1. National Tuberculosis Control Program Department of Health Philippines Dr. Vivian S. Lofranco Medical Specialist IV

2. TB Indicators* Philippines, 2003
No. of new cases
119,841
(149.1/100,000)
No. of new smear positive
68,562
(85.3/100,000
% smear positive out of total new cases
57.21%
% retreatment cases out of total new cases
2.97%
% population with access to DOTS
100%
DOTS cure rate
77.1%**
DOTS success rate
88.1%**
DOTS case detection rate
58.83%
Partial data
**Partial data 2002

3. Notification Rate ( per 100, 000) Philippines, 1992-2002
Year

4. Notification Rate by Region, 2003
REGION POPULATION NEW TB CASES RATE PER 100,000
CAR
1766
125.82 I
6907
156.88 II
4138
142.29
III
11391
142.44 IV
11206
85.43 V
9132
185.40 VI
11081
169.09
VII
6924
120.27
VIII
4720
123.45 IX
6304
208.70 X
5752
198.75 XI
5233
132.43
XII
5486
154.22
NCR
21281
197.13
CARAGA
5818
239.71
ARMM
3075
100.86
NATIONAL
119841
149.10

5. Treatment Outcomes Philippines
1998
1999
2000
2001
2002
(partial)
Cured
75.9%
70.0%
73.0%
74.5%
77.4%
Completed
7.3%
17.3%
15.2%
13.1%
10.7%
Defaulted
7.4%
5.7%
5.9%
6.0%
5.2%
Failed
2.9%
1.6%
1.2
1.3%
1.0%
Died
2.6%
2.3%
Trans-out
3.5%
3.0%
2.7%
Non evaluated ND
25.1%
6.64%
16.8%

6. Mortality Data Philippines
Information system:
-Civil Registrar Information System*
Death Certificate
-Mortality Rate on TB**
38.3/100,000 (1998)
28,041
8% of the total deaths
*National Statistics Office
** Philippine Health Statistics

7. Overall Assessment of National Information System
TB is one of the notifiable diseases
Existing FHSIS(Field Health Surveillance Information System) of the DOH.
- consolidates, analyzes, disseminates reports
nationwide
TB unit, has its own recording/reporting system
following the WHO/IUATLD guidelines
- gather reports from the designated Regional
coordinators during Biannual National
Consultative Meetings, monitoring visits.

8. Overall Assessment of National Information System
Problems identified
- Limited program indicators on NTP, cure rate
not included in the existing system
- Delayed reporting of data( 2001 Morbidity;
1998 Mortality)*
* available data

9. Prevalence Survey Philippines, 1981 and 1997
1997
Sample size
23,254
( 38 clusters)
21,960
(36 clusters)
Screening procedures
Chest x-ray examn
Sputum microscopy, culture , tuberculin testing
% of population with TB infection
54.5%
63.4%
Annual risk of infection
2.5%
2.3%
Prevalence of smear(+)
Cases
6.6/1000
326,941
3.1/1000
221,804
Radiographic findings suggestive of TB
4.2%

10. Prevalence Surveys Difficulties encountered
1. Inaccessible areas, terrain, mountains
2. Threat of security, no assurance of safe
accomodation
Lessons learned
1. More attention need be focused not only on
case finding but also on ensuring adequate
treatment.
2. Enablers are given to increase coverage(e.g food
3. Regular meetings and documentation allowed
timely review of data from fields.

11. Tuberculin Survey Indicator 1981-83 1997
Prevalence of infection in the unvaccinated pop.
54%
63.4%
Annual risk of infection
2.5%
2.3%
Estimated rate of smear (+) new cases from ARI
123 per 100,000
164 per 100,000
Estimated Case Detection Rate NA
65%

12. Thank You!