Annual TB program report 2014
The National TB Control Program (NTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, was launched in 1997 and it expanded across the country in a phased manner with support from the World Bank and other development partners.
The objectives of the program are:
• To achieve and maintain TB case detection of at least 70% of the estimated NSP cases in the community.
• To achieve and maintain TB treatment success rate of at least 85% among New Sputum Positive (NSP) patients
• To significantly improve the successful outcomes of treatment of Drug Resistant TB
• To achieve decreased morbidity and mortality of HIV associated TB
Current focus of the program is on ensuring "universal access" to good quality early diagnosis and treatment for all TB patients from all TB services’ providers. TB services are currently available in 97 health facilities out of 287 facilities (SAM 2013) in the country.
Multi Drug resistant TB (MDR TB)
MDR-TB services have been introduced in eight health facilities in the country. All eight sites have introduced PMDT services with variable access and scaling up. In 2014, the program enrolled 376 patients on MDR-TB treatment and the treatment success rate for the 2011 cohort stood at 56%.
Advocacy, communication & social mobilization (ACSM)
The Stop TB Strategy ACSM plays a major role in maintaining TB and RNTCP as high priority amongst policy makers, opinion leaders and community. An effective advocacy, communication & social mobilization (ACSM) strategy is currently in place (2014-2019) which will ensure the successful implementation of ACSM activities and enhance the achievement of the programs goals
The "national policy guidelines Joint TB/HIV Collaborative activities" was launched in 2007, which establishes uniform activities at ART centres and other health care units for intensified TB case finding and reporting, and set the ground for better monitoring and evaluation. Intensified TB-HIV package has been introduced in the country in 2009.These guidelines were updated and reviewed in 2014. During the course of the year the TB/HIV National Coordinating Committee (NCC), meet on quarterly basis to discuss progress updates on TB/HIV collaborative activities. TB cases that were diagnosed with various types of TB in 2014 was 5,582, of which 97% of all patients diagnosed with TB were tested for HIV. Amongst these, 73% were HIV positive. About 98% of those patients were started on CPT while 79% were enrolled on ART.
Public Private Mix (PPM)
NTCP has involved over 10 NGOs and 10 Private clinics. Over five private hospitals are providing TB services. The program also has a successful partnership with a number of consortiums such as SWABCHA, SWAMIWA and PSHACC.