TB DATA from INDORE

TB IN INDORE

In a population of 3 million there are almost 25,000 symptomatic cases of tuberculosis of which about 4,500 cases are put on treatment each year under the government run, Revised National Tuberculosis Control Program (RNTCP[1]). Local experts estimate that an additional 5,000 patients are under treatment for tuberculosis by the local private practitioners bringing the total number of annual cases to 10,000. Given a mortality rate of 1 to 1.5%, an estimated minimum number of 1,000 deaths occur from tuberculosis each year in Indore alone.

TB IN MADHYA PRADESH

Madhya Pradesh is India’s central province with poor health indicators (IMR[3], MMR[4] are among the highest in the country).  Thus, the state of MP has been recipient of several bilateral, multi-lateral funding to support basic health programs in the past and in current times. For the RNTCP program, Indore has had the greatest success in Madhya Pradesh with increasing sputum conversion rates, cure rates, completion rates and lowering default rates, failure rates, and death rates. (Appendix-I)

Through a recent grant from Ministry of Health and Family Welfare, M.P. Voluntary Health Association (MP VHA), an NGO, was given the responsibility of implementing an Urban DOTS project for prevention and control of TB. This was a pilot project done in four cities of India, Mumbai, Varanasi, Hyderabad and Indore, with the financial support of Global Fund to fight against AIDS, TB and Malaria (GFATM) & Technical support of World Health Organization.

Urban DOTS Project titled Social Mobilization for DOTS in Urban Slums of Indore was successfully implemented in nearly 300 slums of Indore city from July 2005- June2007 with the active involvement of the stakeholders like District Tuberculosis Control Society, NGOs/CBOs, Private Practitioners, Local Leaders, its Animators & Supervisors, Volunteers, DOTS Providers, Community and Media etc. (Appendix-II)





[1] RNTCP: Revised National Tuberculosis Control Programme (www.tbcindia.org)

[2] IMR- 82 as per SRS data, highest in the country

[3] MMR- 498 as per SRS data, second highest in the country


Prevalence of Tuberculosis in Indore

 

Year

Patients put on DOTS

Sputum Conversion Rate (%)

Cure Rate (%)

Completed Rate (%)

Defaulter Rate (%)

Failure Rate (%)

Death Rate (%)

Transfer out Rate (%)

2004

2784

84.25

76.30

76.88

10.15

06.83

06.60

01.53

2005

2939

88.45

78.00

78.25

09.58

06.55

04.10

02.80

2006

3602

88.58

82.25

82.73

07.53

03.38

05.30

02.25

2007

4242

90.35

84.83

84.93

05.90

03.00

4.38

01.58

Source – District Tuberculosis Centre, Indore

Facts Sheet on Tuberculosis by WHO (World Health Organisation)