1. 1 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in DTOs Quarterly Review Meeting, Ahmedabad 6 th Aug, 2014 Dr. PV Dave State TB Officer Gujarat 2 nd Quarter 2014 Status of RNTCP in Gujarat

2. 2 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in TB Suspects Examined – 2Q14: 1,21,329 Total TB patients put on treatment: 20,264 Annualized total TB case notification rate: 128 Annualized incident TB case notification rate: 108 Success rate in All New TB patients – 2Q13: 89% Success rate in All Retreatment TB patients – 2Q13: 74% Since the inception of RNTCP up to 30-6-14 Total TB suspect Examined: 50,60,596 Total TB Patients put on DOTS treatment, : 1,04,9200 New Smear Positive patients put on treatment : 4,53,808 Additional lives saved : 1,88,856 Identification of MDR TB Suspects: 67,206 Diagnosis of MDR TB Cases: 7,407 MDR TB Cases Put on CAT – IV : 6,002 XDR TB Cases Put on CAT – V : 261 Achievements at a Glance 2 nd Quarter 2014

3. 3 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Human Resource – District Level, 2 nd Quarter 2014 Name of the postNumber sanctionedNumber in PlacePercentage in place & trained DTO3627100 Senior DOTS Plus TB-HIV Supervisor 3029100 District DEO 30 29 100 Part time Accountant 30 100 MOTC 20319492 STS 20319494 STLS 14413794 TBHV 21820298 LT 761726100

4. 4 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in No. of MOTCs vacant (9 / 203) Bhavnagar (2), Chhotaudepur (1), Dahod (1), Devbhumi Dwarka (2), Jamnagar (3) No. of Contractual STSs vacant (9 / 203) Bharuch (1), Dahod (2), Jamnagar (3), Kachchh (2), Narmada (1) No. of Contractual STLSs vacant (7 / 144) AMC (2), Dahod (1), Devbhumi Dwarka (1), Gandhinagar (1), Kachchh (1), Vyara (1), No. of Contractual TBHVs vacant (16/218) Ahmedabad-R (1), AMC (5), Arvalli (1), Banaskantha (2), Bharuch (1), Botad (1), Devbhumi Dwarka (1), Mahisagar (1), Sabarkantha (1), VMC (2) No. of DMCs with vacant LT post (35/761) Banaskantha (8), Dahod (4), Kutch (3), Surat-R (2), Patan (2), Ahmedabad-R (2), Bharuch (2), Bhavnagar (2), Botad (2), Valsad (2), Chhota udepur (1), Devbhumi Dwarka (1), Narmada (1), Surendranagar (1), Dang (1), Amreli (1), Status of Staffing

5. 5 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Status of Training Untrained MO-TCs (16) Banaskantha (8), Dahod (1), Kachchh (3), Narmada (1), Navsari (1), SMC (1), Vyara (1) Untrained STS (3) AMC (1), Dahod (1), Kachchh (1) Untrained STLS (8) AMC (1), Bhavnagar (2), Botad (1), Dahod (1), Panchmahals (1), Surat-R (1), Vyara (1) Number of DMC LTs untrained (3) Ahmedabad-R (1), Valsad (1), VMC (1)

6. 6 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Success Rate Vs Case Detection Rate (2Q13/2Q14)

7. 7 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Annualized total case notification rate (Including private sector) Gujarat: 146

8. 8 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Annualized total case notification rate Gujarat: 128

9. 9 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Trend in annualized TB case notification under RNTCP, by type of cases

10. 10 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Annualized TB case notification rate under RNTCP, by type of case 2Q14

11. 11 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Annualized TB case notification rate under RNTCP, by type of case 2Q14

12. 12 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in TB Suspects Examined per lac per quarter 2 nd Quarter 2014 Gujarat: 171 2 nd Quarter 2013 Gujarat: 191 2 nd Quarter 2012 Gujarat: 159

13. 13 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in TB Suspects Examined per lakh per Quarter TB Units – Gujarat 2 nd Quarter 2014 Gujarat: 191

14. 14 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in % of PHIs referring 2-3% of new adult OPD Gujarat 2 nd Quarter 2014

15. 15 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Rate of change in suspects examined per lakh population (compared to same quarter in previous year) 2Q14 Vs 2Q13 Gujarat State : 11.9%

16. 16 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Rate of change in suspects examined per s+ case diagnosed (compared to same quarter in previous year) 2Q14 Vs 2Q13 Gujarat State : 7.6%

17. 17 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Success Rate in new cases Gujarat: 89% 2Q 2013 Expected : 90%

18. 18 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Success Rate in Re-treatment cases Gujarat: 74% 2Q 2013 Expected : 85%

19. 19 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Treatment outcome, type wise (2Q14)

20. 20 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Trend in NSP treatment outcome

21. 21 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Trend in RT SP treatment outcome

22. 22 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Treatment outcome in NSP TB patients in 2Q14 (Districts below 90%)

23. 23 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Treatment outcome in Retreatment Smear positive TB patients registered in 2Q13

24. 24 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Sputum conversion of NSP patients registered in 1 st quarter 2014

25. 25 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Sputum conversion of RT Sm +ve patients registered in 1 st quarter 2014

26. 26 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Major indicators – Internal Evaluations - 2Q14 DistrictSurat-RDangBanaskantha Apr-14May-14Jun-14 Difference in NSP Cure rate b/w TB register and Quarterly Reports3.8%0%3.1% Difference in SP-RT Cure rate b/w TB register and Quarterly Reports4.2%0%3.6% DOT Rate in NSP interviewed76%100%65% Place & Timing of DOT Convenient100% 85% Proportion of patients aware of their illness100% 84% Wrong Categorization10%0% Aware about duration of Treatment95%96%100% Attended a PP interaction meeting or community meeting19%0%21% Initial home visit has done81%70% Eligible children received chemoprophylaxis75%50%20% Practicing proper cough etiquettes74%73%65% Know their HIV status40%0%11%

27. 27 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Other Health Sector - 2Q14

28. 28 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Ahmedabad Zone

29. 29 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Gandhinagar Zone

30. 30 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Surat Zone

31. 31 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Vadodara Zone

32. 32 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Bhavnagar Zone

33. 33 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referrals Civil / Gen. Hospitals (last 4 quarters) Norms 2-3% of new adult OPD for sputum microscopy Rajkot Zone

34. 34 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referral Rate of Medical Colleges (1)

35. 35 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Chest Symptomatic Referral Rate of Medical Colleges (2)

36. 36 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Contribution of PPs in RNTCP 2 nd Q 14 Patients (no) % of total of state PPs involved5438 Referral of suspects27582.3% NSP patients put on DOTS7087.2% Total TB patients put on DOTS14617.2% PP Involvement – Gujarat - since 2006

37. 37 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Referral of TB Suspects from Health Facilities Gujarat 2 nd Quarter 2014

38. 38 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in ESIS Referral of TB Suspects Gujarat 2 nd Quarter 2014

39. 39 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in NGOs Involvement – Gujarat Reporting format changed

40. 40 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Involvement - as a DOT Provider in RNTCP 2Q14

41. 41 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Status Report of MOTCs Monthly Worksheet in 2nd Q 14 (From Apr. to Jun. - 14) Sr. No. Name Of DTC Total No. of TUs Report received Total Reports to be received % of Reports received AprilMayJuneTOTAL 1 Ahmedabad (R)1140043312% 2 AMC10905143047% 3 Amreli4334101283% 4 Anand422151242% 5 Banaskantha1412810304271% 6 Bharuch555515 100% 7 Bhavnagar60000180% 8 Chhotaudepur604041822% 9 Dahod80000240% 10 Gandhinagar33306967% 11 Jamnagar11735153345% 12 Junagadh170000510% 13 Kachchh10065113037% 14 Kheda5055101567% 15Mahesana100 203067%

42. 42 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Sr. No.Name Of DTC Total No.of T.Us. Report received Total Reports to be received % of reports received AprilMayJune TOTAL 16 Navsari30347978% 17 Narmada444081267% 18 Panchmahal777721 100% 19 Patan31113933% 20 Porbandar10112367% 21 Rajkot7776202195% 22 Sabarkantha140000420% 23 Surat-R5554141593% 24 SMC9991192770% 25 Surendangar40000120% 26 The Dangs11012367% 27 Vadodara-Rural999927 100% 28 VMC505051533% 29 Valsad30044944% 30 Vyara444412 100% Gujarat state203921049228860947% Status Report of MOTCs Monthly Worksheet in 2nd Q 14 (From Apr. to Jun. - 14)

43. 43 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in MOTC Reminder

44. 44 Health & Family Welfare Dept, Govt of Gujarat www.gujhealth.gov.in Thank You