0 - 1 - Front Page Outside 3Q13 · 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

SMC

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

Annualized New Smear Positive Case Detection Rate and Treatment Success Rate in DOTS areas of Gujarat, 2000-3Q13

•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

3

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

TB Suspects examined per 100,000 population, 2003-3Q13Gujarat

126

174

163

180

190

181

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

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 (1Q00-3Q13)

1844

4

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

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

Quarter / Year

Tota

l pat

ient

s tr

eate

d

0

5000

10000

15000

20000

25000

Popu

latio

n co

vere

d (la

kh)

Total Patients TreatedPopulation coverage (in lakh)

Rann of Kachchh

Lalpur

Nakht rana

Muli

Vav

Una

Dh rol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_ Rural

Halol

Viramgam

Padra

Deesa Palanpur

Kesho d

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

Bhac hauKadi

Bavla

Amreli_DTC

Vyara

Da nta

Rajpipla

Mandavee

Dhansura

Sh ahera

Bhilod a

KavantKotda Shangani

Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharam pur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsa na_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_Urban

Junagadh_Rural

Mansa

GotriJubilibaugBawchawad

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

Rann of Kachchh

Lalpur

Nakhtrana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Bota d

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palit ana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visn agar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Santrampu r

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharam pur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

PetladAnklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat


Junagadh_Rural

Mansa


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

Revised National TB Control Programme

Dear Colleagues, We are pleased to inform you that state of Gujarat has been selected by Central TB Division as one of the two states for ambitious pilot project on provision of Free Drugs in private sector. District Mehsana will have double distinction of rolling out Free drugs in private as it already piloted RNTCP in 1993.

RNTCP performance during 3rd quarter 2013 During the quarter 1,23,055 suspects were examined, 15,154 sputum positive cases were diagnosed, and a total of 18,444 all TB cases were registered for treatment. The annualized total case notification rate is 118 cases per 100,000 population. With a total of 9,283 New Smear Positive cases being registered for treatment; the new smear positive TB case Notification Rate (annualized) for the 3rd quarter 2013 is 59 per 100,000 population. In addition to this, 1,694 new Smear Negative cases, 2,469 New Extra Pulmonary cases registered for treatment in this quarter. The treatment success rate amongst the New Smear Positive pulmonary TB cases registered in the 3rd Quarter 2012 is 87% and the Sputum Conversion rate of patients registered during 2nd Quarter 2013 is 92%. In TB-HIV intensified services 95% patients were tested for HIV out of 18,444 total patients registered during 3rd quarter 2013. PMDT: During this quarter, among 7,117 identified MDR-TB suspects 6,765 MDR-TB suspects were tested for drug resistance. Total 501 patients were diagnosed as having drug resistant and eligible for Cat-IV drugs. Total 419 patients put on cat-IV drugs. Trainings, Supervision and Review meetings: In addition to quarterly review meeting, two state level internal evaluations were conducted in the quarter for districts namely Surendranagar, Chhotaudepur as well as Central Evaluation were also conducted by Central TB Division, New Delhi at Surat Municipal Corporation & Mehsana District. All data entry operators were updated in Nikshay through state level update training on Nikshay, each batch of STLS modular training & Liquid Culture training for IRL LT also conducted as well as sensitization workshop for all TBHV of the state has been conducted at STDC Ahmedabad. In this quarter, State undertook active screening in jail inmates in line with National Strategic Plan. More than 11,000 jail inmates were screened.601 TB suspects were identified and 19 smear positive TB cases were diagnosed. State plans to undertake such active screening periodically. Initiative of Involvement of community pharmacists has been initiated. Three training programmes one each in Ahmedabad, Vadodara and Rajkot was undertaken in which 98 private chemists have been trained. Out of which 8 community pharmacists have started referring cases and 2 have started DOT centre at their shop. This initiative is being expanded in whole state. 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 (3Q12/3Q13)

75

80

85

90

95

60 65 70 75 80 85 90 95 100 105

Case Detection Rate (%)

Succ

ess

Rat

e (%

)

Panchmahals (G)

BharuchGujarat

HIGH SUCCESS HIGH DETECTIONHIGH SUCCESS LOW DETECTION

LOW SUCCESS LOW DETECTION LOW SUCCESS HIGH DETECTION

TARGET ZONE

VyaraNarmada

Anand, Banaskantha, Bhavnagar, Junagadh, Mehsana, Porbandar, Rajkot, Srt Muni. Corp., Dang, VMC, Valsad

Dahod

Surat-R

Chhotaudepur Kheda

A'bd Muni. Corp.

Vadodara (R)

G'nagar

Jamnagar

Navsari

Patan

Amreli

A'bad (R)

Sabarkantha

Kachchh, S'nagar

Success Rate Vs Case Detection Rate (3Q12/3Q13)

Sr. No. Indicator Rate

1 Population covered (in lacs)

2 TB Suspects examined out of total new adult OPD

3 TB Suspects examined per lac population perquarter

4 Sputum Smear Positive Patients diagnosed 13%

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

6 Annualised New Sputum Smear PositiveNotification rate per Lac 59

7 Annualised New Sputum Positive CaseDetection Rate 74%

8 Annualised New Sputum Smear NegativeNotification rate per Lac 11

9 Annualised New Case Notification rate perLac 87

10 Annualised Total Case Detection Rate perLac 118

11 Annualised New EP Case Notification rateper Lac 16

12 Annualised Smear Positive Case Notificationrate per Lac 81

8576 out of

7702 out of

7747 out of

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

RNTCP Performance of Gujarat State at a glance (Key indicators) 3rd Quarter 2013 (Jul-Aug-Sep 2013)

Achievement

624.54120

1,694

123,055

197

15,460

12,791

9,283

59

18,444

13,521

12,722

87%8883

2,469

87%8883

92%9334

419

133 Months Sputum Conversion of New Smear Positive cases registered in 2nd quarter 2013

15 Success Rate of New Sputum Positive Patients registered in 3rd quarter 2012

14 Cure Rate of New Sputum Positive Cases registered in 3rd quarter 2012

7,117501

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 3330 197 38.27% 403 8.3 43.42% 95 80 481 114 56 71% 9 16 32

AMC 57.6 8448 147 -1.30% 1488 5.7 0.11% 103 74 2050 142 51 63% 14 38 38

Amreli 15.7 3172 203 11.00% 319 9.9 13.59% 82 72 337 86 59 74% 4 7 17

Anand 21.6 3809 176 5.74% 599 6.4 -5.03% 111 89 717 133 58 72% 17 13 43

Banaskantha 32.2 5140 159 36.05% 818 6.3 27.03% 102 81 865 107 57 71% 7 7 36

Bharuch 16.0 3014 188 11.16% 430 7.0 6.22% 107 86 497 124 67 84% 13 16 27

Bhavnagar 29.8 5118 172 1.58% 641 8.0 1.38% 86 74 720 97 57 71% 5 13 22

Chhotaudepur 10.3 2007 194 30.87% 287 7.0 8.98% 111 95 325 126 70 87% 15 8 31

Dahod 22.0 7577 344 41.94% 698 10.9 19.95% 127 113 803 146 72 90% 13 12 49

Gandhinagar 14.4 3251 227 36.73% 341 9.5 19.48% 95 79 446 124 58 73% 11 16 38

Jamnagar 22.3 4244 190 -1.16% 412 10.3 2.96% 74 69 518 93 49 61% 3 16 25

Junagadh 28.4 4936 174 16.50% 524 9.4 18.71% 74 73 673 95 57 71% 5 6 26

Kachchh 21.6 4054 188 19.92% 416 9.7 25.48% 77 67 456 84 56 70% 5 7 16

Kheda 23.8 4221 178 9.42% 707 6.0 -6.35% 119 94 769 129 65 81% 16 14 34

Mehsana 21.0 4464 213 6.13% 455 9.8 -0.37% 87 72 541 103 57 71% 7 13 26

Narmada 6.1 1712 280 10.60% 175 9.8 11.20% 115 94 190 124 73 91% 6 19 27

Navsari 13.8 3077 224 22.05% 311 9.9 24.52% 90 82 391 114 59 74% 13 14 28

Panchmahals 24.7 4830 196 23.45% 861 5.6 0.47% 139 119 945 153 80 100% 18 7 48

Patan 13.9 3337 240 13.42% 416 8.0 -2.95% 120 84 424 122 60 75% 13 10 38

Porbandar 6.1 988 163 -5.13% 96 10.3 14.58% 63 67 156 103 56 70% 15 12 20

Rajkot 39.3 7750 197 5.21% 776 10.0 5.07% 79 69 934 95 56 70% 6 13 20

Sabarkantha 25.1 4390 175 9.95% 704 6.2 2.45% 112 83 848 135 60 75% 26 9 39

SMC 46.2 9356 203 8.63% 898 10.4 -6.38% 78 74 1383 120 56 71% 8 27 29

Surat (R) 16.7 4332 259 19.99% 648 6.7 6.77% 155 95 603 144 71 88% 16 22 35

Surendranagar 18.2 3883 214 2.03% 475 8.2 3.33% 105 78 487 107 56 70% 9 12 30

The Dangs 2.3 551 235 14.54% 51 10.8 2.79% 87 78 57 97 58 72% 7 10 22

Vadodara (R) 15.4 4662 302 8.70% 570 8.2 28.20% 148 104 586 152 71 89% 16 22 43

Valsad 17.6 2946 167 -5.55% 334 8.8 -16.89% 76 74 423 96 57 72% 6 10 23

VMC 17.2 2462 143 8.56% 397 6.2 -3.78% 92 75 525 122 56 70% 13 22 31

Vyara 8.3 1994 239 23.16% 210 9.5 18.69% 101 95 294 141 71 89% 20 16 33

Gujarat State 624.5 123055 197 12.6% 15460 8.0 6.7% 99 81 18444 118 59 74% 11 16 32

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

24 13 4% 90% 70% 85% 289 85% 333 98% 210 81% 433 90% 96% 4% 4% 100% 100%

23 117 8% 86% 69% 80% 978 92% 986 93% 711 94% 586 29% 92% 6% 6% 100% 91%

13 14 5% 90% 63% 87% 269 95% 275 98% 219 93% 233 69% 89% 4% 3% 100% 100%

31 19 4% 92% 76% 88% 449 93% 469 98% 349 92% 424 59% 88% 4% 3% 100% 80%

24 25 4% 92% 72% 88% 625 96% 642 98% 505 94% 474 55% 87% 3% 3% 100% 100%

19 12 3% 92% 81% 88% 301 88% 344 100% 241 86% 300 60% 92% 3% 3% 100% 95%

17 25 5% 90% 78% 89% 513 93% 537 98% 435 93% 481 67% 92% 3% 3% 100% 100%

26 10 4% 92% 71% 87% 221 89% 247 100% 189 89% 254 78% 95% 1% 1% 100% 100%

42 37 7% 97% 87% 89% 611 98% 612 98% 419 95% 473 59% 99% 2% 2% 100% 100%

21 18 6% 92% 63% 89% 265 93% 280 98% 227 97% 325 73% 99% 7% 7% 96% 96%

21 28 7% 91% 68% 85% 369 96% 383 99% 255 87% 398 77% 95% 4% 4% 100% 100%

16 25 5% 94% 73% 88% 498 96% 513 99% 385 94% 523 78% 99% 3% 3% 100% 100%

11 14 4% 89% 52% 86% 343 95% 342 95% 257 88% 318 70% 98% 3% 3% 100% 100%

29 16 3% 93% 73% 86% 492 88% 480 86% 346 86% 469 61% 94% 3% 2% 100% 88%

15 14 3% 92% 63% 88% 304 81% 361 96% 261 80% 219 40% 89% 6% 6% 100% 98%

22 9 6% 96% 84% 90% 125 87% 137 95% 120 91% 168 88% 95% 1% 1% 100% 100%

23 6 2% 94% 77% 88% 270 96% 277 99% 220 97% 303 77% 94% 5% 4% 100% 95%

39 37 6% 95% 78% 90% 702 96% 734 100% 512 95% 747 79% 97% 2% 1% 100% 100%

24 21 7% 91% 61% 85% 261 89% 288 98% 200 92% 308 73% 96% 3% 3% 91% 91%

11 14 11% 90% 30% 89% 99 97% 100 98% 88 90% 42 27% 97% 5% 5% 100% 100%

13 46 6% 93% 73% 89% 651 96% 673 99% 565 99% 448 48% 94% 6% 5% 100% 100%

23 20 3% 93% 76% 90% 481 92% 512 98% 370 85% 664 76% 96% 3% 3% 100% 100%

18 49 5% 91% 74% 87% 801 93% 852 99% 557 97% 509 37% 100% 5% 5% 100% 95%

24 10 2% 92% 70% 90% 370 93% 396 100% 288 92% 470 78% 97% 4% 4% 100% 96%

22 18 5% 91% 73% 86% 327 93% 348 99% 238 93% 327 67% 98% 5% 5% 100% 97%

20 2 5% 91% 78% 89% 42 91% 46 100% 35 85% 44 77% 98% 5% 5% 100% 0%

33 21 5% 94% 75% 88% 378 95% 381 95% 255 90% 413 70% 96% 4% 4% 100% 91%

17 15 5% 92% 80% 87% 300 92% 325 99% 221 93% 352 83% 95% 4% 4% 89% 89%

19 20 5% 91% 75% 87% 259 80% 286 89% 226 91% 110 21% 90% 8% 7% 100% 90%

24 6 3% 95% 86% 90% 177 89% 198 100% 161 92% 255 87% 97% 2% 2% 100% 92%

22 681 5% 92% 73% 87% 11770 93% 12357 97% 9065 92% 11070 60% 95% 4.1% 3.9% 99% 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, Third quarter), Smear Conversion (2013, Second quarter), and Treatment Outcomes (2012, Third 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

Switch to CAT

IVAhmedabad (R) 235 85% 0% 6% 3% 5% 0% 0% 26 92% 4% 4% 0% 0% 0% 52 98% 2% 0% 0% 0% 0%

AMC 686 79% 1% 5% 4% 6% 2% 3% 205 85% 5% 0% 9% 1% 0% 520 88% 3% 0% 8% 1% 0%

Amreli 220 87% 0% 2% 0% 10% 0% 0% 20 80% 10% 0% 10% 0% 0% 39 85% 3% 0% 13% 0% 0%

Anand 310 88% 0% 5% 2% 5% 0% 1% 112 93% 3% 1% 3% 1% 0% 89 98% 2% 0% 0% 0% 0%

Banaskantha 446 87% 0% 4% 2% 5% 0% 1% 53 87% 6% 2% 6% 0% 0% 70 99% 1% 0% 0% 0% 0%

Bharuch 251 88% 0% 5% 2% 5% 0% 0% 49 86% 6% 2% 6% 0% 0% 57 93% 2% 0% 5% 0% 0%

Bhavnagar 420 89% 0% 3% 2% 5% 1% 1% 45 91% 4% 0% 4% 0% 0% 97 99% 1% 0% 0% 0% 0%

Chhotaudepur 191 86% 2% 4% 1% 7% 0% 1% 32 97% 0% 0% 3% 0% 0% 22 95% 0% 0% 5% 0% 0%

Dahod 369 88% 1% 4% 2% 5% 0% 1% 76 99% 0% 0% 1% 0% 0% 74 97% 1% 0% 0% 1% 0%

Gandhinagar 202 89% 0% 3% 0% 4% 3% 0% 26 69% 19% 0% 12% 0% 0% 49 92% 6% 0% 2% 0% 0%

Jamnagar 285 85% 0% 5% 3% 4% 1% 1% 12 92% 0% 0% 8% 0% 0% 90 96% 3% 0% 1% 0% 0%

Junagadh 397 88% 0% 4% 2% 6% 0% 1% 37 84% 3% 0% 14% 0% 0% 64 89% 5% 0% 6% 0% 0%

Kachchh 297 86% 1% 5% 2% 5% 1% 1% 27 93% 7% 0% 0% 0% 0% 37 95% 0% 0% 5% 0% 0%

Kheda 369 86% 0% 5% 3% 5% 0% 1% 128 87% 9% 2% 3% 0% 0% 70 87% 4% 0% 9% 0% 0%

Mehsana 291 88% 0% 3% 1% 7% 0% 1% 22 86% 5% 0% 9% 0% 0% 71 97% 1% 0% 1% 0% 0%

Narmada 120 90% 0% 4% 2% 4% 0% 0% 14 79% 0% 0% 21% 0% 0% 14 100% 0% 0% 0% 0% 0%

Navsari 202 87% 0% 7% 3% 1% 0% 1% 45 84% 11% 0% 4% 0% 0% 80 91% 8% 0% 1% 0% 0%

Panchmahals 431 90% 0% 3% 3% 3% 0% 0% 108 97% 1% 2% 0% 0% 0% 59 100% 0% 0% 0% 0% 0%

Patan 193 85% 0% 9% 1% 3% 1% 1% 39 87% 5% 0% 8% 0% 0% 35 91% 3% 0% 6% 0% 0%

Porbandar 93 89% 0% 4% 1% 3% 1% 1% 30 90% 7% 0% 3% 0% 0% 25 84% 12% 0% 4% 0% 0%

Rajkot 548 89% 0% 4% 1% 4% 2% 1% 69 88% 7% 0% 4% 0% 0% 118 86% 9% 0% 3% 3% 0%

Sabarkantha 378 89% 1% 4% 2% 4% 0% 0% 130 87% 8% 1% 5% 0% 0% 55 91% 4% 0% 5% 0% 0%

SMC 509 87% 0% 3% 1% 4% 4% 1% 95 86% 3% 0% 8% 2% 0% 329 94% 2% 0% 3% 1% 0%

Surat (R) 267 89% 1% 4% 1% 3% 0% 1% 65 95% 3% 0% 2% 0% 0% 82 98% 1% 0% 1% 0% 0%

Surendranagar 251 78% 8% 8% 2% 3% 0% 1% 44 95% 5% 0% 0% 0% 0% 61 95% 3% 0% 2% 0% 0%

The Dangs 35 89% 0% 3% 3% 6% 0% 0% 4 100% 0% 0% 0% 0% 0% 5 100% 0% 0% 0% 0% 0%

Vadodara (R) 252 88% 0% 6% 3% 3% 0% 0% 61 85% 8% 0% 7% 0% 0% 66 86% 9% 0% 3% 2% 0%

Valsad 245 87% 0% 6% 1% 7% 0% 0% 27 93% 4% 0% 4% 0% 0% 46 91% 2% 2% 4% 0% 0%

VMC 239 86% 0% 8% 1% 3% 0% 1% 43 79% 14% 0% 7% 0% 0% 77 88% 5% 0% 5% 1% 0%

Vyara 151 90% 0% 4% 2% 3% 1% 0% 59 93% 5% 2% 0% 0% 0% 45 98% 0% 0% 2% 0% 0%

Gujarat State 8883 86.7% 0.5% 4.7% 1.9% 4.7% 0.7% 0.0% 1703 88.8% 5.3% 0.6% 4.9% 0.3% 0.0% 2498 92.4% 3.1% 0.0% 3.9% 0.6% 0.0%

New Extra Pulmonary

Treatment Outcome of New cases for 3rd quarter 2012

DistrictNew Smear Positive New Smear Negative

Type of retreatment case Cured Success Died Failure Defaulted Transferr

ed outSwitch to

CAT IVNo.

registeredRelapse 70.0% 71.9% 8.0% 5.8% 12.6% 0.7% 1.1% 1922Failure 51.1% 52.9% 11.3% 13.6% 19.5% 0.5% 2.3% 221TAD 62.4% 64.6% 9.5% 5.2% 18.0% 1.4% 1.2% 1144

Total 66.1% 68.1% 8.7% 6.1% 14.9% 0.9% 1.2% 3287

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 40 75.0% 77.5% 5.0% 7.5% 7.5% 2.5% 0.0% 6 50.0% 50.0% 0.0% 33.3% 16.7% 0.0% 0.0% 46 54.3% 63.0% 13.0% 10.9% 10.9% 0.0% 2.2%AMC 112 60.7% 65.2% 6.3% 8.9% 17.0% 1.8% 0.9% 31 58.1% 58.1% 12.9% 12.9% 16.1% 0.0% 0.0% 232 53.9% 55.6% 11.2% 7.8% 23.7% 0.9% 0.9%Amreli 43 69.8% 69.8% 7.0% 9.3% 14.0% 0.0% 0.0% 3 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 22 63.6% 63.6% 4.5% 9.1% 22.7% 0.0% 0.0%Anand 119 65.5% 65.5% 16.0% 7.6% 9.2% 1.7% 0.0% 13 61.5% 69.2% 7.7% 0.0% 15.4% 0.0% 7.7% 31 67.7% 67.7% 12.9% 12.9% 6.5% 0.0% 0.0%Banaskantha 115 78.3% 78.3% 3.5% 7.0% 7.8% 0.0% 3.5% 9 88.9% 88.9% 0.0% 11.1% 0.0% 0.0% 0.0% 74 70.3% 71.6% 6.8% 2.7% 16.2% 0.0% 2.7%Bharuch 60 71.7% 75.0% 6.7% 1.7% 16.7% 0.0% 0.0% 7 57.1% 57.1% 0.0% 0.0% 42.9% 0.0% 0.0% 17 70.6% 70.6% 23.5% 0.0% 5.9% 0.0% 0.0%Bhavnagar 64 78.1% 78.1% 10.9% 3.1% 7.8% 0.0% 0.0% 12 91.7% 91.7% 0.0% 0.0% 8.3% 0.0% 0.0% 56 66.1% 66.1% 14.3% 1.8% 14.3% 1.8% 1.8%Chhotaudepur 47 68.1% 78.7% 4.3% 2.1% 14.9% 0.0% 0.0% 1 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 24 70.8% 79.2% 4.2% 0.0% 16.7% 0.0% 0.0%Dahod 54 83.3% 83.3% 1.9% 3.7% 11.1% 0.0% 0.0% 3 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 96 67.7% 67.7% 11.5% 5.2% 13.5% 0.0% 2.1%Gandhinagar 50 76.0% 76.0% 6.0% 0.0% 14.0% 4.0% 0.0% 2 0.0% 0.0% 50.0% 0.0% 50.0% 0.0% 0.0% 23 69.6% 69.6% 8.7% 0.0% 21.7% 0.0% 0.0%Jamnagar 48 75.0% 75.0% 6.3% 4.2% 10.4% 2.1% 2.1% 11 36.4% 36.4% 9.1% 27.3% 18.2% 0.0% 9.1% 23 47.8% 47.8% 4.3% 4.3% 26.1% 17.4% 0.0%Junagadh 73 65.8% 67.1% 4.1% 6.8% 16.4% 0.0% 5.5% 11 27.3% 27.3% 9.1% 9.1% 45.5% 0.0% 9.1% 22 54.5% 54.5% 18.2% 13.6% 13.6% 0.0% 0.0%Kachchh 32 59.4% 65.6% 6.3% 3.1% 25.0% 0.0% 0.0% 5 20.0% 20.0% 20.0% 60.0% 0.0% 0.0% 0.0% 36 47.2% 66.7% 0.0% 2.8% 27.8% 0.0% 2.8%Kheda 75 60.0% 61.3% 8.0% 9.3% 20.0% 0.0% 1.3% 9 44.4% 44.4% 11.1% 11.1% 33.3% 0.0% 0.0% 52 69.2% 69.2% 3.8% 1.9% 25.0% 0.0% 0.0%Mehsana 76 73.7% 73.7% 13.2% 0.0% 11.8% 0.0% 1.3% 1 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 0.0% 23 60.9% 60.9% 13.0% 8.7% 13.0% 4.3% 0.0%Narmada 26 76.9% 84.6% 3.8% 7.7% 3.8% 0.0% 0.0% 3 66.7% 66.7% 0.0% 33.3% 0.0% 0.0% 0.0% 2 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0%Navsari 60 68.3% 68.3% 15.0% 3.3% 10.0% 1.7% 1.7% 5 80.0% 80.0% 0.0% 20.0% 0.0% 0.0% 0.0% 7 71.4% 71.4% 0.0% 28.6% 0.0% 0.0% 0.0%Panchmahals 131 72.5% 75.6% 10.7% 4.6% 9.2% 0.0% 0.0% 24 45.8% 54.2% 16.7% 4.2% 20.8% 0.0% 4.2% 61 75.4% 80.3% 4.9% 4.9% 9.8% 0.0% 0.0%Patan 77 59.7% 59.7% 9.1% 10.4% 18.2% 0.0% 2.6% 4 50.0% 50.0% 0.0% 25.0% 0.0% 0.0% 25.0% 10 50.0% 50.0% 0.0% 0.0% 30.0% 0.0% 20.0%Porbandar 18 72.2% 72.2% 11.1% 11.1% 0.0% 0.0% 5.6% 3 33.3% 33.3% 33.3% 33.3% 0.0% 0.0% 0.0% 3 33.3% 33.3% 33.3% 0.0% 0.0% 33.3% 0.0%Rajkot 88 72.7% 75.0% 6.8% 8.0% 10.2% 0.0% 0.0% 7 57.1% 57.1% 14.3% 14.3% 14.3% 0.0% 0.0% 27 70.4% 70.4% 0.0% 3.7% 14.8% 7.4% 3.7%Sabarkantha 79 75.9% 78.5% 6.3% 3.8% 11.4% 0.0% 0.0% 6 50.0% 50.0% 16.7% 16.7% 16.7% 0.0% 0.0% 53 67.9% 71.7% 17.0% 0.0% 9.4% 0.0% 1.9%SMC 94 68.1% 68.1% 4.3% 3.2% 19.1% 4.3% 1.1% 15 33.3% 33.3% 6.7% 33.3% 20.0% 6.7% 0.0% 97 63.9% 63.9% 5.2% 3.1% 22.7% 5.2% 0.0%Surat-R 79 79.7% 81.0% 8.9% 0.0% 10.1% 0.0% 0.0% 6 50.0% 50.0% 33.3% 16.7% 0.0% 0.0% 0.0% 14 57.1% 57.1% 28.6% 7.1% 7.1% 0.0% 0.0%Surendranagar 50 76.0% 82.0% 8.0% 4.0% 4.0% 0.0% 2.0% 7 28.6% 42.9% 28.6% 0.0% 28.6% 0.0% 0.0% 33 63.6% 69.7% 3.0% 12.1% 12.1% 0.0% 3.0%The Dangs 13 76.9% 84.6% 7.7% 0.0% 7.7% 0.0% 0.0% 0 0Vadodara 68 67.6% 72.1% 8.8% 5.9% 8.8% 0.0% 4.4% 8 50.0% 50.0% 12.5% 12.5% 25.0% 0.0% 0.0% 23 52.2% 52.2% 26.1% 0.0% 21.7% 0.0% 0.0%Valsad 22 63.6% 63.6% 9.1% 18.2% 9.1% 0.0% 0.0% 1 100.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13 69.2% 69.2% 0.0% 0.0% 30.8% 0.0% 0.0%VMC 61 45.9% 45.9% 11.5% 14.8% 27.9% 0.0% 0.0% 5 40.0% 40.0% 20.0% 20.0% 20.0% 0.0% 0.0% 21 61.9% 61.9% 9.5% 4.8% 23.8% 0.0% 0.0%Vyara 48 75.0% 75.0% 4.2% 10.4% 10.4% 0.0% 0.0% 3 66.7% 66.7% 0.0% 0.0% 33.3% 0.0% 0.0% 3 33.3% 33.3% 0.0% 0.0% 66.7% 0.0% 0.0%

Gujarat State 1922 70.0% 71.9% 8.0% 5.8% 12.6% 0.7% 1.1% 221 51.1% 52.9% 11.3% 13.6% 19.5% 0.5% 2.3% 1144 62.4% 64.6% 9.5% 5.2% 18.0% 1.4% 1.2%

TAD

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

Outcome of Smear Positive Retreatment cases for Gujarat StateThird 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 72 XDR Patients in Gujarat.

0500

10001500

200025003000350040004500500055006000650070007500

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

3

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

Interim Outcome at 6 months of treatment Gujarat (3Q07–4Q12)

Culture Not Known, 324, 9%

Culture NEG, 1849, 50%

Defaulted, 608, 16%

Died, 331, 9%

Culture Positive, 604, 16%

Culture NEG Culture Positive Died Defaulted Culture Not Known

Interim Outcome at 12 months of treatment Gujarat (3Q07 – 2Q12)

Defaulted, 307, 13.3%

Alive, on Rx & Culture -ve, 999,

43.4%

Died, 405, 17.6%

Culture Not Known, 187, 8.1%

Culture Positive, 377, 16.4%

Switch to CAT V, 25, 1.1%

Treatment stop, 1, 0.0%

Alive, on Rx & Culture ‐ve Culture Positive Culture Not KnownDied Defaulted Treatment stop

Switch to CAT V

Treatment Outcome Gujarat 3Q07 to 1Q11

Switch to CAT V, 7, 0.7%

Still on Treatment, 20, 2.0%

Died, 259, 25.6%

Defaulted, 201, 19.9%

Failure, 118, 11.7%Success rate, 405,

40.1%

Treatment stop, 1, 0.1%

Success rate Died Defaulted Failure

Treatment stop Switch to CAT V Still on Treatment

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 1 26 22 31 11 5 02 AMC 10 53 80 0 402 4 30 544 64 45 16 4 1203 Amreli 4 16 38 37 2576 0 1 31 14 15 3 0 04 Anand 4 24 39 44 811 1 10 183 32 21 7 0 155 Banaskantha 6 37 69 61 633 0 2 108 35 24 0 0 16 Bharuch 5 22 47 18 2610 0 2 177 72 22 15 0 07 Bhavnagar 6 31 46 22 505 1 3 235 63 25 7 0 18 Chhotaudepur 4 19 29 29 1064 0 1 1 5 3 3 1 09 Dahod 8 42 40 39 1727 0 3 42 18 10 0 0 110 Gandhinagar 3 18 25 32 317 1 16 107 30 9 3 0 011 Jamnagar 4 22 48 48 2209 1 5 149 13 18 4 1 012 Junagadh 6 29 55 53 2387 0 1 194 17 11 2 0 113 Kachchh 7 35 69 35 910 1 7 0 14 18 1 2 914 Kheda 5 28 44 40 4717 0 3 167 20 11 1 0 715 Mahesana 4 24 56 56 368 0 3 134 49 7 0 0 216 Narmada 3 13 16 22 1802 0 4 63 5 2 0 2 317 Navsari 4 22 35 33 886 0 2 30 22 53 3 1 218 Panchmahals 7 38 46 36 2946 0 1 286 21 24 20 0 019 Patan 3 19 34 35 2918 1 0 128 5 5 2 0 220 Porbandar 1 5 12 6 602 0 0 59 4 3 0 0 121 Rajkot 7 35 44 87 622 1 3 179 29 40 7 1 022 Sabarkantha 6 37 65 52 3500 0 13 42 46 44 9 11 1423 SMC 9 42 8 0 1770 1 1 1325 110 263 5 4 124 Surat-R 5 31 39 40 467 1 8 70 23 38 0 3 525 Surendranagar 4 17 40 35 1416 1 2 113 6 6 0 0 026 The Dangs 1 4 7 7 44 0 0 4 2 1 0 0 027 Vadodara-R 3 20 32 33 641 2 2 133 19 15 2 4 528 Valsad 5 24 35 34 2055 1 6 203 23 30 8 0 029 VMC 3 12 27 6 112 1 1 45 45 23 0 0 030 Vyara(surat) 4 16 23 18 1807 0 2 34 12 11 3 0 2

144 754 1188 999 43417 19 133 4812 840 828 132 39 192TOTAL

Programme Infrastructure and Involvement of other sectors in RNTCP of Gujarat - 3rd 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 3 0 19 16 3 2 2 02 AMC 1 1 1 0 10 8 2 10 10 0 10 10 0 53 53 0 54 37 173 Amreli 0 1 1 0 4 4 0 4 4 0 4 4 0 16 16 0 3 3 04 Anand 1 1 1 0 4 4 0 4 4 0 4 4 0 24 24 0 6 5 15 Banaskantha 1 1 1 0 6 6 0 6 6 0 6 5 1 37 28 9 3 3 06 Bharuch 0 0 0 0 5 5 0 5 5 0 5 5 0 22 21 1 4 3 17 Bhavnagar 0 1 1 0 6 6 0 6 6 0 6 6 0 31 28 3 9 9 08 Chhotaudepur 1 0 0 0 4 4 0 4 4 0 4 4 0 19 16 3 0 0 09 Dahod 1 0 0 0 8 8 0 8 8 0 8 8 0 42 37 5 2 1 1

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 2 2 4 4 0 4 4 0 22 22 0 8 8 012 Junagadh 1 1 0 1 6 6 0 6 6 0 6 6 0 29 28 1 7 6 113 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 4 1 5 5 0 28 27 1 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 3 1 4 4 0 4 4 0 22 22 0 3 3 018 Panchmahals 1 0 0 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 19 12 7 2 1 120 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 14 222 Sabarkantha 1 1 1 0 6 6 0 6 6 0 6 6 0 37 30 7 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 0 0 0 5 5 0 5 5 0 5 5 0 31 30 1 1 1 025 Surendranagar 1 1 1 0 4 4 0 4 4 0 4 4 0 17 17 0 5 3 226 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 4 1 5 5 0 24 19 5 4 4 029 VMC 1 1 0 1 3 3 0 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 14 12 2 144 137 7 144 141 3 144 143 1 754 700 54 218 192 26Total

S = Sanctioned F = Filled V = Vacant

Status of key staff under RNTCP during 3rd Quarter 2013Sr. No. Name of DTC DTO 2nd MO MOTC STS STLS DMC LT TBHV (Contractual)

(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) 3476 14 336 1 53 0 1 1 0 2 54 2 50 456 182 AMC 22256 394 1044 10 96 6 7 21 1 37 104 37 94 1356 313 Amreli 3292 25 169 0 1 0 0 1 0 1 1 1 1 218 24 Anand 5636 52 424 2 29 1 0 0 1 3 30 3 28 411 75 Banaskantha 12109 81 1066 3 151 3 0 1 0 7 151 6 132 218 16 Bharuch 2875 6 199 0 14 1 1 0 0 1 14 1 14 326 137 Bhavnagar 10127 108 832 0 20 0 14 1 17 1 51 1 51 453 78 Chhotaudepur 1938 5 282 2 52 0 6 0 0 2 58 2 50 129 49 Dahod 8020 26 575 0 24 2 0 1 0 3 24 3 24 421 3

10 Gandhinagar 2771 52 258 2 31 4 3 1 3 7 37 7 36 38 311 Jamnagar 8634 20 536 1 41 0 5 0 0 1 46 1 44 215 112 Junagadh 7751 30 710 1 42 1 2 0 1 2 45 2 44 254 113 Kachchh 5239 84 406 6 25 4 1 2 0 12 26 12 26 265 514 Kheda 4021 78 513 3 38 8 4 0 1 5 43 2 36 528 615 Mahesana 10845 44 1081 1 86 2 1 0 1 3 88 2 76 75 116 Narmada 634 7 35 0 9 1 2 0 0 1 11 1 11 159 217 Navsari 7482 13 628 0 81 0 2 1 2 1 85 1 78 366 518 Panchmahals 5309 24 427 5 85 0 6 0 0 5 91 4 83 537 519 Patan 5599 26 288 3 22 0 3 0 0 3 25 3 25 77 120 Porbandar 2601 11 194 0 4 0 1 0 1 0 6 0 6 238 421 Rajkot 15282 238 889 6 23 1 3 7 1 14 27 14 27 656 2022 Sabarkantha 6088 77 523 3 65 0 2 2 0 5 67 3 60 343 223 SMC 11811 92 913 6 23 0 2 0 1 6 26 5 25 1185 1024 Surat (R) 8370 148 428 16 36 0 2 1 0 17 38 16 33 256 625 Surendranagar 8667 44 928 0 48 10 9 1 2 11 59 10 53 315 026 The Dangs 698 2 45 0 5 0 0 0 0 0 5 0 2 51 027 Vadodara (R) 7007 156 339 5 30 2 3 4 1 11 34 9 31 448 2028 Valsad 4837 70 185 3 22 2 1 1 2 6 25 6 25 233 029 VMC 971 5 52 0 10 0 0 0 0 0 10 0 8 209 130 Vyara(Tapi) 2223 40 330 3 33 0 4 0 2 3 39 3 38 135 3

196569 1972 14635 82 1199 48 85 46 37 170 1320 157 1211 10571 182

ICTC TB/HIV Report 2Q2013, 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

Total

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

Sputum positive TB

Sputum negative TB

Extra-pulmonary TB

1 BJMC, Ahmedabad Ahmedabad 12840 3.7% 469 8 14 116 138 78 41 15 6

2 VS Gen. Hos. , Ahmedabad Ahmedabad 3978 4.0% 159 2 3 19 24 16 7 7 1

3 New Civil Hos., Surat Surat 10512 1.4% 142 2 9 26 37 4 29 17 3

4 SMIMER, Surat Surat 7775 3.2% 247 1 0 31 32 25 7 5 0

5 Reliance, Surat Surat 2378 5.6% 133 1 0 14 15 1 14 14 0

6 PDU, Rajkot Rajkot 10267 3.2% 330 22 4 37 63 50 10 10 0

7 MGS Gen. Hos., S'nagar Surendranagar 2786 11.9% 332 10 18 9 37 30 5 4 0

8 Gen. Hos., Junagadh Junagadh 4234 1.8% 78 3 1 1 5 3 0 0 2

9 GG Gen. Hos., Jamnagar Jamnagar 2518 3.5% 88 8 0 18 26 25 1 1 0

10 Gen. Hos., Himatnagar Sabarkantha 4063 3.8% 155 2 20 12 34 31 1 1 2

11 Gen. Hos., Palanpur Banaskantha 3218 5.0% 161 3 19 10 32 21 8 8 3

12 Gen. Hos., Navsari Navsari 2108 2.1% 45 2 4 4 10 7 0 0 0

13 Gen. Hos., Amreli Amreli 1839 3.9% 71 3 4 8 15 13 1 1 0

14 Gen. Hos., Bhuj Kutch 2532 8.1% 205 13 10 0 23 23 0 0 0

15 Sir T Hos., Bhavnagar Bhavnagar 4781 5.1% 246 2 2 10 14 13 0 0 1

16 Gen. Hos. Mehsana Mehsana 4317 5.3% 228 8 6 28 42 34 7 5 1

17 SSG Hos. Vadodara Vadodara 7196 4.3% 308 5 18 37 60 11 47 36 1

18 Gen. Hosp. Patan Patan 3432 3.5% 119 8 2 1 11 11 0 0 0

19 Gen. Hosp. Godhra Panchmahal 1239 5.6% 70 8 11 5 24 24 0 0 0

20 Gen. Hosp. Porbandar Porbandar 1305 1.3% 17 0 0 0 0 0 0 0 0

21 Gen. Hosp. Bharuch Bharuch 1635 3.2% 52 3 1 0 4 4 0 0 0

22 Gen. Hosp. Valsad Valsad 2984 4.4% 132 6 2 2 10 8 2 0 0

23 Gen. Hosp. Nadiad Kheda 3843 4.3% 167 8 16 9 33 20 13 13 0

24 Gen Hosp Dahod Dahod 1415 5.2% 73 1 2 7 10 8 1 1 0

25 Gen. hosp. Gandhinagar Gandhinagar 1337 15.6% 208 3 9 6 18 16 0 0 2

21 104532 4.1% 4235 132 175 410 717 476 194 138 22Total

ART Centre TB/HIV Report for 2Q13, Gujarat

b) No. of TB Suspects

referred from ART to RNTCP

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

Diagnosed TB

Patients

No. of ARTCs reported - 25

Sr. No.

Name of Reporting Unit (ART Center) District

a) Number of HIV positive patients

attending ART centre during the month(Pre-

ART and ART)

e) Out of (d), number of TB

patients receiving RNTCP treatment within

the district

Referral Rate among

attending HIV Positive persons

g) Out of (f), number

started on treatment

h) Out of (d), number of TB

patients receiving Non-

RNTCP treatment

f) Out of (d), number of TB

patients referred outside

district for RNTCP

treatment

No. of ART Centres - 25

District New Cases Registered

Treatment Success Died Failure Default Transferre

d Out

Retreatment Cases

Registered

Treatment Success Died Failure Default Transferre

d out

All TB Cases

Registered

No of Patients on CPT

No of Patients on ART

Ahmedabad 17 16 1 0 0 0 5 4 0 1 0 0 22 22 22

AMC 59 42 10 2 3 2 36 26 6 0 3 1 95 95 86

Amreli 8 6 1 0 1 0 1 1 0 0 0 0 9 9 9

Anand 20 18 2 0 0 0 4 2 1 0 1 0 25 25 20

Banaskantha 11 10 1 0 0 0 2 2 0 0 0 0 13 13 13

Bharuch 16 11 4 0 1 0 5 2 2 0 1 0 21 21 20

Bhavnagar 5 4 0 0 1 0 9 8 1 0 0 0 14 14 14

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

Dahod 19 16 1 0 1 1 14 10 4 0 0 0 33 33 33

Gandhinagar 16 10 5 0 1 0 12 10 2 0 0 0 28 27 27

Jamnagar 15 13 2 0 0 0 6 5 1 0 0 0 21 21 21

Junagadh 10 9 0 1 0 0 8 5 0 2 1 0 18 18 18

Kachchh 16 12 3 0 1 0 10 7 2 1 0 0 26 26 26

Kheda 16 11 4 0 1 0 9 5 1 1 2 0 25 25 22

Mehsana 41 39 1 0 1 0 12 11 0 0 1 0 53 53 52

Narmada 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1

Navsari 15 14 1 0 0 0 5 2 2 0 1 0 19 19 18

Panchmahals 11 8 3 0 0 0 13 11 2 0 0 0 24 24 24

Patan 16 15 1 0 0 0 7 3 2 0 1 1 23 21 21

Porbandar 6 5 0 0 1 0 0 0 0 0 0 0 6 6 6

Rajkot 39 30 6 1 0 2 12 9 3 0 0 0 51 51 51

Sabarkantha 4 2 1 0 1 0 12 6 3 0 3 0 16 16 16

SMC 71 58 1 0 7 5 39 28 2 0 8 1 110 110 105

Surat-R 15 13 1 0 1 0 11 10 1 0 0 0 26 26 25

Surendranagar 21 16 3 0 2 0 8 6 2 0 0 0 29 29 28

The Dangs 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0

Vadodara 20 15 5 0 0 0 3 3 0 0 0 0 23 23 21

Valsad 6 3 2 0 1 0 3 3 0 0 0 0 9 8 8

VMC 32 24 4 1 3 0 7 6 1 0 0 0 39 39 35

Vyara 6 6 0 0 0 0 7 4 2 0 1 0 13 13 12

Gujarat State 537 432 63 5 27 10 261 190 40 5 23 3 798 794 759

Treatment Outcome of HIV positive TB patients registered in 3Q12


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 1494 262 9.5% 263 5.7 24.4% 185 87 185 130 57 71% 11 25 37 30

Ahmedabad 2 Dhandhuka 5.4 699 130 89.3% 53 13.2 63.5% 39 76 130 97 56 70% 4 10 26 21

Ahmedabad 3 Viramgam 5.9 1137 194 68.6% 87 13.1 41.9% 59 76 166 113 57 71% 12 13 31 20

AMC 4 Amaraiwadi 5.8 475 82 -13.3% 79 6.0 -19.5% 55 63 183 127 42 53% 15 35 34 21

AMC 5 Central_zone 5.8 1338 232 -15.5% 333 4.0 -3.4% 231 89 242 168 56 70% 7 46 58 33

AMC 6 Chandlodia 5.8 814 142 16.7% 107 7.6 -13.6% 74 74 161 112 52 65% 8 23 26 22

AMC 7 East_zone 5.8 1011 175 -3.1% 99 10.2 11.6% 69 70 235 163 59 74% 20 54 27 11

AMC 8 L.G. Hospital 5.8 801 139 22.1% 186 4.3 -9.9% 129 79 219 152 56 70% 12 41 41 23

AMC 9 Memnagar 5.8 870 151 -5.5% 193 4.5 3.4% 134 54 140 97 39 49% 10 23 23 15

AMC 10 North_zone 5.8 914 159 1.4% 112 8.2 26.2% 78 69 204 142 44 55% 17 40 40 25

AMC 11 North-central_zone 5.8 714 124 15.0% 135 5.3 2.3% 94 88 252 175 59 74% 15 52 49 29

AMC 12 South_zone 5.8 805 140 -7.6% 132 6.1 -8.1% 92 94 264 183 64 80% 21 42 53 31

AMC 13 West_zone 5.8 706 123 -1.6% 112 6.3 8.0% 78 57 150 104 34 43% 11 26 33 23

Amreli 14 Amreli_DTC 4.3 1853 434 5.1% 227 8.2 6.9% 213 77 104 97 65 81% 3 11 19 12

Amreli 15 Babra 3.9 367 94 38.8% 26 14.1 19.4% 27 70 81 83 57 71% 3 6 16 13

Amreli 16 Rajula 3.6 466 129 21.2% 38 12.3 20.0% 42 76 82 91 56 70% 6 6 23 20

Amreli 17 Savarkundla 3.8 486 126 9.1% 28 17.4 38.7% 29 64 70 73 57 72% 4 3 8 7

Anand 18 Anklav 5.7 990 173 4.3% 137 7.2 -24.1% 96 90 184 128 57 71% 14 10 48 34

Anand 19 Khambhat 4.6 649 140 4.6% 139 4.7 -21.9% 120 101 161 139 61 76% 22 10 48 41

Anand 20 Petlad 5.6 1249 225 7.9% 212 5.9 7.7% 153 85 189 136 59 74% 25 14 37 26

Anand 21 Sarsa 5.7 921 161 5.2% 111 8.3 16.6% 78 82 183 128 56 70% 10 18 41 26

Banaskantha 22 Danta 4.9 814 167 53.3% 110 7.4 34.7% 90 80 125 102 59 74% 4 7 33 21

Banaskantha 23 Deesa 5.9 1012 172 16.4% 206 4.9 -0.6% 140 81 175 119 56 70% 13 12 38 24

Banaskantha 24 Dhanera 3.3 457 137 33.7% 66 6.9 17.5% 79 74 81 97 58 72% 6 5 29 17

Banaskantha 25 Diodar 6.2 860 138 77.7% 94 9.1 73.0% 60 76 150 96 56 71% 7 3 30 20

Banaskantha 26 Palanpur 6.2 1077 174 20.1% 203 5.3 22.7% 131 81 179 116 57 71% 6 10 43 24

Banaskantha 27 Tharad 5.7 920 162 40.5% 139 6.6 35.7% 98 91 155 109 56 70% 7 6 40 35

Bharuch 28 Amod 4.1 666 162 6.3% 66 10.1 19.6% 64 75 108 105 56 70% 5 14 26 18

Bharuch 29 Bharuch 4.5 830 185 20.9% 142 5.8 -12.5% 126 80 153 136 62 78% 24 20 28 18

Bharuch 30 Hansot 3.9 595 153 0.7% 47 12.7 59.1% 48 65 92 95 58 72% 13 8 15 7

Bharuch 31 Jhagadia 2.0 566 278 18.7% 127 4.5 8.3% 249 114 74 145 90 113% 4 22 29 24

Bharuch 32 Valia 1.5 357 237 8.0% 48 7.4 -1.6% 128 149 70 186 101 126% 11 21 53 48

Bhavnagar 33 Bhavnagar_Urban 6.5 1752 268 5.2% 293 6.0 3.6% 179 75 195 119 56 70% 9 31 24 18

Bhavnagar 34 Botad 4.8 688 143 26.3% 75 9.2 0.2% 62 68 101 84 56 70% 2 7 18 12

Bhavnagar 35 Mahuva 4.7 535 114 -26.7% 95 5.6 -49.0% 81 81 119 102 58 73% 9 9 26 23

Bhavnagar 36 Palitana 4.6 767 166 6.8% 46 16.7 107.7% 40 79 110 95 57 71% 3 9 26 22

Bhavnagar 37 Shihor 4.9 760 155 -9.4% 99 7.7 -40.6% 81 74 117 95 57 71% 3 10 25 17


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)

6 5% 90% 69% 85% 76% 104 84% 118 95% 75 82% 167 90% 95% 2% 2% 100% 100%

4 4% 88% 68% 85% 65% 84 82% 103 100% 65 89% 113 87% 99% 3% 3% 100% 100%

3 3% 90% 72% 85% 63% 101 90% 112 100% 70 75% 153 92% 94% 7% 7% 100% 100%

8 6% 90% 72% 88% 73% 84 92% 84 92% 79 100% 37 20% 90% 4% 3% 100% 92%

8 5% 90% 61% 86% 60% 124 96% 110 85% 64 74% 37 15% 91% 5% 4% 100% 100%

12 10% 89% 70% 75% 54% 87 82% 98 92% 56 93% 59 37% 97% 5% 5% 100% 71%

20 10% 89% 69% 83% 67% 90 89% 98 97% 81 98% 136 58% 100% 10% 10% 100% 83%

11 7% 82% 70% 67% 46% 104 91% 107 94% 46 90% 16 7% 87% 5% 5% 100% 88%

12 11% 72% 72% 78% 62% 76 99% 70 91% 72 96% 68 49% 94% 7% 6% 100% 100%

11 8% 87% 68% 82% 62% 96 97% 95 96% 75 100% 84 41% 98% 8% 7% 100% 91%

14 8% 77% 55% 80% 55% 120 94% 122 96% 91 98% 6 2% 75% 11% 8% 100% 100%

13 7% 89% 75% 81% 65% 120 88% 126 93% 102 100% 58 22% 100% 3% 3% 100% 100%

8 8% 91% 78% 73% 44% 77 94% 76 93% 45 92% 85 57% 91% 7% 6% 100% 100%

4 5% 94% 75% 91% 69% 79 96% 81 99% 87 94% 81 78% 85% 6% 5% 100% 100%

4 6% 87% 56% 81% 61% 64 93% 69 100% 54 98% 54 67% 93% 1% 1% 100% 100%

2 3% 90% 57% 90% 45% 67 97% 66 96% 28 88% 59 72% 93% 4% 4% 100% 100%

4 6% 88% 62% 85% 77% 59 95% 59 95% 50 89% 39 56% 89% 3% 3% 100% 100%

3 3% 90% 69% 85% 52% 120 93% 129 100% 74 82% 128 70% 78% 4% 3% 100% 63%

1 1% 96% 88% 94% 66% 107 91% 109 93% 98 99% 84 52% 80% 5% 4% 100% 100%

10 7% 90% 60% 86% 68% 110 93% 115 97% 76 87% 115 61% 99% 4% 4% 100% 71%

5 4% 93% 90% 86% 79% 112 96% 116 99% 101 98% 97 53% 92% 2% 2% 100% 100%

2 2% 91% 56% 90% 77% 91 93% 98 100% 76 92% 43 34% 66% 1% 1% 100% 100%

8 7% 91% 64% 85% 69% 117 98% 119 100% 76 92% 96 55% 91% 2% 2% #DIV/0! #DIV/0!

2 4% 91% 75% 87% 88% 57 92% 60 97% 48 89% 50 62% 83% 3% 2% 100% 100%

4 4% 92% 91% 90% 77% 111 93% 115 97% 93 96% 94 63% 91% 4% 3% 100% 100%

8 7% 91% 70% 85% 69% 122 98% 120 96% 107 99% 89 50% 96% 6% 6% 100% 100%

1 1% 96% 81% 90% 83% 127 98% 130 100% 105 91% 102 66% 85% 2% 1% 100% 100%

2 2% 91% 74% 88% 65% 69 90% 77 100% 51 84% 73 68% 91% 1% 1% 100% 80%

6 5% 90% 88% 85% 74% 78 87% 90 100% 57 90% 84 55% 96% 5% 5% 100% 100%

2 3% 94% 82% 91% 79% 56 89% 63 100% 59 88% 50 54% 93% 5% 4% 100% 100%

2 3% 93% 91% 88% 75% 50 86% 58 100% 43 84% 49 66% 85% 2% 1% 100% 100%

0 0% 94% 74% 85% 69% 48 86% 56 100% 31 84% 44 63% 87% 0% 0% #DIV/0! #DIV/0!

5 3% 91% 82% 86% 74% 116 95% 118 97% 107 98% 150 77% 95% 8% 8% 100% 100%

4 5% 90% 67% 88% 62% 76 93% 81 99% 63 95% 63 62% 91% 0% 0% 100% 100%

5 6% 90% 79% 93% 74% 91 96% 92 97% 69 88% 88 74% 90% 2% 2% #DIV/0! #DIV/0!

3 4% 91% 82% 89% 77% 83 90% 88 96% 72 87% 63 57% 92% 2% 2% 100% 100%

4 5% 89% 79% 89% 71% 85 93% 90 99% 66 89% 54 46% 91% 1% 1% 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 4.2 616 148 18.0% 33 18.7 241.4% 32 65 78 75 55 68% 3 4 13 11

Chhotaudepur 39 Chhotaudepur 2.3 557 242 26.8% 93 6.0 0.5% 162 130 90 156 94 117% 17 7 38 36

Chhotaudepur 40 Kavant 2.9 476 165 60.3% 70 6.8 18.0% 97 83 80 111 60 74% 14 7 26 24

Chhotaudepur 41 Pavi_Jetpur 2.6 525 204 42.2% 66 8.0 -16.9% 102 87 81 126 61 76% 12 9 39 26

Chhotaudepur 42 Sankheda 2.6 449 174 4.9% 58 7.7 0.2% 90 87 74 115 68 85% 17 9 20 19

Dahod 43 Dahod 3.3 1274 381 7.0% 163 7.8 -24.5% 195 126 166 198 81 102% 22 25 67 44

Dahod 44 Devgadhbaria 2.7 805 297 34.1% 63 12.8 14.2% 93 100 74 109 55 68% 4 3 47 46

Dahod 45 Dhanpur 2.7 798 296 63.1% 65 12.3 21.1% 96 90 69 102 62 78% 1 7 31 28

Dahod 46 Fatehpura 2.6 856 335 62.6% 68 12.6 24.2% 106 102 76 119 66 82% 8 6 39 36

Dahod 47 Garbada 2.8 877 308 46.7% 62 14.1 74.8% 87 84 92 129 62 77% 24 15 28 23

Dahod 48 Jhalod 2.7 1194 441 66.7% 125 9.6 20.8% 185 167 132 195 78 98% 13 9 95 89

Dahod 49 Limdi 2.6 828 320 94.1% 81 10.2 4.1% 125 136 109 169 94 118% 14 14 46 42

Dahod 50 Limkheda 2.6 945 370 19.6% 71 13.3 53.5% 111 100 85 133 75 94% 14 11 33 25

Gandhinagar 51 Dahegam 4.9 907 185 35.7% 83 10.9 66.6% 68 81 156 127 59 74% 14 14 39 21

Gandhinagar 52 Gandhinagar_DTC 4.5 1202 267 35.7% 160 7.5 -21.5% 142 81 138 123 57 71% 9 16 41 24

Gandhinagar 53 Mansa 4.9 1142 231 38.5% 98 11.7 -30.8% 79 77 152 123 58 73% 11 19 34 19

Jamnagar 54 Dhrol 5.3 514 97 -9.1% 33 15.6 80.5% 25 65 110 83 42 53% 2 12 26 23

Jamnagar 55 Jamnagar_DTC 6.1 2086 340 -3.0% 251 8.3 -9.0% 164 83 188 123 56 70% 5 27 35 27

Jamnagar 56 Khambhalia 6.0 702 117 -22.9% 64 11.0 -23.2% 43 59 121 81 40 50% 6 13 22 19

Jamnagar 57 Lalpur 4.9 942 193 41.0% 64 14.7 28.6% 52 69 99 81 56 71% 0 8 16 12

Junagadh 58 Junagadh_Rural 4.4 731 166 39.4% 49 14.9 92.5% 44 70 89 81 56 70% 1 4 20 14

Junagadh 59 Junagadh_Urban 4.3 1132 264 12.0% 139 8.1 -1.8% 130 73 115 107 58 72% 2 14 29 15

Junagadh 60 Keshod 5.7 891 157 15.1% 77 11.6 88.6% 54 71 110 78 56 70% 4 1 17 15

Junagadh 61 Kodinar 5.0 570 114 2.7% 67 8.5 16.5% 53 81 130 104 56 70% 12 5 31 25

Junagadh 62 Una 4.0 602 150 6.3% 79 7.6 -8.9% 79 73 103 102 57 71% 4 7 35 16

Junagadh 63 Veraval 5.0 1010 204 25.0% 113 8.9 -12.8% 91 72 126 102 59 74% 6 10 27 13

Kachchh 64 Anjar 3.2 678 212 35.5% 47 14.4 78.1% 59 76 77 96 56 70% 11 4 25 20

Kachchh 65 Bhachau 2.3 484 213 46.4% 49 9.9 40.6% 86 70 48 85 58 73% 2 2 23 12

Kachchh 66 Bhuj_DTC 4.3 1056 245 2.6% 115 9.2 85.0% 107 66 111 103 57 72% 9 17 19 8

Kachchh 67 Gandhidham 3.0 305 102 11.9% 45 6.8 -16.0% 60 55 52 70 51 64% 3 5 11 4

Kachchh 68 Mandvi 3.9 777 201 31.5% 74 10.5 -30.0% 77 66 74 77 56 70% 2 7 11 10

Kachchh 69 Nakhtrana 2.1 424 198 12.9% 41 10.3 66.7% 76 67 42 78 56 70% 2 4 17 11

Kachchh 70 Rapar 2.8 330 116 18.9% 45 7.3 49.3% 63 68 52 73 58 72% 1 4 10 10

Kheda 71 Balasinor 4.6 773 169 21.8% 182 4.2 -38.6% 159 121 178 156 86 107% 15 9 46 35

Kheda 72 Kathlal 4.8 837 173 6.2% 121 6.9 -15.8% 100 86 137 113 60 76% 14 8 31 26

Kheda 73 Mahudha 4.8 848 175 5.1% 89 9.5 18.1% 73 89 162 134 61 76% 23 17 32 28

Kheda 74 Matar 4.7 715 152 -2.6% 109 6.6 26.7% 92 92 153 130 58 72% 17 19 36 34


District No TU

Bhavnagar 38 Talaja

Chhotaudepur 39 Chhotaudepur

Chhotaudepur 40 Kavant

Chhotaudepur 41 Pavi_Jetpur

Chhotaudepur 42 Sankheda

Dahod 43 Dahod

Dahod 44 Devgadhbaria

Dahod 45 Dhanpur

Dahod 46 Fatehpura

Dahod 47 Garbada

Dahod 48 Jhalod

Dahod 49 Limdi

Dahod 50 Limkheda

Gandhinagar 51 Dahegam

Gandhinagar 52 Gandhinagar_DTC

Gandhinagar 53 Mansa

Jamnagar 54 Dhrol

Jamnagar 55 Jamnagar_DTC

Jamnagar 56 Khambhalia

Jamnagar 57 Lalpur

Junagadh 58 Junagadh_Rural

Junagadh 59 Junagadh_Urban

Junagadh 60 Keshod

Junagadh 61 Kodinar

Junagadh 62 Una

Junagadh 63 Veraval

Kachchh 64 Anjar

Kachchh 65 Bhachau

Kachchh 66 Bhuj_DTC

Kachchh 67 Gandhidham

Kachchh 68 Mandvi

Kachchh 69 Nakhtrana

Kachchh 70 Rapar

Kheda 71 Balasinor

Kheda 72 Kathlal

Kheda 73 Mahudha

Kheda 74 Matar







Treatment success

rate among smear


cases

Proportion of all

registered TB

cases with

known HIV

status


known to be HIV



known to be HIV

infected among

registered


TB patients put on

CPT( RT report)


TB patients put on

ART( RT report)



diagnosis








cases




last dose

4 6% 91% 73% 89% 90% 62 91% 68 100% 58 97% 63 83% 91% 0% 0% 100% 100%

4 6% 91% 74% 91% 88% 66 88% 75 100% 53 91% 78 87% 98% 0% 0% 100% 100%

3 5% 90% 54% 86% 67% 53 88% 60 100% 44 90% 75 94% 89% 1% 1% 100% 100%

1 2% 95% 75% 86% 76% 53 95% 56 100% 47 85% 46 57% 100% 1% 1% #DIV/0! #DIV/0!

2 3% 91% 76% 86% 82% 49 88% 56 100% 45 88% 55 74% 92% 1% 1% 100% 100%

15 14% 97% 93% 86% 70% 102 97% 103 98% 68 94% 119 72% 98% 6% 5% 100% 100%

1 2% 95% 71% 95% 75% 66 97% 68 100% 44 100% 43 58% 100% 0% 0% 100% 100%

3 6% 97% 80% 91% 80% 60 98% 59 97% 48 96% 54 78% 100% 0% 0% 100% 100%

0 0% 96% 64% 86% 85% 64 98% 60 92% 41 100% 45 59% 100% 0% 0% 100% 100%

7 10% 93% 94% 93% 63% 59 98% 58 97% 48 96% 51 55% 100% 1% 1% 100% 100%

3 4% 97% 93% 87% 84% 111 98% 112 99% 63 91% 49 37% 100% 2% 2% 100% 100%

6 8% 98% 90% 87% 60% 85 97% 88 100% 51 93% 55 50% 97% 1% 1% 100% 100%

2 3% 98% 95% 90% 86% 64 100% 64 100% 56 97% 57 67% 100% 0% 0% 100% 100%

5 5% 92% 64% 94% 73% 92 93% 98 99% 85 97% 128 82% 99% 5% 5% 100% 100%

5 5% 94% 65% 87% 77% 87 96% 90 99% 73 97% 84 61% 99% 8% 8% 86% 86%

8 7% 91% 61% 86% 63% 86 91% 92 97% 69 97% 113 74% 99% 9% 9% 100% 100%

6 8% 92% 63% 90% 57% 82 95% 86 100% 41 87% 81 74% 94% 5% 5% 100% 100%

9 7% 92% 82% 87% 69% 126 99% 127 100% 90 93% 173 92% 94% 3% 3% 100% 100%

9 10% 91% 52% 86% 53% 78 88% 87 98% 74 81% 93 77% 97% 3% 2% 100% 100%

4 5% 90% 67% 79% 83% 83 99% 83 99% 50 86% 51 52% 96% 5% 5% 100% 100%

2 3% 98% 79% 87% 88% 73 95% 77 100% 54 90% 66 74% 100% 3% 3% #DIV/0! #DIV/0!

9 11% 98% 64% 88% 81% 76 97% 77 99% 73 100% 80 70% 97% 8% 8% 100% 100%

4 5% 91% 88% 89% 29% 99 98% 101 100% 68 92% 80 73% 100% 3% 3% #DIV/0! #DIV/0!

1 1% 95% 69% 86% 57% 93 92% 99 98% 70 95% 125 96% 100% 3% 3% 100% 100%

5 7% 93% 67% 85% 40% 69 95% 70 96% 48 91% 84 82% 97% 0% 0% 100% 100%

4 4% 92% 72% 90% 65% 88 99% 89 100% 72 94% 88 70% 98% 2% 2% 100% 100%

0 0% 85% 43% 75% 55% 57 93% 49 80% 39 93% 43 56% 100% 8% 8% 100% 100%

0 0% 91% 67% 87% 89% 38 95% 40 100% 32 91% 36 75% 98% 4% 4% 100% 100%

8 9% 89% 73% 88% 70% 68 96% 66 93% 51 85% 82 74% 98% 0% 0% 100% 100%

3 7% 91% 25% 88% 45% 39 95% 41 100% 30 77% 39 75% 100% 4% 4% 100% 100%

1 2% 93% 33% 87% 40% 64 100% 64 100% 44 92% 47 64% 93% 3% 3% 100% 100%

1 3% 85% 75% 90% 67% 32 89% 36 100% 27 96% 37 88% 100% 5% 5% 100% 100%

1 2% 91% 67% 90% 80% 45 94% 46 96% 34 87% 34 65% 100% 2% 2% 100% 100%

2 2% 96% 76% 86% 66% 122 88% 114 83% 88 91% 111 62% 90% 3% 3% 100% 100%

3 3% 94% 60% 86% 79% 85 82% 95 91% 72 81% 84 61% 96% 1% 1% 100% 67%

2 2% 95% 72% 85% 44% 94 87% 92 85% 53 82% 84 52% 96% 3% 2% 100% 80%

6 5% 90% 80% 85% 74% 100 93% 84 78% 77 92% 99 65% 96% 3% 3% 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 1048 217 17.1% 206 5.1 -59.8% 171 81 139 115 59 74% 13 16 27 22

Mehsana 76 Kadi 4.4 965 220 15.4% 88 11.0 31.6% 80 85 138 126 59 74% 12 16 39 26

Mehsana 77 Kheralu 5.8 1043 181 10.9% 113 9.2 -0.4% 78 66 120 83 57 71% 3 7 16 10

Mehsana 78 Mehsana_DTC 5.2 1330 256 -1.3% 134 9.9 -5.8% 103 67 136 105 56 70% 9 16 21 11

Mehsana 79 Visnagar 5.6 1126 200 4.1% 120 9.4 1.9% 85 72 147 105 56 70% 6 13 29 16

Narmada 80 Dediapada 2.8 638 229 17.5% 81 7.9 -3.3% 116 96 88 126 78 97% 6 22 22 19

Narmada 81 Rajpipla 1.8 588 330 -12.4% 62 9.5 -1.7% 139 103 65 146 72 90% 9 22 43 31

Narmada 82 Tilakwada 1.5 486 315 45.7% 32 15.2 32.9% 83 80 37 96 65 81% 3 10 18 16

Navsari 83 Chikhli 3.3 1022 311 35.3% 59 17.3 111.7% 72 78 84 102 57 72% 12 10 23 21

Navsari 84 Gandevi 3.5 619 179 12.7% 77 8.0 47.0% 89 82 98 113 58 72% 7 14 35 24

Navsari 85 Navsari 4.8 969 203 30.0% 132 7.3 -25.5% 111 88 153 128 62 77% 19 17 30 26

Navsari 86 Vansda 2.3 467 207 -0.8% 43 10.9 31.1% 76 73 56 99 57 71% 9 12 21 16

Panchmahals 87 Ghoghamba 2.5 584 230 30.8% 78 7.5 63.9% 123 98 84 132 74 93% 14 13 31 24

Panchmahals 88 Godhra 4.8 914 192 21.4% 220 4.2 -22.1% 185 107 180 151 66 83% 18 12 55 40

Panchmahals 89 Halol 4.7 844 178 17.9% 147 5.7 -34.0% 124 138 238 201 95 119% 31 19 56 43

Panchmahals 90 Kadana 2.7 562 210 44.3% 81 6.9 44.2% 121 115 99 148 75 93% 21 0 52 40

Panchmahals 91 Mora 2.7 462 174 36.8% 70 6.6 16.4% 105 148 109 164 105 132% 14 0 45 42

Panchmahals 92 Santrampur 2.7 462 172 9.7% 83 5.6 4.0% 124 98 75 112 63 78% 7 3 39 36

Panchmahals 93 Shahera 4.6 1002 216 18.0% 182 5.5 -55.2% 157 121 160 138 80 100% 13 0 45 41

Patan 94 Chanasma 4.5 1033 228 12.4% 66 15.7 190.8% 58 76 126 111 60 75% 15 6 29 16

Patan 95 Patan 5.6 1657 296 40.4% 260 6.4 -53.8% 186 94 198 142 62 77% 14 16 48 33

Patan 96 Radhanpur 3.8 647 172 -23.2% 90 7.2 -20.0% 96 80 100 106 57 72% 8 5 35 22

Porbandar 97 Porbandar 6.1 988 163 -5.1% 96 10.3 17.1% 63 67 156 103 56 70% 15 12 20 11

Rajkot 98 ADTC Morbi 6.2 1009 163 -1.9% 113 8.9 44.9% 73 67 132 85 57 71% 4 8 16 10

Rajkot 99 DTC Urban 6.5 2244 346 7.5% 306 7.3 -41.8% 189 67 161 99 56 70% 9 18 16 11

Rajkot 100 Jetpur 5.9 1104 189 1.4% 96 11.5 4.5% 66 76 160 109 56 70% 10 15 28 20

Rajkot 101 Kotda Sangani 4.8 635 131 13.5% 51 12.5 29.5% 42 62 107 89 56 70% 5 12 15 6

Rajkot 102 PKH 6.5 847 130 11.0% 87 9.7 -57.7% 54 68 142 87 56 70% 3 9 19 12

Rajkot 103 Rural Rajkot 4.8 800 168 -2.3% 48 16.7 9.6% 40 77 129 109 56 70% 8 15 29 21

Rajkot 104 Upleta 4.7 1111 236 8.8% 75 14.8 216.1% 64 67 103 88 56 70% 3 13 16 11

Sabarkantha 105 Bhiloda 2.8 506 178 27.9% 85 6.0 4.3% 119 79 100 140 63 79% 41 4 31 15

Sabarkantha 106 Dhansura 5.7 798 141 2.6% 150 5.3 1.4% 106 87 186 131 56 70% 16 13 44 31

Sabarkantha 107 Himatnagar 6.1 1345 220 12.1% 230 5.8 -29.0% 151 83 219 143 59 74% 20 15 46 24

Sabarkantha 108 Idar 5.1 768 152 13.2% 91 8.4 57.5% 72 74 136 107 57 71% 17 5 29 17


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

3 3% 91% 76% 85% 39% 91 93% 95 97% 56 85% 91 65% 95% 4% 4% 100% 88%

2 2% 90% 58% 88% 69% 65 70% 88 95% 66 90% 42 30% 95% 2% 2% 100% 100%

2 2% 95% 89% 89% 63% 91 95% 95 99% 76 86% 72 60% 91% 6% 6% 100% 100%

7 6% 90% 57% 88% 59% 72 83% 81 93% 69 91% 51 38% 95% 7% 7% 100% 96%

3 3% 92% 60% 86% 88% 76 75% 97 96% 50 57% 54 37% 77% 10% 7% 100% 100%

6 8% 92% 88% 91% 100% 52 78% 60 90% 54 89% 88 100% 100% 1% 1% 100% 100%

3 7% 98% 75% 86% 70% 42 91% 46 100% 37 95% 43 66% 85% 2% 2% #DIV/0! #DIV/0!

0 0% 100% 100% 93% 78% 31 100% 31 100% 29 91% 37 100% 100% 0% 0% #DIV/0! #DIV/0!

0 0% 96% 93% 79% 60% 60 94% 64 100% 41 89% 63 75% 93% 5% 5% 100% 100%

2 3% 94% 58% 90% 62% 69 97% 71 100% 53 100% 70 71% 94% 11% 10% 100% 100%

3 3% 94% 82% 88% 75% 102 97% 101 96% 90 99% 132 86% 93% 2% 2% 100% 88%

1 2% 94% 78% 94% 86% 39 95% 41 100% 36 100% 38 68% 98% 0% 0% 100% 100%

4 6% 98% 87% 90% 79% 60 97% 62 100% 47 96% 73 87% 95% 0% 0% 100% 100%

16 14% 92% 69% 88% 63% 125 98% 127 100% 79 98% 162 90% 98% 4% 4% 100% 100%

10 6% 95% 64% 89% 71% 153 93% 164 100% 116 96% 190 80% 91% 1% 1% 100% 100%

1 2% 95% 70% 93% 88% 72 94% 77 100% 48 91% 89 90% 100% 0% 0% 100% 100%

2 3% 98% 94% 86% 62% 89 91% 98 100% 57 97% 96 88% 100% 2% 2% 100% 100%

1 2% 90% 73% 95% 82% 66 100% 66 100% 50 89% 13 17% 100% 3% 3% 100% 100%

3 3% 99% 88% 92% 85% 137 98% 140 100% 115 95% 124 78% 100% 0% 0% 100% 100%

9 10% 90% 62% 85% 63% 72 84% 86 100% 59 87% 82 65% 95% 4% 4% 100% 100%

11 8% 93% 62% 86% 59% 125 95% 131 99% 105 97% 152 77% 98% 3% 3% 91% 91%

1 1% 89% 58% 85% 50% 64 85% 71 95% 36 86% 74 74% 95% 4% 4% 67% 67%

14 11% 90% 30% 89% 63% 99 97% 100 98% 88 90% 42 27% 97% 5% 5% 100% 100%

3 3% 92% 75% 86% 83% 98 94% 102 98% 90 99% 66 50% 91% 2% 2% 100% 100%

8 6% 95% 56% 92% 62% 109 100% 109 100% 96 100% 111 69% 89% 5% 4% 100% 100%

15 13% 94% 71% 90% 71% 100 90% 111 100% 83 97% 38 24% 97% 6% 6% 100% 100%

6 7% 91% 71% 88% 92% 72 96% 75 100% 67 96% 55 51% 98% 6% 6% 100% 100%

8 7% 96% 88% 89% 59% 110 99% 105 95% 88 99% 22 15% 94% 10% 10% 100% 100%

2 2% 94% 77% 91% 80% 88 96% 92 100% 80 100% 100 78% 97% 5% 5% 100% 100%

4 5% 90% 69% 86% 57% 74 94% 79 100% 61 100% 56 54% 94% 6% 6% 100% 100%

2 3% 96% 78% 91% 88% 53 95% 54 96% 48 81% 54 54% 97% 1% 1% 100% 100%

2 2% 93% 74% 86% 67% 109 88% 124 100% 84 93% 156 84% 99% 4% 4% 100% 100%

7 5% 91% 71% 91% 68% 126 100% 125 99% 95 90% 180 75% 93% 3% 3% 100% 100%

3 3% 94% 81% 92% 83% 90 96% 91 97% 70 92% 74 54% 95% 5% 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 2.7 438 165 14.8% 89 4.9 -53.5% 134 89 92 139 66 83% 38 2 33 23

Sabarkantha 110 Meghraj 2.7 535 195 -4.3% 59 9.1 -20.7% 86 92 115 167 67 84% 49 6 45 25

SMC 111 BP 5.4 1060 198 6.0% 88 12.0 82.0% 66 76 132 99 58 73% 4 14 22 17

SMC 112 Hirabaug 4.6 1601 348 13.4% 261 6.1 -49.1% 227 72 137 119 57 72% 8 30 23 15

SMC 113 Karanj 5.2 876 168 -7.4% 76 11.5 -3.4% 58 74 200 154 58 72% 15 46 35 16

SMC 114 Katargam 5.3 1101 208 30.0% 109 10.1 -32.3% 82 79 169 128 60 75% 11 24 32 19

SMC 115 Limbayat 5.1 823 161 8.2% 77 10.7 -41.5% 60 75 143 112 59 74% 2 23 29 16

SMC 116 Navagam 5.3 1086 205 30.0% 61 17.8 1.3% 46 66 163 123 51 64% 11 34 26 15

SMC 117 Pandesara 5.3 1064 201 4.0% 78 13.6 23.8% 59 83 193 146 57 71% 10 39 40 26

SMC 118 Rander 4.9 827 169 16.7% 70 11.8 -10.6% 57 66 110 90 49 61% 1 16 24 17

SMC 119 Udhana 5.1 918 180 -4.1% 78 11.8 94.8% 61 76 136 107 58 73% 6 14 28 18

Surat-R 120 Bardoli 4.0 789 199 36.6% 122 6.5 4.9% 123 105 147 148 83 103% 15 20 30 22

Surat-R 121 Kamrej 3.3 572 173 15.4% 98 5.8 15.2% 118 104 148 179 80 100% 27 40 33 24

Surat-R 122 Mandvee 2.5 461 187 45.3% 53 8.7 17.9% 86 101 95 154 67 83% 24 16 47 34

Surat-R 123 Mangrol 2.9 714 248 11.5% 96 7.4 18.2% 133 93 85 118 64 80% 13 6 36 29

Surat-R 124 Surat 4.1 1796 437 13.6% 279 6.4 -35.8% 272 75 128 125 58 73% 5 26 35 17

Surendranagar 125 Dhrangadhra 4.1 353 87 -13.4% 29 12.2 66.9% 29 73 101 99 56 70% 4 16 23 17

Surendranagar 126 Muli 4.5 625 139 29.7% 61 10.2 66.6% 54 78 116 103 56 70% 7 10 30 22

Surendranagar 127 Patdi 2.9 311 109 50.6% 46 6.8 -15.0% 64 90 87 122 56 70% 7 13 45 34

Surendranagar 128 Surendranagar 6.7 2594 385 -4.3% 339 7.7 -27.2% 201 75 183 109 56 70% 14 11 27 19

The Dangs 129 Ahwa 2.3 551 235 14.5% 51 10.8 86.8% 87 78 57 97 58 72% 7 10 22 20

Vadodara 130 Baroda 5.3 2289 432 4.6% 311 7.4 -25.8% 235 87 187 141 60 74% 19 23 39 28

Vadodara 131 Padra 5.4 1016 188 14.4% 85 12.0 101.4% 63 88 169 125 59 74% 7 24 35 29

Vadodara 132 Savli 4.7 1357 288 11.8% 174 7.8 -32.5% 148 140 230 195 97 121% 22 19 58 43

Valsad 133 Bhilad 3.0 445 151 -7.7% 42 10.6 -15.0% 57 70 68 92 58 73% 11 4 19 12

Valsad 134 Dharampur 2.3 402 179 -22.6% 49 8.2 -28.7% 87 68 45 80 57 71% 2 7 14 11

Valsad 135 Kaprada 2.5 404 159 -9.1% 37 10.9 -0.1% 58 71 57 90 57 71% 3 6 24 14

Valsad 136 Pardi 5.1 794 157 -6.0% 83 9.6 9.3% 66 80 142 112 58 72% 8 17 30 22

Valsad 137 Valsad 4.8 901 187 8.8% 123 7.3 -2.0% 102 76 111 92 57 71% 4 8 23 19

VMC 138 Bawchawad 6.2 917 148 5.8% 116 7.9 84.5% 75 83 212 137 58 73% 16 24 39 25

VMC 139 Gotri 5.9 940 159 17.9% 225 4.2 -65.5% 152 73 175 118 51 64% 8 26 33 22

VMC 140 Jubilibaug 5.1 605 118 0.1% 56 10.8 16.3% 44 68 138 107 58 73% 16 15 19 9

Vyara 141 Nizar 2.0 337 173 27.4% 34 9.9 5.0% 70 86 56 115 70 87% 10 16 18 16

Vyara 142 Songadh 2.4 719 303 20.9% 58 12.4 68.0% 98 86 79 133 61 76% 30 13 29 25

Vyara 143 Valod 1.9 405 214 19.9% 52 7.8 20.1% 110 101 77 163 80 100% 21 19 40 21

Vyara 144 Vyara 2.1 533 251 26.3% 66 8.1 8.3% 124 107 82 154 75 94% 17 17 43 32

624.5 123055 197 12.6% 15460 8.0 6.7% 99 81 18444 118 59 74% 11 16 32 22Gujarat 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

4 6% 96% 83% 94% 81% 50 85% 57 97% 35 64% 89 97% 90% 1% 1% 100% 100%

2 2% 91% 72% 85% 75% 53 84% 61 97% 38 76% 111 97% 100% 1% 1% #DIV/0! #DIV/0!

4 4% 93% 82% 87% 56% 99 98% 101 100% 69 97% 20 15% 100% 10% 10% 100% 100%

1 1% 88% 72% 83% 62% 77 93% 82 99% 52 96% 54 39% 100% 4% 4% 100% 88%

8 5% 95% 93% 94% 80% 88 92% 96 100% 75 99% 99 50% 100% 4% 4% 100% 100%

5 4% 85% 79% 83% 60% 100 95% 105 100% 66 100% 73 43% 100% 7% 7% 100% 81%

13 12% 91% 67% 88% 67% 88 92% 95 99% 52 95% 54 38% 100% 1% 1% 100% 100%

5 4% 93% 86% 88% 64% 85 97% 87 99% 61 98% 55 34% 100% 4% 4% 100% 100%

10 7% 91% 84% 88% 79% 104 95% 110 100% 70 95% 55 28% 100% 4% 4% 100% 100%

2 2% 93% 55% 86% 61% 74 91% 79 98% 55 98% 48 44% 99% 7% 7% 100% 100%

1 1% 91% 54% 86% 50% 86 89% 97 100% 57 93% 51 38% 100% 6% 6% 100% 100%

4 3% 91% 43% 88% 69% 100 96% 104 100% 64 94% 108 73% 95% 6% 6% 100% 89%

2 2% 95% 79% 89% 75% 81 94% 86 100% 62 91% 119 80% 95% 3% 3% 100% 100%

1 2% 94% 79% 94% 71% 60 97% 62 100% 55 92% 68 72% 100% 4% 4% 100% 100%

0 0% 91% 83% 93% 88% 61 91% 67 100% 51 91% 80 94% 96% 0% 0% 100% 100%

3 3% 91% 62% 86% 83% 68 88% 77 100% 56 93% 95 74% 100% 7% 7% 100% 100%

4 5% 92% 71% 92% 77% 67 91% 74 100% 58 91% 69 68% 98% 6% 6% 100% 100%

6 7% 91% 73% 75% 61% 83 94% 88 100% 33 92% 78 67% 97% 5% 5% 100% 100%

0 0% 90% 80% 84% 78% 57 89% 60 94% 49 96% 60 69% 95% 2% 2% 100% 86%

8 6% 91% 71% 90% 81% 120 95% 126 100% 98 93% 120 66% 99% 6% 6% 100% 100%

2 5% 91% 78% 89% 85% 42 91% 46 100% 35 85% 44 77% 98% 5% 5% 100% 0%

6 4% 92% 71% 87% 68% 112 97% 114 98% 77 91% 132 71% 94% 6% 5% 100% 100%

11 9% 94% 77% 91% 75% 114 96% 118 99% 90 94% 114 67% 96% 4% 4% 100% 75%

4 2% 95% 80% 86% 58% 152 92% 149 90% 88 85% 167 73% 98% 3% 3% 100% 83%

2 4% 98% 88% 88% 57% 49 94% 52 100% 38 95% 56 82% 99% 3% 3% 50% 50%

3 8% 88% 80% 87% 57% 36 95% 38 100% 30 97% 41 91% 89% 0% 0% #DIV/0! #DIV/0!

2 5% 92% 88% 89% 0% 42 93% 45 100% 28 90% 52 91% 86% 2% 2% #DIV/0! #DIV/0!

4 4% 93% 74% 87% 83% 89 88% 99 98% 66 92% 114 80% 99% 6% 6% 100% 100%

4 5% 91% 81% 85% 67% 84 92% 91 100% 59 94% 89 80% 94% 7% 6% 100% 100%

3 2% 90% 81% 86% 49% 95 74% 120 94% 80 86% 73 34% 84% 8% 7% 100% 83%

11 9% 91% 70% 85% 39% 85 79% 90 83% 72 90% 27 15% 93% 8% 7% 100% 100%

6 5% 92% 74% 89% 65% 79 91% 76 87% 74 97% 10 7% 95% 8% 7% 100% 90%

0 0% 97% 100% 94% 89% 37 88% 42 100% 38 97% 49 88% 100% 7% 7% 100% 100%

1 2% 92% 81% 88% 54% 47 92% 51 100% 43 98% 69 87% 97% 1% 1% 100% 100%

3 5% 98% 93% 92% 92% 40 83% 48 100% 37 80% 61 79% 94% 1% 1% 100% 100%

2 3% 95% 80% 87% 63% 53 93% 57 100% 43 93% 76 93% 99% 0% 0% 100% 67%

681 5% 92% 73% 87% 68% 11770 93% 12357 97% 9065 92% 11070 60% 95% 4% 4% 99% 95%

Success Rate Vs Case Detection Rate (3q12/3q13)

Ahmedabad Zone

65

70

75

80

85

90

95

40 45 50 55 60 65 70 75 80 85 90 95 100 105 110


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS HIGH DETECTIONHIGH SUCCESS LOW DETECTION


South Zone(AMC)

Khambhat(AND)

Bavla(AMD), Dhandhuka(AMD),Viramgam(AMD), Anklav(AND), Central Zone(AMC), Petlad(AND),Sarsa(AND), Matar(KHD), Nadiad(KHD)

North-Central Zone(AMC)

Balasinor(KHD)

West Zone(AMC)

East Zone(AMC)

Memnagar(AMC)

L.G. Hosp.(AMC)

Chandlodia (AMC)

North Zone(AMC)

Muli(SNR)

Mahudha(KHD)Kathlal(KHD)

Amaraiwadi(AMC)

Patdi(SNR)

S'nagar(SNR)

Dhrangadhra(SNR)

Gandhinagar Zone

80

85

90

95

65 70 75 80 85


Succ

ess

Rat

e (%

)

Meghraj (SK)

Target ZoneHIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION


Patan_DTC

Gandhinagar_DTC

Radhanpur(PTN)

Khedbrahma(SK)

Tharad(BK)

Kheralu(MEH)

Bhiloda(SK)

Chanasma (PTN)

Mansa(GNR)

Dhanera(BK)

Dehgam (GNR)

Idar(SK)

Himmatnagar(SK)

Danta(BK)Diodar(BK)

Mehsana_DTCKadi (MEH)

Deesa(BK), Palanpur(BK), Dhansura(SK),Visnagar(MEH)


Bhavnagar Zone

79

82

85

88

91

94

65 70 75 80 85


Succ

ess

Rat

e (%

)

Target Zone

HIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION


Amreli_DTC

Veraval(JNG)

Una(JNG)

Keshod(JNG)

Savarkundla(AMR)

Shihor(BVG), Palitana(BVN)

Rajula(AMR)

Botad(BVG)

Talaja(BVN)

Junagadh_Rural

Babra(AMR)

Mahuva(BVN)

Junagadh_Urban

Kodinar(JNG),Bhavnagar(Urban)

Rajkot Zone

73

76

79

82

85

88

91

94

45 50 55 60 65 70 75


Succ

ess

Rat

e (%

)

Target Zone



Dhrol (Jmn)

Anjar(KTC)

Lalpur(JMN)

Bhachau (KTC)

Porbandar, PKH (RJT), Kotda Shangani(RJT), Jamnagar_DTC, Mandvi (KTC), Nakhtrana(KTC), Jetpur(RJT)

DTC Urban(RJT)

Rural RajkotRapar(KTC)

Morbi(RJT)Upleta(RJT)

Khambhalia(JMN)

Gandhidham(KTC)Bhuj(KTC)


Surat Zone

75

80

85

90

95

60 65 70 75 80 85 90 95 100 105


Succ

ess

Rat

e (%

)

Target Zone



Mangrol(Sur-R)

Vyara DTC

Valod(VYR)

Kamrej(Sur-R)

Katargam(SMC)

Songadh(VYR)

Mandavee(Sur-R)

Bardoli(Sur-R)

Hirabaug(SMC)

Valsad(VLD)

BP(SMC), Limbayat(SMC),Pandesara, Kaprada(VLD),Bhilad(VLD), Pardi(VLD),Ahwa(DNG), Dharampur(VLD)

Surat_DTC,Udhana(SMC)Rander(SMC)

Karanj(SMC)

Navagam(SMC)

Chikhli(NVS)

Nizar(VYR)

Gandevi(NVS)

Vansda(NVS)

Navsari DTC

Vadodara Zone

80

85

90

95

100

60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135


Succ

ess

Rat

e (%

)

Target ZoneHIGH SUCCESS LOW DETECTION HIGH SUCCESS HIGH DETECTION

LOW SUCCESSLOW DETECTION LOW SUCCESS HIGH DETECTION

Sankheda

Sahera(PM)

Jhalod

Valia

MoraRajpipla

Tilakwada

Dediapada ChhotaudepurHansot

Jhagadia

Bawchawad,Kavant, Pavijetpur

Savli

Halol

Dahod

Padra

Godhra

Gotri(VMC)

Baroda

Santrampur

Fatehpura

AmodLimdi

Limkheda

Kadana

Ghoghamba

Devgadhbaria

Garbada(DHD)

Dhanpur(DHD)

Jubilibaug

Bharuch

Total Populatio

n (In lacs)

Lab facility for district

DR-TB Centre for district

MDR Suspect Identified

3Q13

Number of MDR TB Suspects subjected

to C-DST in 3Q13

Proportion of Suspect

tested for MDR-TB

Number of MDR TB Cases

detected in 3Q13

Number of MDR TB Cases

detected that were registered

and initiated on

Cat-IV treatment in

3Q13 #

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 4Q12

(a)

Ahmedabad-R 16.9 IRL Ahmedabad BJMC Abad 231 221 96% 11 11 100% 5 2 40% 0 0% 0 0%AMC 57.6 IRL Ahmedabad BJMC Abad 874 851 97% 98 82 84% 84 36 43% 10 12% 11 13%

Amreli 15.7 C & DST JMD BJMC Abad 110 105 95% 11 11 100% 7 4 57% 1 14% 1 14%Anand 21.6 IRL Ahmedabad BJMC Abad 347 313 90% 16 11 69% 24 15 63% 3 13% 0 0%

Banaskantha 32.2 IRL Ahmedabad BJMC Abad 357 302 85% 21 12 57% 25 11 44% 3 12% 5 20%Bharuch 16.0 IRL Ahmedabad GMC Vadodara 144 135 94% 9 10 111% 7 4 57% 1 14% 1 14%

Bhavnagar 29.8 IRL Ahmedabad BJMC Abad 199 188 94% 21 11 52% 18 11 61% 3 17% 0 0%Chhotaudepur 10.3 IRL Ahmedabad GMC Vadodara 120 111 93% 0 6 0% 4 3 75% 0 0% 1 25%

Dahod 22.0 IRL Ahmedabad GMC Vadodara 389 360 93% 31 28 90% 13 3 23% 3 23% 1 8%Gandhinagar 14.4 IRL Ahmedabad BJMC Abad 177 170 96% 6 6 100% 7 5 71% 0 0% 0 0%

Jamnagar 22.3 C & DST JMD M.P.ShahMC, Jamnagar 230 227 99% 14 11 79% 11 5 45% 0 0% 2 18%

Junagadh 28.4 C & DST JMD M.P.ShahMC, Jamnagar 202 184 91% 13 11 85% 13 7 54% 2 15% 3 23%

Kachchh 21.6 C & DST JMD BJMC Abad 172 165 96% 19 12 63% 12 8 67% 1 8% 1 8%Kheda 23.8 IRL Ahmedabad BJMC Abad 320 310 97% 23 17 74% 12 8 67% 1 8% 2 17%

Mehsana 21.0 IRL Ahmedabad BJMC Abad 190 159 84% 10 10 100% 5 4 80% 0 0% 1 20%Narmada 6.1 IRL Ahmedabad GMC Vadodara 55 54 98% 4 2 50% 3 2 0% 0 0% 1 0%Navsari 13.8 IRL Ahmedabad GMC Surat 165 166 101% 10 6 60% 9 5 56% 0 0% 2 22%

Panchmahal 24.7 IRL Ahmedabad GMC Vadodara 473 494 104% 24 23 96% 15 11 73% 0 0% 3 20%Patan 13.9 IRL Ahmedabad BJMC Abad 189 171 90% 6 6 100% 7 4 57% 1 14% 0 0%

Porbandar 6.1 C & DST JMD M.P.ShahMC, Jamnagar 49 49 100% 4 3 75% 3 2 67% 0 0% 0 0%

Rajkot 39.3 C & DST JMD M.P.ShahMC, Jamnagar 272 236 87% 19 14 74% 11 8 73% 1 9% 1 9%

Sabarkantha 25.1 IRL Ahmedabad BJMC Abad 231 220 95% 16 16 100% 17 6 35% 3 18% 2 12%SMC 46.2 IRL Ahmedabad GMC Surat 473 453 96% 39 39 100% 44 18 41% 7 16% 8 18%

Surat-R 16.7 IRL Ahmedabad GMC Surat 254 236 93% 18 17 94% 9 6 67% 1 11% 0 0%Surendranagar 18.2 C & DST JMD BJMC Abad 220 204 93% 15 11 73% 8 6 75% 1 13% 1 13%

The Dang 2.3 IRL Ahmedabad GMC Surat 20 17 85% 1 0 0% 1 1 100% 0 0% 0 0%Vadodara -R 15.4 IRL Ahmedabad GMC Vadodara 249 252 101% 14 13 93% 16 12 75% 1 6% 1 6%

Valsad 17.6 IRL Ahmedabad GMC Surat 146 152 104% 9 7 78% 11 3 27% 2 18% 0 0%VMC 17.2 IRL Ahmedabad GMC Vadodara 171 175 102% 16 11 69% 7 4 57% 0 0% 2 29%Vyara 8.3 IRL Ahmedabad GMC Surat 88 85 97% 3 2 67% 4 3 75% 1 25% 0 0%

Gujarat 624.5 7117 6765 95% 501 419 84% 412 217 53% 46 11% 50 12%

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

(Reported by Districts of Implementing State)

District

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

Out of a, No. (%) who are

alive, on treatment and

culture negative

Out of a, No. (%) who died

Out of a, No. (%) who defaulted

Indicators on MDR TB Case Finding

Ahmedabad-RAMC

AmreliAnand

BanaskanthaBharuch

BhavnagarChhotaudepur

DahodGandhinagar

Jamnagar

Junagadh

KachchhKheda

MehsanaNarmadaNavsari

PanchmahalPatan

Porbandar

Rajkot

SabarkanthaSMC

Surat-RSurendranagar

The DangVadodara -R

ValsadVMCVyara

Gujarat

District

Number of MDR TB

cases registered

in the cohort, 12-15 months

prior (2Q12) (b)

Number of MDR TB

cases registered in the cohort,

31-33 months

prior 1Q11 (c)

Out of c, No.

reported as Cured

Out of c, No. reported as Treatment Completed

Out of c, Success

Rate

8 2 25% 0 0% 1 13% 2 25% 1 13% 2 25% 8 2 0 25% 3 38% 1 13% 2 25% 0 0% 0 0%112 37 33% 12 11% 21 19% 21 19% 15 13% 4 4% 43 10 7 40% 14 33% 7 16% 1 2% 2 5% 1 2%5 2 40% 1 20% 0 0% 2 40% 0 0% 0 0% 1 1 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

11 3 27% 0 0% 1 9% 6 55% 1 9% 0 0% 4 1 0 25% 3 75% 0 0% 0 0% 0 0% 0 0%13 4 31% 2 15% 6 46% 1 8% 0 0% 0 0% 8 2 0 25% 4 50% 1 13% 1 13% 0 0% 0 0%15 9 60% 0 0% 1 7% 3 20% 2 13% 0 0% 1 1 0 100% 0 0% 0 0% 0 0% 0 0% 0 0%17 7 41% 2 12% 2 12% 4 24% 1 6% 0 0% 9 5 0 56% 2 22% 1 11% 0 0% 1 11% 0 0%5 3 60% 0 0% 0 0% 0 0% 2 40% 0 0% 2 2 0 100% 0 0% 0 0% 0 0% 0 0% 0 0%

12 0 0% 2 17% 5 42% 2 17% 2 17% 0 0% 11 3 1 36% 5 45% 0 0% 2 18% 0 0% 0 0%18 14 78% 1 6% 1 6% 2 11% 0 0% 0 0% 5 2 0 40% 2 40% 0 0% 1 20% 0 0% 0 0%

21 4 19% 0 0% 7 33% 4 19% 4 19% 1 5%

28 12 43% 1 4% 0 0% 10 36% 4 14% 1 4%

15 7 47% 1 7% 2 13% 2 13% 2 13% 0 0%14 2 14% 1 7% 4 29% 3 21% 4 29% 0 0% 7 3 1 57% 3 43% 0 0% 0 0% 0 0% 0 0%7 5 71% 0 0% 0 0% 2 29% 0 0% 0 0% 5 1 0 20% 2 40% 2 40% 0 0% 0 0% 0 0%5 2 40% 2 40% 0 0% 1 20% 0 0% 0 0%8 3 38% 1 13% 0 0% 2 25% 2 25% 0 0%

23 9 39% 3 13% 3 13% 3 13% 5 22% 0 0% 12 8 1 75% 2 17% 1 8% 0 0% 0 0% 0 0%15 8 53% 0 0% 2 13% 3 20% 2 13% 0 0% 6 0 0 0% 3 50% 0 0% 2 33% 1 17% 0 0%

3 0 0% 0 0% 1 33% 1 33% 0 0% 1 33%

23 9 39% 4 17% 0 0% 8 35% 2 9% 0 0% 5 2 0 40% 1 20% 1 20% 0 0% 0 0% 1 20%

19 7 37% 1 5% 3 16% 3 16% 5 26% 0 0% 2 0 0 0% 1 50% 0 0% 1 50% 0 0% 0 0%22 11 50% 1 5% 1 5% 4 18% 4 18% 0 0%7 4 57% 0 0% 0 0% 2 29% 1 14% 0 0%

15 7 47% 1 7% 1 7% 2 13% 4 27% 0 0% 3 1 1 67% 0 0% 1 33% 0 0% 0 0% 0 0%2 2 0% 0 0% 0 0% 0 0% 0 0% 0 0%

11 5 45% 2 18% 1 9% 1 9% 2 18% 0 0% 4 2 0 50% 1 25% 0 0% 1 25% 0 0% 0 0%7 1 14% 0 0% 4 57% 2 29% 0 0% 0 0%

21 9 43% 1 5% 3 14% 3 14% 5 24% 0 0% 3 1 0 33% 1 33% 0 0% 1 33% 0 0% 0 0%6 3 50% 0 0% 2 33% 1 17% 0 0% 0 0%

488 191 39% 39 8% 72 15% 100 20% 70 14% 9 2% 139 47 11 42% 47 34% 15 11% 12 9% 4 3% 2 1%

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

(Reported by Districts of Implementing State)

Out of b, No. (%) who defaulted

Indicators on 12 months Culture Conversion Report

Switch to CAT V

Switch to Cat V

Indicators on Treatment Outcome of MDR TB Cases

Still on treatment

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

treatment and culture negative

Out of c, No. (%) who failed

treatment

Out of c, No. (%) who died

Out of c, No. (%) who defaulted


treatment and culture positive


treatment and culture not known

Out of b, No. (%) who died

Intermediate Reference Laboratory, Ahmedabad Gujarat State

Quarterly Report on Laboratory Performance – 2Q13

Culture workload

(from culture register)

Month

Diagnostic Sputum

SPECIMENS inoculated

Follow‐Up SPECIMENS inoculated

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

APRIL‐13 592 478 820 656 53 86 25 MAY‐13 574 454 858 688 73 74 23

JUNE‐13 592 406

950 751 66 105 28

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

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

7819 7906 98.8

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

98 8004 1.2

(3) Specimens (all) with cultures reported as Mtb. Complex (Total) or only for F’up specimens (Where LPA is used for diagnosis).

378 1338 28.3

(4) Invalid by LPA reported as Culture Positive for M.tb, 06 14 42.8

(5.) M.tb not detected by LPA reported as Culture positive for M.tb 06 166 3.6

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

394 1474 26.7

(7) Extra Pulmonary Specimens reported as Culture positive for M.tb .

40 104 38.4

(8) Specimens reported as contaminated results with Liquid culture. 366 2026 18.06

(9) Specimens reported as contaminated results (by L ‐ J culture system)

35 3096 1.13

(10) Specimens (all diagnostic) with culture results reported as NTM . 118 6464 1.83

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

2398 2495 96.1

(12) Patients (with diagnostic specimens) with 1st or 2nd line DST completed within the benchmark turn‐around time (by L‐J /LC )

NA NA NA

(13) Patients (all) with final culture results reported to providers within 1 days of declaration of result .

3016 3096 97.4

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

2628 2628 100

(15) Number and Percentage of invalid LPA results 04 2712 0.15

(16) Number and Percentage of M.tb not detected by LPA results 80 2712 2.94

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

Sensitivity (%) Specificity (%) H: 100 100 R: 100 100 Sensitivit

y (%) E (opt): 100 100 H:- S (opt): 63 100 R:- K :‐ 100 100

(18) Most recent DST panel test performance (Report Date _2013 Solid/ Liquid . (Reference lab_( NIRT )

Ofx :‐ 100 100 (19) Most recent On‐Site Evaluation ‐ 04/03/13 to 09/03/2013

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 2Q13

1 Ahmedabad-R 27769 3570 13 1092 1 0 0 1 2 4 1 / 192 AMC 99015 14985 15 2,547 1 14 0 8 4 27 10 / 533 Amreli 26667 2594 10 1425 0 1 0 3 1 5 1 / 164 Anand 42753 5348 13 1291 0 1 0 1 3 5 1 / 245 Banaskantha 54939 8030 15 1629 0 0 0 1 0 1 0 / 376 Bharuch 28834 3360 12 1332 0 0 0 0 1 1 0 / 227 Bhavnagar 50746 4982 10 2325 0 0 0 0 1 1 0 / 318 Chhotaudepur 17063 2088 12 892 1 0 0 0 1 2 1 / 199 Dahod 56612 5124 9 3002 0 0 0 1 1 2 0 / 42

10 Gandhinagar 29062 2960 10 1277 0 0 0 1 0 1 0 / 1811 Jamnagar 38995 3461 9 1941 0 2 2 1 0 5 1 / 2212 Junagadh 47263 4389 9 1796 0 0 0 0 0 0 0 / 2913 Kachchh 32992 3826 12 1660 0 0 0 0 1 1 0 / 3414 Kheda 43748 5764 13 1,560 0 2 0 1 2 5 2 / 2815 Mehsana 38180 3756 10 1,767 0 1 0 0 5 6 1 / 2416 Narmada 15313 1465 10 858 0 2 0 0 1 3 1 / 1317 Navsari 27106 2844 10 1403 0 0 0 0 0 0 0 / 2118 Panchmahal 50734 6811 13 1,898 0 2 0 1 6 9 2 / 3819 Patan 31776 3516 11 1174 0 2 0 1 1 4 2 / 1920 Pobandar 11565 1071 9 363 0 0 0 0 0 0 0 / 521 Rajkot 74907 7213 10 2606 0 0 0 0 0 0 0 / 3522 Sabarkantha 41670 5923 14 2031 0 0 1 1 0 2 0 / 3723 Surat-R 33337 5475 16 1517 0 1 0 0 0 1 1 / 3124 SMC 79493 7054 9 3453 1 6 0 12 0 19 6 / 3925 Surendranagar 34913 4065 12 1109 0 0 0 1 0 1 0 / 1726 The Dang 4629 411 9 296 0 0 0 0 0 0 0 / 427 Vadodara-R 42181 5621 13 1098 1 9 0 4 1 15 8 / 2028 VMC 30306 3539 12 975 0 1 1 0 1 3 1 / 1229 Valsad 31444 2648 8 1625 0 0 0 2 2 4 0 / 2430 Vyara 19847 1964 10 1072 0 1 0 1 0 2 1 / 16

Total 1163859 133857 11.5 47014 5 45 4 41 34 129 40 / 749 (5.3%)

Annexure-E Compilation for 2nd 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) 2734 428 47 8 851 87 904 5402 63062 AMC 7279 1565 238 35 2798 461 3595 14280 178753 Amreli 2811 334 66 6 786 43 733 6024 67574 Anand 3592 625 130 9 1346 109 1410 8144 95545 Banaskantha 4820 842 71 23 1749 118 1848 10122 119706 Bharuch 2536 416 34 8 881 28 815 5040 58557 Bhavnagar 5154 614 85 29 1398 107 1251 10384 116358 Chhotaudepur 1667 259 72 7 497 43 557 3348 39059 Dahod 5911 688 677 18 1252 70 1482 12834 14316

10 Gandhinagar 3091 327 54 5 712 36 414 6374 678811 Jamnagar 3292 382 49 18 816 107 849 6908 775712 Junagadh 4656 531 45 8 1212 94 1049 9688 1073713 Kachchh 3012 438 64 5 818 105 913 5644 655714 Kheda 3488 688 63 9 1491 122 1528 7861 938915 Mehsana 3764 484 74 16 943 48 990 7651 864116 Narmada 1407 183 49 4 354 30 389 2862 325117 Navsari 2305 318 29 3 873 65 706 5361 606718 Panchmahal 4174 820 143 20 1681 125 1785 8541 1032619 Patan 3300 374 42 10 719 68 835 6477 731220 Pobandar 869 101 39 7 412 19 241 2372 261321 Rajkot 6210 707 124 23 1519 86 1589 12408 1399722 Sabarkantha 3652 662 72 7 1502 54 1301 7288 858923 Surat (R) 3427 598 69 6 1054 74 1261 6684 794524 SMC 8981 922 266 31 1798 124 1910 17870 1978025 Surendranagar 3284 480 34 3 887 86 1029 6594 762326 The Dang 446 45 3 2 91 12 104 865 96927 Vadodara (R) 4149 711 105 5 1030 91 1517 7885 940228 VMC 2556 429 19 4 779 54 904 5014 591829 Valsad 2581 321 39 7 817 60 693 5678 637130 Vyara 1474 239 56 7 581 28 487 3168 3655

TOTAL 106622 15531 2858 343 31647 2554 33089 218771 251860

Laboratory abstract report for the 2nd Quarter 2013 of Gujarat StateAnnexure-M

Three More CBNAAT sites established in Gujarat

Cartridge based nucleic acid amplification testing (CB‐NAAT) is a rapid molecular beacons‐based Xpert MTB/RIF assay technology. The test detects Mycobacterium Tuberculosis (MTB) and Rifampicin (Rif) resistance conferring mutations directly from untreated sputum specimen. It is designed to extract, amplify and identify targeted rpoB nucleic acid sequences automatically with minimal specimen handling. From the patient management perspective, it provides results within 2 hours that enables same day diagnosis and prompt treatment initiation.

Three more CBNAAT sites are being established in Gujarat( in addition to existing CBNAAT Lab Surat) ie at LG Medical College Ahmedabad, DTC Rajkot and DTC Vadodara.

Programme has established CBNAAT machines as a decentralized tool for rapid detection of Rif resistance (considered a surrogate of MDR‐TB) and also to improve TB case detection among PLHIV and pediatric age group.

Around 300 patients are expected to be screened for DR TB every month at each CBNAAT sites.

Advantage of these additional CBNAAT sites from state perspective is released capacity of IRL Ahmedabad will be utilized to carry out 2nd line DST ( Liquid culture) for all MDR TB patients at zero month in near future once certification is obtained.Moreover Extra pulmonary TB cases and poly resistant cases may also be screened at IRL Ahmedabad.

Following is the distribution of districts amongst Culture lab for diagnosis of MDR TB in Gujarat.

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

Distribution of districts amongst LabsIRL AhmedabadC&DST Lab JamnagarCBNAAT Lab SuratCBNAAT Lab AhmedabadCBNAAT Lab VadodaraCBNAAT Lab Rajkot

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

75678 71796 98243 02511 [email protected]

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

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

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

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

81286 64918 [email protected]

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

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

Jamnagar Dr 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 NA Lungatar District TB Centre, Near Collector Office, Rajkot 0281-2440598 0281-2440598 99099 79226 [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

Dh rol

Bhuj_DTC

Ra par

Morbi

Amod

Surendrana gar

Idar

Botad

Shihor

Talaja

Mand vi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halo l

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat

MangrolJunagadh_UrbanJunagadh

_Rural

Mansa

Gotri Jubi libaugBawchawad

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

Rann of Kachchh

Lalpur

Nakhtrana

Muli

Vav

Una

Dhrol

Bhuj_DTC

Rapar

Morbi

Amod

Surendranagar

Idar

Botad

Shihor

Talaja

Mandvi

Dhandhuka

Dhrangadhra

Babra

Ahwa

Radhanpur

Dhanera

Khambhalia

JetpurUpleta

Savli

Valia

Rajula

DTC_Rural

Halol

Viramgam

Padra

Deesa Palanpur

Keshod

Porbandar

Anjar

Diodar

Palitana

Veraval

Patan

BhachauKadi

Bavla

Amreli_DTC

Vyara

Danta

Rajpipla

Mandavee

Dhansura

Shahera

Bhiloda


Mora

Kamrej

Balasinor

Dediapada

Khambhat

Visnagar

Kaprada

Bardoli

Godhra

Nizar

Sarsa

Matar

Hansot

SongadhNavsari

Sant rampur

Chikhli

Jhalod

Pardi

Dhanpur

Khedbrahma

Dahod

Dahegam

Bhilad

D'baria#

Jamnagar_DTC

Limkheda

Garbada

Bharuch

ValsadDharampur

Gandevi Vansda

Savarkundla

Meghraj

Fatehpura

Himatnagar

Kheralu

G'nagar_DTC

Mehsana_DTC

Chanasma

Atarsumba

Nadiad

Petlad

Anklav

Sankheda

Pavi_Jetpur

CUPBaroda

Surat


Junagadh_R ural

Mansa


TB SuspectExamined Per Lac

< 100100 - 149.9>= 150No Data

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

Third Quarter, 2013

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

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

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

TB SuspectExamined Per Lac

< 100100 - 149.9> 150

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

KACHCHH

RAJKOT

AMRELI

JAMNAGAR

PATAN

JUNAGADH

BANAS KANTHA

BHAVNAGAR

VYARA

AHMEDABAD

KHEDASURENDRANAGAR

BHARUCH

DAHOD

SABAR KANTHA

SURAT

ANAND

MAHESANA

VALSAD

VADODARA

PANCH MAHALS

NARMADA

NAVSARI

CHHOTA UDEPUR

PORBANDAR

THE DANGS

GANDHINAGAR

AMC

VMC

SMC

NSP Success Rate< 80%80% - 84.5%84.51 - 200

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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