newly diagnosed TB and registered between June-September 2012. All districts (n=30) in Gujarat state were randomly assigned to the intervention (n=15) or control group (n=15). In the intervention districts, adult family members were given the choice to become their child’s DOT provider. In the control districts, DOT was provided by a non-family member. We performed intention to treat analysis and compared treatment success rates (cured and treatment completed) between the two groups. Preliminary Results: A total of 624 children with newly diagnosed TB were registered during study period (359 in intervention district and 265 in non-intervention district). The two groups were similar with respect to baseline characteristics like age, sex, type of TB and initial body weight. Among the intervention and control groups respectively, the treatment success rates were 95.8% and 93.2% (p=0.15). Conclusion: DOT by a family member is not inferior to that by a non-family member among new TB patients in children and can attain international targets for treatment success under programme conditions. 2. Feasibility and yield of screening of patients with tuberculosis for diabetes

mellitus under National Tuberculosis Program in Anklav TB unit, Anand, Gujarat India

Background: People with Diabetes (DM) have 2-3 times higher risk of developing active TB than in those who do not have DM. DM patients with TB also experience more adverse TB treatment outcomes: with delayed sputum culture conversion, an increased risk of death during anti-TB treatment and an increased risk of recurrent disease after successful completion of treatment. However in programmatic setting it has not been evaluated whether it is feasible to screen the patients with TB for DM. Methods: All TB patients registered under RNTCP during Jan 2012 to September 2012, in Anklav TB unit, Anand, Gujarat were enrolled for study. Study objective was to determine: number (proportion) assessed for DM, prevalence of diabetes and pre-diabetes among cohort and to assess diagnostic delay for the same. Preliminary Results: Of 556 TB patients diagnosed and initiated on treatment in participating facilities, 553 (99.5%) were assessed for DM and 36 (6.5%) were found to have DM; of these, 14 (2.5%) had a previously known diagnosis of DM and 22 (4%) were newly diagnosed. 39 (7.0%) had impaired fasting glucose. Out of total diabetics 32 (94%) reached to DM care. Average 25 TB patients are needed to screen to find out new DM case and 9 TB patients are needed to screen to find out person with impaired glucose. There was a median(IQR) 5(0–28) days delay from starting of treatment to testing random blood sugar. There was a median(IQR) 3(1-7) days delay from testing fasting blood sugar after random blood sugar. The patient baseline characteristics like age, sex, type of TB and HIV status did not differ significantly among prevalent diabetic cases. Conclusion: This pilot project shows that it is important and feasible to screen patients with TB for DM in the routine setting, resulting in earlier identification of DM in some patients and opportunities for better management of comorbidity.

District TB Officers, Gujarat

District Name Name of the DTO Postal address Telephone (Office) Fax (Office) CUG No. Personal Mobile Phone Email ID

Ahmedabad (R) Dr Pradip G. Patel Ahmedabad Rural District TB Centre, State TB Training & Demonstration Centre, New Civil Hospital Campus, Asarva, Ahmedabad 079-22684764 079-22684764 97277 22878 90990 64018 [email protected]

Ahmedabad MC Dr RM Leuva Ahmedabad City Health Society -TB, TB Hosp. Compound, Opp. ST Bus Stand, Astodia, Ahmedabad 079-25330811 079-25330811 97277 64650 93746 43565 [email protected]

Amreli Dr CJ Butani District TB Centre, Civil Hospital Campus, Amreli 02792-222044 02792-226515 97277 23303 97277 23303 [email protected]

Anand (Petlad) Dr Manoj C. Mane District TB Centre, Near S.S.Hospital, Petlad 02697-22465902697-221458 02697-221458 75678 70007

75678 71796 98243 02511 [email protected]

Banas Kantha (P) Dr PK Parmar District TB Centre, Civil Hospital Campus, Palanpur 02742-253537 02742-253537 97277 30010 97277 30010 [email protected]

Bharuch Dr Munira V. Shukala District TB Centre, District Talim Team Resi. Quatrers, First Floor, Bharuch 02642-240403 02642-240403 90990 36702 90990 36702 [email protected]

Bhavnagar Dr KR Solanki District TB Centre, Sir T. Hospital Compound, Bhavnagar 0278-2425458 0278-2425458 97277 79677 90990 94970 [email protected]

Chhotaudepur Dr CR Patel Additional District TB Centre,Community Health Centre Campus,Chhotaudepur. Dist.Vadodara 02669-232261 02669-232261 89800 39671 96870 84137

81286 64918 [email protected]

Dahod Dr PR Suthar District TB Centre, General Hospital Campus, Dahod 02673-247445 02673-247445 75678 96510 94273 89323 [email protected]

Gandhinagar Dr MH Solanki District TB Centre, Civil Hospital Campus, Sector 12, Gandhinagar 079-23221364 079-23221364 99099 42202 99099 42202 [email protected]

Jamnagar Dr Dhiren Pithdiya District TB Centre, TB Hospital Compound, Jamnagar 0288-2678977 0288-2678977 75678 80006 99095 01512 [email protected]

Junagadh Dr H S Bharthi District TB Centre, Civil Hospital Campus, Junagadh 0285-2622382 0285-2650157 0285-2650157 75678 86174 99792 89824 [email protected]

Kachchh Dr SS Chauhan District TB Centre, Near Pavan Chakki, Camp Area, Bhuj- Kutch 02832-223201 02832-223201 96876 84201 94263 80760 [email protected]

Kheda (Nadiad) Dr KS Naik District TB Centre, Civil Hospital Campus, Nadiad, Dist. Kheda 0268-2529068 0268-2529854 75678 63214 90999 52794 [email protected]

Mahesana Dr DC Naik District TB Centre, Near Bhamariya Nala, TB Road, Mehsana 02762-253399 02762-253399 89800 41001 94273 62323 [email protected]

Narmada Dr SA Arya District TB Center, Old Jilla Panchayat Building Opp.Parikh Petrol Pump, Rajpipla. 02640-224030 02640-224030 90999 43328 90999 43328 [email protected]

Navsari Dr Anil B. Patel District TB Centre, MGG Civil Hospital Campus, Station Road, Navsari 02637-256412 02637-256412 97277 04076 94265 53969 [email protected]

Panch Mahal Dr HV Parmar District TB Centre, Civil Hospital Campus, Godhara 02672-241944 02672-247955 75678 94300 94285 12292 [email protected]

Patan Dr AK Patel District TB Centre, General Hospital Campus, Patan 02766-226608 02766-226608 99099 81892 99099 81892 [email protected]

Porbandar Dr AM Sadia District TB Centre, Nr. Lady Hospital, S.T. Road - Porbandar - 360575 0286-2248864 0286-2248864 99099 89646 98253 77179 [email protected]

Rajkot Dr SG Lakkad District TB Centre, Near Collector Office, Rajkot 0281-2440598 0281-2440598 99099 79777 99099 79777 [email protected]

Sabar Kantha (H) Dr PM Patel District TB Centre, Sir Pratap General Hospital Campus,Himatnagar 02772-241744 02772-246917 96876 79004 96876 79004 [email protected]

Surat (R) Dr Jigna C. Patel District TB Centre, New Civil Hospital Campus, Majura Gate, Surat 0261-2244182 0261-2244182 97277 74621 97277 74621 [email protected]

Surat Muni. Corp. Dr KN Sheladia Surat City Health Society -TB, Hirabaug Health Centre, Bh. Doctor House, Varachha Road, Surat 0261-2546362 0261-2544985 81286 90501 93768 45830 [email protected]

Surendernagar Dr Chetan Mehta District TB Center, District Talim Building, MGSH Civil Hospital Campus, Surendranagar 02752-221003 02752-220301 97277 31610 87580 05920 [email protected]

The Dangs (A) Dr Harshad B. Patel District TB Centre, Near Civil Hospital, Ahawa 02631-221295 02631-221295 94288 23343 94288 23343 [email protected]

Vadodara (R) Dr Minaxi Chauhan District TB Centre, SSG Hospital, OPD No.19, Vadodara 0265-2426052 0265-2426052 89800 39115 99248 77446 [email protected]

Vadodra Muni. Corp. Dr HM Chaudhari Vadodara City Health Society -TB, Vadodara Municipal Corporation, Opp. Suryanarayan Baug, Nr. GPO, Raopura, Vadodara 0265-2421236 0265-2421236 99099 27428 99099 27428 [email protected]

Valsad Dr IC Patel Additional District TB Centre, State Hosp. Campus, Dharampur, Ta: Dharampur, Dist: Valsad 02633-242485 02633-242485 97277 82541 97277 82541 [email protected]

Vyara (Surat) Dr Hasmukh J. Chaudhari District TB Centre, General Hospital Campus, Vyara-394650, Ta-Vyara, Dist.Tapi 02626-223391 02626-223391 97277 91831 97277 91831 [email protected]

Quarterly Report Methodology: New Indicators

Indicators Formula Source of Data

Annualized Total case notification rate No. of total cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized smear positive case detection rate No. of smear positive cases registered in the quarter * 4 / Population (in lac) of area PMR (reported by DMC)

Annualized smear positive case notification rate No. of smear positive cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized NSP case notification rate No. of NSP cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized NSN case notification rate No. of NSN cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized EP case notification rate No. of EP cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized previously treated case notification rate No. of previously treated cases registered in the quarter * 4 / Population (in lac) of area CFR

Annualized previously treated smear positive case notification rate

No. of previously treated smear positive cases registered in the quarter * 4 / Population (in lac) of area CFR

Suspects examined/ lac population (SEPLP) / quarter No. of suspects examined / Population (in lac) covered by RNTCP PMR

Suspects examined per smear positive case diagnosed No. of suspects examined / No. of smear positive cases diagnosed PMR

Rate of change in suspects examined per lac population (in per cent)

(No. of SEPLP in reporting quarter – No. of SEPLP in same quarter of previous year)/ No. of SEPLP in same quarter of previous year x 100

PMR of reporting quarter and PMR of same quarter of previous year

Rate of change in suspects examined per S+ case diagnosed (in per cent)

(No. of suspects examined per S+ case diagnosed in reporting quarter – No. of suspects examined per S+ case diagnosed in same quarter of previous year)/ No. of S+ case diagnosed in same quarter of previous year x 100

PMR of reporting quarter and PMR of same quarter of previous year

% of pediatric cases out of all new cases Total Nos. of new pediatric cases registered (NSP pediatric cases + NSN pediatric cases + NEP pediatric cases+N Others pediatric cases) / Total Nos. of new cases registered (NSP+ NSN + NEP+N Others) x 100

CFR

3 month conversion rate of NSP patients (%)

(No. of NSP patients found to be negative at the end of 2 months of treatment + No. of NSP patients found to be negative at the end of 3 months of treatment) / No. of NSP patients registered one quarter previous to reporting quarter x 100

SCR

3 month conversion rate of retreatment patients (%)

(No. of RT patients found to be negative at the end of 3 months of treatment) / No. of NSP patients registered one quarter previous to reporting quarter x 100 SCR

NSP -New smear positive pulmonary cases; NSN – New smear negative pulmonary cases; NEP – New Extra Pulmonary cases, N Others – New Others

Rann of Kachchh

Lalpur

Nakhtrana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Sure ndranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dh rangadhra

Babra

Ahwa

Radhanpur

Dhan era

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porba ndar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Ma ndavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNa vsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhan pur

Khedbrah ma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharam pur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Khera lu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_UrbanJunagadh

_Rural

Mansa

GotriJubilibaugBawchawad

NS P Conversion Rate<= 84.5%84.51% - 89.5%> 89.5%No Data

Rann of Kachchh

Lalpur

Nakht rana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'bar ia#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_Urban

Junagadh_Rural

Mansa

Gotr iJubilibaugBawchawad

TB SuspectExamined Per Lac

< 100100 - 149.9>=150No Data

TB Suspects examined per100,000 population - TB Units - Gujarat

First Quarter, 2013

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

NSP Conversion Rate< 84.5%84.51% - 89.5%> 89.5%

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

TB Suspect Examined Per Lac

< 100100 - 149.9> 150

TB Suspects examined per 100,000 population by district, Gujarat First Quarter, 2013

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

NSP Success Rate< 80%80% - 84.5%> 84.5%

State TB Training and Demonstration Centre Civil Hospital Campus, Asarva, Ahmedabad – 380016 (Gujarat) Phone and Fax: (079) 22681033, Email: [email protected]

Documents

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