DR.S.K.Srivastava Member Secretary,STCS,U.P.
47
DR.S.K.Srivastava Member Secretary,STCS,U.P.
description
Physical Performance of R.N.T.C.P in U.P. DR.S.K.Srivastava Member Secretary,STCS,U.P. LUCKNOW Pilot project in the year 1995-98. First year districts (coverage). Lucknow Population 27.33 lakhs Barabanki - PowerPoint PPT Presentation
Transcript of DR.S.K.Srivastava Member Secretary,STCS,U.P.
DR.S.K.Srivastava
Member Secretary,STCS,U.P.
LUCKNOWPilot project in the year 1995-98
1995 (5.35 Lakhs)
1996 (5.35 Lakhs)
1997 (5.35 Lakhs)
1998 (7.00 Lakhs)
New Sputum +ve Cases / Lac / Yr
1.68
73.6
91.5
117.7
Total Case Finding / Lac / Yr
4.48
145.2
136
206
Conversion Rate %
100%
92.5%
92.4%
91.6%
Cure Rates %
75%
89%
89%
88.6%
First year districts (coverage)
• Lucknow Population 27.33 lakhs
• Barabanki • Population 22.99 lakhs•• (1991
census)
II nd Year districts
•Rae-Bareilly -23.83 lakhs
•Unnao -23.86 lakhs
•Ghaziabad -35.00 lakhs
•GautambudhNagar -10.00 lakhs
•Meerut -31.05 lakhs
•Baghpat -12.39 lakhs
•B.C.M.Hospital,Sitapur- 1.00 lakhState Total - 187.45 lakhs
(1991 census)
IIIrd Year districts
(coverage)
NIL
Total Population Covered 2001 Census figures•Lucknow -37 lakhs
•Barabanki -27 lakhs
•Rae-bareilly -29 lakhs
•Unnao -27 lakhs
•Ghaziabad -33 lakhs
•Gautambudhnagar -12 lakhs
•Meerut -30 lakhs
•Baghpat -12 lakhs
•B.C.M.Hospital,Sitapur - 1 lakh
•STATE -Total -208 lakhs
1999: LUCKNOW,BARABANKI
LUCKNOW BARABANKI State of U.P.
New Sp +ve Cases / Lakh/Year
67.6
51.6
58.85
Total Case Finding/Lakh/Year
170
105.9
137.5
Conversion Rate %
93.2
94.6
93.9 %
CURE RATE
88.5
N.A.
88.5
2000 LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
68
59
34
20
18
17
17
14
44
33 Total Cases/ Lakh/Yr
172
135
79
46
45
46
47
36
146
84 Conver Rate %
93
92
84
85
78
68
93
81
83
93%
Cure Rate %
93
92
92
-
-
-
-
-
-
80 %
Q1,2001 LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
71
61
49
42
35
53
67
92
56
52 Total Cases/ Lakh/Yr
165
131
104
102
100
136
136
97
284
121
Conver Rate %
94
93
92
82
88
64
96
92
81
87 Cure Rate %
94
92
88
-
-
-
-
-
-
91
Q2,2001 LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
77
82
61
55
70
72
50
50
56
70 Total Cases/ Lakh/Yr
180
196
135
132
150
184
133
133
424
161 Conver Rate %
93
90
91
76
89
96
95
95
93
91 Cure Rate %
92
90
87
75
-
-
-
-
-
86
Q3,2001 LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
67
61
61
50
60
60
105
62
44
61
Total Cases/ Lakh/Yr
165
186
155
132
143
197
234
137
308
154
Conver Rate %
94
94
95
89
90
87
95
87
77
90
Cure Rate %
92
87
87
77
71
54
90
75
78
79
Q4,2001 LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
52
53
45
30
54
49
102
51
72
56 Total Cases/ Lakh/Yr
121
122
111
90
129
146
203
134
224
131 Conver Rate %
93
90
97
94
91
94
96
87
82
94
Cure Rate %
94
87
87
81
83
57
89
84
81
87
2001 (Cumulative figures) LKO BBK RBL UNO GHA GBN MRT BGP BCM State
Of U.P.
New Cases/ Lakh/yr
52
66
54
85
54
58
88
47
57
57 Total Cases/ Lakh/Yr
125
158
125
111
130
168
188
124
310
132 Conver Rate %
93
91
94
86
91
85
96
89
83
91
Cure Rate %
94
89
87
78
76
56
89
80
81
85
LKO
BBK
RBL
UNO
GHA
GBN
MRT
BGP
BCM
State Of U.P.
New Sp+ve Cases/ Lakh/yr
62.6
47.8
41.4
35.2
67.9
53.3
102.8
52.3
108.0
60
Total Cases/ Lakh/Yr
141.8
120
109.5
92.7
156.8
97.0
209
127.3
296
140
Conver Rate %
93.4
90.6
96.6
91.0
94.4
93.9
95.7
86.4
94.4
93
Cure Rate %
92.9
86.3
86.7
84.3
84.4
85.8
92.8
85.5
92.8
89
1st QUARTER 2002
LKO BBK RBL UNO GHA GBN MRT BGP BCM State Of U.P.
New Sp+ve Cases/ Lakh/yr
67.2
65.3
57.6
40.9
80.9
64.0
118.4
63.7
128.0
71.7
Total Cases/ Lakh/Yr
158.2
145.0
136.8
123.5
182.7
157.3
244
152.0
276
165.4
Conver Rate %
91.5
86.9
92.3
86.9
91.6
87.5
94.2
85.9
85.2
90.9
Cure Rate %
93.3
89.9
90.9
89.7
86.7
85.0
92.3
81.7
84.6
89.6
2nd QUARTER 2002
Performance of U.P. in Ist Quarter 2002
Placed in Target ZoneTarget zone
C
U
R
E
R
A
T
E
Detection Rate
M U.P. o85 %
70 %
Performance of U.P. in IInd Quarter 2002
Placed in Target ZoneTarget zone
C
U
R
E
R
A
T
E
Detection Rate
U.P.
85 %
70 %
Case Detection Rate-Ist Qtr 2002
0
10
20
30
40
50
60
70
80
90
1st Qtr
H.P.ManipurOrrisaU. P.DelhiBihar
Sputum Conversion Rate-Ist Qtr 2002
84
86
88
90
92
94
96
1st Qtr
H.P.ManipurOrrisaU.P.DelhiBihar
Cure Rates-Ist Quarter 2002
76
78
80
82
84
86
88
90
92
94
1st Qtr
H.P.ManipurOrrisaU.P.DelhiBihar
RNTCP in U.P.
Pilot 95-98 1999-2001
Total patients subjected to sputum exam
14,602 2,09,446
Total T.B.Cases detected
2,978 49,142
Total New Sputum positive cases diagnosed
1,901
20,586
Total deaths 111 625
Quality indicators in RNTCPPilot project
1995-98 1999-2001
Total T.B.Cases
detected
2,978
49,142
Total New Sputum Positive cases
Diagnosed
1,901
20,586
Defaulters
136 896
Failures 30 68
Impact of RNTCP in U.P.
Pilot Project
1995-98
1999-2001
Total New Sputum Positive cases
Diagnosed 1,901 20,586
Total deaths prevented
2,641 8,551
RNTCP Performance Year 2001
Total Case Findingper lakh
0
50
100
150
200
250
300
LKO BBK RBL UNO GHA GBN MRT BGP BCM
I QtrII QtrIII QtrIV Qtr2001
RNTCP Performance-Year 2001Case Finding(Sp +ve Cases)
Per Lakh
Uttar Pradesh
0
20
40
60
80
100
120
LKO BBK RBL UNO GHA GBN MRT BGP BCM
I QtrII QtrIII QtrIV Qtr2001
RNTCP Performance Year 2001
Sputum Conversion %
0
1020
3040
5060
7080
90100
LKO BBK RBL UNO GHA GBN MRT BGP BCM
I QtrII QtrIII QtrIV Qtr2001
RNTCP Performance Year 2001 Cure Rates %
0
1020
3040
5060
7080
90100
LKO BBK RBL UNO GHA GBN MRT BGP BCM
I QtrII QtrIII QtrIV Qtr2001
New Sputum Positive Cases/lakh/year 4th Qtr
0
20
40
60
80
100
120
4th Q 2000 4th Q 2001
LkoBbkRblUnoMrtGhaGBNBgpBCM
Sputum Conversion 4th Qtr(2000-2001)
0
10
20
30
40
50
60
70
80
90
100
4th Q 2000 4th Q 2001
LkoBbkRblUnoMrtGhaGBNBgpBCM
Cure Rates 4th Qtr (2000-2001)
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
4th Q 2000 4th Q 2001
LkoBbkRblUnoMrtGhaGBNBgpBCM
List of 31 distts underExpansion in U.P.
•Agra
•Aligarh
•Allahabad
•Badaun
•Bahraich
•Bareilly
•Basti
•Bijnor
•Bulandshahar
•Etah
•Etawah
•Faizabad
•Fatehpur
•Gonda
•Hamirpur
Continued to next slide
List of 31 distts under expansion in U.P.(Contd)
•Jaunpur
•Jhansi
•Kanpur
•Lakhimpur-Kheri
•Mainpuri
•Mathura
•Mirzapur
•Moradabad
•Muzzafarnagar
•Pratapgarh
•Rampur
•Saharanpur
•Shahjehanpur
•Sitapur
•Sultanpur
•Varanasi
Population coverage•Population already covered:207 millions
% Population coverage : 12.46 %
•Population To be covered
under expansion :871.1 millions
% Population coverage : 52.44 %
•Total Population coverage
after expansion :1078.1millions
% Population coverage
after expanson : 64.9 %
8 New districts sanctioned by GOI under R.N.T.C.P.IN 2002
Gorakhpur Pilibhit
Deoria Hathras
Ghazipur Ferozabad
Ballia Jyoti Ba Phule Nagar
Population Coverage in U.P.
CoveredExpansionNTP
SUMMARY OF STATE ACTION PLAN
No. of total T.B.Units
proposed :174
Govt. sector :170
Non-Govt. sector :4
No. of Total Microscopic Centres
recommended :720
Govt. sector :625
Non-Govt. sector :95
Tuberculosis Units in Govt/ Private sector
Govt Sector
Private Sector
Microscopic Centresin Govt/Private Sector
Govt sectorPrivate Sector
Summary of Action plan (contd.)
• LT proposed :800
• LT available :394
• LT required :406
• STS required :174
• STLS required :174
• DEO required :31
• Drivers required :31
Action Plan (contd.)
• Initial Budget :Rs 115.8 millions
• Recurring Budget 1 yr:
:Rs 227.55 millions
• Total Budget (Initial+ Rec.) 1yr:
• Rs 343.35 millions
• Total Budget(Initial+ rec.) 5 yrs:
• Rs 1,253.56 millions
N.T.P in U.P.Sputum Examinations
Year Target
(in Lakhs)
Achiev.
(in Lakhs)
Percentage
1996-97 7.40 8.43 114 %
1997-98 7.40 8.69 117 %
1998-99 24.42 8.90 36.4 %
1999-00 8.32 8.72 104.8 %
2000-01 8.07 6.54 81 %
2001-02 8.30 94.9 %
N.T.P in U.P.Case Detection Sputum +ve
Year Target
(in Lakhs)
Achiev.
(in Lakhs)
Percentage
1996-97 0.74 0.55 74.8 %
1997-98 0.74 0.58 79.1 %
1998-99 0.74 0.58 79.4 %
1999-00 0.83 0.65 78.8 %
2000-01 0.80 0.59 74.0 %
2001-02 0.83 0. 97.1 %
List of Distts under N.T.P. (S.C.C.)
• Gorakhpur
• Deoria
• Ballia
• Azamgarh
List of Distts under N.T.P.(S.R.)
•Ferozabad •Farukkhabad
•Lalitpur •Pilibhit
•Jalaun •Hardoi
•Banda •Azamgarh
List of Bifurcated Districts•G.B.Nagar(RNTCP) •Kushinagar
•Baghpat(RNTCP) •Mahrajganj
•J.B.PhuleNagar •Siddharthanagar
•Hathras •Balrampur
•Kannauj •Shravasti
•Kanpur Dehat •Sant Ravidas Nagar
•Auraiya •Mau
•Sahuji Mahraj Nagar •Chandauli
•Kaushambi •Ambedkar Nagar
•Mahoba •Sant Kabir Nagar
•Sonbhadra
T.B.Case Detection 2000/2001
0
20
40
60
80
100
120
140
New Sp +Ve Total TBCases
2000
2001
Case Holding 2000/2001
0
20
40
60
80
100
120
140
New Sp +ve Total TBCases
20002001North
