Photo: Riccardo Venturi UPDATED RNTCP AT A GLANCEiapsm-wbc.co.in/CME.pdfRNTCP AT A GLANCE Photo: Riccardo Venturi DTO, North 24 Parganas ... CASE FINDING SUSTAINED EFFORTS HAVE TO

UPDATED RNTCP AT A GLANCE

Photo: Riccardo Venturi

DTO, North 24 Parganas

DH&FWS(RNTCP), North 24 Parganas

EVOLUTION OF TB CONTROL IN INDIA • 1962 - NTP

• 1992 – REVIEW OF NTP ( ONLY 30% PATIENTS DIAGNOSED, OF THESE ONLY 30% TREATED). SUCCESSFULLY).

• 1993 – RNTCP PILOT

• 1997 – RNTCP Launched (DOTS STRATEGY)

• 1998 – RNTCP SCALE UP

• 2006 – ENTIRE COUNTRY COVERED BY RNTCP

• 2007 – PMDT INTRODUCED & TB-HIV COLLABORATION ACTIVITIES.

History of PMDT in India • DOTS services across the country in 2006

• PMDT scale up

– Implementation commenced: 2007

– Laboratory network (C&DST lab & CBNAAT)

– DR-TB centres: (Pre-treatment evaluation, ADR and infection control)

– Standard second -line regimen with supply chain based on monthly patient wise boxes

– Paper based R&R

• In 2012, Revision of PMDT guidelines

• In 2012-13: phased expansion by geography and lab capacity based DST offer by risk groups from

– Failure and contacts, to

– previously treated TB patients and follow up smear positives, to

– HIV positive TB patients (new & PT).

• In 2013, Nationwide coverage of PMDT services

• In 2014, Base line second line DST

• In 2015 National Drug Resistant Survey • In 2016,

• Revised Technical and Oper(ational Guidelines

• BDQ CAP implementation in six sites

• Mono and poly resistance

DST Summary - NDRS

DST Pattern NEW PT ALL

Total DST results available

3065 1893 4958

Susceptible to all drugs

2374 (77.46 %) (75.93 – 78.92 %)

1196 (63.18 %) (60.96 – 65.36 %)

3570 (72.01 %) (70.73 -73.25 %)

Any drug resistance 691 (22.54 %)

(21.10 - 24.1 %) 697 (36.82 %)

(34.64 – 39.04 %) 1388 (28.00 %)

(26.77 – 29.29 %)

MDR 87 (2.84%)

(2.28 – 3.5%) 220 (11.62 %)

(10.21 – 13.15 %) 307 (6.19%)

(5.54 – 6.90 %))

MDR with second-line anti-TB (SLI) Resistance

6 (6.9 %) (2.57 – 14.41 %)

5 (2.27 %) (0.74 – 5.22 %)

11 (3.58 %) (1.8 – 6.32 %)

MDR with fluoroquinolone (FQ) resistance

21 (24.14 %) (15.60 – 34.50 %)

46 (20.91 %) (15.73 – 26.89 %)

67 (21.82 %) (17.33 – 26.87 %)

XDR 2 (2.3 %)

(0.28 – 8.06 %) 2 (0.91 %)

(0.11 – 3.25 %) 4 (1.3 %)

(0.36 – 3.30 %)

12th 5 yr plan (2012-2017)

• VISION – TB FREE INDIA

• GOAL - Universal access to quality TB diagnosis & treatment for all TB PATIENTS

• OBJECTIVES –

• 90% Notification rate for all TB cases.

• 90% Success rate for all new cases & 85% for RT cases.

• To improve successful outcomes of treatment of DRTB cases.

Vision: A world free of TB Zero TB deaths, Zero TB disease, and Zero TB suffering

Goal: End the Global TB epidemic

Vision, goal, targets, milestones

(2,2 million)

(2.2 lakh)

6

India is the highest TB burden country

Data source: Global TB Report 2016, WHO, Geneva

Six countries accounted for 60% of the new cases

Global TB Burden -2017

Global India

Incidence 1,04,00,000 (140/lakh)

27,90,000 (211/lakh)

Deaths 16,74,000 (22/lakh)

4,35,000 (33/lakh)

HIV TB cases 10,30,000 (14/lakh)

87,000 (6.6/lakh)

HIV TB deaths

3,74,000 (5.0/lakh)

12,000 (0.9/lakh)

Estimated MDR/RR cases

6,01,000 (8.1/lakh population)

1,47,000 (11/ lakh population)

NATIONAL SRRATEGIC PLAN FOR TUBERCULOSIS ELIMINATION 2017 - 2025

• VISION – TB Free India with zero deaths, disease & poverty due to TB.

• Goal – To achieve a rapid decline in burden of TB, morbidity & mortality while working towards elimination of TB India in India by 2025.

• Decresed Morbidity & Mortality of HIV associated TBs.

• To improve outcome of TB Care in the private sectors.

INTEGRATED, PATIENT-CENTRED CARE & PREVENTION

1) Early diagnosis of TB with latest diagnostic tools 2) Screen contacts and high-risk groups 3) Universal drug susceptibility testing (UDST) 4) Find, Treat all people with TB with standard

complete regimen. 5) Notify all TB cases- public and

private(Lab/hosp/pp/chemist shops) 6) Provide patient support- link with nutrition/

livelihood programs, promote adherence, manage adverse drug reactions, prevent catastrophic costs

7) Manage comorbidities- Diabetes, HIV

Pillars and Components of End TB Strategy

2. BOLD POLICIES AND SUPPORTIVE SYSTEMS

A. Political commitment with adequate resources for TB care and prevention

B. Engagement of communities, civil society organizations, and public and private care providers

C. Universal Health Coverage policy and regulatory frameworks for case notification, quality and rational use of medicines and infection control

D. Social protection, poverty alleviation and actions on other determinants of TB

Pillars and Components of End TB Strategy

Engagement of communities, civil society organizations, and public and private care providers. NOT just GOVERNMENT

• It was felt that India should have its own standards that could be used as a benchmark by all providers managing TB patients within India

• A set of standards recognised as appropriate for the specific challenges of India will spur observance to these standards by all care providers of India when managing a TB patient

• 26 Standards developed after a National Workshop

Standards for TB Care in India

13

STRENTHENING OF RNTCP NHM – NRHM & NUHM

BLOCK LEVEL TU-( BMOH IS MOTC) & URBAN TU

HR – RNTCP( DPMU ) – MO- DTC, MO – RNTCP,DPC, PMDT&TBHIV CO ORINATOR, PPM CO- ORDINATOR, A/C PERSON.

FOR PMDT – NDRTBC/10million Pop. (Sr MO, STATISTICAL ASST.

COUNCELLOR).DDRTBC.

IRL – number of IRL INCREASING.& CBNAAT SITE AT DISTRICT LEVEL

FUND – DECENTRALISATION OF FUND AT TU LEVEL.

CASE FINDING

SUSTAINED EFFORTS HAVE TO BE GIVEN TO

FIND OUT AND TO EXAMINE AS MANY

PRESUMTIVE TB CASES AS POSSIBLE TO

MAXIMISE CASE DETECTION UNDER RNTCP.

Diagnosis of TB

Before coming to a diagnosis,

We need to have a suspicion for TB

And Appropriate screening tool

Early

Early Suspicion (PRESUMPTIVE)

Early Screening

Early Treatment

Early Diagnosis

To stop transmission of TB- a deadly disease but

Curable

When we suspect TB • Cough for 2 weeks or more • Associated symptoms that may or may not be

present- fever, weight loss, loss of appetite, chest pain, blood in sputum

• Any Shadow in CXR • In children-- Superficial lymphadenopathy, no

weight gain, h/o measles, whooping cough, pneumonia, proximity to of a TB case

• For extra-pulmonary TB- symptoms depend on organ affected

• For persons having HIV, contacts of Pulmonary TB- duration of symptoms for 1 day is also considered

• Socially and clinically vulnerable populations needs to be screened for TB at regular intervals ( active surveilence)

Clinically vulnerable Socially vulnerable

• Persons with HIV • Malnourishment • Diabetes • Compromised lung

states • Cancer patients • Patients on dialysis • Patients on

immune suppressant drugs, steroids

• Health care givers • Contacts • Prisoners /migrating

population • Smokers, persons exposed

to fuel fumes • Aged • Mental hospital

patients/care givers, homes • Slum dwellers • Miners, crushers, persons

in fabric industries

PRESUMPTIVE PAEDIATRIC TB • Fever/ cough of recent onset lasting > 2 wks

• Recent unexplained loss of wt (>5% BWT as compared to highest WT recorded in last 3mnth)

• No wt gain in last 3 mnths

• H/O exposure to Infectious TB (SP )

• Contact with any form of active TB PTS within last 2 yrs.

• Recent H/O measles , whooping cough, steroid therapy, persistent pneumonia not responding to any antibiotics.

• NRC (MALNURISHED CHILDREN)

PRESUMPTIVE DRTB

• ALL DIAGNOSED TB PATIENTS ARE

PRESUMPTIVE DRTB PATIENTS.

Diagnosis of TB- available with RNTCP Tools Merits Demerits

Tuberculin test

(Mantoux)

Can identify Epidemiological tool

Cannot differentiate infection & disease

X-ray Sensitive (screening tool) Not specific

Sputum Smear Microscopy (BM/LED FM)

Specific Easy to perform Less costly

Sensitivity 60-80%

Culture for MTB Solid Liquid (MGIT 960)

Highly sensitive & specific Costly, need special Labs Solid- 30 – 60 days Liquid- 15 – 30 days

Molecular Test

Line probe assay

CBNAAT

Highly sensitive & specific LPA- 2 – 4 days NAAT- 2 hrs

Costly

There is no role for inaccurate/inconsistent

diagnostics like serology (IgM, IgG, IgA antibodies against MTB

antigens), various in-house or non-validated commercial PCR tests

and BCG test

Revised–TOG RNTCP : March 2016



PITC (PROVIDER INITIATIVE TESTING & COUNSELLING)

• ALL PRESUMPTIVE TB /DRTB PATIENTS

SHOULD BE TESTED FOR HIV SCREENING (WBFPT)AT DMC .

• Automated nested Real Time-PCR

• Simple 1-step specimen preparation

• Can be used at the point-of-treatment

• Results in 2 hours

• Detects TB and RIF resistance – Highly sensitive and

specific

Major advance: Xpert MTB/RIF

26

Types of samples for CBNAAT test

• Any liquid sample and aspirates- pulmonary and Extra Pulmonary

–Except blood, stool, urine

• Sputum, Gastric Lavage, Gastric Aspirate, Broncho-alveolar lavage, CSF, Pleural fluid, Pus, lymph node, FNAC, Ascitic fluid, Synovial fluid, Chyle, Nasal Aspirate, Peritoneal fluid, Tracheal aspirate, Thoracic swab etc

Policy for use of Xpert-MTB/Rif in India Category of patient eligible for CBNAAT test-1 (UPFRONT )

• Prioritize Xpert-MTB/Rif to detect Mycobacterium TB in presumptive TB cases among key populations

– Paediatric age group

– All Extra Pulmonary

– Persons living with HIV / AIDS (screening of four symptoms like cough/ fever/ night sweat/weight loss)

• Any persons suspected of having TB referred by Private Practitioners and Private Hospitals (any sample except blood, stool and urine)

• To detect Rifampicin resistance in presumptive DR TB cases—

– Sputum Smear negative Retreatment TB case

–Contacts of drug resistant TB cases who have been diagnosed as having TB

–Persons living with HIV diagnosed as having TB

–Retreatment positive at diagnosis

Policy for use of Xpert-MTB/Rif in India Category of patient eligible for CBNAAT test-2

DR-TB Diagnostic Algorithm

*Offer molecular testing for H mono/poly resistance to TB patients prioritized by risk as per the available lab capacity **LC DST (Mfx 2.0, Km, Cm, Lzd) will be done only for patients with any resistance on baseline SL-LPA. DST to Z, Cfz, Bdq & Dlm would be considered for policy in future, whenever available, standardized & WHO endorsed. $ States to advance in phased manner as per PMDT Scale up plan for universal DST based on lab capacity and policy on use of diagnostics

All diagnosed TB patients Presumptive TB

Key/Vulnerable populations • Paediatric age group • People living with HIV • EPTB sites • Smear negative/NA with

X-ray suggestive of TB

• Non responders to treatment

• DR-TB contacts • Previously treated TB • TB-HIV co-infection • New TB patients $

CBNAAT

RR TB RS TB

FL-LPA* SL - LPA**

FQ and SLI Sensitive

FQ and/or SLI Resistance H Sensitive H Resistant

For discordance on LPA for RR-TB – repeat CBNAAT at LPA lab

CBNAAT FL-LPA

RR or Mono H

DR TB

DS TB

First line ATT

SL-LPA Additional drug resistant

No Additional drug resistant

Continue on treatment

LC Additional drug resistant

No Additional drug resistant

Continue on treatment

Newer drug

containing regimen

DST guided treatment

DDR TBC Nodal DR TBC

Drug interaction Selected ADR

Regimen change Seriously ill

Patient Flow for DR-TB Patients

TREATMENT TYPE OF TB REGIMEN IP REGIMEN CP

NEW (DAILY) HRZE (8WKS) HRE (16WKS)

PREVIOUSLY TREATED (DAILY)

HRZES (8WKS)+ HRZE (4WKS) HRE (20WKS)

DRTB (DAILY ) (Conv) Km ,Lfx, Eto, Cs, Z E ,H (6-9M) Lfx, Eto. Cs, E, H (18)

(Shorter)MOXI(HD), Km,Eto,Clz,PNZ, INH (HD), ETH. (4-6 M)

MOXI(HD), Clz, PNZ, ETH (5M)

The CP in both new & PT cases may be extended by 12-24 wks in certain forms of TB like CNS TB , Skeletal TB, Disseminated TB etc.based on clinical decision of the treating physician . Extension > 12 wks should only be on recommendation of experts of the concerned field.

Classes of Anti TB Drugs recommended for treatment of DR-TB

New Grouping of Drugs

A. Fluoroquinolones Levofloxacin

Moxifloxacin

Gatifloxacin

Lfx

Mfx

Gfx

B. Second-line injectable

agents

Amikacin

Capreomycin

Kanamycin

(Streptomycin)

Am

Cm

Km

(S)

C. Other second-line

agents

Ethionamide / Prothionamide

Cycloserine / Terizidone

Linezolid

Clofazimine

Eto/Pto

Cs/Trd

Lzd

Cfz

D. Add-on agents (not part

of the core MDR-TB

regimen)

D1 Pyrazinamide

Ethambutol

High-dose isoniazid

Z

E

Hh

D2 Bedaquiline

Delamanid

Bdq

Dlm

D3 p-aminosalicylic acid

Imipenem-cilastatin

Meropenem

Amoxicillin-clavulanate

PAS

Ipm/Cls

Mpm

Amx-Clv

FDC (Adult)

4 FDC • Isoniazid 75 mg

• Rifampicin 150 mg

• Pyrazinamide 400 mg

• Ethambutol 275 mg

3 FDC • Isoniazid 75 mg

• Rifampicin 150 mg


34

Weight Band Tablets /

day Strips / month

4 FDC IP 3 FDC CP

No. of Strips for entire course

25 - 39 kg 2 2 4 8

40 - 54 kg 3 3 6 12

55 - 69 kg 4 4 8 16

>= 70 kg 5 5 10 20

Daily Dose Schedule for Adults- New cases (as per weight bands)

New Case (NT)= A TB patient who has never had TB treatment before or had anti TB drugs for less than 1 month

NO change in drug dosages when patient shifts in weight band

Single vs FDC Blister Pack

Single-Dose Blister Pack FDC Blister Pack

36

4FDC - Adult

Isoniazid, Rifampicin, Pyrazinamide and Ethambutol

Note: Larger tablets compared to 3FDC

3FDC - Adult

Isoniazid, Rifampicin and Ethambutol

Note: Smaller tablets compared to 4FDC

3 FDC - Paediatric

No PWBs for Paediatric Patients

Key Product Information (Paediatric) (Dispersible FDC)

3 FDC • Rifampicin 75 mg + Isoniazid 50 mg + Pyrazinamide 150 mg

2 FDC • Rifampicin 75 mg + Isoniazid 50 mg

(Formulation: Dispersible, flavored —Mango, Strawberry & Raspberry)


• Isoniazid 100 mg

(Formulation: Dispersible) 40

Modality of treatment

• DOT- – Directly observed treatment by Treatment supporter

– Intensive phase- Daily (Alternatively Directly observed and self administered)

– Continuous phase- 1st dose observed than self administered for 6 days

• Family DOT – Bedridden

– Children

• ICT Based – Use of information & communication technology

– 99 DOTS

FOLLOW UP INTENSIVE PHASE CONTINUATION PHASE LONG TERM

FOLLOW UP

BASIC DOTS

New Case ( 8 WKS)

-end of t/t (16WKS) After completion of

treatment the

patients should be

followed up at 6th,

12th,18th,& 24 th

months clinically

/sputum exam.

Retreatment Case (12WKS)

-end of t/t (20WKS)

DRTB (Conventi

onal)

3,4,5,6,7 (CULTURE).

18 (9,12,15,18.21.24 MONTHS)

DRTB (Shorter regimen)

SMEAR MICROSCOPY

/EVERY MONTH(4-6th),

CULTURE AT THE END OF IP

End of CP CULTURE.( SOLID)

FOLLOW UP….

• ANY FOLLOW UP POSITIVE TB PATIENTS IN FIRST LINE ATD ARE PRESUMPTIVE DRTB.

• BIOLOGICAL SAMPLE SHOULD BE TESTED AT CBNAAT.

• IF RR – SWITCH TO DRTB.(SAMPLE SEND TO 2nd line LPA).

RS – SAMPLE SEND TO FOR 1st line LPA

CO -MORBIDITIESES

• TB-HIV

• TB - DM

• TB & NUTRITION

• TB & TOBACCO

• TB & SILICOSIS

3 ‘I’ strategy programme

45

Three “I”s to reduce burden of TB among PLHIV

• ICF: Intensified (TB) case finding (ICF) at ICTC, ART centres and LAC(link ART centre)

• IC-AIC: Air-borne infection control measures for prevention of TB transmission at HIV care settings

• IPT: Implementation of Isoniazid preventive treatment (IPT) for all PLHIV (On ART + Pre-

ART)

46

Using Mobile Phones to Monitor and

Improve Adherence to Tuberculosis Medications

Central TB Division

In collaboration with:

What is 99DOTS? Strengthening DOTS monitoring through real-time adherence monitoring

• Anti-TB drugs are wrapped in envelopes which are printed with hidden numbers behind the pills

• When patients dispense a dose, they reveal a hidden TOLL FREE number which they call

• This call gets reflected on the 99DOTS dashboard immediately as a taken dose

Goal: to provide 99% of the benefits of DOTS at a fraction of the cost and inconvenience to patients

Benefits of 99DOTS

• Less travel

• Increased convenience Patients

• Focused and more efficient care

Field Staff/Supervisors

• Easy monitoring

• Accurate reports Program Officers

50

99DOTS: Accurate Monitoring at Very Low Cost

Calendar View of Adherence

99DOTS: Workflow - Summary

CBNAAT testing for

rapid microbiological

diagnosis

Patient at ART Centre with

symptoms of TB Cough, Fever, Night sweats, Weight loss

Patient

identified

positive for TB

Patient is counseled at ART

Centre to take medication in

the 99DOTS packaging and

registered on 99Dots website

Patient’s sputum is

sent for testing to

the RNTCP center

Continuous

monitoring and

follow up by

RNTCP staff

TB-DM (Screening and referral of Diabetic patients for TB )

• Four-symptom complex screening for active TB- cough. Fever, weight loss, night sweat

• Screening is expected to be carried out every time the patient visits the DM clinic or the ART center as case may be.

• Patients will be asked whether they are on TB treatment, and if not, they would be screened for four-symptom complex.

TB Notification

NOTIFICATION OF TB PATIENTS (GOI ORDER MAY 2012)

• GOVT SECTOR

• PRIVATE SECTOR -

• NIKSHAY –

(CASE BASED WEB BASED TB INFORMATION SYSTEM)

Case-based, web-based, electronic recording

DBT (DIRECT BENEFICIARY TRANSFER)

• ALL NOTIFIED TB PATIENTS (Rs 500 / month for Nutrition assistance) during treatment period.

• Treatment Supporter ( as per RNTCP GUIDELINE).

• Private Practitioners as per guideline .

ACSM (ADVOCASY COMMUNICATION SOCIAL MOBILISATION)-Imp. Strategy

for TB control program

• .Awarness generation among all level of society.

• Improve case referral (HRG-community meeting)

• Early diagnosis & treatment

• Improve case holding ( default). (patients provider meeting)

NGO PP SCHEMES

• ACSM

• DIAGNOSIS & TREATMENT

• TB & CO – MORBIDITIES

• PROGRAMME MANAGEMENT (CONTACT TRACING

SPUTUM COLLECTION & TRANSPORTATION , CAPACITY BUILDING , TREATMENT ADHERENCE ETC)

PROJECTS

• THALI (Tuberculosis Health Action Learning Initiative).

• JEET (JOINT EFFORTS FOR ELIMINATION OF TB).

• TB FREE BLOCKS( AMDANGA & SABDALPUR IN N24PGS) –

SUPPORTs to TB Patients

• Emotional Support

• Family Support

• Social Support

• Economic Support

• Support to palliative care.

THANKS

Daily Regimen for all forms of

TB among PLHIV

ICT support

for adherence

Use of CBNAAT for diagnosis of TB among PLHIV

IPT

ICF

(4S Screening)

Single Window Services

New Initiatives

68

Daily Dose Schedule for Adults- Previously Treated cases (as per weight bands)

Weight Band Tablets /

day Strips / month

Injection Streptomyc

in

4 FDC IP 3 FDC CP

Strips for course

25 - 39 kg 2 2 0.5 gm 6 10

40 - 54 kg 3 3 0.75 gm 9 15

55 - 69 kg 4 4 1 gm 12 20

>= 70 kg 5 5 1 gm 15 25

Previously Treated Case (PT)= A TB patient who had received anti TB treatment in the past for 1 month or more

NO change in drug dosages when patient shifts in weight band

TB CO-MORBIDITIES

• 1) TB-HIV – ART/ ICTC / F-ICTC

• 2) TB- DIABETES

• 3)TB –NUTRITION

• 4)TB- TOBACC0

• 5) TB-SILICOSIS

Intensified TB Case Finding (ICF) • Actively looking for signs and symptoms of TB disease

– Symptom screening and then follow-up evaluation as indicated

– Can be in settings (clinic, prison, etc.) or community-based

• Goals of ICF for PLHIV

– Earlier diagnosis and treatment of TB to reduce mortality

– Prevent ongoing transmission

– Initial step in ICF-IPT cascade for excluding disease to provide TB preventive

therapy

• Steps for ICF

Screening for TB using 4 symptom complex

Fast tracking

Early diagnosis

71

4 symptom complex for TB screening among PLHIV

Adult

Current cough

Fever

Weight loss

Night Sweats

Children

Current cough

Fever

Poor weight gain

Contact with TB case

Getahun H et al. Development of a standardized screening rule for tuberculosis in people living with HIV in resource constrained settings: individual participant data meta-analysis of observational studies. PLoS Medicine, 2011, 8(1): e1000391. doi:10.1371/journal.pmed.1000391. Meta analysis over 8000 patients, the NPV 97.7% (95% CI 97.4–98.0)

72

FOLLOWING ANTIBIOTICS TO BE USED FOR TB SUSPECTS

• Co-trimoxazole,amoxycillin,doxycycline, cephaiosporins.

• Drugs to be avoided before clinching diagnosis;- coamoxyclav,fluroquinolones, macrolides,linezolid etc. (USED FOR TREATMENT OF MDR/XDR TB)

ISONIAZID PREVENTIVE THERAPY

• Adult and Adolescent: Isoniazid 300mg +Pyridoxine 50mg (Vitamin B6) per day for 6 months – TO BE IMMPLEMENTED

• Children above 12 months: Isoniazid 10mg/kg +Pyridoxine 25 mg (Vitamin B6) per day for 6 months - RUNNING

How does Isoniazid Preventive Therapy (IPT) work?

• About 50% adult in the community have Latent TB infection (LTBI)

• Isoniazid is one of the most effective bactericidal, anti-TB drug

available at currently.

• It protects against progression of latent TB infection to active

disease i.e. reactivation, it also prevents TB reinfection post the

exposure to an open case of TB

• It also protects against re-exposure of TB infection

75

TB-HIV

• ICF – (Intensified case finding at ICTCs, ART & Community support centres)

• IPT- (INH Preventive therapy) & CPT

• AIC- Air borne infection control of TB/DRTB

• Daily dots to PLHIV – (ART+ATT+CPT)

• - (ART+ IPT)

Compliance on letter from STO office…

TU wise Status of TB Notification: 2Q16

Name of TU Number of Private Health Establishments

registered in Nikshay (including multispecialty, single specialty and labs)

Number of notified cases registered in Nikshay till

June 2016

Panihati SGH 58 15

Reckjoani BPHC 98 456

Sagore Dutta SGH 31 1

Taki RH 1 1

Bidhannagar 2 69

North Barrackpore &

Barrackpore

Municipality 4 4

Basirhat SDH 30 0

Sandeshkhali RH 2 0

North 24 Pgs 1033 608

*Use another slide for more TUs





June 2016

Panihati SGH 58 15



Taki RH 1 1

Bidhannagar 2 69

North Barrackpore &

Barrackpore

Municipality 4 4

Basirhat SDH 30 0

Sandeshkhali RH 2 0

North 24 Pgs 1033 608


NIKSHAY ENTRY

• 2O13 REGISTRATION , Sp Conversion,

• 2014 & outcome ( 31/08/16)

• 2015

TB patients with Known HIV Status (District Name: North 24 Pgs) 1Q13 to 2Q16

TB Notification ( total )

2013 2014 1q15 2q15 3q15 4q15 1q16

Pvt TB case notification ( absolute Nos)

14 13 16 40 43 39 72

2013 2014 1q15 2q15 3q15 4q15 1q16

Total Notification( G+P) /l/yr 81.38 74.28 73.26 83 72 65 71

Govt TB case notification/l/yr 81.24 74.15 72.65 81.48 70.36 63.51 68.25

Pvt TB case notification/l/yr 0.14 0.13 0.61 1.52 1.64 1.49 2.74

DRTB- FOLLOW UP SCHEDULE GENERAL SITUATON

Follow-up Dose Duration of treatment Remarks

1 90 3 3rd months of IP

2 120 4 4th months of IP



5 210 7 1 st month of CP

6 270 9 3rd months of CP

7 360 12 6th months of CP





•ACSM

THANKS.

TU wise infrastructure: DMCs 2Q16

Name of TB Unit

Total No. Of DMCs

Functional Status of DMCs

Fully Functional

Partially Functional (some days)

Non- Functional

Reasons Non/Partial Functional DMCs

Amdanga 4 Y N N

Bagdah RH 4 1 3 (each runs for 4

days) N

Vacancy of MT Lab. at JRD SDH

Barasat-I 3 N 3 (1DMC-5,1 DMC-4 & 1

DMC-3 days) N Vacancy of MT Lab. at

Barasat-1 BPHC)

Barasat-II 2 y N N

Barrackpur-I 1 y N N

Barrackpur-II 2 y N N

Bongaon 3 y N N

Deganga 4 y N N

Gaighata 4 y N N

Habra -II 2 y N N

Habra-I & Gobardanga

Municipality 3 y N N

Rajarhat Block 3 y N N

Baranagar Municipality 2 y N N

Barasat Municipality 1 y N N


Status of Newly Sanctioned TUs

Name of New TUs Sanctioned

Is TU functional Contractual Staff filled

Two Wheelers Procured

New TU created in Epi-Centre

New TU created in Nikshay

If not functional then reason for it

Habra -II Y Y Y Y Y

Barasat -I Y Y Y Y Y

Basirhat -I Y Y Y Y Y

Basirhat-II Y Y Y Y Y

Haroa Y Y Y Y Y

Barackpur -II Y Y Y Y Y Habra –I &

Gobardanga

MUN

Y Y Y Y Y

Barackpur -I Y Y Y Y Y

Barasat -ii Y Y Y Y Y

Bhatpara-MUN

II Y Y Y Y Y

* Functional TU means TB Patients are been registered in the new TU


Name of TB Unit

Total No. Of DMCs


Fully Functional


Non- Functional


Bhatpara Municipality-II 1 y N N

Bhatpara-I & Garulia


Bidhannagar 1 y N N

Bongaon Municipality 1 y N N

Dum Dum Municipality 1 y N N

Habra & Ashoknagar


Kamarhati Municipality 3 1 2 DMC in 3 days N

Vacancy of MT Lab. at Sagore Dutta MC

Naihati Municiplity 1 y N N New Barrackpur &

Madhyamgram


North Barrackpur &

Barrackpur Municipality 2 y N N

North Dum Dum


Panihati Municipality 1 y N N

Patipukur 1 y N N

Rajarhat-Gopalpur-I

Urban 1 y N N



Name of TB Unit

Total No. Of DMCs


Fully Functional


Non- Functional


Rajarhat-Gopalpur-II

Urban 0 y N N

Shibani Arogya Niketan 2 y N N

South Dum Dum


Sree Balaram Seva

Mandir 2 y N N

Baduria RH (INCLUDING

MUN) 4 y N N

Basirhat -I 2 y N N

Basirhat-II 2 y N N

Ghoshpur BPHC 4 y N N

Haroa 3 y N N

Hasnabad 4 2 2 DMC in 4 days N Vacancy of MT Lab. at

Taki RH

Minakhan RH 3 y N N

Sandelarbill BPHC 5 y N N

Sandeshkhali RH 3 y N N

Sarapul RH 3 y N N



Name of TB Unit

Total No. Of DMCs


Fully Functional


Non- Functional


Basirhat & Taki

Municipality 1 Y N N

North 24 Pgs 96


91

TU wise infrastructure: X-ray Facilities 2Q16

Name of TB Unit

Total No. of X-ray Facilities

Functional Status of X-rays

Fully Functional

Partially Functional

Non- Functional

Reasons for non/Partial Functional X-ray facilities

Amdanga Y

Bagdah RH 1 Y

Barasat-I Y

Barasat-II 1 Y

Barrackpur-I Y

Barrackpur-II Y

Bongaon Y

Deganga Y

Gaighata Y

Habra -II Y Habra-I & Gobardanga

Municipality Y

Rajarhat Block Y

Baranagar Municipality 1 Y

Barasat Municipality 1+1(PPP)=2 Y


Status of Newly Sanctioned TUs

Name of New TUs Sanctioned Is TU functional Contractual Staff filled

Two Wheelers Procured

New TU created in Epi-

Centre

New TU created in Nikshay

If not functional

then reason for it

Sribalaram sebamandirU Y Y Y Y Y

Patipukur TB hosp Y N Y Y Y

South Dumdum Y Y Y Y Y

Shibani Arogya Niketan Y Y Y Y Y

New Barrack pore &

Madhyam MUN Y Y Y Y Y

Bidhannagar Y Y Y Y Y

RGM- I Urban Y Y Y Y Y

RGM-II Urban Y N Y Y Y

North Dumdum MUN Y Y Y Y Y

Dumdum Y Y Y Y Y

Bangaon Y Y Y Y Y *Functional TU means TB Patients are been registered in the new TU

93


Name of TB Unit



Fully Functional


Non- Functional


Bhatpara Municipality-II Y Bhatpara-I & Garulia

Municipality 1 Y

Bidhannagar 1 Y

Bongaon Municipality Y

Dum Dum Municipality Y Habra & Ashoknagar

Municipality 2 Y

Kamarhati Municipality 1+1(PPP)=2 Y

Naihati Municipality 1 Y New Barrackpur &

Madhyamgram

Municipality Y

North Barrackpur &

Barrackpur Municipality 1 Y North Dum Dum

Municipality Y

Panihati Municipality 1 Y

Patipukur Y Rajarhat-Gopalpur-I

Urban Y


94


Name of TB Unit



Fully Functional


Non- Functional



Urban Y

Shibani Arogya Niketan Y South Dum Dum

Municipality Y Sree Balaram Seva

Mandir 1 Y Baduria RH

(INCLUDING MUN) 1 Y

Basirhat -I Y

Basirhat-II Y

Ghoshpur BPHC Y

Haroa Y

Hasnabad 1 Y

Minakhan RH 1 Y

Sandelarbill BPHC Y

Sandeshkhali RH Y

Sarapul RH 1 Y


95


Name of TB Unit



Fully Functional


Non- Functional


Basirhat & Taki

Municipality 1 Y

TOTAL 20


CBNAAT Linkages Name of

sites

Name of

TU/ Block

in which

the site is

establish

ed

Name of

blocks

linked to

the site

Names of

BPHC/PHC

/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Barasat DTC

Barasat DTC

Amdanga

Amdanga BPHC

North 24

Parganas ART

Nil

Nil

Nil

Maricha PHC

Bearaberia PHC

Adhata PHC

Barasat Municipality

Barast Municipality

Barasat Block - I

Chhotojagulia

BPHC

Duttapukur

PHC

Kadambagachi

PHC


sites

Name of

TU/ Block

in which

the site is

establish

ed

Name of

blocks

linked to

the site

Names of

BPHC/PHC/

CHS

Name

of ART

/ L-ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Barasat DTC

Barasat DTC

Barasat Block - II

Madhyamgram

R.H.

Salt Lake LAC

Nil

Nil

Nil

Bagband

Saiberia PHC

Mithpukuria PHC

Bidhannagar Municipality

Bidhannagar

Municiality

Deganga Block

Biswanathpur

BPHC

Raipur Chakla

PHC

Kolsur PHC

Hamadama PHC

Hadipur Jhikra


sites

Name of

TU/ Block

in which

the site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Barasat DTC

Barasat DTC

Habra &

Ashoknagar

Municipality

Habra SGH NIL

Ashokenagar

SGH

Habra-I &

Gobardanga

Municipality

Maslandapur

BPHC

Gobardanga

RH

Rautara PHC

Habra -II

Sabdalpur

BPHC

Pumlia PHC

Pukurkona

PHC


sites

Name of

TU/ Block

in which

the site is

established

Name of

blocks

linked to

the site

Names of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Barasat DTC

Barasat DTC

New Barrackpur &

Madhyamgram Municipality

New Barrackpur

Municipalityicip

ality

NIL

Madhyamgram

Municipalityicip

ality

Rajarhat Block

Rekjoani BPHC

Chandpur PHC

Patharghata

PHC

Rajarhat-Gopalpur-I

Narayanpur

Matrisadan



sites

Name of

TU/ Block in

which the

site is

established

Name of

blocks

linked to

the site

Names of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number of

private

hospitals,

PPs / other

is linked

Dr. BN Bose SDH

Barrackpur & North

Barrackpur Municipalit

y

Baranagar Municipality

Baranagar

SGH

Dr. BN Bose LAC

College of

Medicine & Sagar Dutta

Hospital

Kanchrapara Railway Hospital

Baranagar

Municipality

Barrackpur-I

Nanna BPHC

Narayanpur

PHC

Barrackpur-II

Bandipur

BPHC

Bilkanda PHC

Bhatpara-I & Garulia

Municipality

Bhatpara SGH

Garulia

Municipality


sites

Name of

TU/ Block in

which the

site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Dr. BN Bose SDH

Barrackpur & North

Barrackpur Municipality

Bhatpara Municipality-

II

Bhatpara

Municipality

Dr. BN Bose LAC

College of


Hospital


Dum Dum Municipality

Dumdum

Municipality

Hospital

Kamarhati Municipality

College of

Medicine &

Sagore Dutta

Hospital

Kamarhati

Municipality

Kamarhati ESI

Naihati Municiplity

Naihati SGH

North Barrackpur & Barrackpur

Municipality

Dr. B. N. Bose

SDH

North

Barrackpur

Municipality


sites

Name of

TU/ Block

in which

the site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Dr. BN Bose SDH

Barrackpur & North

Barrackpur Municipalit

y

North Dum Dum

Municipality

North

Dumdum

Municipality

Dr. BN Bose LAC

College of


Hospital


Panihati Municipality

Panihati SGH

Patipukur TB Hospital

Patipukur TB

Hospital

Shibani Arogya Niketan

Halisahar

Municipality

Shibani

Arogya

Niketan

South Dum Dum

Municipality

South Dum

Dum

Municipality

Sree Balaram Seva Mandir

Balaram Seva

Mandir

Titagarh

Municipality


sites

Name of TU/

Block in

which the

site is

established

Name of

blocks

linked

to the

site

Names of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Dr. JR Dhar SDH

Bongaon Municipality

Bagdah RH

Bagdah RH Dr. JR Dhar LAC

NIL

Sindrani PHC

Koniara PHC

Nataberia PHC

Bongaon

Palla PHC

Akaipur PHC

Sundarpur

BPHC

Chowberia PHC

Bongaon Municipality

Dr. J. R. Dhar

SDH

Gaighata

Chandpara

BPHC

Bhaduria PHC

Dharampur PHC

Gaighata PHC

Ghonja PHC


sites

Name of

TU/ Block in

which the

site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked

Basirhat Health District

Basirhat & Taki

Municipality

Baduria RH

Baduria RH Basirhat HD LAC

NIL

Bajitpur PHC

Jadurhati PHC

Dakshin

Chatra PHC

Masia PHC

Basirhat & Taki Mun

Basirhat DH

Basirhat -I Shibhati BPHC

Nakhoda PHC

Basirhat-II

Sikrakulingra

m PHC

Dhanyakuria

BPHC

Reajendrapur

PHC


sites

Name of

TU/ Block

in which

the site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/P

HC/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked


Basirhat & Taki

Municipality

Ghoshpur BPHC

Ghoshpur

BPHC Basirhat HD LAC

NIL

Nazat PHC

Hatgachi PHC

Sarberia

Clinic

Haroa

Haroa BPHC

Gopalpur PHC

Kamargathi

PHC

Hasnabad

Taki RH

Bhawanipur

PHC

Ghola PHC

Barunhat PHC

Minakhan R.H.

Minakhan

R.H.

Dhuturdaha

PHC

Nimichi PHC


sites

Name of

TU/ Block

in which

the site is

established

Name of

blocks

linked to

the site

Names

of

BPHC/PH

C/CHS

Name of

ART / L-

ART

centres

linked

Name of

medical

college is

linked

Name of

pediatric

/ other

hospital

linked ( if

present)

Number

of private

hospitals,

PPs /

other is

linked


Basirhat & Taki

Municipality

Sandelarbill BPHC

Sandelarbill

BPHC Basirhat HD LAC

NIL

Hingalgang

PHC

Sahibkhali

PHC

Jojeshgang

PHC

Hasnabad

PHC

Sandeshkhali RH

Sandeshkhali

RH (Khulna)

Korakati PHC

Jeliakhali

PHC

Sarapole RH

Serapole RH

Charghat

PHC

Bakra PHC

Link DR TB Centre Status

• Is Nodal DR TB Centre available in the district : Yes

No for Basirhat Health District

• If No, Is space identified for Dist level DR TB Centre (Link): Yes

– If Yes, where is the space identified for Link DR TB Centre: Basirhat District

Hospital

– Is Link DR TB Centre committee established & members trained : Yes

– Is Link DR TB Centre functional : No.

RH/SDH/DH wise data: 2Q16

Name of TU

Referral of TB Suspect by each medical officers to DMCS

diagnosis ( 1 April- 30 June16 )

Status X-ray use for TB diagnosis ( 1 April- 30 June16 )

No of EP cases

diagnosed in this hospital

Name of the RH/

SDH/ CH/ WH

No. of New Adult OPD (

above 14 yrs.) as per the hosp. OPD register (a)

Out of (a) no. of suspects

referred by all the medical officers to DMC for sputum

examination as per Lab register (b)

Out of (b) no. of

Sputum Positives

detected ( as per Lab

register)

Total No. of X-Ray done

in this facility as

per the hosp. X-ray

register maintained by the X-ray technician

(c)

Out of (c) total no. of Chest

X-ray done (d)

Out of (d) No. of

Sputum Negative

TB patients diagnose

d

Is Radiologi

st is present

in Hospital (yes/No)

If no, who read the

x-rays

Is monthly summary written with the diagnosis in register maintained at X-ray

unit ( yes/No)

Bagdah RH Bagdah RH 6589 147 18 994 60 6 No MO No 1

Barasat-II Madhyam

gram RH 11137 45 4 797 91 0

No

GDMO No 0

Baranagar

Municipali

ty

Baranagar

SGH 11792 192 23 3148 490 4 yes Yes 3

Barasat

Municipali

ty

District

Hospital,

Barasat 12700 286 32 8430 286 16 yes Yes 9

Bhatpara-I

& Garulia

Municipali

ty

Bhatpara

SGH

12233 368 64 1110 338 13 No

GDMO Yes 14

Note : Fill this format carefully looking at the column and data source. Do not calculate % any where. Do not change the format /any cell, only fill the cells; Use more rows to complete the number of RH/SDH/Dist Hosp. Data related to Xrays must be taken only from the register maintained by the X-ray technician in each RH/SDH/Dist Hosp. Use if require another slide.

Districts *Applicable for Rural and Corporations as well *Provide data from Secondary & tertiary care settings


Name of TU




No of EP cases


Name of the RH/

SDH/ CH/ WH






Out of (b) no. of

Sputum Positives


register)


in this facility as

per the hosp. X-ray


(c)


X-ray done (d)

Out of (d) No. of

Sputum Negative


d

Is Radiologi

st is present


If no, who read the

x-rays


unit ( yes/No)

Bidhannag

ar

Saltlake

SDH 10766 221 25 2594 845 1 Yes No 8

Habra &

Ashoknaga

r

Municipali

ty Habra SGH

14814 254 35 2056 63 3 No MO No 9

Habra &

Ashoknaga

r

Municipali

ty

Ashoknagar

SGH

6019 177 7 1361 45 3 No MO No 4

Kamarhati

Municipali

ty CMSDH 28372 303 44 3356 828 6

Yes

Yes 14

Kamarhati

Municipali

ty

ESI

Hospital 2951 177 13 2932 783 1

Yes

Yes 8



Name of TU




No of EP cases


Name of the RH/

SDH/ CH/ WH


above 14 yrs.) as per the hosp.

OPD register (a)

Out of (a) no. of suspects referred by

all the medical

officers to DMC for sputum


Out of (b) no. of

Sputum Positives


register)


in this facility as

per the hosp. X-ray


(c)


X-ray done (d)

Out of (d) No. of Sputum

Negative TB

patients diagnose

d

Is Radiologi

st is present


If no, who read the

x-rays


unit ( yes/No)

Naihati

Municiplit

y Nihati SGH 13554 271 37 2052 540 0 Yes Yes 8

North

Barrackpu

r &

Barrackpu

r

Municipali

ty

B N Bose

SDH

15507 278 61 726 401 18 Yes

Yes 0

Panihati

Municipali

ty

Panihati

SGH 10900 169 32 2268 37 0

No

GDMO Yes 0

Sree

Balaram

Seva

Mandir

Sree

Balaram

Seva

Mandir SGH

6793 216 32 2161 381 10 Yes

Yes 24

Baduria

RH

(INCLUDIN

G MUN) Baduria RH

16416 449 28 872 293 8 No

GDMO No 12



Name of TU

Number of Private Health Establishments registered in Nikshay (including multispecialty,

single specialty and labs)


June 2016

Amdanga BPHC 4 2

Baduria RH 5 2 Bagdah RH 1 2

Barasat DTC 571 13

Bhatpara SGH 19 15

Biswanathpur BPHC 8 1

Dr. B.N.Bose SDH 30 1

Dr. J.R.Dhar SDH 21 1

Dum Dum 74 16

Gaighata 4 1

Habra SGG 31 2

Minakhan RH 2 2

Naihati SGH 37 4



Name of TU




No of EP cases


Name of the RH/

SDH/ CH/ WH






Out of (b) no. of

Sputum Positives


register)


in this facility as

per the hosp. X-ray


(c)


X-ray done (d)

Out of (d) No. of

Sputum Negative


d

Is Radiologi

st is present


If no, who read the

x-rays


unit ( yes/No)

Hasnabad Taki RH

11059 350 24 1107 327 5 No

GDMO Yes 1

Minakhan

RH

Minakhan

RH 1435 37 1 323 26 1

No

MO Yes 0

Sarapul

RH Sarapul RH 13568 320 26 859 96 1

No

GDMO

Yes

7

Basirhat &

Taki

Municipali

ty Basirhat DH

5046 127 29 2873 31 1 Yes No 6

North 24

Pgs 211651 4387 535 40019 5961 97 128


Filed /Out reach activities conducted

Activity No. conducted

1q15 2q15 3q15 4q15 1q16

Patient Provider Meetings 112 115 114 97 106

Community Meetings 134 173 187 140 115

School based activities 22 32 66 18 7

Sensitizations: PRI / PPs/NGOs etc 18 0 4 0 400

Outdoor publicity : Local folk/mass media campaign/mela

4 1 1 0 0

Other activity (specify) 0 0 0 0 0

Medical College Involvement and Contribution to Total TB Case Notification in District: 2Q16

Name of Medical College

Involved in RNTCP (Yes/No)

Smear Positive TB

Cases Diagnosed in 2Q16 (a)

Smear Negative TB Cases

Diagnosed in 2Q16 (b)

Extra Pulmona

ry TB Cases

Diagnosed in 2Q16

(c)

Total TB Cases

Diagnosed in 2Q16

(d=a+b+c)

% Contribution of Medical College towards Total TB Notification of District in

2Q16 = d/RNTCP Total TB Cases

Registered in dist*100

College of Medicine

and Sagore Dutta

Hospital

Yes 43 15 41 99 (99/1904)*100=5%

TB patients with Known HIV Status (District Name: North 24 Pgs) 1Q13 to 2Q16

Trend in TB-HIV Co-infection among Registered TB Cases 1Q13 to 2Q16

Proportion of HIV infected TB patients on CPT & ART : 1Q13 to 2Q16

(From Smear Conversion Reports)

Provider Initiated Testing and Counselling-2Q16

Name of TU No of TB

Suspects during the quarter (A)

Number TB Suspects with

known HIV status (B)

Proportion with known HIV

status (B/A*100)

Number (%) HIV Positives

among TB Suspects

Total district

Only for the district , PITC is started recently

TU Wise Nikshay Data Entry Status- 2013

Name of TU

Total TB Patients

Registered in

2013 as per

Epi-Centre Reports (A)

Out of ( A) no. of patients

registered in Nikshay

( B )

% Nikshay Entry of

registered ( B/A* 100)

Out ( A) , no. (%) patients entered in

Nikshay and conversion report is available

( %)

Out ( A) , no. ( % ) of patients entered in Nikshay and treat outcome report is

available

Amdanga BPHC 336 336 100 112 42 157 47 Baduria

R.H,Rudrapur 224 224 100 174 93 224 100

Bagdah R.H. 229 229 100 150 85 229 100

Basirhat S.D.H. 375 375 100 302 100 372 99

Bhatpara S.G.H. 677 677 100 438 81 668 99 Biswanathpur

BPHC 317 317 100 246 99 317 100 Dr.B.N.Bose

S.D.H. 633 633 100 327 81 579 91 Dr.J.R.Dhar

S.D.H. 437 437 100 250 76 321 73

DTC,Barasat 515 515 100 348 100 515 100

Dum Dum T.U. 460 460 100 295 99 452 98

Gaighata T.U. 259 259 100 192 100 259 100

Ghoshpur BPHC 243 243 100 145 100 245 100

Data entry must be complete for all the modules – FU/convertion/HIV/Paed/ Chemoprophylaxis / outcome


Name of TU

Total TB Patients Registered in

2013 as per Epi-

Centre Reports (A)



( B )

% Nikshay Entry of



Nikshay and conversion report is

available

Out ( A) , no. ( % ) of patients

entered in Nikshay and treat outcome report is available

Habra

M.M.Unit(TB) 494 499 101 305 100 494 100

Minakhan R.H. 252 252 100 146 100 252 100

Naihati S.G.H. 521 521 100 274 72 411 79

Panihati S.G.H. 596 596 100 394 90 552 93

Rekjoani BPHC 470 470 100 284 100 470 100 Sagar Dutta

S.G.H. 654 654 100 313 70 586 90

Sandelerbill

BPHC 109 109 100 96 100 109 100

Sandeshkhali

R.H,Khulna 188 188 100 158 91 176 94

Sarapole R.H. 177 177 100 0 0 0 0 Taki Rural

Hospital 212 212 100 175 100 212 100

District Total 8378 8383 100 5124 85 7600 91



Name of TU

Total TB Patients

Registered in 2014 as per Epi-

Centre Reports (A)

Out of ( A) , how many patients registered in Nikshay ( B )

% Nikshay Entry of


Out ( A) , no. ( %) of patients entered

in Nikshay and conversion report is

available

Out ( A) , No.( %) patients entered in Nikshay and treat outcome report is

available

Amdanga BPHC 318 318 100 239 94 318 100 Baduria

R.H,Rudrapur 209 209 100 156 96 209 100

Bagdah R.H. 205 205 100 144 93 205 100

Basirhat S.D.H. 363 363 100 262 97 363 100

Bhatpara S.G.H. 547 547 100 426 100 547 100 Biswanathpur

BPHC 283 283 100 207 100 283 100

Dr.B.N.Bose

S.D.H. 553 553 100 361 100 553 100

Dr.J.R.Dhar

S.D.H. 372 372 100 255 90 372 100

DTC,Barasat 464 464 100 358 100 464 100

Dum Dum T.U. 423 423 100 239 98 423 100

Gaighata T.U. 250 250 100 181 94 250 100

Ghoshpur BPHC 239 239 100 135 100 239 100



Name of TU

Total TB Patients

Registered in 2014 as per Epi-

Centre Reports (A)

Out of ( A) , how many patients registered in Nikshay ( B )

% Nikshay Entry of


Out ( A) , no. ( %) of patients entered

in Nikshay and conversion report is

available


available

Habra

M.M.Unit(TB) 412 412 100 273 100 412 100

Minakhan R.H. 243 243 100 147 100 243 100

Naihati S.G.H. 510 510 100 349 100 510 100

Panihati S.G.H. 573 573 100 404 97 573 100

Rekjoani BPHC 482 482 100 283 100 482 100

Sagar Dutta

S.G.H. 583 583 100 401 99 570 98

Sandelerbill

BPHC 142 142 100 121 100 142 100

Sandeshkhali

R.H,Khulna 206 206 100 96 50 71 34

Sarapole R.H. 156 156 100 90 85 81 52

Taki Rural

Hospital 179 179 100 114 79 144 80

District Total 7712 7712 100 5241 96 7454 97 Data entry must be complete for all the modules – FU/convertion/HIV/Paed/ Chemoprophylaxis / outcome

TU Wise Nikshay Data Entry Status- 2015(1q15-3q15)

Name of TU

Total TB Patients

Registered 2015 as per Epi-Centre

Reports (A)

Out of ( A) how many

patients registered in Nikshay ( B )

% Nikshay Entry of


Out ( A) , no. ( %) of patients entered in


available


available

Amdanga BPHC 263 263 100 207 93 128 49

Baduria

R.H,Rudrapur 156 156 100 121 100 45 29

Bagdah R.H. 150 150 100 111 100 101 67

Basirhat S.D.H. 250 250 100 172 100 92 37

Bhatpara S.G.H. 433 433 100 0 0 0 0

Biswanathpur

BPHC 231 231 100 145 86 123 53

Dr.B.N.Bose

S.D.H. 431 431 100 267 100 0 0

Dr.J.R.Dhar

S.D.H. 277 277 100 202 94 102 37

DTC,Barasat 365 365 100 251 100 0 0

Dum Dum T.U. 339 339 100 163 78 262 77

Gaighata T.U. 225 225 100 154 100 153 68

Ghoshpur BPHC 168 168 100 63 71 104 62

TU Wise Nikshay Data Entry Status- 2015(1q15-3q15)

Name of TU

Total TB Patients


Reports (A)



% Nikshay Entry of




available


available

Habra

M.M.Unit(TB) 298 298 100 176 100 237 80

Minakhan R.H. 151 151 100 94 100 60 40

Naihati S.G.H. 392 392 100 258 100 216 55

Panihati S.G.H. 443 443 100 310 100 270 61

Rekjoani BPHC 327 327 100 205 100 113 35

Sagar Dutta

S.G.H. 464 464 100 233 81 362 78

Sandelerbill

BPHC 111 111 100 62 69 64 58

Sandeshkhali

R.H,Khulna 164 164 100 51 32 52 32

Sarapole R.H. 121 121 100 86 100 0 0

Taki Rural

Hospital 138 138 100 77 68 0 0

District Total 5897 5897 100 3408 83 2484 42


TU Wise Nikshay Data Entry Status- 2015 (4q15)

Name of TU

Total TB Patients


Reports (A)



% Nikshay Entry of




available


available

Minakhan RH 42 41 98 27 64 0 0

Baduria RH 56 55 98 29 52 0 0

Sarapole RH 26 26 100 16 62 0 0

Bagdah RH 41 41 100 32 78 0 0

Ghoshpur BPHC 59 59 100 0 0 0 0

Sandeshkhali RH 68 76 112 0 0 0 0

Sandelerbill

BPHC 37 37 100 0 0 0 0

Gaighata 49 49 100 18 37 0 0

Habra II 36 36 100 26 72 0 0

Barasat

Municipality 43 42 98 15 35 0 0

Barasat I Block 41 0 0 0 0 0 0 Bhatpara I &

Garulia

Municipality 75 62 83 0 0 0 0


Name of TU

Total TB Patients


Reports (A)



% Nikshay Entry of




available


available

Bhatpara


Deganga 48 48 100 27 56 0 0

Haroa Block 29 23 79 19 66 0 0

North Barrackpur

& Barrackpur


Sree Balaram

Seba Mandir 44 0 0 0 0 0 0

Barrackpur II

Block 26 23 88 1 4 0 0

Bongoan


Baranagar

Municipality 48 48 100 26 54 0 0

Patipukur 14 15 107 10 71 0 0

South Dumdum 19 19 100 7 37 0 0

Habra &

Ashokenagar

Municipality 48 48 100 28 58 0 0

Habra I &

Gobardanga

Municipality 45 45 100 21 47 0 0


Name of TU

Total TB Patients


Reports (A)



% Nikshay Entry of




available


available

Shibani Arogya

Niketan 35 37 106 24 69 0 0

Barrackpur I

block 25 28 112 18 72 0 0

Panihati

Municipality 43 43 100 23 53 0 0

New Barrackpur

& Madhyamgram

Municipality 35 35 100 25 71 0 0

Barasat II Block 25 25 100 16 64 0 0

Rajarhat Block I 27 45 167 24 89 0 0

Bidhannagar 17 0 0 0 0 0 0

Rajarhat

Gopalpur-I Urban 31 31 100 13 42 0 0

Rajarhat

Gopalpur-II

Urban 30 0 0 0 0 0 0

Kamarhati

Municipality 76 72 95 44 58 0 0

North Dumdum

Municipality 23 19 83 11 48 0 0

Dumdum



Name of TU

Total TB Patients


Reports (A)



% Nikshay Entry of




available


available

Hasnabad Block 44 0 0 0 0 0 0

Bashirhat & Taki

Municipality 21 20 95 11 52 0 0

Basirhat -I 17 10 59 10 59 0 0

Bashirhat -II 48 48 100 24 50 0 0

Naihati

Municipality 29 29 100 22 76 0 0

Bongoan Block 63 67 106 29 46 0 0

Amdanga Block 34 34 100 22 65 0 0

District Total

1663 1399 84 621 37


NB: Conversion out of NSP+RT POS.=621/1009=62%

TU Wise Nikshay Data Entry Status- 1q16

Name of TU


1q16 as per Epi-

Centre Reports (A)



( B )

% Nikshay Entry of




available



Minakhan RH 39 39 100 21 54

Baduria RH 45 45 100 24 53

Sarapole RH 27 27 100 17 63

Bagdah RH 47 47 100 30 64

Ghoshpur BPHC 53 45 85 0 0

Sandeshkhali RH 49 49 100 28 57 Sandelerbill

BPHC 39 39 100 0 0

Gaighata 67 64 96 34 51

Habra II 34 34 100 23 68 Barasat

Municipality 55 55 100 24 44

Barasat I Block 69 66 96 31 45 Bhatpara I &

Garulia



Name of TU


1q16 as per Epi-

Centre Reports (A)



( B )

% Nikshay Entry of




available



Bhatpara


Deganga 50 50 100 1 2

Haroa Block 37 14 38 20 54 North Barrackpur

& Barrackpur


Sree Balaram

Seba Mandir 43 0 0 12 28

Barrackpur II

Block 39 0 0 4 10

Bongoan


Baranagar


Patipukur 12 13 108 9 75

South Dumdum 27 24 89 15 56 Habra &

Ashokenagar


Habra I &

Gobardanga



Name of TU


1q16 as per Epi-

Centre Reports (A)



( B )

% Nikshay Entry of




available



Shibani Arogya

Niketan 43 43 100 18 42

Barrackpur I

block 25 0 0 8 32

Panihati


New Barrackpur

& Madhyamgram


Barasat II Block 29 30 103 14 48

Rajarhat Block I 30 30 100 18 60

Bidhannagar 28 28 100 16 57 Rajarhat

Gopalpur-I Urban 34 0 0 15 44

Rajarhat

Gopalpur-II

Urban 27 0 0 0 0

Kamarhati


North Dumdum


Dumdum



Name of TU


1q16 as per Epi-

Centre Reports (A)



( B )

% Nikshay Entry of




available

Out ( A) , no. ( % ) of patients entered

in Nikshay and treat outcome

report is available

Hasnabad Block 38 37 97 9 24

Bashirhat & Taki


Basirhat -I 19 20 105 14 74

Bashirhat -II 48 49 102 25 52

Naihati


Bongoan Block 49 49 100 23 47

Amdanga Block 34 30 88 16 47

District

Total 1792 1321 74 738 41

Compliance on letter from STO office…





June 2016

Panihati SGH 58 15



Taki RH 1 1

Bidhannagar 2 69

North Barrackpore &

Barrackpore

Municipality 4 4

Basirhat SDH 30 0

Sandeshkhali RH 2 0

North 24 Pgs 1033 608


TB Notification ( total )

2013 2014 1q15 2q15 3q15 4q15 1q16

Pvt TB case notification ( absolute Nos)

14 13 16 40 43 39 72

2013 2014 1q15 2q15 3q15 4q15 1q16

Total Notification( G+P) /l/yr 81.38 74.28 73.26 83 72 65 71

Govt TB case notification/l/yr 81.24 74.15 72.65 81.48 70.36 63.51 68.25

Pvt TB case notification/l/yr 0.14 0.13 0.61 1.52 1.64 1.49 2.74

Documents

Photo: Riccardo Venturi UPDATED RNTCP AT A GLANCEiapsm-wbc.co.in/CME.pdfRNTCP AT A GLANCE Photo: Riccardo Venturi DTO, North 24 Parganas ... CASE FINDING SUSTAINED EFFORTS HAVE TO