0 - 1 - Front Page Outside 4Q13 · n rate Annualized new smear positive case notificatio n rate New smear positive case Detection rate Annualized new smear negative case notification

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

SMCNSP 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, 2000-4Q13

•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

32n

d Q

13

3rd

Q 1

34t

h Q

13

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

TB Suspects examined per 100,000 population, 2003-4Q13Gujarat

126

174

163

180

190

181

204

197

171

189

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

2Q13

3Q13

4Q13

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 (1Q00-4Q13)

1849

7

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 2 3 4

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Quarter / Year

Tota

l pat

ient

s tre

ated

0

5000

10000

15000

20000

25000

Pop

ulat

ion

cove

red

(lakh

)

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

Kham bhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palit ana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda

KavantKotda Shangani

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

Khera lu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_Urban

Junagadh_R ural

Mansa

Gotr iJubi libaugBawchawad

NSP Case Detect ion 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

Surendranag ar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhu ka

Dhrangadhra

Babra

Ah wa

Radhanpur

Dhanera

Kham bhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Pa lanpur

Kesho d

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasin or

Dediapada

Kh ambhat

Visnagar

Kaprada

Bardoli

Godh ra

Nizar

Sarsa

Matar

Hansot

SongadhNa vsari

Santrampur

Ch ikhli

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

PetladAnklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_UrbanJunagadh

_Rural

Mansa

Gotri Jubi libaugBawchawad

NSP Suc cess 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 has established three more GeneXpert laboratories at Rajkot, Vadodara and Ahmedabad. The state has also expanded drug susceptibility testing for second line anti-TB drugs at IRL, Ahmedabad. With expansion of services, the state has been able to sustain twin objectives of RNTCP. Here is a glimpse of performance of 4th Quarter 2013.

RNTCP performance during 4th quarter 2013 During the quarter 1,27,569 presumptive TB patients were examined, 14,664 sputum positive TB patients were diagnosed, and a total of 18,497 all forms of TB patients were registered for treatment. The annualized total case notification rate is 118 cases per 100,000 population. With a total of 9,279 New Smear Positive patients being registered for treatment; the new smear positive TB case Notification Rate (annualized) for the 4th quarter 2013 is 59 per 100,000 population. In addition to this, 1,859 new Smear Negative patients, 2,358 New Extra Pulmonary patients registered for treatment in this quarter. The treatment success rate amongst the New Smear Positive pulmonary TB cases registered in the 4th Quarter 2012 is 88% and the Sputum Conversion rate of patients registered during 3rd Quarter 2013 is 92%. In TB-HIV intensified services 94% patients were tested for HIV out of 18,497 total patients registered during 4th quarter 2013. PMDT: During this quarter, among 6,715 identified MDR-TB suspects 6,686 MDR-TB suspects were tested for drug resistance. Total 477 patients were diagnosed as having drug resistant and eligible for Cat-IV drugs. Total 402 patients put on cat-IV drugs within same quarter. Notification of TB patients from private health providers: Till date, 3,817 private practitioners / clinics / hospitals and laboratories are registered under RNTCP for TB notification. A total of 9,550 TB patients are notified from these health facilities in the state till date. As an effort to expand TB care services in catholic health facilities, a diocese level sensitization workshop was conducted in Ahmedabad with support of CBCI CARD RNTCP Project. Trainings, Supervision and Review meetings: In addition to quarterly review meeting, four state level internal evaluations were conducted in the quarter in Anand, Gandhinagar, Bhavnagar and Patan districts. Additionally, supervisory visits were conducted to Jamnagar, Amreli, Kheda, Rajkot, AMC and Banaskantha districts from the state. State Task Force meeting was conducted in December 2013. During the meeting, technical experts of the state task force addressed the issue in regards to mono- / poly- resistant TB and non-TB mycobacteria and proposed treatment regimen for these patients under the programme. In the quarter, 27 participants across the country were trained in the 46th National PMDT training held at STDC, Ahmedabad. We intend to implement high quality programme and excel on all fronts in coming times with your cooperation and active participation.

Dr P M Patel Director STDC

Ahmedabad (Gujarat)

Dr PV Dave State TB Officer

Gandhinagar (Gujarat)

Success Rate Vs Case Detection Rate (4Q12/4Q13)

75

80

85

90

95

65 70 75 80 85 90 95 100

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

Vyara

NarmadaA'bad (R), Amreli, Anand, Banaskantha, Bhavnagar,G'nagar, Junagadh, Mehsana, Patan, Porbandar, Rajkot, Valsad

DahodSurat-R Chhotaudepur

Kheda

A'bd Muni. Corp.

Vadodara (R)

Jamnagar

NavsariSabarkantha

S'nagar

Kachchh

VMC

Dang

SMC

Success Rate Vs Case Detection Rate (4Q12/4Q13)

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 11%

5 Sputum Smear Positive Patients living in thedistrict and put on DOTS 94%

6 Annualised New Sputum Smear PositiveNotification rate per Lac 59

7 Annualised New Sputum Positive CaseDetection Rate 74%

8 Annualised New Sputum Smear NegativeNotification rate per Lac 12

9 Annualised New Case Notification rate perLac 87

10 Annualised Total Case Notification Rate perLac 118

11 Annualised New EP Case Notification rateper Lac 15

12 Annualised Smear Positive Case Notificationrate per Lac 81

8583 out of

7696 out of

7735 out of

16 Identification of MDR Suspects17 Diagnosis of MDR TB Cases 7%18 MDR TB Cases put on CAT IV 84%402

133 Months Sputum Conversion of New Smear Positive cases registered in 3rd quarter 2013

15 Success Rate of New Sputum Positive Patients registered in 4th quarter 2012

14 Cure Rate of New Sputum Positive Cases registered in 4th quarter 2012

6,715477

88%8804

92%9283

18,497

13,583

12,587

87%8804

2,358

RNTCP Performance of Gujarat State at a glance (Key indicators) 4th Quarter 2013 (Oct-Nov-Dec 2013)

Achievement

624.54120

1,859

127,569

204

14,664

12,073

9,279

59

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 3686 218 0.29% 398 9.3 -9.28% 94 81 464 110 56 70% 8 12 33

AMC 57.6 10880 189 26.56% 1478 7.4 17.91% 103 82 2126 148 57 71% 13 37 41

Amreli 15.7 3681 235 10.96% 310 11.9 15.39% 79 72 338 86 58 72% 4 6 18

Anand 21.6 3978 184 -5.22% 498 8.0 4.71% 92 84 719 133 58 72% 22 15 37

Banaskantha 32.2 5597 174 -13.24% 769 7.3 -9.58% 95 84 925 115 58 73% 8 9 40

Bharuch 16.0 2835 177 0.38% 338 8.4 18.10% 84 78 463 115 60 75% 12 13 29

Bhavnagar 29.8 5528 186 -4.87% 660 8.4 -13.08% 89 77 748 101 58 72% 8 10 26

Chhotaudepur 10.3 1920 186 -2.28% 265 7.2 5.38% 102 100 329 127 69 86% 10 7 36

Dahod 22.0 6436 293 18.09% 630 10.2 5.61% 115 105 740 135 67 84% 13 10 43

Gandhinagar 14.4 3252 227 -1.58% 298 10.9 -2.59% 83 77 448 125 57 71% 11 19 37

Jamnagar 22.3 4809 215 9.89% 430 11.2 -3.58% 77 75 552 99 57 71% 3 14 25

Junagadh 28.4 4961 175 -4.35% 519 9.6 -5.16% 73 73 655 92 57 72% 8 5 20

Kachchh 21.6 3717 172 7.75% 378 9.8 13.93% 70 64 445 82 53 67% 4 9 16

Kheda 23.8 4067 171 4.82% 591 6.9 8.23% 99 85 737 124 61 76% 17 15 31

Mehsana 21.0 4777 228 8.91% 418 11.4 14.73% 80 76 534 102 57 72% 6 9 29

Narmada 6.1 1463 240 12.74% 191 7.7 -16.56% 125 98 180 118 77 96% 10 7 24

Navsari 13.8 3209 233 17.17% 316 10.2 28.97% 92 78 399 116 60 74% 15 16 26

Panchmahals 24.7 4501 182 -4.68% 737 6.1 -16.34% 119 113 971 157 77 96% 23 10 47

Patan 13.9 3649 263 0.70% 355 10.3 -6.82% 102 88 438 126 58 73% 14 9 45

Porbandar 6.1 965 159 -5.21% 97 9.9 7.34% 64 67 159 105 56 70% 18 13 17

Rajkot 39.3 8422 214 3.23% 849 9.9 -9.73% 86 69 906 92 56 70% 5 12 19

Sabarkantha 25.1 4342 173 -4.76% 605 7.2 5.18% 96 81 913 145 62 78% 35 10 38

SMC 46.2 9792 212 22.76% 927 10.6 2.49% 80 73 1397 121 59 74% 8 24 30

Surat (R) 16.7 4160 249 7.19% 570 7.3 18.96% 136 85 580 139 63 79% 19 19 37

Surendranagar 18.2 4190 231 6.73% 429 9.8 10.57% 94 76 457 101 56 70% 8 8 27

The Dangs 2.3 462 197 -0.81% 46 10.0 -10.09% 78 75 59 101 58 72% 5 17 20

Vadodara (R) 15.4 5008 325 0.39% 577 8.7 7.41% 150 97 577 150 64 80% 19 21 46

Valsad 17.6 3004 171 -11.16% 353 8.5 -18.87% 80 69 415 94 57 72% 5 12 19

VMC 17.2 2613 152 -7.88% 428 6.1 -27.54% 99 72 536 124 53 66% 17 22 31

Vyara 8.3 1665 200 -11.74% 204 8.2 -5.40% 98 87 287 138 65 82% 21 20 32

Gujarat State 624.5 127569 204 4.3% 14664 8.7 1.5% 94 81 18497 118 59 74% 12 15 31

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

25 13 4% 92% 66% 89% 297 87% 298 87% 224 84% 409 88% 96% 5% 5% 89% 79%

25 113 7% 89% 67% 78% 1099 93% 1106 94% 658 94% 785 37% 91% 5% 4% 98% 95%

15 12 4% 91% 65% 88% 268 95% 274 97% 216 94% 231 68% 91% 2% 2% 100% 100%

26 19 4% 92% 83% 88% 428 94% 435 95% 334 91% 488 68% 91% 2% 2% 100% 100%

26 37 6% 93% 78% 89% 642 94% 664 98% 514 94% 525 57% 91% 3% 2% 100% 100%

18 10 3% 92% 79% 87% 278 89% 311 100% 247 89% 359 78% 97% 3% 3% 100% 100%

19 23 4% 92% 77% 90% 522 92% 560 98% 431 92% 590 80% 91% 3% 3% 95% 100%

31 14 6% 92% 81% 90% 239 92% 259 100% 189 92% 262 79% 96% 1% 1% 100% 100%

38 50 10% 97% 88% 90% 567 98% 569 98% 442 96% 447 60% 100% 2% 2% 100% 96%

20 19 6% 93% 67% 90% 253 92% 263 96% 217 96% 325 73% 99% 7% 7% 100% 95%

18 20 5% 92% 81% 86% 399 95% 389 93% 255 85% 426 77% 93% 4% 4% 100% 100%

16 30 6% 93% 64% 88% 496 96% 517 100% 398 95% 483 74% 98% 2% 2% 100% 100%

11 13 4% 91% 60% 90% 324 93% 333 96% 241 92% 320 72% 97% 6% 6% 87% 100%

24 17 3% 91% 71% 86% 460 91% 439 87% 353 88% 472 64% 97% 4% 4% 95% 90%

18 15 4% 91% 77% 89% 346 87% 368 93% 268 90% 256 48% 93% 7% 6% 100% 97%

22 1 1% 93% 79% 93% 127 85% 138 92% 106 84% 155 86% 94% 1% 1% 100% 100%

18 16 5% 94% 77% 88% 247 93% 256 96% 233 97% 302 76% 95% 5% 5% 100% 85%

36 40 6% 94% 78% 90% 663 95% 697 100% 517 94% 809 83% 96% 1% 1% 100% 100%

30 10 4% 93% 58% 88% 278 91% 305 99% 179 86% 249 57% 95% 5% 5% 100% 100%

11 12 9% 91% 47% 88% 94 93% 100 99% 78 89% 49 31% 96% 6% 6% 100% 100%

13 50 7% 93% 78% 89% 666 98% 678 99% 548 97% 423 47% 83% 5% 4% 100% 100%

18 16 2% 94% 80% 88% 477 94% 491 97% 359 84% 663 73% 95% 3% 3% 100% 100%

14 72 7% 93% 71% 89% 787 93% 843 100% 574 96% 592 42% 98% 6% 5% 99% 93%

21 23 5% 92% 80% 90% 326 92% 354 100% 303 92% 439 76% 95% 2% 2% 100% 100%

20 14 4% 92% 72% 87% 326 95% 340 99% 257 91% 300 66% 98% 4% 4% 100% 100%

17 2 4% 88% 58% 85% 38 86% 44 100% 31 91% 48 81% 98% 2% 2% #DIV/0! #DIV/0!

33 13 3% 95% 77% 87% 360 96% 369 98% 262 92% 404 70% 98% 4% 4% 95% 68%

12 5 2% 93% 75% 88% 283 93% 304 100% 243 94% 352 85% 94% 3% 3% 93% 86%

19 16 4% 90% 72% 87% 267 86% 272 88% 229 89% 108 20% 95% 6% 5% 95% 78%

22 8 4% 95% 96% 92% 166 92% 179 99% 175 88% 236 82% 93% 1% 1% 100% 100%

21 703 5% 92% 75% 88% 11723 93% 12155 97% 9081 92% 11507 62% 94% 3.8% 3.6% 98% 95%

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, Fourth quarter), Smear Conversion (2013, Third quarter), and Treatment Outcomes (2012, Fourth 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

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IV

Regist-ered

Comp-leted Died Failure Default

edTrans

out

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IV

Regist-ered

Comp-leted Died Failure Default

edTrans

out

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IVAhmedabad (R) 238 88% 0% 2% 3% 5% 1% 0% 34 94% 3% 0% 3% 0% 0% 59 95% 3% 0% 2% 0% 0%

AMC 653 77% 2% 6% 5% 6% 3% 2% 250 87% 4% 1% 7% 1% 0% 492 90% 3% 0% 7% 0% 0%

Amreli 225 88% 0% 3% 2% 7% 0% 0% 16 88% 0% 0% 13% 0% 0% 23 91% 9% 0% 0% 0% 0%

Anand 308 88% 0% 6% 2% 4% 0% 0% 129 88% 8% 2% 3% 0% 0% 73 99% 1% 0% 0% 0% 0%

Banaskantha 456 89% 0% 4% 2% 5% 0% 0% 53 92% 2% 0% 6% 0% 0% 68 100% 0% 0% 0% 0% 0%

Bharuch 258 87% 0% 5% 2% 6% 0% 0% 59 75% 14% 0% 10% 2% 0% 57 91% 4% 0% 5% 0% 0%

Bhavnagar 415 90% 0% 3% 1% 4% 1% 1% 54 94% 4% 0% 0% 2% 0% 96 92% 5% 0% 3% 0% 0%

Chhotaudepur 176 88% 3% 1% 2% 7% 0% 0% 41 78% 10% 0% 12% 0% 0% 14 93% 0% 0% 7% 0% 0%

Dahod 357 90% 0% 3% 2% 4% 0% 0% 95 96% 2% 0% 2% 0% 0% 73 99% 1% 0% 0% 0% 0%

Gandhinagar 204 90% 0% 4% 1% 3% 0% 1% 19 79% 5% 0% 5% 5% 5% 48 94% 0% 0% 6% 0% 0%

Jamnagar 275 86% 0% 5% 3% 3% 2% 1% 13 77% 15% 0% 8% 0% 0% 77 90% 5% 0% 4% 1% 0%

Junagadh 396 88% 0% 5% 1% 5% 0% 1% 45 89% 7% 0% 4% 0% 0% 54 93% 4% 0% 4% 0% 0%

Kachchh 268 88% 1% 3% 2% 5% 0% 0% 30 97% 3% 0% 0% 0% 0% 44 93% 7% 0% 0% 0% 0%

Kheda 360 86% 0% 6% 3% 6% 0% 0% 107 92% 1% 1% 7% 0% 0% 84 85% 8% 0% 6% 1% 0%

Mehsana 290 88% 1% 8% 0% 3% 0% 0% 25 88% 8% 0% 4% 0% 0% 45 98% 0% 0% 2% 0% 0%

Narmada 108 93% 0% 2% 1% 3% 0% 2% 12 83% 8% 0% 8% 0% 0% 12 100% 0% 0% 0% 0% 0%

Navsari 209 88% 0% 8% 2% 1% 0% 0% 67 91% 6% 1% 1% 0% 0% 66 92% 3% 0% 5% 0% 0%

Panchmahals 407 89% 1% 4% 3% 2% 0% 0% 97 97% 3% 0% 0% 0% 0% 67 97% 3% 0% 0% 0% 0%

Patan 193 88% 1% 9% 1% 2% 0% 1% 27 93% 4% 0% 4% 0% 0% 27 93% 0% 0% 7% 0% 0%

Porbandar 92 88% 0% 4% 2% 5% 0% 0% 34 85% 12% 0% 3% 0% 0% 17 76% 6% 0% 18% 0% 0%

Rajkot 548 89% 0% 4% 0% 3% 2% 1% 47 91% 4% 0% 4% 0% 0% 106 93% 4% 0% 3% 0% 0%

Sabarkantha 368 87% 1% 7% 2% 4% 0% 0% 137 82% 13% 1% 4% 0% 0% 59 95% 3% 0% 2% 0% 0%

SMC 512 89% 0% 2% 1% 4% 3% 1% 107 90% 3% 2% 5% 1% 0% 298 96% 2% 0% 1% 1% 0%

Surat (R) 305 90% 0% 5% 1% 4% 0% 0% 62 92% 3% 0% 3% 2% 0% 80 95% 4% 0% 0% 1% 0%

Surendranagar 251 87% 0% 5% 2% 4% 0% 1% 20 95% 5% 0% 0% 0% 0% 56 91% 7% 0% 2% 0% 0%

The Dangs 33 85% 0% 9% 0% 6% 0% 0% 10 100% 0% 0% 0% 0% 0% 3 100% 0% 0% 0% 0% 0%

Vadodara (R) 244 87% 0% 6% 2% 5% 0% 0% 79 87% 6% 1% 5% 0% 0% 60 82% 12% 0% 7% 0% 0%

Valsad 250 88% 0% 5% 1% 6% 0% 0% 33 88% 9% 3% 0% 0% 0% 61 93% 0% 0% 7% 0% 0%

VMC 241 86% 0% 7% 2% 2% 0% 1% 34 82% 6% 0% 12% 0% 0% 66 88% 6% 0% 5% 2% 0%

Vyara 164 92% 0% 4% 1% 3% 0% 0% 66 92% 6% 0% 2% 0% 0% 37 97% 3% 0% 0% 0% 0%

Gujarat State 8804 87.4% 0.4% 4.7% 1.9% 4.2% 0.7% 0.0% 1802 88.8% 5.7% 0.6% 4.4% 0.4% 0.1% 2322 92.7% 3.4% 0.0% 3.5% 0.3% 0.0%

New Extra Pulmonary

Treatment Outcome of New cases for 4th quarter 2012

DistrictNew Smear Positive New Smear Negative

Type of retreatment case Cured Success Died Failure Defaulted Transferr

ed outSwitch to

CAT IVNo.

registeredRelapse 70.7% 72.5% 7.8% 5.1% 12.2% 0.4% 2.0% 1856Failure 61.7% 62.8% 9.6% 9.0% 17.0% 0.0% 1.6% 188TAD 67.3% 68.7% 8.8% 4.4% 15.9% 1.4% 0.8% 1124

Total 68.9% 70.5% 8.3% 5.1% 13.8% 0.8% 1.6% 3168

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 46 63.0% 65.2% 2.2% 15.2% 15.2% 0.0% 2.2% 5 80.0% 80.0% 20.0% 0.0% 0.0% 0.0% 0.0% 40 60.0% 65.0% 10.0% 5.0% 17.5% 2.5% 0.0%AMC 87 60.9% 62.1% 9.2% 10.3% 16.1% 1.1% 1.1% 29 58.6% 58.6% 6.9% 13.8% 20.7% 0.0% 0.0% 227 58.1% 60.4% 9.3% 7.5% 20.3% 1.8% 0.9%Amreli 31 61.3% 64.5% 9.7% 3.2% 19.4% 0.0% 3.2% 8 50.0% 62.5% 12.5% 0.0% 25.0% 0.0% 0.0% 15 53.3% 53.3% 13.3% 6.7% 20.0% 6.7% 0.0%Anand 104 71.2% 71.2% 10.6% 9.6% 7.7% 0.0% 1.0% 3 66.7% 66.7% 0.0% 0.0% 33.3% 0.0% 0.0% 27 77.8% 77.8% 14.8% 3.7% 3.7% 0.0% 0.0%Banaskantha 109 77.1% 77.1% 8.3% 6.4% 4.6% 0.0% 3.7% 2 50.0% 50.0% 0.0% 50.0% 0.0% 0.0% 0.0% 78 73.1% 73.1% 9.0% 1.3% 15.4% 0.0% 1.3%Bharuch 54 68.5% 68.5% 11.1% 0.0% 20.4% 0.0% 0.0% 7 85.7% 85.7% 0.0% 0.0% 14.3% 0.0% 0.0% 14 71.4% 71.4% 21.4% 0.0% 7.1% 0.0% 0.0%Bhavnagar 66 77.3% 78.8% 7.6% 1.5% 10.6% 0.0% 1.5% 8 75.0% 75.0% 0.0% 0.0% 25.0% 0.0% 0.0% 52 75.0% 80.8% 11.5% 0.0% 5.8% 1.9% 0.0%Chhotaudepur 53 66.0% 75.5% 5.7% 1.9% 17.0% 0.0% 0.0% 3 33.3% 33.3% 33.3% 0.0% 33.3% 0.0% 0.0% 18 88.9% 94.4% 0.0% 0.0% 5.6% 0.0% 0.0%Dahod 60 76.7% 76.7% 3.3% 1.7% 16.7% 0.0% 1.7% 5 80.0% 80.0% 0.0% 0.0% 20.0% 0.0% 0.0% 115 77.4% 78.3% 7.0% 4.3% 8.7% 0.0% 1.7%Gandhinagar 38 73.7% 73.7% 18.4% 0.0% 7.9% 0.0% 0.0% 2 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 15 80.0% 80.0% 20.0% 0.0% 0.0% 0.0% 0.0%Jamnagar 78 53.8% 53.8% 6.4% 10.3% 14.1% 0.0% 15.4% 16 50.0% 50.0% 18.8% 12.5% 18.8% 0.0% 0.0% 21 71.4% 71.4% 9.5% 4.8% 9.5% 4.8% 0.0%Junagadh 79 72.2% 73.4% 5.1% 5.1% 12.7% 0.0% 3.8% 6 33.3% 33.3% 33.3% 16.7% 0.0% 0.0% 16.7% 23 56.5% 56.5% 4.3% 13.0% 21.7% 4.3% 0.0%Kachchh 32 59.4% 68.8% 3.1% 9.4% 18.8% 0.0% 0.0% 0 16 43.8% 50.0% 0.0% 0.0% 50.0% 0.0% 0.0%Kheda 71 70.4% 70.4% 4.2% 7.0% 16.9% 0.0% 1.4% 9 33.3% 44.4% 0.0% 11.1% 44.4% 0.0% 0.0% 57 70.2% 70.2% 3.5% 5.3% 21.1% 0.0% 0.0%Mehsana 51 66.7% 68.6% 7.8% 5.9% 15.7% 0.0% 2.0% 4 50.0% 50.0% 0.0% 25.0% 25.0% 0.0% 0.0% 12 66.7% 66.7% 0.0% 8.3% 16.7% 8.3% 0.0%Narmada 29 79.3% 82.8% 10.3% 3.4% 3.4% 0.0% 0.0% 3 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0%Navsari 51 80.4% 80.4% 7.8% 3.9% 7.8% 0.0% 0.0% 7 71.4% 71.4% 14.3% 0.0% 14.3% 0.0% 0.0% 14 78.6% 78.6% 0.0% 7.1% 14.3% 0.0% 0.0%Panchmahals 152 73.7% 78.9% 6.6% 3.9% 8.6% 0.0% 2.0% 21 76.2% 76.2% 4.8% 4.8% 14.3% 0.0% 0.0% 72 81.9% 84.7% 1.4% 5.6% 8.3% 0.0% 0.0%Patan 64 54.7% 57.8% 12.5% 7.8% 17.2% 1.6% 3.1% 2 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 0.0% 5 60.0% 60.0% 20.0% 0.0% 20.0% 0.0% 0.0%Porbandar 8 75.0% 75.0% 0.0% 0.0% 25.0% 0.0% 0.0% 2 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 5 20.0% 20.0% 60.0% 0.0% 20.0% 0.0% 0.0%Rajkot 77 74.0% 74.0% 11.7% 2.6% 7.8% 1.3% 2.6% 8 50.0% 50.0% 25.0% 12.5% 0.0% 0.0% 12.5% 24 62.5% 62.5% 16.7% 0.0% 16.7% 0.0% 4.2%Sabarkantha 99 79.8% 79.8% 9.1% 3.0% 8.1% 0.0% 0.0% 3 66.7% 66.7% 33.3% 0.0% 0.0% 0.0% 0.0% 40 70.0% 72.5% 5.0% 0.0% 22.5% 0.0% 0.0%SMC 94 73.4% 73.4% 4.3% 2.1% 13.8% 5.3% 1.1% 16 62.5% 62.5% 6.3% 6.3% 18.8% 0.0% 6.3% 101 63.4% 63.4% 6.9% 3.0% 20.8% 5.0% 1.0%Surat-R 64 68.8% 68.8% 9.4% 4.7% 15.6% 0.0% 1.6% 1 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 16 68.8% 68.8% 18.8% 0.0% 6.3% 6.3% 0.0%Surendranagar 61 65.6% 67.2% 4.9% 4.9% 21.3% 0.0% 1.6% 2 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 38 57.9% 57.9% 18.4% 5.3% 15.8% 0.0% 2.6%The Dangs 7 85.7% 85.7% 14.3% 0.0% 0.0% 0.0% 0.0% 0 1 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0%Vadodara 68 69.1% 75.0% 13.2% 0.0% 10.3% 0.0% 1.5% 9 66.7% 66.7% 0.0% 0.0% 33.3% 0.0% 0.0% 29 65.5% 65.5% 13.8% 0.0% 17.2% 0.0% 3.4%Valsad 29 72.4% 72.4% 6.9% 3.4% 17.2% 0.0% 0.0% 0 25 64.0% 64.0% 16.0% 4.0% 16.0% 0.0% 0.0%VMC 51 72.5% 76.5% 7.8% 5.9% 9.8% 0.0% 0.0% 4 50.0% 50.0% 0.0% 50.0% 0.0% 0.0% 0.0% 15 60.0% 60.0% 0.0% 20.0% 20.0% 0.0% 0.0%Vyara 43 86.0% 88.4% 2.3% 7.0% 2.3% 0.0% 0.0% 3 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8 87.5% 87.5% 0.0% 0.0% 12.5% 0.0% 0.0%

Gujarat State 1856 70.7% 72.5% 7.8% 5.1% 12.2% 0.4% 2.0% 188 61.7% 62.8% 9.6% 9.0% 17.0% 0.0% 1.6% 1124 67.3% 68.7% 8.8% 4.4% 15.9% 1.4% 0.8%

TAD

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

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

FailureDistrict

Relapse

Trend in identification of MDR suspects Gujarat

Status of PMDT Services

Criteria-C implemented all over Gujarat since 1st June 2012. CAT-V also started for 115 XDR Patients in Gujarat.

0500

10001500200025003000350040004500500055006000650070007500

1Q 0

72Q

07

3Q 0

74Q

07

1Q 0

82Q

08

3Q 0

84Q

08

1Q 0

92Q

09

3Q 0

94Q

09

1Q 1

02Q

10

3Q 1

04Q

10

1Q 1

12Q

11

3Q 1

14Q

11

1Q 1

22Q

12

3Q 1

24Q

12

1Q 1

32Q

13

3Q 1

34Q

13

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

Treatment Outcome Gujarat 3Q07 to 2Q11

Switch to CAT V, 10, 0.9%

Still on Treatment, 21,

1.8%

Died, 299, 26.0%

Defaulted, 228, 19.9%

Failure, 136, 11.8%

Success rate, 453, 39.5%

Treatment stop, 1, 0.1%

Success rate Died Defaulted Failure

Treatment stop Switch to CAT V Still on Treatment

Interim Outcome at 6 months of treatment Gujarat (3Q07–1Q13)

Culture Not Known, 358, 9%

Culture NEG, 2054, 50%

Defaulted, 653, 16%

Died, 369, 9%

Culture Positive, 644, 16%

Culture NEG Culture Positive Died Defaulted Culture Not Known

Interim Outcome at 12 months of treatment Gujarat (3Q07 – 3Q12)

Defaulted, 406, 14.1%

Alive, on Rx & Culture -ve, 1242,

43.1%

Died, 515, 17.9%

Culture Not Known, 259, 9.0% Culture Positive,

423, 14.7%

Switch to CAT V, 34, 1.2%

Treatment stop, 2, 0.1%

Alive, on Rx & Culture ‐ve Culture Positive Culture Not Known

Died Defaulted Treatment stop

Switch to CAT V

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 41 593 1 2 26 19 23 6 0 02 AMC 10 53 85 0 353 4 30 544 94 85 40 5 13 Amreli 4 16 38 37 2390 0 1 31 10 15 7 1 04 Anand 4 24 39 45 746 1 11 183 33 19 5 0 125 Banaskantha 6 37 69 58 665 0 2 108 48 31 3 0 06 Bharuch 5 22 47 18 2627 0 2 177 27 10 1 0 17 Bhavnagar 6 32 46 22 512 1 4 303 67 27 5 0 08 Chhotaudepur 4 19 29 31 1181 0 1 0 15 17 3 1 09 Dahod 8 42 40 39 537 0 3 42 17 15 1 0 110 Gandhinagar 3 18 25 25 324 1 28 121 33 9 3 0 011 Jamnagar 4 22 48 48 2213 1 5 149 17 20 1 0 112 Junagadh 6 29 55 53 2389 0 1 194 15 12 1 0 213 Kachchh 7 35 69 34 913 1 7 75 0 0 0 0 014 Kheda 5 28 44 39 4717 0 3 184 20 14 2 2 615 Mahesana 4 24 56 62 375 0 3 92 55 11 0 0 116 Narmada 3 13 16 22 1803 0 4 63 8 7 0 4 917 Navsari 4 22 35 33 896 0 2 45 18 41 3 1 018 Panchmahals 7 38 46 36 3043 0 1 286 26 36 25 0 019 Patan 3 20 34 34 2918 1 0 132 8 8 2 0 120 Porbandar 1 5 12 6 495 0 0 62 3 3 0 0 021 Rajkot 7 35 44 46 728 1 3 179 22 27 6 1 122 Sabarkantha 6 37 65 45 2351 0 13 78 29 21 2 0 023 SMC 9 42 8 0 1791 1 1 1351 112 233 27 1 124 Surat-R 5 32 38 40 443 1 4 70 31 34 0 36 125 Surendranagar 4 17 40 35 1416 1 2 113 9 7 0 0 026 The Dangs 1 4 7 7 47 0 0 0 1 4 1 0 027 Vadodara-R 3 20 32 33 629 2 2 119 22 22 7 9 028 Valsad 5 24 35 34 2066 1 6 205 29 36 3 0 029 VMC 3 12 27 16 108 1 1 31 51 34 10 0 3130 Vyara(surat) 4 16 23 18 1857 0 2 34 12 11 6 0 1

144 757 1192 957 41126 19 144 4997 851 832 170 61 70TOTAL

Programme Infrastructure and Involvement of other sectors in RNTCP of Gujarat - 4th 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 0 0 0 3 3 0 3 3 0 3 2 1 19 16 3 2 2 02 AMC 1 1 1 0 10 8 2 10 10 0 10 9 1 53 53 0 54 35 193 Amreli 0 1 1 0 4 4 0 4 4 0 4 4 0 16 15 1 3 2 14 Anand 1 1 1 0 4 4 0 4 4 0 4 4 0 24 24 0 6 6 05 Banaskantha 1 1 1 0 6 6 0 6 6 0 6 5 1 37 29 8 3 3 06 Bharuch 0 0 0 0 5 5 0 5 5 0 5 5 0 22 20 2 4 3 17 Bhavnagar 0 1 1 0 6 6 0 6 6 0 6 3 3 32 30 2 9 9 08 Chhotaudepur 1 0 0 0 4 4 0 4 3 1 4 4 0 19 17 2 0 0 09 Dahod 1 0 0 0 8 8 0 8 8 0 8 6 2 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 1 0 0 0 4 4 0 4 4 0 4 3 1 22 22 0 8 8 012 Junagadh 1 1 0 1 6 6 0 6 6 0 6 6 0 29 27 2 7 5 213 Kachchh 1 1 1 0 7 7 0 7 7 0 7 7 0 35 33 2 5 5 014 Kheda 0 0 0 0 5 4 1 5 5 0 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 5 5 016 Narmada 1 0 0 0 3 2 1 3 2 1 3 3 0 13 13 0 1 1 017 Navsari 1 1 1 0 4 4 0 4 4 0 4 4 0 22 22 0 3 3 018 Panchmahals 1 1 1 0 7 7 0 7 7 0 7 7 0 38 37 1 3 3 019 Patan 1 0 0 0 3 3 0 3 3 0 3 3 0 20 16 4 2 2 020 Porbandar 0 0 0 0 1 1 0 1 1 0 1 1 0 5 4 1 2 2 021 Rajkot 0 1 1 0 7 7 0 7 7 0 7 7 0 35 33 2 16 16 022 Sabarkantha 1 1 1 0 6 6 0 6 6 0 6 6 0 37 34 3 2 2 023 SMC 1 1 1 0 9 9 0 9 9 0 9 9 0 42 42 0 44 44 024 Surat (R) 0 1 1 0 5 5 0 5 5 0 5 5 0 32 32 0 1 1 025 Surendranagar 1 1 1 0 4 4 0 4 4 0 4 4 0 17 17 0 5 5 026 The Dangs 1 0 0 0 1 1 0 1 1 0 1 1 0 4 3 1 0 0 027 Vadodara 1 0 0 0 3 3 0 3 3 0 3 3 0 20 19 1 2 2 028 Valsad 1 0 0 0 5 5 0 5 5 0 5 5 0 24 24 0 4 4 029 VMC 1 1 0 1 3 2 1 3 3 0 3 3 0 12 12 0 17 17 030 Vyara (Surat) 1 0 0 0 4 4 0 4 4 0 4 4 0 16 16 0 0 0 0

21 16 14 2 144 139 5 144 142 2 144 135 9 757 717 40 218 195 23

Status of key staff under RNTCP during 4th 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) 4777 13 370 2 41 0 0 0 0 2 41 1 34 299 122 AMC 15125 209 828 8 49 3 8 11 4 22 61 20 53 727 233 Amreli 3642 31 208 0 2 0 0 1 0 1 2 1 2 210 24 Anand 6079 27 453 3 17 0 1 0 0 3 18 3 16 306 25 Banaskantha 12687 100 1077 4 133 1 1 0 0 5 134 4 119 178 16 Bharuch 3031 10 209 0 10 1 0 0 0 1 10 1 10 212 57 Bhavnagar 9383 82 834 1 19 0 13 0 13 1 45 1 45 430 88 Chhotaudepur 2233 2 291 0 21 0 0 0 0 0 21 0 21 113 29 Dahod 9734 9 610 1 27 1 1 0 0 2 28 2 28 473 2

10 Gandhinagar 3014 52 297 7 40 4 4 3 2 14 46 12 40 33 011 Jamnagar 9640 11 694 2 42 0 2 0 0 2 44 2 39 236 312 Junagadh 8731 49 943 0 44 0 2 2 0 2 46 2 45 285 213 Kachchh 6171 101 419 6 17 3 2 2 0 11 19 11 18 275 414 Kheda 4160 64 549 4 31 0 0 0 1 4 32 2 29 617 615 Mahesana 11367 48 1154 1 84 0 1 1 1 2 86 3 72 113 416 Narmada 740 11 36 2 6 0 0 0 0 2 6 1 5 81 217 Navsari 8538 19 819 0 67 0 3 1 2 1 72 1 63 449 018 Panchmahals 5618 20 393 2 50 1 3 0 1 3 54 2 53 530 219 Patan 6278 27 335 3 17 0 5 0 2 3 24 3 23 184 420 Porbandar 3186 18 253 1 9 0 2 1 2 2 13 2 13 234 021 Rajkot 13635 162 939 5 27 1 2 1 2 7 31 7 31 492 822 Sabarkantha 5909 75 545 6 49 0 6 1 0 3 59 3 51 386 723 SMC 12347 97 834 6 12 0 3 1 1 7 16 6 15 1091 1624 Surat (R) 10022 175 555 5 37 0 2 0 1 5 40 5 36 273 725 Surendranagar 12374 43 1024 0 53 4 5 0 0 4 58 4 54 342 226 The Dangs 743 1 64 0 11 0 0 0 1 0 12 0 10 61 127 Vadodara (R) 7505 141 444 1 20 5 2 11 1 17 23 15 18 358 1328 Valsad 6152 49 248 1 24 1 3 0 3 2 30 2 27 201 029 VMC 1405 11 51 0 8 0 0 1 0 1 8 1 8 94 230 Vyara(Tapi) 2881 17 352 1 29 0 1 0 0 1 30 1 30 71 3

207107 1674 15828 72 996 25 72 37 37 130 1109 118 1008 9354 143Total

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 3Q2013, 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 13074 4.1% 535 9 21 102 132 78 34 20 13

2 VS Gen. Hos. , Ahmedabad Ahmedabad 4080 3.5% 144 1 1 9 11 8 3 3 0

3 New Civil Hos., Surat Surat 11620 2.7% 317 2 13 31 46 5 40 24 1

4 SMIMER, Surat Surat 7274 2.3% 164 0 0 10 10 8 2 2 0

5 Reliance, Surat Surat 2549 5.1% 131 1 0 7 8 1 5 5 2

6 PDU, Rajkot Rajkot 10285 2.7% 281 24 2 32 58 45 11 11 1

7 MGS Gen. Hos., S'nagar Surendranagar 2960 12.0% 355 5 17 7 29 28 10 1 0

8 Gen. Hos., Junagadh Junagadh 4922 2.4% 118 3 1 4 8 5 1 1 2

9 GG Gen. Hos., Jamnagar Jamnagar 2674 3.9% 105 12 0 9 21 19 1 1 1

10 Gen. Hos., Himatnagar Sabarkantha 4228 4.0% 171 4 14 7 25 22 0 0 2

11 Gen. Hos., Palanpur Banaskantha 3432 4.7% 162 3 19 9 31 24 4 4 3

12 Gen. Hos., Navsari Navsari 2591 2.2% 57 4 5 3 12 8 2 2 1

13 Gen. Hos., Amreli Amreli 2353 2.8% 66 3 0 10 13 9 3 3 0

14 Gen. Hos., Bhuj Kutch 2691 7.2% 195 13 6 6 25 25 0 0 0

15 Sir T Hos., Bhavnagar Bhavnagar 5123 4.5% 232 2 0 2 4 4 0 0 0

16 Gen. Hos. Mehsana Mehsana 4422 5.9% 261 8 7 19 34 20 11 8 2

17 SSG Hos. Vadodara Vadodara 7646 3.6% 275 3 16 31 50 12 38 32 0

18 Gen. Hosp. Patan Patan 3112 4.8% 150 6 5 3 14 12 2 1 0

19 Gen. Hosp. Godhra Panchmahal 1296 5.6% 73 12 5 2 19 19 0 0 0

20 Gen. Hosp. Porbandar Porbandar 1323 2.6% 35 1 0 0 1 1 0 0 0

21 Gen. Hosp. Bharuch Bharuch 1530 3.2% 49 2 2 2 6 6 0 0 0

22 Gen. Hosp. Valsad Valsad 3723 3.2% 120 8 4 1 13 10 2 2 0

23 Gen. Hosp. Nadiad Kheda 4208 4.2% 178 12 9 7 28 19 9 9 0

24 Gen Hosp Dahod Dahod 1583 4.1% 65 1 2 7 10 8 0 0 0

25 Gen. hosp. Gandhinagar Gandhinagar 1520 15.6% 237 2 4 4 10 9 1 0 0

26 ART Center, Sola Ahmedabad 68 35.3% 24 3 0 2 5 3 1 0 0

22 110287 4.1% 4500 144 153 326 623 408 180 129 28

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 - 26

Total

ART Centre TB/HIV Report for 3Q13, 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 - 26

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 OutSwitched to CAT-IV

Retreatment Cases

Registered

Treatment Success Died Failure Default Transferre

d outSwitched to CAT-IV

All TB-HIV Cases

Registered

No of Patients on CPT

No of Patients on ART

Ahmedabad 14 11 2 0 1 0 0 5 3 1 1 0 0 0 19 17 15

AMC 60 50 5 0 4 0 1 35 20 4 1 10 0 0 95 93 90

Amreli 13 9 0 0 4 0 0 7 6 1 0 0 0 0 20 20 20

Anand 6 5 1 0 0 0 0 8 4 4 0 0 0 0 14 14 14

Banaskantha 11 9 0 0 2 0 0 12 12 0 0 0 0 0 23 23 23

Bharuch 19 15 3 0 1 0 0 3 2 1 0 0 0 0 22 22 22

Bhavnagar 14 10 2 0 2 0 0 5 3 1 0 1 0 0 19 18 19

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

Dahod 20 20 0 0 0 0 0 8 7 1 0 0 0 0 28 28 27

Gandhinagar 13 11 1 0 1 0 0 9 5 3 0 1 0 0 22 22 21

Jamnagar 14 12 1 0 0 1 0 5 4 0 0 0 1 0 19 19 19

Junagadh 11 8 2 0 1 0 0 8 6 2 0 0 0 0 19 19 19

Kachchh 10 9 0 1 0 0 0 20 19 1 0 0 0 0 30 26 30

Kheda 14 9 3 0 0 1 1 7 5 1 0 1 0 0 21 20 19

Mehsana 26 24 0 0 2 0 0 12 9 2 0 1 0 0 38 38 37

Narmada 2 2 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2

Navsari 10 10 0 0 0 0 0 3 0 1 0 2 0 0 13 13 11

Panchmahals 15 12 3 0 0 0 0 1 1 0 0 0 0 0 16 16 16

Patan 8 7 0 0 1 0 0 3 2 1 0 0 0 0 11 11 11

Porbandar 11 9 1 0 1 0 0 1 1 0 0 0 0 0 12 12 12

Rajkot 34 26 3 0 3 0 2 18 10 5 1 2 0 0 52 52 52

Sabarkantha 16 12 3 1 0 0 0 17 14 2 1 0 0 0 33 33 33

SMC 62 49 7 1 3 2 0 39 32 3 0 4 0 0 101 100 94

Surat-R 21 18 3 0 0 0 0 7 7 0 0 0 0 0 28 28 28

Surendranagar 14 13 0 0 1 0 0 19 18 1 0 0 0 0 33 33 33

The Dangs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Vadodara 14 11 2 0 1 0 0 5 2 2 0 1 0 0 19 18 13

Valsad 9 3 3 1 2 0 0 5 5 0 0 0 0 0 14 13 12

VMC 28 23 3 0 2 0 0 12 9 2 0 1 0 0 40 38 31

Vyara 5 4 1 0 0 0 0 1 1 0 0 0 0 0 6 6 6

Gujarat State 499 405 50 4 32 4 4 275 207 39 4 24 1 0 774 759 734

Treatment Outcome of HIV positive TB patients registered in 4Q12


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 1716 301 -1.2% 257 6.7 -14.7% 181 89 185 130 56 70% 9 17 45 33

Ahmedabad 2 Dhandhuka 5.4 897 167 2.0% 52 17.3 -0.3% 39 78 128 95 56 71% 4 8 27 22

Ahmedabad 3 Viramgam 5.9 1073 183 1.3% 89 12.1 -0.5% 61 75 151 103 56 70% 10 10 27 19

AMC 4 Amaraiwadi 5.8 750 130 24.0% 100 7.5 1.0% 69 77 205 142 58 73% 15 36 33 19

AMC 5 Central_zone 5.8 1605 278 11.4% 314 5.1 8.7% 218 91 209 145 57 71% 10 35 42 34

AMC 6 Chandlodia 5.8 916 159 47.5% 91 10.1 10.2% 63 80 190 132 58 73% 4 33 37 22

AMC 7 East_zone 5.8 1382 240 36.6% 118 11.7 8.4% 82 81 237 164 61 76% 15 43 42 19

AMC 8 L.G. Hospital 5.8 909 158 26.4% 166 5.5 -3.2% 115 85 230 160 57 71% 21 37 43 28

AMC 9 Memnagar 5.8 976 170 3.5% 196 5.0 4.0% 136 70 162 113 58 72% 8 22 24 13

AMC 10 North_zone 5.8 1294 224 31.6% 128 10.1 24.5% 89 76 224 155 44 55% 15 40 55 33

AMC 11 North-central_zone 5.8 776 135 24.0% 86 9.0 87.8% 60 85 235 163 56 70% 11 50 46 28

AMC 12 South_zone 5.8 1196 207 35.9% 129 9.3 29.7% 89 101 265 184 59 74% 21 42 61 42

AMC 13 West_zone 5.8 1076 187 40.3% 150 7.2 20.7% 104 72 169 118 58 72% 8 29 22 14

Amreli 14 Amreli_DTC 4.3 2310 541 14.5% 221 10.5 10.6% 207 89 108 101 76 95% 4 6 16 13

Amreli 15 Babra 3.9 435 111 8.0% 28 15.5 21.6% 29 67 74 76 57 71% 4 3 11 10

Amreli 16 Rajula 3.6 465 128 16.0% 33 14.1 39.5% 36 77 84 93 56 70% 3 4 29 21

Amreli 17 Savarkundla 3.8 471 122 -5.1% 28 16.8 27.5% 29 54 72 75 40 49% 5 12 18 15

Anand 18 Anklav 5.7 1034 180 0.5% 91 11.4 14.5% 64 85 180 126 57 72% 18 15 35 28

Anand 19 Khambhat 4.6 665 144 -16.2% 95 7.0 -12.1% 82 90 159 138 61 77% 25 11 35 29

Anand 20 Petlad 5.6 1372 247 -5.3% 205 6.7 -0.9% 148 77 189 136 58 72% 29 14 35 19

Anand 21 Sarsa 5.7 907 159 -2.0% 107 8.5 21.1% 75 86 191 134 56 70% 16 18 42 30

Banaskantha 22 Danta 4.9 829 170 -21.8% 115 7.2 -5.9% 94 86 154 126 62 78% 9 11 44 24

Banaskantha 23 Deesa 5.9 1241 211 -5.3% 210 5.9 -22.5% 143 90 208 141 58 73% 18 16 50 32

Banaskantha 24 Dhanera 3.3 491 147 -3.2% 59 8.3 8.4% 71 74 80 96 58 72% 5 6 28 17

Banaskantha 25 Diodar 6.2 887 142 -5.1% 100 8.9 2.3% 64 76 138 89 57 71% 2 2 28 19

Banaskantha 26 Palanpur 6.2 1246 201 -6.0% 189 6.6 -0.3% 122 98 220 142 59 73% 11 14 59 39

Banaskantha 27 Tharad 5.7 903 159 -31.3% 96 9.4 -16.3% 67 77 125 88 56 70% 2 4 25 20

Bharuch 28 Amod 4.1 618 150 -0.7% 61 10.1 7.6% 59 70 108 105 57 72% 9 13 23 13

Bharuch 29 Bharuch 4.5 822 183 12.4% 109 7.5 26.9% 97 93 170 151 69 86% 27 16 38 25

Bharuch 30 Hansot 3.9 584 150 -3.2% 45 13.0 13.8% 46 52 75 77 42 53% 3 11 19 9

Bharuch 31 Jhagadia 2.0 513 252 -0.5% 94 5.5 20.6% 184 96 66 129 73 91% 8 12 37 24

Bharuch 32 Valia 1.5 298 198 -15.3% 29 10.3 21.8% 77 93 44 117 66 83% 5 8 37 27

Bhavnagar 33 Bhavnagar_Urban 6.5 1783 272 1.1% 296 6.0 -1.9% 181 80 191 117 58 73% 10 18 31 22

Bhavnagar 34 Botad 4.8 699 145 -4.3% 79 8.8 -24.2% 65 68 107 89 56 70% 10 4 18 12

Bhavnagar 35 Mahuva 4.7 647 138 -12.1% 67 9.7 -42.0% 57 76 117 100 56 70% 8 8 28 20

Bhavnagar 36 Palitana 4.6 753 163 -22.0% 73 10.3 -8.7% 63 79 113 98 61 77% 3 12 21 18

Bhavnagar 37 Shihor 4.9 1020 207 11.0% 106 9.6 -45.3% 86 80 118 96 57 71% 5 7 28 23


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 3% 89% 63% 86% 63% 108 85% 124 98% 82 83% 160 86% 95% 6% 6% 71% 71%

5 5% 93% 75% 93% 88% 95 90% 105 100% 73 89% 107 84% 97% 2% 2% 100% 100%

4 4% 94% 62% 88% 59% 94 85% 69 63% 69 80% 142 94% 97% 6% 6% 100% 80%

11 7% 90% 80% 88% 71% 106 95% 106 95% 69 88% 32 16% 90% 4% 3% 100% 100%

12 8% 90% 71% 77% 45% 119 91% 114 87% 68 94% 60 29% 90% 4% 4% 100% 100%

6 4% 91% 71% 85% 59% 108 94% 106 92% 55 100% 134 71% 100% 4% 4% 100% 100%

19 11% 89% 63% 84% 80% 107 92% 104 90% 72 100% 126 53% 99% 6% 6% 100% 89%

13 8% 85% 55% 74% 69% 114 93% 116 94% 48 83% 52 23% 90% 6% 6% 100% 89%

8 6% 91% 57% 83% 53% 95 94% 88 87% 62 90% 41 25% 98% 1% 1% 100% 100%

12 8% 86% 61% 63% 45% 105 95% 106 96% 51 100% 92 41% 88% 9% 8% 100% 100%

15 9% 84% 67% 69% 47% 108 89% 122 100% 78 100% 85 36% 66% 6% 4% 85% 85%

10 6% 93% 70% 79% 78% 141 97% 143 99% 96 94% 117 44% 98% 2% 2% 100% 92%

7 5% 90% 73% 80% 61% 96 93% 101 98% 59 88% 46 27% 96% 5% 5% 100% 100%

3 3% 93% 77% 93% 61% 90 95% 92 97% 78 96% 77 71% 89% 0% 0% 100% 100%

5 8% 93% 77% 82% 59% 61 92% 61 92% 46 96% 46 62% 92% 1% 1% 100% 100%

2 3% 90% 44% 86% 50% 68 97% 69 99% 42 89% 63 75% 90% 4% 4% 100% 100%

2 4% 87% 71% 89% 83% 49 94% 52 100% 50 94% 45 63% 94% 4% 4% 100% 100%

2 2% 90% 83% 85% 59% 115 94% 118 97% 78 87% 116 64% 93% 1% 1% 100% 100%

4 3% 97% 79% 91% 79% 100 96% 93 89% 83 94% 130 82% 96% 2% 2% 100% 100%

6 4% 90% 75% 88% 66% 96 90% 105 98% 81 91% 138 73% 86% 2% 2% 100% 100%

7 5% 93% 95% 88% 86% 117 95% 119 97% 92 92% 104 54% 92% 3% 3% 100% 100%

3 3% 92% 69% 91% 68% 98 93% 105 100% 80 91% 49 32% 90% 4% 4% 100% 100%

16 12% 92% 64% 86% 66% 128 96% 132 99% 89 96% 150 72% 88% 2% 2% 100% 100%

4 7% 92% 71% 87% 88% 57 92% 60 97% 49 89% 42 53% 88% 1% 1% 100% 100%

2 2% 94% 90% 91% 91% 110 92% 112 94% 103 94% 87 63% 95% 4% 4% 100% 100%

8 6% 94% 76% 89% 66% 142 93% 146 96% 104 98% 113 51% 96% 2% 2% 100% 100%

4 4% 93% 90% 90% 84% 107 98% 109 100% 89 93% 84 67% 87% 3% 2% 100% 100%

4 5% 93% 74% 88% 67% 65 90% 72 100% 49 84% 70 65% 95% 2% 2% 100% 100%

1 1% 90% 80% 86% 73% 95 90% 105 100% 66 94% 134 79% 98% 4% 4% 100% 100%

3 5% 93% 86% 89% 73% 45 90% 50 100% 54 92% 60 80% 97% 3% 3% 100% 100%

1 2% 91% 67% 85% 75% 42 86% 49 100% 34 85% 58 88% 95% 2% 2% 100% 100%

1 3% 95% 89% 89% 67% 31 89% 35 100% 44 88% 37 84% 95% 0% 0% 100% 100%

7 5% 90% 73% 89% 69% 118 90% 131 100% 101 96% 165 86% 97% 5% 5% 100% 100%

4 5% 93% 71% 88% 64% 77 94% 80 98% 64 96% 69 64% 92% 3% 3% 100% 100%

4 5% 91% 78% 92% 73% 83 93% 84 94% 63 88% 97 83% 88% 2% 2% 0% 100%

3 3% 92% 85% 88% 82% 85 92% 90 98% 70 91% 81 79% 95% 1% 1% 100% 100%

4 5% 90% 76% 90% 96% 90 92% 97 99% 74 90% 88 75% 91% 2% 2% 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 -9.6% 39 16.1 159.2% 37 75 102 98 56 70% 10 6 27 19

Chhotaudepur 39 Chhotaudepur 2.3 551 239 -0.6% 92 6.0 9.9% 160 153 109 189 92 115% 23 7 68 61

Chhotaudepur 40 Kavant 2.9 511 177 6.0% 61 8.4 11.7% 84 82 77 107 61 76% 11 7 25 21

Chhotaudepur 41 Pavi_Jetpur 2.6 408 158 -16.4% 55 7.4 -28.0% 85 87 73 113 62 78% 6 5 31 25

Chhotaudepur 42 Sankheda 2.6 450 174 2.2% 57 7.9 11.1% 88 87 70 108 65 81% 2 9 26 22

Dahod 43 Dahod 3.3 1319 394 11.0% 178 7.4 -39.8% 213 112 161 192 77 96% 41 19 47 36

Dahod 44 Devgadhbaria 2.7 761 281 29.2% 77 9.9 -34.2% 114 86 68 100 58 72% 3 6 33 28

Dahod 45 Dhanpur 2.7 702 260 43.5% 49 14.3 73.7% 73 105 78 116 64 80% 4 3 45 42

Dahod 46 Fatehpura 2.6 769 301 50.1% 49 15.7 18.2% 77 86 68 106 56 70% 3 16 31 30

Dahod 47 Garbada 2.8 649 228 4.5% 41 15.8 76.9% 58 70 73 103 56 70% 15 10 21 14

Dahod 48 Jhalod 2.7 778 288 8.2% 85 9.2 -5.5% 126 130 101 149 77 96% 7 7 58 53

Dahod 49 Limdi 2.6 682 264 21.4% 70 9.7 -13.4% 108 164 127 196 84 104% 11 17 84 80

Dahod 50 Limkheda 2.6 776 304 1.1% 81 9.6 -18.6% 127 88 64 100 66 82% 8 2 25 22

Gandhinagar 51 Dahegam 4.9 908 185 0.1% 78 11.6 20.4% 64 77 157 128 57 71% 14 21 34 20

Gandhinagar 52 Gandhinagar_DTC 4.5 1136 252 -2.6% 138 8.2 -34.9% 123 75 158 140 57 71% 18 27 39 18

Gandhinagar 53 Mansa 4.9 1208 245 -1.9% 82 14.7 -44.6% 66 79 133 108 56 70% 2 11 39 23

Jamnagar 54 Dhrol 5.3 611 115 25.4% 51 12.0 21.9% 38 71 122 92 56 70% 5 11 21 16

Jamnagar 55 Jamnagar_DTC 6.1 2347 383 1.7% 228 10.3 -16.3% 149 76 184 120 57 71% 4 29 30 19

Jamnagar 56 Khambhalia 6.0 937 156 5.5% 84 11.2 -16.5% 56 76 140 93 56 70% 3 8 27 20

Jamnagar 57 Lalpur 4.9 914 187 32.0% 67 13.6 -26.8% 55 76 106 87 58 73% 2 7 20 18

Junagadh 58 Junagadh_Rural 4.4 706 160 -13.4% 47 15.0 81.0% 43 75 102 92 57 71% 5 8 20 18

Junagadh 59 Junagadh_Urban 4.3 1088 254 -1.8% 123 8.8 -12.0% 115 74 97 90 58 72% 3 6 21 16

Junagadh 60 Keshod 5.7 920 162 7.5% 81 11.4 28.3% 57 65 105 74 56 70% 4 1 13 8

Junagadh 61 Kodinar 5.0 485 97 -38.7% 76 6.4 -25.8% 61 76 128 102 56 70% 18 6 23 20

Junagadh 62 Una 4.0 713 177 8.4% 92 7.8 -30.2% 91 82 108 107 57 71% 9 6 30 25

Junagadh 63 Veraval 5.0 1049 212 9.3% 100 10.5 -31.1% 81 71 115 93 60 75% 8 6 19 11

Kachchh 64 Anjar 3.2 521 163 8.5% 50 10.4 22.2% 63 63 66 83 43 53% 6 5 29 20

Kachchh 65 Bhachau 2.3 366 161 5.2% 40 9.2 10.1% 70 69 46 81 56 70% 2 7 16 12

Kachchh 66 Bhuj_DTC 4.3 952 221 -10.0% 104 9.2 75.5% 96 67 102 95 57 71% 4 16 19 10

Kachchh 67 Gandhidham 3.0 358 120 32.3% 52 6.9 -14.5% 70 64 57 76 56 70% 1 8 11 8

Kachchh 68 Mandvi 3.9 736 190 24.8% 65 11.3 -36.5% 67 63 75 78 56 70% 3 8 10 7

Kachchh 69 Nakhtrana 2.1 447 208 -3.9% 26 17.2 248.3% 48 58 41 76 47 58% 6 9 15 11

Kachchh 70 Rapar 2.8 337 119 42.8% 41 8.2 60.2% 58 66 58 82 58 72% 4 6 14 8

Kheda 71 Balasinor 4.6 731 160 15.7% 136 5.4 -24.6% 119 103 170 149 81 101% 23 10 36 23

Kheda 72 Kathlal 4.8 743 154 -1.4% 99 7.5 -22.1% 82 79 129 107 56 70% 12 12 27 22

Kheda 73 Mahudha 4.8 844 174 6.1% 92 9.2 30.2% 76 82 147 121 59 74% 17 16 30 22

Kheda 74 Matar 4.7 760 161 0.0% 90 8.4 70.9% 76 81 144 122 59 74% 17 18 28 22


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

1 1% 95% 73% 93% 94% 69 88% 78 100% 59 91% 90 88% 79% 2% 2% 100% 100%

3 4% 91% 76% 91% 77% 81 92% 88 100% 54 100% 81 74% 94% 1% 1% 100% 100%

4 7% 91% 71% 96% 61% 55 93% 59 100% 45 87% 72 94% 96% 3% 3% 100% 100%

1 2% 92% 88% 86% 88% 53 95% 56 100% 45 90% 57 77% 100% 1% 1% 100% 100%

6 11% 93% 92% 88% 88% 50 89% 56 100% 45 90% 52 74% 96% 0% 0% #DIV/0! #DIV/0!

23 19% 93% 89% 93% 81% 90 96% 92 98% 77 96% 97 60% 99% 3% 3% 100% 92%

2 4% 97% 74% 85% 61% 56 97% 57 98% 33 97% 45 66% 100% 1% 1% #DIV/0! #DIV/0!

5 10% 95% 95% 93% 77% 70 99% 69 97% 48 94% 56 72% 100% 1% 1% 100% 100%

4 8% 98% 96% 94% 83% 55 100% 53 96% 49 100% 57 84% 100% 1% 1% 100% 100%

6 10% 98% 88% 88% 95% 50 100% 48 96% 63 98% 44 60% 100% 0% 0% 100% 100%

3 5% 100% 85% 88% 80% 86 98% 88 100% 55 90% 52 51% 100% 1% 1% 100% 100%

6 8% 100% 93% 88% 69% 104 98% 106 100% 73 97% 55 43% 100% 2% 2% 100% 100%

1 2% 98% 94% 90% 83% 56 100% 56 100% 44 96% 41 64% 100% 2% 2% 100% 100%

6 5% 93% 54% 91% 81% 85 90% 93 99% 74 96% 136 87% 100% 8% 8% 100% 100%

8 7% 95% 78% 89% 76% 81 96% 81 96% 67 96% 98 62% 99% 8% 8% 100% 100%

5 6% 90% 70% 89% 73% 87 90% 89 92% 76 97% 91 68% 99% 5% 5% 100% 90%

2 2% 91% 80% 85% 76% 93 98% 94 99% 44 88% 88 73% 93% 4% 4% 100% 100%

13 9% 92% 85% 86% 49% 115 99% 116 100% 85 88% 169 92% 93% 2% 2% 100% 100%

2 2% 92% 79% 88% 54% 100 88% 88 77% 63 74% 102 73% 93% 6% 6% 100% 100%

3 4% 91% 73% 85% 57% 91 98% 91 98% 63 91% 67 63% 93% 6% 6% 100% 100%

4 5% 95% 73% 87% 75% 77 93% 83 100% 60 98% 84 82% 99% 3% 3% 100% 100%

6 8% 97% 75% 93% 75% 75 95% 79 100% 62 95% 58 60% 98% 4% 4% 100% 100%

4 5% 91% 38% 86% 55% 90 98% 92 100% 73 92% 63 60% 100% 1% 1% 100% 100%

4 4% 91% 71% 86% 64% 88 93% 95 100% 75 97% 107 84% 98% 0% 0% 100% 100%

8 10% 93% 63% 85% 73% 79 96% 80 98% 57 92% 91 84% 94% 2% 2% 100% 100%

4 4% 90% 69% 90% 71% 87 99% 88 100% 71 95% 80 70% 98% 3% 3% 100% 100%

2 5% 91% 56% 94% 67% 46 92% 45 90% 32 94% 42 64% 94% 10% 9% 100% 100%

0 0% 94% 86% 94% 80% 37 95% 39 100% 33 97% 35 76% 98% 11% 11% 20% 100%

2 2% 89% 67% 92% 70% 69 96% 68 94% 52 95% 78 76% 97% 4% 4% 100% 100%

3 6% 89% 33% 86% 50% 44 92% 47 98% 38 95% 43 75% 98% 13% 12% 100% 100%

3 5% 91% 60% 88% 50% 61 100% 61 100% 36 88% 48 64% 96% 4% 4% 100% 100%

2 6% 93% 33% 95% 40% 27 87% 31 100% 19 90% 36 88% 95% 5% 5% 100% 100%

1 2% 93% 71% 85% 83% 40 85% 42 89% 31 82% 38 66% 100% 2% 2% 100% 100%

1 1% 93% 73% 86% 65% 110 93% 96 81% 83 84% 111 65% 93% 1% 1% 100% 100%

4 4% 90% 71% 85% 71% 85 89% 90 95% 72 89% 97 75% 100% 2% 2% 100% 67%

3 3% 92% 68% 86% 74% 88 89% 94 95% 63 85% 80 54% 98% 3% 3% 100% 100%

5 5% 91% 73% 86% 75% 86 90% 70 73% 72 92% 99 69% 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 4.8 989 205 5.3% 174 5.7 -48.7% 144 81 147 122 49 61% 17 20 36 32

Mehsana 76 Kadi 4.4 995 227 6.3% 83 12.0 21.3% 76 89 138 126 60 75% 9 11 46 28

Mehsana 77 Kheralu 5.8 1075 186 2.8% 100 10.8 18.6% 69 74 136 94 57 71% 2 9 26 17

Mehsana 78 Mehsana_DTC 5.2 1479 285 13.8% 131 11.3 9.1% 101 69 123 95 56 70% 8 12 19 13

Mehsana 79 Visnagar 5.6 1228 219 11.1% 104 11.8 27.6% 74 73 137 98 56 70% 7 6 27 16

Narmada 80 Dediapada 2.8 510 183 6.2% 70 7.3 -10.8% 101 95 74 106 78 97% 7 4 17 17

Narmada 81 Rajpipla 1.8 510 286 2.3% 73 7.0 -37.7% 164 108 67 151 74 93% 22 18 36 34

Narmada 82 Tilakwada 1.5 443 287 38.7% 48 9.2 -3.9% 125 93 39 101 78 97% 3 0 21 16

Navsari 83 Chikhli 3.3 1027 313 44.1% 72 14.3 87.0% 88 74 86 105 57 72% 12 10 26 17

Navsari 84 Gandevi 3.5 744 215 15.6% 84 8.9 28.3% 97 76 102 118 61 77% 20 16 21 15

Navsari 85 Navsari 4.8 992 208 6.3% 115 8.6 3.7% 96 82 158 132 59 74% 17 23 34 23

Navsari 86 Vansda 2.3 446 198 -0.6% 45 9.9 17.8% 80 75 53 94 60 75% 9 9 16 14

Panchmahals 87 Ghoghamba 2.5 466 183 -2.7% 52 9.0 72.7% 82 91 84 132 65 81% 19 16 33 27

Panchmahals 88 Godhra 4.8 965 202 15.0% 201 4.8 -37.4% 169 102 194 163 66 83% 25 13 58 36

Panchmahals 89 Halol 4.7 812 171 -14.7% 146 5.6 -43.2% 123 131 225 190 95 118% 33 17 46 36

Panchmahals 90 Kadana 2.7 476 178 -8.0% 58 8.2 19.2% 87 121 108 161 94 118% 25 3 39 27

Panchmahals 91 Mora 2.7 439 165 1.1% 74 5.9 -27.7% 111 122 96 145 74 92% 11 6 54 48

Panchmahals 92 Santrampur 2.7 413 154 -1.0% 81 5.1 -35.4% 121 109 97 145 69 86% 21 6 49 40

Panchmahals 93 Shahera 4.6 930 200 -14.1% 125 7.4 -42.7% 108 110 167 144 74 93% 19 4 47 36

Patan 94 Chanasma 4.5 915 202 -5.8% 63 14.5 74.5% 56 78 117 103 56 70% 4 10 34 22

Patan 95 Patan 5.6 1906 341 26.6% 219 8.7 -45.1% 157 112 231 165 66 82% 22 10 67 46

Patan 96 Radhanpur 3.8 828 220 -27.6% 73 11.3 22.4% 77 67 90 96 50 62% 13 6 27 17

Porbandar 97 Porbandar 6.1 965 159 -5.2% 97 9.9 -5.9% 64 67 159 105 56 70% 18 13 17 11

Rajkot 98 ADTC Morbi 6.2 1027 166 -7.3% 95 10.8 36.8% 61 69 127 82 57 71% 4 8 14 12

Rajkot 99 DTC Urban 6.5 2882 444 20.3% 360 8.0 -52.2% 222 75 169 104 56 70% 3 16 29 18

Rajkot 100 Jetpur 5.9 1205 206 -7.0% 104 11.6 7.4% 71 64 128 87 56 70% 6 14 11 8

Rajkot 101 Kotda Sangani 4.8 621 129 -0.7% 58 10.7 18.2% 48 68 112 93 56 70% 9 13 14 12

Rajkot 102 PKH 6.5 901 139 15.1% 88 10.2 -53.3% 54 67 134 83 56 70% 3 6 17 11

Rajkot 103 Rural Rajkot 4.8 795 167 -3.6% 61 13.0 -13.0% 51 76 117 98 56 70% 7 10 25 19

Rajkot 104 Upleta 4.7 991 211 -12.1% 83 11.9 117.5% 71 68 119 101 56 70% 7 18 20 12

Sabarkantha 105 Bhiloda 2.8 611 214 16.4% 89 6.9 14.1% 125 98 144 202 67 84% 67 13 52 31

Sabarkantha 106 Dhansura 5.7 849 150 12.8% 138 6.2 1.7% 97 82 188 132 61 76% 30 8 34 21

Sabarkantha 107 Himatnagar 6.1 1106 181 -23.2% 147 7.5 -19.0% 96 78 204 134 59 74% 18 17 38 19

Sabarkantha 108 Idar 5.1 790 156 2.0% 94 8.4 24.1% 74 73 142 112 61 76% 21 6 24 13


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

4 4% 90% 70% 85% 61% 91 93% 89 91% 63 90% 85 58% 95% 7% 7% 83% 83%

4 5% 89% 89% 87% 67% 83 86% 95 98% 56 89% 53 38% 90% 3% 3% 100% 100%

3 3% 94% 79% 89% 82% 100 93% 98 92% 72 90% 78 57% 94% 9% 9% 100% 100%

7 7% 90% 71% 86% 63% 72 80% 84 93% 68 92% 40 33% 93% 8% 7% 100% 100%

1 1% 91% 64% 92% 64% 91 89% 91 89% 72 88% 85 62% 96% 7% 7% 100% 67%

1 2% 93% 69% 98% 73% 55 83% 59 89% 44 81% 69 93% 97% 0% 0% 100% 100%

0 0% 94% 86% 88% 88% 43 90% 47 98% 43 100% 47 70% 93% 2% 1% 100% 100%

0 0% 92% 83% 89% 80% 29 81% 32 89% 19 66% 39 100% 92% 0% 0% #DIV/0! #DIV/0!

2 3% 96% 76% 80% 83% 57 93% 61 100% 45 92% 59 69% 93% 3% 2% 100% 100%

2 2% 96% 76% 92% 73% 64 97% 66 100% 63 100% 78 76% 95% 11% 11% 100% 100%

9 8% 91% 74% 86% 83% 85 87% 87 89% 81 95% 125 79% 95% 4% 4% 100% 78%

3 7% 94% 89% 97% 75% 41 98% 42 100% 44 100% 40 75% 96% 2% 2% 100% 100%

5 8% 94% 93% 89% 82% 56 97% 58 100% 50 96% 79 94% 95% 3% 2% 100% 100%

13 10% 95% 71% 90% 74% 122 100% 122 100% 89 98% 174 90% 95% 2% 2% 100% 100%

10 6% 94% 73% 89% 70% 140 90% 154 99% 101 93% 171 76% 91% 1% 1% 100% 100%

2 2% 96% 78% 91% 95% 78 96% 81 100% 52 91% 102 94% 100% 0% 0% #DIV/0! #DIV/0!

1 2% 94% 75% 87% 70% 74 91% 81 100% 64 97% 75 78% 100% 2% 2% 100% 100%

3 5% 90% 92% 91% 93% 73 100% 73 100% 57 95% 66 68% 100% 0% 0% #DIV/0! #DIV/0!

6 5% 96% 79% 94% 88% 120 94% 128 100% 104 90% 142 85% 100% 1% 1% 100% 100%

2 3% 91% 44% 92% 65% 77 88% 86 98% 55 81% 63 54% 91% 9% 9% 100% 100%

7 5% 95% 65% 87% 46% 150 96% 156 100% 89 94% 125 54% 95% 4% 4% 100% 100%

1 2% 93% 52% 85% 75% 51 81% 63 100% 35 80% 61 68% 99% 2% 2% 100% 100%

12 9% 91% 47% 88% 47% 94 93% 100 99% 78 89% 49 31% 96% 6% 6% 100% 100%

4 4% 91% 81% 86% 68% 104 97% 107 100% 86 99% 39 31% 92% 5% 5% 100% 100%

10 8% 95% 67% 93% 76% 121 100% 121 100% 96 100% 114 67% 30% 6% 2% 100% 100%

13 12% 93% 69% 93% 79% 87 94% 93 100% 83 95% 26 20% 95% 3% 3% 100% 100%

5 5% 93% 86% 87% 69% 79 96% 82 100% 66 97% 60 54% 91% 2% 2% 100% 100%

5 5% 93% 90% 88% 63% 108 99% 105 96% 79 89% 31 23% 99% 6% 6% 100% 100%

6 7% 94% 88% 91% 71% 87 97% 90 100% 72 100% 87 74% 99% 8% 8% 100% 100%

7 7% 94% 69% 88% 62% 80 100% 80 100% 66 100% 66 55% 92% 3% 3% 100% 100%

6 6% 98% 91% 85% 88% 66 94% 60 86% 46 84% 101 70% 95% 4% 4% 100% 100%

1 1% 91% 77% 86% 69% 108 93% 115 99% 80 85% 133 71% 92% 3% 3% 100% 100%

5 3% 93% 83% 87% 78% 118 99% 118 99% 91 92% 140 69% 96% 4% 3% 100% 100%

1 1% 94% 82% 87% 82% 88 95% 91 98% 68 89% 77 54% 97% 4% 4% 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 2.7 416 157 -15.0% 75 5.5 -48.2% 113 80 106 160 63 79% 44 0 53 17

Sabarkantha 110 Meghraj 2.7 570 207 -1.3% 62 9.2 -24.4% 90 80 129 188 68 86% 66 10 44 12

SMC 111 BP 5.4 1100 206 7.3% 86 12.8 116.8% 64 72 138 103 60 75% 3 17 23 12

SMC 112 Hirabaug 4.6 1815 395 41.5% 299 6.1 -39.9% 260 68 118 103 57 72% 6 17 23 10

SMC 113 Karanj 5.2 901 173 3.0% 85 10.6 -17.8% 65 68 161 124 58 72% 11 26 29 10

SMC 114 Katargam 5.3 1149 217 41.5% 97 11.8 -13.5% 73 72 170 128 60 75% 8 31 29 11

SMC 115 Limbayat 5.1 831 163 12.2% 60 13.9 7.4% 47 70 147 115 56 71% 4 23 32 13

SMC 116 Navagam 5.3 1179 222 57.1% 67 17.6 -5.2% 51 77 195 147 61 76% 14 38 33 16

SMC 117 Pandesara 5.3 1035 195 7.3% 66 15.7 42.6% 50 86 214 162 62 77% 9 46 45 24

SMC 118 Rander 4.9 892 182 44.4% 93 9.6 -15.8% 76 75 113 92 56 70% 0 7 29 19

SMC 119 Udhana 5.1 890 175 11.0% 74 12.0 67.1% 58 73 141 111 59 74% 13 9 30 14

Surat-R 120 Bardoli 4.0 662 167 -5.8% 76 8.7 51.3% 77 84 128 129 58 72% 17 15 39 26

Surat-R 121 Kamrej 3.3 533 161 -3.2% 75 7.1 49.6% 91 88 147 177 69 86% 18 49 41 19

Surat-R 122 Mandvee 2.5 419 170 28.4% 61 6.9 -2.8% 99 84 100 162 67 83% 41 5 50 18

Surat-R 123 Mangrol 2.9 649 225 -2.2% 89 7.3 23.1% 124 96 92 128 71 89% 21 6 31 25

Surat-R 124 Surat 4.1 1897 462 15.8% 269 7.1 -33.3% 262 75 113 110 57 72% 9 18 26 18

Surendranagar 125 Dhrangadhra 4.1 408 100 -0.2% 35 11.7 4.9% 34 74 93 91 56 70% 6 7 23 18

Surendranagar 126 Muli 4.5 750 167 22.9% 56 13.4 81.7% 50 80 116 103 57 71% 9 4 33 23

Surendranagar 127 Patdi 2.9 331 116 26.2% 33 10.0 19.6% 46 77 69 97 56 70% 3 6 31 21

Surendranagar 128 Surendranagar 6.7 2701 401 2.1% 305 8.9 -20.7% 181 74 179 106 56 70% 12 12 24 18

The Dangs 129 Ahwa 2.3 462 197 -0.8% 46 10.0 46.7% 78 75 59 101 58 72% 5 17 20 17

Vadodara 130 Baroda 5.3 2446 461 -4.8% 319 7.7 -42.8% 241 87 173 130 60 74% 11 24 36 28

Vadodara 131 Padra 5.4 1105 205 -4.6% 90 12.3 51.6% 67 91 194 144 58 72% 16 19 50 33

Vadodara 132 Savli 4.7 1457 309 15.6% 168 8.7 -36.5% 142 115 210 178 77 96% 31 20 51 38

Valsad 133 Bhilad 3.0 466 158 -20.2% 49 9.5 -10.9% 66 70 71 96 58 73% 4 8 26 12

Valsad 134 Dharampur 2.3 418 186 -10.5% 40 10.5 -19.5% 71 62 48 85 57 71% 7 12 7 5

Valsad 135 Kaprada 2.5 394 155 -27.2% 42 9.4 -5.6% 66 68 51 80 57 71% 0 9 14 11

Valsad 136 Pardi 5.1 793 156 -6.6% 81 9.8 13.2% 64 72 143 113 58 73% 10 24 21 13

Valsad 137 Valsad 4.8 933 194 -0.8% 141 6.6 -31.5% 117 69 102 85 57 71% 2 5 21 12

VMC 138 Bawchawad 6.2 941 152 -4.2% 117 8.0 37.1% 76 89 226 146 58 73% 20 25 41 30

VMC 139 Gotri 5.9 1065 180 3.8% 239 4.5 -67.7% 162 53 158 107 43 53% 20 24 19 10

VMC 140 Jubilibaug 5.1 607 118 -26.7% 72 8.4 -40.9% 56 73 152 118 58 72% 11 16 33 16

Vyara 141 Nizar 2.0 344 176 -18.3% 24 14.3 59.0% 49 76 60 123 68 84% 14 23 18 8

Vyara 142 Songadh 2.4 551 232 0.1% 67 8.2 30.4% 113 89 77 130 66 82% 19 19 27 24

Vyara 143 Valod 1.9 372 197 -10.8% 46 8.1 0.7% 97 91 66 139 66 82% 17 19 38 25

Vyara 144 Vyara 2.1 398 187 -20.1% 67 5.9 -30.7% 126 90 84 158 62 78% 32 21 43 28

624.5 127569 204 4.3% 14664 8.7 1.5% 94 81 18497 118 59 74% 12 15 31 21Gujarat 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

2 3% 98% 80% 93% 78% 49 92% 53 100% 32 58% 98 92% 100% 0% 0% #DIV/0! #DIV/0!

1 1% 91% 71% 88% 75% 48 87% 54 98% 42 84% 114 88% 93% 2% 2% #DIV/0! #DIV/0!

4 4% 96% 74% 90% 62% 88 92% 96 100% 77 96% 20 14% 100% 8% 8% 100% 100%

3 3% 95% 71% 79% 45% 72 92% 78 100% 44 94% 68 58% 100% 5% 5% 100% 79%

7 6% 95% 76% 94% 86% 84 95% 88 100% 79 100% 82 51% 100% 5% 5% 100% 100%

7 5% 91% 56% 84% 68% 88 93% 95 100% 53 100% 76 45% 100% 8% 8% 94% 88%

13 12% 91% 81% 93% 71% 80 90% 87 98% 58 94% 57 39% 83% 3% 3% 100% 89%

16 11% 94% 70% 90% 74% 99 97% 101 99% 79 98% 70 36% 98% 6% 6% 100% 100%

12 8% 93% 77% 91% 73% 108 95% 114 100% 77 95% 91 43% 100% 5% 5% 100% 100%

5 6% 92% 71% 92% 75% 87 95% 91 99% 58 98% 43 38% 100% 5% 5% 100% 83%

5 5% 92% 61% 86% 57% 81 87% 93 100% 49 88% 85 60% 100% 4% 4% 100% 100%

6 7% 91% 77% 88% 60% 79 95% 83 100% 71 96% 93 73% 94% 2% 2% 100% 100%

7 6% 94% 85% 91% 71% 68 93% 73 100% 76 94% 110 75% 95% 2% 2% 100% 100%

0 0% 93% 86% 90% 71% 51 98% 52 100% 47 87% 81 81% 96% 0% 0% 100% 100%

2 3% 93% 71% 94% 71% 55 80% 69 100% 48 87% 82 89% 97% 0% 0% 100% 100%

8 9% 90% 82% 88% 71% 73 95% 77 100% 61 92% 73 65% 93% 4% 4% 100% 100%

4 6% 91% 76% 86% 59% 71 95% 74 99% 52 90% 61 66% 98% 1% 1% 100% 100%

2 3% 90% 80% 85% 67% 88 98% 90 100% 65 90% 73 63% 98% 5% 5% 100% 100%

0 0% 90% 63% 83% 55% 47 85% 52 95% 40 91% 48 70% 97% 1% 1% 100% 100%

8 6% 94% 72% 91% 71% 120 97% 124 100% 100 92% 118 66% 99% 7% 7% 100% 100%

2 4% 88% 58% 85% 75% 38 86% 44 100% 31 91% 48 81% 98% 2% 2% #DIV/0! #DIV/0!

4 3% 94% 70% 88% 70% 113 97% 116 100% 83 93% 122 71% 97% 7% 6% 100% 77%

5 4% 95% 72% 88% 68% 118 96% 122 99% 83 92% 155 80% 97% 3% 3% 100% 100%

4 3% 96% 86% 86% 76% 129 95% 131 96% 96 91% 127 60% 99% 3% 3% 80% 40%

0 0% 91% 78% 88% 100% 50 96% 52 100% 37 90% 61 86% 99% 0% 0% 75% 75%

1 2% 91% 83% 87% 67% 35 100% 35 100% 35 100% 46 96% 83% 3% 2% 100% 100%

0 0% 94% 67% 89% 67% 39 91% 43 100% 30 91% 48 94% 86% 0% 0% 100% 100%

3 3% 95% 82% 89% 69% 80 88% 91 100% 78 93% 123 86% 95% 2% 2% 100% 88%

1 1% 93% 65% 88% 56% 79 95% 83 100% 63 97% 74 73% 100% 7% 7% #DIV/0! #DIV/0!

9 6% 90% 74% 86% 85% 109 80% 120 88% 86 85% 57 25% 88% 6% 5% 94% 53%

5 4% 91% 69% 87% 52% 71 91% 78 100% 71 87% 43 27% 100% 6% 6% 100% 100%

2 2% 91% 75% 88% 71% 87 93% 74 79% 72 99% 8 5% 98% 6% 6% 91% 91%

2 4% 97% 100% 97% 100% 34 92% 37 100% 38 97% 53 88% 100% 0% 0% 100% 100%

1 2% 94% 87% 89% 92% 50 94% 51 96% 48 92% 61 79% 97% 0% 0% 100% 100%

2 4% 92% 100% 91% 83% 38 88% 43 100% 51 93% 51 77% 92% 2% 2% #DIV/0! #DIV/0!

3 5% 95% 100% 93% 87% 44 92% 48 100% 38 73% 71 85% 86% 1% 1% 100% 100%

703 5% 92% 75% 88% 71% 11723 93% 12155 97% 9081 92% 11507 62% 94% 4% 4% 98% 95%

Success Rate Vs Case Detection Rate (4q12/4q13)

Ahmedabad Zone

60

65

70

75

80

85

90

95

50 55 60 65 70 75 80 85 90 95 100 105


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS HIGH DETECTIONHIGH SUCCESS LOW DETECTION


South Zone(AMC)

Khambhat(AND) Bavla(AMD), Viramgam(AMD), Amaraiwadi(AMC), Chandlodia (AMC), Anklav(AND), Petlad(AND),Sarsa(AND), Kathlal(KHD), Mahudha(KHD), Matar(KHD), Dhrangadhra(SNR), Muli(SNR)

North-Central Zone(AMC)

Balasinor(KHD)

West Zone(AMC)

East Zone(AMC)Memnagar(AMC)

L.G. Hosp.(AMC)

North Zone(AMC)

Nadiad(KHD)

Patdi(SNR)

S'nagar(SNR)

Central Zone(AMC)

Dhandhuka(AMD)

Gandhinagar Zone

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

Kheralu(MEH),Gandhinagar_DTC

Radhanpur(PTN)

Khedbrahma(SK)

Tharad(BK)

Bhiloda(SK)

Mansa(GNR)

Dhanera(BK)Idar(SK)

Himmatnagar(SK)

Danta(BK)

Diodar(BK),Dehgam (GNR)

Mehsana_DTC

Kadi(MEH)

Palanpur(BK)

Visnagar(MEH),Chanasma(PTN)

Dhansura(SK)Deesa(BK)


Bhavnagar Zone

80

85

90

95

45 50 55 60 65 70 75 80 85 90 95 100


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION


Amreli_DTC

Veraval(JNG)

Una(JNG)

Savarkundla(AMR)

Shihor(BVG)

Rajula(AMR), Keshod(JNG),Kodinar(JNG)

Botad(BVG)

Talaja(BVN)

Junagadh_Rural

Babra(AMR)

Mahuva(BVN)

Junagadh_Urban

Palitana(BVN)

Bhavnagar(Urban)

Rajkot Zone

82

85

88

91

94

97

50 55 60 65 70 75 80


Succ

ess

Rat

e (%

)

Target Zone



Dhrol(Jmn)

Anjar(KTC)

Lalpur(JMN)

Bhachau (KTC)

PKH (RJT),Upleta(RJT),Porbandar, Mandvi (KTC),Khambhalia(JMN)

Jetpur(RJT),DTC Urban(RJT)

Rural Rajkot

Rapar(KTC)

Gandhidham(KTC)

Bhuj(KTC)

Nakhtrana(KTC)

Kotda Shangani(RJT)Morbi(RJT),Jamnagar_DTC


Surat Zone

75

80

85

90

95

100

60 65 70 75 80 85 90


Succ

ess

Rat

e (%

)

Target Zone



Mangrol(Sur-R)

Vyara DTC

Valod(VYR) Kamrej(Sur-R)

Katargam(SMC)

Songadh(VYR)

Mandavee(Sur-R)

Hirabaug(SMC)

Surat_DTC,Valsad(VLD),Kaprada(VLD),Bardoli(Sur-R)

Rander(SMC)

Karanj(SMC)

Navagam(SMC)

Chikhli(NVS)

Nizar(VYR)

Gandevi(NVS)

Vansda(NVS)

Pandesara

Navsari DTC,Udhana(SMC)

Ahwa(DNG)

Limbayat(SMC)

BP(SMC)

Dharampur(VLD)

Pardi(VLD)

Bhilad(VLD)

Vadodara Zone

80

85

90

95

100

50 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


Sankheda

Sahera(PM)

Jhalod

Valia

Mora

Rajpipla

Tilakwada

Dediapada

Chhotaudepur

Hansot

Jhagadia

Kavant

Savli

Halol

Dahod

Padra, AmodJubilibaug,Garbada(DHD)

Godhra

Gotri(VMC)Baroda

Santrampur

Fatehpura

Limdi

Limkheda

Ghoghamba

Devgadhbaria

Dhanpur(DHD)

BharuchBawchawad

Kadana

Pavi Jetpur

Total Populatio

n (In lacs)

Lab facility for district DR-TB Centre for district

MDR Suspect Identified

4Q13

Number of MDR TB Suspects subjected

to C-DST in 4Q13

Proportion of Suspect

tested for MDR-TB

Number of MDR TB Cases

detected in 4Q13

Number of MDR TB Cases

detected that were registered

and initiated on

Cat-IV treatment in

4Q13 #

Proportion of MDR TB cases Put on CAT IV in districts

Number of MDR TB

Case registered

and initiated on Cat IV in

the 4 cohorts 6-9

months prior 1Q13

(a)

Ahmedabad-R 16.9 CBNAAT Lab, AMC MET Medical College BJMC Abad 209 339 162% 14 9 64% 10 5 50% 0 0% 2 20%AMC 57.6 CBNAAT Lab, AMC MET Medical College BJMC Abad 714 740 104% 74 70 95% 70 34 49% 8 11% 7 10%

Amreli 15.7 CBNAAT Lab, DTC Rajkot BJMC Abad 116 112 97% 11 8 73% 3 1 33% 1 33% 1 33%Anand 21.6 IRL Ahmedabad GMC Vadodara 317 283 89% 10 12 120% 8 4 50% 0 0% 0 0%

Banaskantha 32.2 Culture & DST Lab, Jamnagar BJMC Abad 359 362 101% 21 13 62% 16 10 63% 0 0% 3 19%Bharuch 16.0 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 142 136 96% 5 5 100% 5 3 60% 2 40% 0 0%

Bhavnagar 29.8 CBNAAT Lab, DTC Rajkot BJMC Abad 246 259 105% 23 15 65% 14 5 36% 4 29% 3 21%Chhotaudepur 10.3 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 131 122 93% 7 6 86% 7 6 86% 0 0% 0 0%

Dahod 22.0 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 308 350 114% 21 25 119% 15 6 40% 0 0% 2 13%Gandhinagar 14.4 IRL Ahmedabad BJMC Abad 169 159 94% 17 12 71% 8 7 88% 0 0% 0 0%

Jamnagar 22.3 Culture & DST Lab, Jamnagar M.P.ShahMC, Jamnagar 203 153 75% 6 4 67% 12 8 67% 1 8% 0 0%

Junagadh 28.4 Culture & DST Lab, Jamnagar M.P.ShahMC, Jamnagar 219 220 100% 25 22 88% 20 13 65% 2 10% 1 5%

Kachchh 21.6 CBNAAT Lab, DTC Rajkot BJMC Abad 162 142 88% 19 11 58% 4 3 75% 0 0% 1 25%Kheda 23.8 IRL Ahmedabad BJMC Abad 293 280 96% 22 13 59% 13 7 54% 0 0% 0 0%

Mehsana 21.0 IRL Ahmedabad BJMC Abad 188 150 80% 7 7 100% 5 2 40% 1 20% 2 40%Narmada 6.1 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 63 53 84% 3 2 67% 0 0 0% 0 0% 0 0%Navsari 13.8 CBNAAT Lab, DTC Surat-R GMC Surat 164 145 88% 9 10 111% 8 4 50% 1 13% 1 13%

Panchmahal 24.7 IRL Ahmedabad GMC Vadodara 428 452 106% 27 24 89% 20 12 60% 2 10% 1 5%Patan 13.9 Culture & DST Lab, Jamnagar BJMC Abad 230 211 92% 12 12 100% 9 4 44% 2 22% 2 22%

Porbandar 6.1 CBNAAT Lab, DTC Rajkot M.P.ShahMC, Jamnagar 48 48 100% 1 2 200% 1 0 0% 1 100% 0 0%

Rajkot 39.3 CBNAAT Lab, DTC Rajkot M.P.ShahMC, Jamnagar 263 248 94% 23 24 104% 7 4 57% 2 29% 0 0%

Sabarkantha 25.1 Culture & DST Lab, Jamnagar BJMC Abad 256 252 98% 16 13 81% 25 13 52% 4 16% 5 20%SMC 46.2 CBNAAT Lab, DTC Surat-R GMC Surat 431 433 100% 39 28 72% 51 35 69% 2 4% 5 10%

Surat-R 16.7 CBNAAT Lab, DTC Surat-R GMC Surat 219 221 101% 11 9 82% 8 7 88% 0 0% 1 13%Surendranagar 18.2 CBNAAT Lab, DTC Rajkot BJMC Abad 213 208 98% 24 20 83% 5 1 20% 1 20% 2 40%

The Dang 2.3 CBNAAT Lab, DTC Surat-R GMC Surat 29 27 93% 0 0 0% 0 0 0% 0 0% 0 0%Vadodara-R 15.4 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 198 202 102% 12 12 100% 5 1 20% 3 60% 1 20%

Valsad 17.6 CBNAAT Lab, DTC Surat-R GMC Surat 143 139 97% 8 4 50% 5 3 60% 1 20% 0 0%VMC 17.2 CBNAAT Lab, DTC Vadodara-R GMC Vadodara 185 177 96% 8 9 113% 12 5 42% 0 0% 3 25%Vyara 8.3 CBNAAT Lab, DTC Surat-R GMC Surat 69 63 91% 2 1 50% 5 2 40% 0 0% 2 40%

Gujarat 624.5 6715 6686 100% 477 402 84% 371 205 55% 38 10% 45 12%

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

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

(Reported by Districts of Implementing State)

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 (3Q12) (b)

Number of MDR TB

cases registered in the cohort,

31-33 months

prior 2Q11 (c)

Out of c, No.

reported as Cured

Out of c, No. reported as Treatment Completed

Out of c, Success

Rate

13 6 46% 1 8% 4 31% 2 15% 0 0% 0 0% 11 3 0 27% 1 9% 3 27% 3 27% 0 0% 1 9%101 42 42% 8 8% 10 10% 16 16% 23 23% 1 1% 36 4 8 33% 10 28% 7 19% 6 17% 0 0% 1 3%8 7 88% 0 0% 1 13% 0 0% 0 0% 0 0% 8 2 0 0% 2 0% 3 0% 1 0% 0 0% 0 0%

21 5 24% 2 10% 2 10% 5 24% 4 19% 1 5% 5 2 0 40% 1 20% 2 40% 0 0% 0 0% 0 0%38 15 39% 3 8% 9 24% 6 16% 6 16% 0 0% 11 3 0 27% 1 9% 6 55% 1 9% 0 0% 0 0%8 4 50% 2 25% 1 13% 0 0% 1 13% 0 0% 3 0 0 0% 0 0% 1 33% 2 67% 0 0% 0 0%

25 9 36% 1 4% 3 12% 10 40% 2 8% 0 0% 6 5 0 83% 1 17% 0 0% 0 0% 0 0% 0 0%7 5 71% 0 0% 0 0% 2 29% 0 0% 0 0% 2 1 0 50% 1 50% 0 0% 0 0% 0 0% 0 0%

27 6 22% 0 0% 14 52% 2 7% 5 19% 0 0% 3 0 0 0% 3 100% 0 0% 0 0% 0 0% 0 0%14 7 50% 2 14% 1 7% 3 21% 1 7% 0 0% 4 0 0 0% 2 50% 1 25% 0 0% 0 0% 1 25%

18 4 22% 0 0% 1 6% 5 28% 6 33% 0 0%

12 8 67% 1 8% 0 0% 0 0% 3 25% 0 0%

17 7 41% 2 12% 3 18% 3 18% 2 12% 0 0% 1 1 0 100% 0 0% 0 0% 0 0% 0 0% 0 0%16 3 19% 2 13% 4 25% 2 13% 5 31% 0 0% 12 5 1 50% 4 33% 2 17% 0 0% 0 0% 0 0%18 6 33% 3 17% 2 11% 2 11% 5 28% 0 0%0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 2 2 0 100% 0 0% 0 0% 0 0% 0 0% 0 0%

13 3 23% 3 23% 1 8% 2 15% 4 31% 0 0%27 11 41% 3 11% 1 4% 9 33% 2 7% 1 4% 8 2 0 25% 1 13% 2 25% 3 38% 0 0% 0 0%15 10 67% 1 7% 1 7% 3 20% 0 0% 0 0% 5 2 0 40% 2 40% 1 20% 0 0% 0 0% 0 0%

2 0 0% 0 0% 0 0% 2 100% 0 0% 0 0%

23 10 43% 6 26% 0 0% 7 30% 0 0% 0 0% 7 4 0 57% 2 29% 0 0% 1 14% 0 0% 0 0%

31 19 61% 0 0% 7 23% 2 6% 3 10% 0 0% 7 1 0 14% 4 57% 0 0% 0 0% 1 14% 0 0%58 29 50% 3 5% 1 2% 7 12% 13 22% 3 5%14 5 36% 1 7% 0 0% 1 7% 4 29% 3 21%12 5 42% 1 8% 2 17% 3 25% 1 8% 0 0% 4 2 0 50% 2 50% 0 0% 0 0% 0 0% 0 0%1 0 0% 0 0% 0 0% 0 0% 1 0% 0 0%

12 8 67% 0 0% 0 0% 3 25% 1 8% 0 0% 3 1 0 33% 2 67% 0 0% 0 0% 0 0% 0 0%9 2 22% 1 11% 2 22% 4 44% 0 0% 0 0%

20 3 15% 0 0% 2 10% 9 45% 6 30% 0 0% 5 1 0 20% 2 40% 0 0% 1 20% 0 0% 1 20%5 4 80% 0 0% 0 0% 0 0% 1 20% 0 0%

585 243 42% 46 8% 72 12% 110 19% 99 17% 9 2% 143 41 9 35% 41 29% 28 20% 18 13% 1 1% 4 3%

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

Out of b, No. (%) who died

Out of b, No. (%) who defaulted

Indicators on 12 months Culture Conversion Report

Switch to CAT V

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

(Reported by Districts of Implementing State)

Intermediate Reference Laboratory, Ahmedabad Gujarat State

Quarterly Report on Laboratory Performance – 3Q13

Culture workload (from

culture register) 2nd Line L-J DST started from

1st Nov. 2013 for XDR suspects as per current PMDT Guideline.

DST workload and results (from DST register)

[DST results summary combined all methods]

Month

Diagnostic Sputum

SPECIMENS

inoculated

Follow-Up SPECIMENSprocessed

1st or 2nd line

solid DST

processed

1st or 2nd line

Liquid DST Done

Total Ofx Res.

Total XDR/Kan. Res.

LPA DST Done

Total H+R Sens

Total H+R Res

Total H

only Res

Total R only Res

Jul 570 508 1169 962 77 102 28 Aug 630 307 827 655 54 89 29 Sep 628 436

.

975 778 64 107 26

Performance indicators

Numerator (No.)

Denominator (No.) Percent

(1)Specimens (all) received within 72 hours of sputum collection in 4-8 C 8478 8631 98.23 (2) Number of specimen rejected at the lab due to various reason (eg. Leakage, inadequate quantity, etc) 80 8711 0.9 (3) Specimens (all) with cultures reported as Mtb. Complex (Total) or only for F’up specimens (where LPA is used for diagnosis) 379 1251 30.3 (4) Invalid by LPA reported as Culture Positive for M.tb, 02 16 12.5 (5) M.tb not detected by LPA reported as Culture Positive for M.tb, 14 146 9.5 (6) Smear Negative diagnostic specimens reported as culture positive MTB (“A “& “B” “C”) 350 1552 22.5 (7) Extra Pulmonary Specimens reported as culture Positive for M.Tb 24 114 21.05 (8) Specimens reported as Contaminated results with liquid culture 308 2112 14.6 (9) Specimens reported as Contaminated results (by LJ Culture system) 59 3079 1.9 (10) Specimens (all diagnostic) with culture results reported as NTM 96 7266 1.32 (11) Patients (with diagnostic specimens) with DST completed within the benchmark turn-around time(by LPA) 2786 2857 97.5 (12) Patients (with diagnostic specimens) with 1st or 2nd line DST completed within the benchmark turn-around time(by LJ/L-C) 2nd Line L-J DST start from 1st Nov. 2013. (13) Patients (all) with final culture results reported to providers within 1 days of declaration of result 3014 3079 97.8 (14) Patients with final DST results reported to providers within 1 days of declaration of result 2971 2971 100

(15) Number and Percentage of invalid LPA results 7 3052 0.23 (16) Number and Percentage of M.tb not detected by LPA results 66 3052 2.16 (17) Number of events of LPA contamination in the quarter. 01 50 2

Sensitivity (%) Specificity (%) H: R: E (opt): S (opt): K

(18) Most recent DST panel test performance (Receive Date :26/10/2013) (Reference lab: NIRT)

1st line LPA results/ 1ST Line MGIT DST results are submitted

1st line L-J and 2nd line LC DST is pending to submit.

Ofx

(19) Most recent On-Site Evaluation 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 3Q13

1 Ahmedabad-R 27769 3570 13 1092 1 3 1 1 0 6 4 / 192 AMC 99015 14985 15 2589 2 12 5 16 1 36 12 / 533 Amreli 26667 2594 10 1488 0 0 0 1 2 3 0 / 164 Anand 42753 5348 13 1283 0 0 0 0 0 0 0 / 245 Banaskantha 54939 8030 15 1611 1 0 0 2 0 3 1 / 376 Bharuch 28834 3360 12 1338 0 0 0 0 0 0 0 / 227 Bhavnagar 50746 4982 10 2217 0 2 0 0 2 4 2 / 318 Chhotaudepur 17063 2088 12 959 1 0 0 1 2 4 1 / 199 Dahod 56612 5124 9 3068 0 1 0 0 0 1 1 / 42

10 Gandhinagar 29062 2960 10 1280 0 0 0 5 0 5 0 / 1811 Jamnagar 38995 3461 9 1986 0 9 0 1 2 12 3 / 2212 Junagadh 47263 4389 9 1886 0 1 0 0 1 2 1 / 2913 Kachchh 32992 3826 12 1785 0 0 0 2 0 2 0 / 3514 Kheda 43748 5764 13 1560 0 1 0 0 0 1 1 / 2815 Mehsana 38180 3756 10 1767 0 4 0 1 4 9 3 / 2416 Narmada 15313 1465 10 859 0 5 0 2 0 7 2 / 1317 Navsari 27106 2844 10 1501 0 0 0 0 1 1 0 / 2218 Panchmahal 50734 6811 13 1947 0 0 0 1 1 2 0 / 3819 Patan 31776 3516 11 1275 0 4 0 2 4 10 3 / 1920 Pobandar 11565 1071 9 429 0 0 0 0 1 1 0 / 521 Rajkot 74907 7213 10 2712 0 0 0 0 0 0 0 / 3522 Sabarkantha 41670 5923 14 1995 0 0 0 0 0 0 0 / 3723 Surat-R 33337 5475 16 1549 0 0 0 6 0 6 0 / 3124 SMC 79493 7054 9 3561 0 2 0 9 0 11 2 / 4225 Surendranagar 34913 4065 12 1120 0 2 0 1 0 3 1 / 1726 The Dang 4629 411 9 298 0 0 0 0 0 0 0 / 427 Vadodara-R 42181 5621 13 1120 1 5 0 4 3 13 5 / 2028 VMC 30306 3539 12 975 0 0 0 0 0 0 0 / 1229 Valsad 31444 2648 8 1649 0 0 0 1 2 3 0 / 2430 Vyara 19847 1964 10 1089 0 0 0 0 1 1 0 / 16

Total 1163859 133857 11.5 47988 6 51 6 56 27 146 42 / 754 (5.6%)

Annexure-E Compilation for 3rd Quarter 2013 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) 3338 397 54 6 826 95 858 6572 74302 AMC 8450 1459 243 34 2726 416 3330 16352 196823 Amreli 3172 314 94 5 704 52 671 6412 70834 Anand 3849 582 153 16 1285 117 1296 7917 92135 Banaskantha 5140 807 69 11 1661 125 1722 10269 119916 Bharuch 3014 426 15 4 819 23 825 5754 65797 Bhavnagar 5128 605 81 23 1277 75 1171 10248 114198 Chhotaudepur 2007 278 72 9 590 42 581 4054 46359 Dahod 7577 670 823 28 1377 81 1477 16523 18000

10 Gandhinagar 3251 337 58 4 757 43 719 6513 723211 Jamnagar 4244 405 61 7 749 101 805 8155 896012 Junagadh 4936 510 77 14 1209 72 1012 10262 1127413 Kachchh 4053 409 64 14 844 106 991 7404 839514 Kheda 4221 701 59 6 1381 113 1540 8514 1005415 Mehsana 4464 453 47 2 840 63 944 8743 968716 Narmada 1711 174 41 1 345 17 347 3252 359917 Navsari 3076 307 29 4 775 55 646 6366 701218 Panchmahal 4830 850 100 11 1805 155 1840 9780 1162019 Patan 3337 412 36 2 757 83 868 6260 712820 Pobandar 988 88 48 8 408 31 239 2563 280221 Rajkot 7750 761 87 15 1477 90 2766 15220 1798622 Sabarkantha 4399 693 66 14 1450 45 1355 8774 1012923 Surat (R) 4332 632 82 16 952 69 1347 8300 964724 SMC 9356 860 265 34 1917 126 1787 18862 2064925 Surendranagar 3883 470 51 5 888 90 984 7424 840826 The Dang 551 50 10 1 91 3 104 1027 113127 Vadodara (R) 4662 563 80 7 1006 84 1213 9106 1031928 VMC 2472 396 17 1 752 53 807 4866 567329 Valsad 2946 330 58 4 699 36 654 5953 660730 Vyara 1994 203 53 7 598 22 403 4301 4704

TOTAL 123131 15142 2993 313 30965 2483 33302 245746 279048

Laboratory abstract report for the 3rd Quarter 2013 of Gujarat StateAnnexure-M

TB-Diabetes and response to care and control the comorbidity

India has the largest number of TB cases in the world with 2.2 million cases of TB estimated to be occurred in the country in the year 2012. There is also a rise in epidemic of diabetes mallitus (DM), with country facing transition of socio-economic development and lifestyle changes. It is estimated that there are over 60 million people currently with DM in the country, and almost half are undiagnosed, with the number expected to increase to 80 million by 2030.

People with DM are at a higher risk of progressing from latent to active TB and there is 2-3 times higher risk of TB among them as compared to people without diabetes. DM can lengthen the time to sputum culture conversion and theoretically this could lead to the development of drug resistance. People with diabetes who are diagnosed with TB have a higher risk of death during TB treatment and a higher risk of TB relapse after completing treatment. It has been argued that good glycemic control in TB patients can improve treatment outcomes. It has been suggested by modelling analysis that DM may account for 15% of all TB and 21% of smear-positive TB cases. Recent analyses have indicated that the increase in DM prevalence in India has been an important obstacle to reducing TB incidence in the country.

In global response to fight agains TB and DM, WHO-Union Framework for collaborative activities was devleoped to guide policy makers and implementers in reducing the dual burden of DM and TB. One of the important activities of the Collaborative Framework is the routine implementation of bi-directional screening of the two diseases. As a first step to implement the famework activities, India assessed the feasiblity of implementation of screening of DM among TB patients in pilot settings across the country. In these countrywide screening nearly 98% of TB patients were screened for Diabetes. About 13% were diagnosed to have DM based on fasting blood glucose, which included 8% of registered TB patients with a diagnosis of DM already known, and 5% having a new diagnosis of DM. The pilot showed that DM screening is feasible to do within different types of health facility and activity would lead to earlier detection of DM and possibly, earlier and better treatment of DM (which might have gone un-recognized) and improved clinical outcomes on anti-TB treatment. The policy decision was taken to screen all TB patients for DM in the 100 districts where National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) activities are being implemented.

Gujarat was one of the participant of pilot settings to initiate screening of DM among TB patients. Anklav TU of Anand district had successfully implemented the pilot. As per the policy decision, the TB-DM collaborative activities were estblished in 6 districts (Gandhinagar, Surendranagar, Junagadh, Porbandar, Rajkot and Jamnagar) where NPCDCS activities are implemented in the state. The collaobarative activities are expanded to all districts in the state from November 2013 along with expansion of NPCDCS activities in these districts. Following services are extended under the collaborative framework. Screening of TB patients for Diabetes at the earliest after diagnosis, patients diagnosed as Diabetes are linked for Diabetes care, recording and reporting mechanism are established to document the collaborative care.

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 Jignesh J. Patel Ahmedabad Rural District TB Centre, State TB Training & Demonstration Centre, New Civil Hospital Campus, Asarva, Ahmedabad 079-22684764 079-22684764 90990 64791 98259 04274 [email protected]

Ahmedabad MC Dr RM Leuva 3rd Floor, Baherampura Referral Hospital, Nr. Laladhar Hall, Baherampura, 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 RR Fulmali District TB Centre, Near S.S.Hospital, Petlad 02697-22465902697-221458 02697-221458 75678 70007 94283 50880 [email protected]

Banas Kantha (P) Dr BB Solanki District TB Centre, Civil Hospital Campus, Palanpur 02742-253537 02742-253537 90990 64816 90990 64816 [email protected]

Bharuch Dr Munira V. Shukla 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 Bharti Dholakia District TB Centre, TB Hospital Compound, Jamnagar 0288-2678977 0288-2678977 75678 80006 98250 50604 [email protected]

Junagadh Dr Chetan A. Mehta District TB Centre, Civil Hospital Campus, Junagadh 0285-2622382 0285-2650157 0285-2650157 97129 02184 97129 02184 [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 PN Baruah District TB Centre, Civil Hospital Campus, Godhara 02672-241944 02672-247955 75678 94300 94270 14184 [email protected]

Patan Dr BB Goswami District TB Centre, General Hospital Campus, Patan 02766-226608 02766-226608 94276 82379 90990 18621 [email protected]

Porbandar Dr Seema A. Popatia District TB Centre, Nr. Lady Hospital, S.T. Road - Porbandar - 360575 0286-2248864 0286-2248864 99099 89646 98247 50855 [email protected]

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

Sabar Kantha (H) Dr AK Patel District TB Centre, Sir Pratap General Hospital Campus,Himatnagar 02772-241744 02772-246917 96876 79004 99099 81892 [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 PK Parmar District TB Center, District Talim Building, MGSH Civil Hospital Campus, Surendranagar 02752-221003 02752-220301 97129 99768 97277 30010 [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 CB Chobisa District TB Centre, State Hosp. Campus, Dharampur, Ta: Dharampur, Dist: Valsad 02633-242485 - 97277 82541 93751 01163 [email protected]

Vyara (Surat) Dr Hasmukh J. Chaudhari District TB Centre, General Hospital Campus, Vyara-394650, Ta-Vyara, Dist.Tapi 02626-223391 02626-223391 98253 03057 98253 03057 [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 notification rate No. of smear positive cases registered in the quarter * 4 / Population (in lac) of area CFR / PMR

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

Surendranagar

Idar

Botad

Shihor

Talaja

Mandv i

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

Bh iloda

KavantKotda S hangani

Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Santrampur

Chikhli

Jhalod

Pardi

Dh anp ur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuc h

ValsadDharam pur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

PetladAnklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

Ma ngrolJunagadh_UrbanJunagadh

_Rural

Mansa

GotriJubilibaugBawchawad

NSP 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

Ida r

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

Je tpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palit ana

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'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Khera lu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

SankhedaPavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_Urban

Junagadh_Rural

Mansa

Gotr iJubilibaugBawchawad

TBSuspectExamined Per Lac

< 100100 - 149.9>=150No Data

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

Fourth 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

SMCNSP 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 SuspectExamined Per Lac

< 100100 - 149.9>=150

TB Suspects examined per 100,000 population by district, Gujarat Fourth 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

SMCNSP 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]

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