TB India 2014

Government of India
TB INDIA 2014
Revised National TB Control Programme
ANNUAL STATUS REPORT
Reach the
Unreached
FIND, TREAT, CURE TB, SAVE LIVES
NATION
HEALTH M
AL
SION
IS
Central TB Division
Directorate General of Health Services,
Ministry of Health and Family Welfare, Nirman Bhavan, New Delhi110108
www.tbcindia.nic.in
jk"Vh; LokLF; fe'ku
NIKSHAY gets
NATIONAL e GOVERNANCE AWARD (GOLD) 2013-14
for Healthcare
NIKSHAY was honoured with National e-Governance Award (Gold) 2013-14 during the
National Conference on e-Governance held at Kochi on 30-31 January, 2014 under category
Sectoral Award Healthcare.
TB INDIA 2014
Revised National TB Control Programme
ANNUAL STATUS REPORT
Reach the Unreached

FIND, TREAT, CURE TB, SAVE LIVES
Central TB Division
Ministry of Health and Family Welfare, Nirman Bhavan, New Delhi110108
www.tbcindia.nic.in
TB Annual Report
This Publication can be obtained from

Central TB Division
Directorate General of Health Services
Ministry of Health and Family Welfare
Nirman Bhavan, New Delhi110108
http://www.tbcindia.nic.in
March 2014
Central TB Division, Directorate General of Health Services
Printed by Mehra Impressions, New Delhi. (www.mehraimpressions.com)
TB Annual Report
TB Annual Report
TB Annual Report
TB Annual Report
TB Annual Report
Abbreviations
ACSM
AIDS
AIIMS
ANSV
ART
ARTI
ASHA
CBCI
CGHS
CHAI
CHC
CII
CMAI
CTD
DALYs
DBS
DDG
DFID
DGHS
DMC
DOTS
DRS
DRTB
DST
DTC
DTO
E
EPTB
EQA
GMSD
GoI
GFATM
H
HBCs
HIV
HRD
IAC
ICB
ICELT
ICMR
ICTC
IDSP
IEC
IMA
IPT
TB Annual Report
Advocacy, Communication and Social Mobilization

Acquired Immuno Deficiency Syndrome
All India Institute of Medical Sciences
Annual Negative Slide Volume
Anti-Retroviral Therapy
Annual Risk of Tuberculosis Infection
Accredited Social Health Activist
Catholic Bishop's Conference of India
Central Government Health Scheme
Catholic Health Association of India
Community Health Centre
Confederation of Indian Industries
Christian Medical Association of India
Central TB Division
Disability Adjusted Life Years
Domestic Budgeting Source
Deputy Director General
Department for International Development
Director General of Health Services
Designated Microscopy Centre
Directly Observed Treatment Short Course
Drug Resistance Surveillance
Drug Resistant Tuberculosis
Drug Susceptibility Testing
District Tuberculosis Centre
District Tuberculosis Officer
Ethambutol
Extra-pulmonary Tuberculosis
External Quality Assessment
Government Medical Store Depot
Government of India
The Global Fund to Fight against AIDS, Tuberculosis and Malaria
Isoniazid
High Burden Countries
Human Immuno Deficiency Virus
Human Resource Development
IEC Advisory Committee
International Competitive Bidding
International Centre for Excellence in Laboratory Training
Indian Council of Medical Research
Integrated Counselling and Testing Centre
Integrated Disease Surveillance Project
Information, Education and Communication
Indian Medical Association
Isoniazid Preventive Therapy
Abbreviations
IRL
IUALTD
JMM
KAP
LT
MDGs
MDRTB
MIS
MO
MoHFW
MOTC
MoU
NACO
NACP
NCDC
NEP
NGO
NIRT
NJIMOD
NRHM
NRL
NSN
NSP
NTF
NTI
NTP
NUHM
OR
OSE
PHC
PHI
PLHIV
PP
PPM
PSU
PTB
PWB
QA
R
RBRC
RCH
RNTCP
S
SDS
SHGs
Intermediate Reference Laboratory

International Union Against Tuberculosis and Lung Disease
Joint Monitoring Mission
Knowledge, Attitude and Practices
Laboratory Technician
Millennium Development Goals
Multi Drug Resistant TB
Management Information System
Medical Officer
Ministry of Health and Family Welfare
Medical Officer-Tuberculosis Control
Memorandum of Understanding
National AIDS Control Organisation
National AIDS Control Programme
National Centre for Disease Control
New Extra Pulmonary
Non Governmental Organisation
National Institute of Research in Tuberculosis
National Jalma Institute of Mycobacterial and Other Diseases
National Rural Health Mission
National Reference Laboratory
New Smear Negative
New Smear Positive
National Task Force
National Tuberculosis Institute
National Tuberculosis Programme
National Urban Health Mission
Operational Research
On-Site Evaluation
Primary Health Centre
Peripheral Health Institution
People Living with HIV and AIDS
Private Practitioner
Public-Private Mix
Public Sector Undertaking
Pulmonary Tuberculosis
Patient-Wise Box
Quality Assurance
Rifampicin
Random Blinded Re-Checking
Reproductive and Child Health
Revised National Tuberculosis Control Programme
Streptomycin
State Drug Store
Self Help Groups
Abbreviations
SOP
SPR
STC
STDC
STF
STLS
STO
STS
TB
TU
UHC
UNOPS
USAID
WHO
WVI
XDR-TB
Z
ZTF
TB Annual Report
Standard Operating Procedure

Slide Positivity Rate
State TB Cell
State Tuberculosis Training & Demonstration Centre
State Task Force
Senior TB Laboratory Supervisor
State TB Officer
Senior Treatment Supervisor
Tuberculosis
Tuberculosis Unit
Urban Health Centre
United Nations Office for Project Services
United States Agency for International Development
World Health Organization
World Vision India
Extensively Drug Resistant TB
Pyrazinamide
Zonal Task Force
Executive
summary
Central TB Division is publishing Annual Status Report of Revised
National TB Control Programme since year 2001. On World TB
Day, the 24th March of 2014; this 14th report is being published.
Important indicators of programme performance are continued
in this report with trends (tabular and graphical) over years in the
chapter on RNTCP performance. However, there are certain changes
in this report as compared to previous reports. New indicators on
TB notification by private sectors have been included e.g. number of
private health facilities (laboratories, clinics, hospitals etc) registered
with RNTCP as well as number of TB patients notified by these private
health facilities. This inclusion of notification from private sector is
also in sync with the World TB Day theme on missing three million, one
million of which are estimated to be in India. Though notification rate
per 1,00,000 population at national level is much less as compared
to RNTCP patient notification, there has been considerable increase
in private sector notification in 2013 as compared to 2012. As the
case based surveillance system is established across all districts in
the country, more can be known about the practices in private sector
and appropriate steps can be taken by the programme to promote
diagnostic and treatment practices as per Standards for TB Care in
India.
As per WHO estimations, Tuberculosis prevalence per lakh population
has reduced from 465 in year 1990 to 230 in 2012. In absolute
numbers, prevalence has reduced from 40 lakhs to 28 lakhs annually.
Incidence per lakh population has reduced from 216 in year 1990 to
176 in 2012.Tuberculosis mortality per lakh population has reduced
from 38 in year 1990 to 22 in 2012. In absolute numbers, morality
due to TB has reduced from 3.3 lakhs to 2.7 lakhs annually.
TB Annual Report
In 2013, TB suspects examination rate has further increased to 651 per 100,000 population. A
total of 928190 smear positive TB patients were diagnosed and 14,10,880 patients were registered
for treatment under RNTCP. Total case notification rate per 1,00,000 population was 113 which is
decreasing since last 5 years. Incident TB case notification rate is also declining since last 5-6 years
and in 2013 it was 91 per 1,00,000 population. Overall success rate of new and retreatment TB
cases is 88% and 70% respectively.
TB-HIV coordination is incrementally improving with 60% of the patients with known HIV status, and
90% of the HIV positive TB patients receiving Cotrimoxazole Preventive Therapy (CPT), and 84%
receiving Anti-Retroviral Therapy (ART). However,outcomes of HIV positive TB patients continue to
be poorer with less than 80% success rate amongst the new patients. Programme is considering to
pilot daily anti-TB regimen to improve these outcomes.
Among new TB cases 5% of patients were in pediatric age-group (0-14 yrs).
After complete geographical coverage of the country for PMDT services, number of MDR TB suspects
who were offered DST increased in 2013 with diagnosis of 23289 MDR TB cases, of which 20763
were put on treatment. With early diagnosis of MDR TB, the outcomes of treatment are expected to
improve, however mortality and default are still around 20% each.
Contribution of partners like IMA, The Union, World Vision, FIND, PATH, CBCI-CARD, IHBP and others
have been described in details in the chapter of partnerships. Cases studies are also shared with
intention of cross learning and motivating those who work for TB control in India. Various effective
strategies are illustrated in the chapter relevant on advocacy, communication and social mobilization
though these are only examples and many success stories remain unheard across the country.
Chapter on financial planning and management describes important decisions including the details
of 12th Five Year Plan budget of Rs.4500/- crores and its components. Also financial outlay of year
2013-14 is detailed State/UT wise.
In this report many repetitions from previous annual reports have been avoided as these are already
available on http://www.tbcindia.nic.in website and other programme documents and training
modules.
Executive summary
Contents
Foreword, messages, preface
Abbreviations
Executive summary
1. Central TB Division: Activities in 2013
2. TB disease burden in India
3. RNTCP implementation status
3.1 Case detection and treatment
11
3.2 Programatic Management of Drug Resistant TB
17
3.3 TB-HIV
20
3.4 Childhood TB
24
3.5 Partnerships
27
3.6 Case studies
35
3.7 ACSM
38
3.8 Financial planning & management
40
4. TB Surveillance in India
TB Annual Report
11
45
4.1 Nikshay
45
4.2 TB Notification
48
5. RNTCP Performance (Notification and treatment

outcome trends)
51
6. State wise and district wise performance indicators

(2013)
65
Chapter 1:
Central TB
Division: Activities
undertaken in
2013
January
1. The first meeting of the National Expert Committee on Diagnosis
and Treatment of Tuberculosis under RNTCP was held at Nirman
Bhawan, New Delhi on 3rd and 4th January 2013. Key policy
decisions were taken during the deliberations by the experts in light
of the recent scientific evidences pertaining to diagnosis, followup, use of newer rapid diagnostics under RNTCP, identification
of two additional National Reference Laboratories, revision of TB
case definitions, scale-up for universal access of PMDT services
in India and adoption of recently developed Standards of TB Care
in India in a national consultation mode under RNTCP.
2. RNTCP Bi-annual National Review meeting of STOs and
Consultants was held from 9-11 January 2013 at New Delhi. All
STOs were updated with changes in strategies and objectives
under 12th Five Year Plan. Brainstorming group works were
conducted to devise implementable micro-plans.
3. The Regional PMDT Review Meeting was conducted for States
of the East and NE zones at Kolkata from 2425 January
2013 to intensively review the status of scale-up and quality of
implementation of PMDT services in the States of the zone and
also to address critical bottlenecks through support from CTD,
States and programme partners.
4. The National Task Force for involvement of Medical Colleges was
organized from 31st Jan. to 1st Feb. 2013 at Jaipur, Rajasthan.
The workshop aimed to review the progress since the last
National Task Force meeting in 2011 and develop the action plan
for active involvement of medical colleges.
TB Annual Report
5. The National Research Committee meeting was held on 28th January 2013. The experts reviewed and
discussed the new and revised research proposals and an impetus to research agenda was finalized.
February
6. The Regional PMDT Review Meeting was conducted for States of south zone at Trivandrum from 1415
February and west zone at Aurangabad from 2122 February to intensively review the status of scale-up
and quality of implementation of PMDT services in the States of the zones and to also address critical
bottlenecks through support from CTD, States and programme partners.
7. A special workshop was held at Mumbai on 2425 February to strengthen the urban TB control systems with
special focus on clinically and socially vulnerable slum population and develop a comprehensive plan for
universal access to quality TB care in Mumbai with support and active participation of CTD, NTI Bangalore,
WHO India, Maharashtra State TB Cell, eminent private and public sector providers, implementation partners
and donors.
8. Training of master trainers for the community pharmacists partnership with RNTCP held on 18 February
under the chairmanship of Dr. Jagdish Prasad, Director General of Health Services, Government of India.
March
9. The Central Internal Evaluation of Haryana was held from 4th to 8th March to evaluate the programme
performance and implementation in the State. Two Districts in the State, Karnal and Hisar were evaluated
along with the State level institutions.
10. The Regional PMDT Review Meeting was conducted for States of North zone at Lucknow from 28th February
to 1st March to intensively review the status of scale-up and quality of implementation of PMDT services
in the States of the zone and also to address critical bottlenecks through support from CTD, State and
programme partners.
11. Nationwide coverage of programmatic management of Drug Resistant (DR) TB services under RNTCP was
achieved on 15th March 2013.
April
12. Meeting of DR TB Survey was held on 5th April by the National Oversight Group to review changes required
in DRS Protocol as well as logistics and implementation issues.
13. National PMDT Trainings scheduled and held at Calicut in Kerala, Ahmedabad in Gujarat and LRS in New
Delhi.
14. The record of proceedings (ROP) of 34 States has been approved in National Programme Coordination
committee meetings.
15. The TB Laboratory Management Training held at Mumbai from 8th to 12th April.
16. An experience sharing workshop to pilot the integration of Tuberculosis Units with the existing administrative
blocks held on the 4th April in New Delhi.
17. The Central Internal Evaluation of Maharashtra was held from 22nd to 27th April to evaluate the programme
performance and implementation in the State along with State-level institutions.
18. The TB-Diabetes Screening project dissemination meeting organized by the Union was held on 25 April.
Chapter1: Central TB Division: Activities undertaken in 2013
May
19. Dissemination of the DR TB directory on availability of PMDT services on 16th May 2013.
20. One batch of the RNTCP Modular Training organized at the National Tuberculosis Institute from the 6 to 18
May.
21. Renewal of MOU for two years with the Indian Pharmaceutical Association, SEAR Pharma, All India
Organization of Chemist and Druggist, Pharmacy Council of India for involvement of community pharmacists
in RNTCP.
22. Extension of single stream funding TB Grant of Global Fund was approved by the Global Fund Board - the
total value of the project is 226.74 million USD.
23. The Central Internal Evaluation of Himachal Pradesh was held from 27 to 31May to evaluate programme
performance and implementation in the State along with State-level Institutions.
June
24. The Central Internal Evaluation of Kerala was held from 17 to 21 June to evaluate the programme
performance and implementation in the State along with State-level Institutions.
25. The first draft of audio-visual training aid for basic modular training of RNTCP shared on 24th June, as part
of the Human Resource Development plan under the 12th FYP.
26. Media advocacy workshop for STOs was conducted in Mumbai on 27-28 June 2013.
July
27. Seven batches of National training 185 Master Trainers in Nikshay were conducted by Central TB Division,
between 1st July to 25th July at NTI, Bangalore.
28. Meeting of the National Technical Working Group on TB-HIV Co-ordination was held on 15 July.
29. The National PMDT trainings scheduled and held from 1st to 5th July at Ahmedabad (Gujarat), and 22nd to
26th July at Calicut (Kerala).
30. The Central Internal Evaluation of Gujarat was held from 22nd to 26th July to evaluate the programme
performance and implementation in the State along with State-level institutions. The CIE team visited
Mehsana and Surat Municipal Corporation districts.
August
31. The RNTCP Modular Training organized at the National Institute for TB & Respiratory Diseases (erstwhile
LRS Institute) in New Delhi from 19th to 31st August
32. National Operational Research dissemination workshop held in Delhi.
33. Meeting of the National Technical Working Group on TB-HIV Co-ordination was held on 14th August.
34. The Central Internal Evaluation of Chattisgarh was held from 26th to 30th August to evaluate the programme
performance and implementation in the State along with State-level Institutions. During the CIE Mahasamund
and Rajnandgaon Districts were evaluated.
35. Medical College Zonal Task Force meeting conducted in west zone.
36. The Zonal Operational research workshop was held in the South-2 Zone (Thiruvananthapuram).
TB Annual Report
September
37. The Medical College Zonal Task Force meetings in south-2 and north zones.
38. The Zonal Operational research workshop was held in the North Zone (Srinagar).
39. The Central Internal Evaluation of Punjab was held from 23rd to 27th September to evaluate the programme
performance and implementation in the State along with State-level institutions. During the CIE, Taran Taran
and Mohali Districts were visited by the evaluation team.
40. National PMDT Training held from 2nd to 6th September at the National Institute for TB & Respiratory
Diseases, New Delhi (erstwhile LRS Institute) and 23rd-27th September at Ahmedabad.
41. RNTCP Modular Training organized at the National Tuberculosis Institute, Bangalore from the 16th to 28th
September.
42. The Leadership and Management course conducted with support from the Global Fund Round 9 TB Grant
under Project Axshya was organised from 16th-20th September.
43. Two sensitization workshops for the RNTCP TB Xpert Project organized in September for North and South
zones.
44. The National Biannual STO-Consultants meeting held in Kolkata from 16th-18th September.
45. Meeting of the National Research Committee held at the National Institute for TB & Respiratory Diseases in
New Delhi (erstwhile LRS Institute) on 30th September.
46. The grant agreement of GFTAM-SSF Phase II was signed by India CCM and Department of Economic Affairs
and GFATM for period of 30 months starting 1st April 2013. The total value of the grant is 226.74 million
USD.
October
47. Zonal Task Force workshops for involvement of Medical Colleges in RNTCP organised at Raipur for East
Zone.
48. Zonal Task Force workshops for involvement of Medical Colleges in RNTCP at Dibrugarh for North-East Zone.
49. Meeting with Rotary India on leadership for care providers in quality TB care in India on 4th October.
50. Review of the activities of the Sub Recipient of Global Fund Project CBCI CARD Project at the National
STPC Review Meeting at Ghaziabad.
51. Interactive session to integration of Pharmacovigilance programme of India (PvPI) and formal launch of
integration of PVPI and RNTCP for patient safety.
52. The first meeting of the National ACSM Advisory Committee convened in New Delhi.
November
53. RNTCP modular training at NTI Bangalore organized from 11-23 November.
54. Central Internal Evaluation of Delhi was conducted in two districts - Baba Ambedkar Hospital Chest Clinic
and Shastri Park Chest Clinic between 11-15 November.
55. RNTCP Modular Training at NITRD, New Delhi (erstwhile LRS Institute) organised between 18-30 November.
Chapter1: Central TB Division: Activities undertaken in 2013
56. ACSM and Media Engagement workshop for State IEC and ACSM officers organized in New Delhi from 19th20th November.
57. Zonal or capacity building workshop, Guwahati, Assam organized.
December
58. The Central Internal Evaluation of West Bengal conducted from 9th to 13th December. During the CIE, two
districts (Nadia and East Mednipur) were visited.
59. Quarterly Review Meeting of Haryana conducted on 20th December at the State TB Cell in Panchkula. The
performance of districts of Haryana was reviewed and feedback was given to District TB Officers about their
respective performance and ways to improve it.
60. Training of stakeholders on Pharmacovigilance was conducted in two zones - South Zone from 9-10
December and West Zone from 12-13 December.
61. The Department of Economic Affairs has approved World Bank support to RNTCP for two years for 100
million USD.
TB Annual Report
Chapter 2:
Tuberculosis
disease burden in
India
1. Though India is the second-most populous country in the world
one fourth of the global incident TB cases occur in India annually.
In 2012, out of the estimated global annual incidence of 8.6
million TB cases, 2.3 million were estimated to have occurred in
India.
WHO estimated burden of tuberculosis in India, 2012
TB burden
Incidence
Prevalence
Mortality
Number (Millions)
(95% CI)
Rate Per 100,000

Persons (95% CI)
2.2 (2.02.4)
2.8 (1.93.9)
0.27 (0.170.39)
176 (159193)
230 (155319)
22 (1432)
TB burden
HIV among estimated
incident TB patients
MDR-TB among notified
pulmonary TB patients
New pulmonary TB
patients
Re-treatment pulmonary
TB patients
TB Annual Report
Number (Millions)
(95% CI)
Percent (95%
CI)
0.13 (0.120.14)
5.6 (5.4-6.2)
0.064 (0.0490.079)
0.021 (0.0180.025) 2.2% (1.92.6%)
0.043 (0.0330.054)
15% (1119%)
Indias TB control programme is on track as far as reduction in disease burden is concerned. There is 42%
reduction in TB mortality rate by 2012 as compared to 1990 level. Similarly there is 51% reduction in TB
prevalence rate by 2012 as compared to 1990 level.
These estimations were based on RNTCP data, 7 Prevalence surveys in India conducted between 2007-2010,
National ARTI surveys, mortality surveys conducted in 2005.
Tuberculosis prevalence per lakh population has reduced from 465 in year 1990 to 230 in 2012. In absolute
numbers, prevalence has reduced from 40 lakhs to 28 lakhs annually.
Chapter 2: Tuberculosis disease burden in India
Tuberculosis incidence per lakh population has reduced from 216 in year 1990 to 176 in 2012.
Tuberculosis mortality per lakh population has reduced from 38 in year 1990 to 22 in 2012. In absolute
numbers, morality due to TB has reduced from 3.3 lakhs to 2.7 lakhs annually.
TB Annual Report
10
Chapter 3:
RNTCP
implementation
status
3.1 Case Detection
The RNTCP laboratory network for sputum smear microscopy
comprises a three-tier system of National Reference Laboratories
(NRLs), Intermediate Reference Laboratories (IRLs) and Designated
Microscopy Centres (DMCs) offering appropriate, affordable and
accessible quality assured diagnostic services. To align with
internationally recommended standards of diagnostic practices for
TB, the programme supplies quality equipment and reagents to its
nationwide network of laboratories. An inbuilt routine system has
been designed for sputum microscopy, External Quality Assessment
(EQA) and for supervision and monitoring of diagnostic systems by
RNTCP Senior TB Laboratory Supervisors (STLSs) locally and by the
Intermediate and National Reference Laboratories network at state
and higher levels. The programme has a certification procedure
for Culture and Drug Susceptibility Testing (C&DST) for solid and
liquid, and Line Probe Assay (LPA) for molecular diagnosis with
quality assurance protocol based on the WHO and Global Laboratory
Initiative recommendations.
Treatment of TB Patients under

RNTCP
INH (H), Rifampicin (R), Pyrazinamide (Z), Ethambutol, (E) and
streptomycin (S) is used in the treatment of TB patients; all drugs
are given three times weekly. A new case of TB patient will receive 6
months of treatment with 2 months of IP (HRZE) and 4 months of CP
(HR). Re-treatment TB case will receive 8 months of treatment with 3
months of IP (2 month HRZES and 1 months HRZE) and 5 months of
CP (HRE). Drugs are supplied in an individual patient-wise box (PWB),
which contain the entire course of treatment for each patient. The
PWB have a colour code indicating the category [Red for Category I
and Blue for Category II]. In each PWB, there are two pouches one for
TB Annual Report
11
intensive phase (A) and one for continuation phase (B). All doses of the intensive phase and at least the first
dose of each week of the continuation phase are given under direct observation by a DOT provider. Follow up
sputum smear examinations are done at the end of the intensive phase (IP), 2 months into the continuation
phase (CP) and at the end of treatment. If the smear is positive at the end of the intensive phase, the same
drugs are given for 1 more month and then the CP is started. The treatment outcome is determined according
to the results of the follow-up smear examinations done during treatment. For paediatric TB patients separate
PWB is developed under the programme. Asymptomatic children under 6 years who are household contacts of
smear positive pulmonary TB patients, chemoprophylaxis with isoniazid (10 mg/kg body weight) is administered
daily for a period of 6 months.
In the year 2013 the RNTCP put 1416014 patients on treatment
Quality assured laboratory services: RNTCP has established a nationwide laboratory network of over 13,000
DMCs, which are supervised by the IRLs at the state level and the NRLs and Central TB Division at the national
level. The RNTCP aims to consolidate its laboratory network and organize a defined hierarchy for conducting
sputum microscopy with external quality assessment (EQA).
National Reference Laboratories: The six NRLs under the programme include National Institute for Research in
Tuberculosis (NIRT), Chennai; National Tuberculosis Institute (NTI), Bangalore; National Institute of Tuberculosis
& Respiratory Diseases (NITRD), Delhi; National Japanese Leprosy Mission for Asia (JALMA) Institute of Leprosy
and other Mycobacterial Diseases, Agra; Regional Medical Research Centre (RMRC), Bhubaneswar; and the
Bhopal Memorial Hospital and Research Centre (BMHRC), Bhopal*. The NRLs work closely with the IRLs,
supervise their activities and also undertake periodic training of the staff with respect to EQA and C&DST.
Three microbiologists and four laboratory technicians have been provided by the RNTCP on a contractual basis
to each NRL for supervision and monitoring of laboratory activities. The NRL microbiologist and laboratory
supervisor/technician visit each assigned state at least once a year for 2-3 days as a part of onsite evaluation
under the RNTCP EQA protocol.
NRL
NIRT
NITRD
NTI
JALMA
States and Union Territories (UTs)

Assigned for EQA
Andhra Pradesh, Chattisgarh, Goa, Gujarat,

Dadra Nagar Haveli, Daman & Diu, Kerala,
Lakshadweep, Sikkim, Tamil Nadu, Punjab,
Puducherry, Andaman & Nicobar
Delhi, Arunachal Pradesh, Haryana, Manipur,
Nagaland, Mizoram, Meghalaya, Tripura,
Chandigarh
Maharashtra, Orissa, West Bengal, Rajasthan,
Karnataka, Bihar, Madhya Pradesh, Jharkhand,
Jammu and Kashmir
Uttar Pradesh, Uttarakhand,
Himachal Pradesh, Assam
Total no. of
IRLs assigned
Total no. of
states/ UTs
assigned
10
13
No of OSE
conducted
during the year
(2013-14)
5
12
*RMRC, Bhubaneswar and BMHRC, Bhopal have been newly created and states will be redistributed among all the six NRLs.
12
Chapter 3: RNTCP implementation status
Intermediate Reference Laboratory (IRL): One IRL has been designated in the STDC Public Health Laboratory/
Medical College of the respective state. The functions of IRL include supervision and monitoring of EQA activities,
Mycobacterial culture and DST as well as Drug Resistance Surveys (DRS) in selected states. The IRL conducts
regular trainings to ensure that the district and sub-district laboratory staff have the technical know-how to
efficiently perform smear microscopy activities. Additionally, they undertake onsite evaluation and panel testing
of each district in the state at least once a year.
Culture and DST Laboratories (C & DST): In addition to IRLs, the RNTCP also involves the Microbiology
Department of medical colleges for providing diagnostic services for drug resistance tuberculosis, extrapulmonary tuberculosis (EP-TB) and research as well as human resources, equipment and training.
Designated Microscopy Centre (DMC): The most peripheral laboratory under the RNTCP network is the DMC,
which serves a population of around 100,000 (50,000 in tribal and hilly areas). Currently, all the districts
in the country are implementing EQA. For quality improvement purposes, the NRL onsite evaluation (OSE)
recommendations to IRLs and districts are discussed in the RNTCP Laboratory NRL Coordination Committee
meetings and National Expert Committee for Diagnosis and Management of Tuberculosis. The quality
improvement workshops for state level TB officers and laboratory managers are conducted at NRLs based on
the observations of the NRL-OSEs. These workshops focus on issues such as human resource requirements,
training, AMC for binocular microscopes, quality specifications for ZN stains, RBRC blinding and coding issues,
bio-medical waste disposal, infection control measures etc. The Quality Assurance activities include:
yy
Onsite Evaluation
yy
Panel Testing (PT)
yy
Random Blinded Rechecking (RBRC)
Figure 1: Schematic representation of the EQA reporting process
TB Annual Report
13
The National Laboratory Committee and National DOTS Plus Committee have been merged into the National
Expert Committee on Diagnosis and Management of Tuberculosis under RNTCP and provides technical guidelines
for diagnosis and management of all forms of tuberculosis.
There are 51 RNTCP certified C&DST laboratories in the country, which include laboratories from the public
sector (IRLs and medical colleges), private sector and operated by NGOs.
Solid Culture Certification: The RNTCP has certified 37 laboratories for solid C & DST and includes:
yy
Four NRLs: NTI, Bangalore; NIRT, Chennai; JALMA , Agra; NITRD, New Delhi;
yy
18 IRLs: Hyderabad, Raipur, Delhi, Ahmedabad, Karnal, Ranchi, Thiruvanthapuram, Nagpur, Pune, Indore,
Bhopal, Puducherry, Ajmer, Cuttack, Lucknow, Kolkata, Dehradun and Chennai.
yy
Six medical colleges: PGIMER, Chandigarh; AIIMS-Dept. of Medicine, New Delhi; J J Hospital, Mumbai; SMS,
Jaipur; MPSMC, Jamnagar; and MGIMS, Wardha
yy
Three-NGO: BPHRC, Hyderabad; Choithram Hospital, Indore; and DFIT Nellore
yy
Four ICMR institutes: RMRC-Port Blair; RMRC, Dibrugarh; RMRC, Jabalpur and RMRC Bhubaneswar
yy
Two private labs: CMC, Vellore and Microcare, Surat
The proficiency testing for solid culture for RNTCP certification is in advance stages for IRLs in Assam, Karnataka,
Manipur, Arunachal Pradesh, Punjab, Himachal Pradesh, Srinagar and Jammu. The RNTCP also encourages
laboratories from medical colleges, ICMR, private sector and NGOs to apply for certification by providing technical
assistance and training of staff at NRLs.
Liquid Culture Certification: The RNTCP has certified 12 laboratories for liquid culture, which include four NRLs;
Four IRLs (Hyderabad, Ahmedabad, Nagpur and Delhi); one medical college (SMS Jaipur); one NGO laboratory
(P D Hinduja-Mumbai); and two private laboratories (SRL Mumbai and Kolkata). The proficiency testing for liquid
culture and certification is an ongoing process for IRLs in Guwahati, Bangalore, Pune, Lucknow, Cuttack, Ajmer,
Kolkata, Karnal, Delhi, Jamnagar, Chennai, Chandigarh and Indore. The RNTCP is in the process of establishing
20 Biosafety level-3 laboratories for liquid culture as per its laboratory scale up plan for liquid culture in selected
IRL and C & DST laboratories in medical colleges.
Line Probe Assay (LPA): The LPA is a molecular diagnostic test, which can provide the DST results within one day.
The RNTCP has completed the demonstration and evaluation phase in selected laboratories and based upon
the evidence, adopted the policy for rapid diagnosis of MDR-TB by LPA. As on December 2013, 41 laboratories
have been certified by RNTCP, these include:
yy
Four NRLs: NIRT, Chennai; NTI, Bangalore; JALMA, Agra; and NITRD, New Delhi
yy
24 IRLs: Guwahati, Hyderabad, Patna, Raipur, Delhi, Ahmedabad, Karnal, Dharampur, Ranchi, Bengaluru,
Thiruvanthapuram, Indore, Bhopal, Pune, Nagpur, Cuttack, Puducherry, Ajmer, Chennai, Patiala, Dehradun,
Lucknow, Agra and Kolkata.
yy
8 medical colleges: Vishakhapatnam; AIIMS-Dept. of Medicine-New Delhi; AIIMS-Dept. of Laboratory

Medicine-New Delhi; Government Medical College-Jamnagar; JJ Hospital-Mumbai; SMS-Jaipur; PGIMER,
Chandigarh; KIMS, Hubli
yy
Four NGOs: DFIT, Nellore; BPHRC, Hyderabad; Nazerath, Shillong; and PD Hinduja, Mumbai
yy
One private medical college: Subharti Medical College, Meerut.
The molecular laboratories are equipped with clean room facility and GT BLOT machines to perform upto 90
tests per day for the diagnosis of MDR-TB.
Second line DST (SLD): As on December 2013, Five laboratories which include three NRLs (NIRT-Chennai,
NTI-Bangalore and NITRD-New Delhi), One IRLs (Gujarat and Kerala) and one NGO laboratory (P D Hinduja) are
performing the second line DST in solid and liquid culture. The RNTCP has identified additional laboratories for
performing second line DST which include IRLs in Andhra Pradesh, Delhi, Nagpur- Maharashtra, Rajasthan,
14
JALMA-Agra; and SMS Jaipur and JJ Hospital Mumbai medical colleges. The RNTCP will provide necessary
technical support for certification of SLD in private and medical colleges as well.
Training: The RNTCPs NRLs have conducted trainings for Microbiologists, Senior Laboratory Technicians
and Laboratory Technicians in solid culture DST and EQA in sputum smear microscopy. In 2013, all reference
laboratories conducted modular training and trained more than 60 laboratory staff for laboratory procedures.
International Centre for Excellence in Laboratory Training (ICELT): The centre at NTI Bangalore is addressing
the training needs of laboratory staff in newer technologies such as the LPA, CB-NAAT, Liquid Culture and
Biosafety. Over the last year, the centre has trained lab professional from across the country on LPA and Liquid
Culture & DST.
New initiatives
The RNTCP has completed the feasibility study of introducing Genexpert in RNTCP across 18 Tuberculosis Units
(TUs) in 12 states under programmatic conditions. The National Steering Committee is monitoring the progress
of the study. According to the interim results of the study, RNTCP is currently using CB NAAT for the diagnosis
of tuberculosis and Multi Drug Resistance Tuberculosis in high risk populations like HIV positive and pediatric
groups.
TB Annual Report
15
The RNTCP with the support from UNITAID, World Health Organization (WHO) and STOP TB Partnership initiated
the RNTCP TB Xpert Project. The project currently provides services for rapid decentralized diagnosis of MDR-TB.
Under the project, sites are also implementing innovative mechanism to adopt PPM models to provide diagnosis
of TB and DR-TB from the private sector. The programme has also developed a guidance document for the use
of CB-NAAT technology and the list of CBNAAT laboratories across the country are listed below:
List of CBNAAT laboratories under RNTCP
S.No
16
1
2
3
4
5
6
7
State
Arunachal Pradesh
Andaman & Nicobar
Assam
Andhra Pradesh
Bihar
Chhattisgarh
Delhi
8
9
10
11
12
13
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Rajasthan
Maharashtra
14
15
16
17
18
19
20
21
22
23
24
25
26
Madhya Pradesh
Manipur
Nagaland
Odhisa
Punjab
Jammu & Kashmir
Uttarakhand
Uttar Pradesh
Gujarat
Sikkim
Tamil Nadu
Mizoram
West Bengal
CBNAAT Laboratory
IRL Naharlagun
Port Blair, Andaman & Nicobar
DTC,Kamrup; Hajo TU
Parvatipuram TU; Vizianagaram, DTC; Medak DTC
Muzaffarpur, Bhagalpur, Rohtas
Bilaspur, Bilha TU; Jagdalpur, Bastar
LNJP Chest Clinic; Safdarjung Hospital; Rajan Babu Institute of Pulmonary
Medicine
Meham TU; Rohtak
Indira Gandhi Medical College, Shimla
Bundu; Ranchi, DTC
NTI Bangalore; Pavagada; Bijapur; KIMS, Hubli; IRL Bangalore
Jodhpur, DTC; Badgaon; DTC Bikaner
Amravati; UHC, Dharavi; Centenary Hospital (Shatabdi), Govandi;
Centenary Hospital Kandivalli; Kurla Bhabha Hospital; Aurangabad;
Sewree, Mumbai; IRL Pune; BJ Medical College, Pune
Indore, DTC; RMRC, Jabalpur; Rewa; Sagar; Gwalior
IRL Imphal
DTC, Kohima
Koraput, DTC
Patiala; Amritsar; Faridkot
STDC Srinagar; IRL Jammu
New Tehri; Haldwani
BHU, Varanasi; DTC, Allahabad; Kanpur; Basti; DTC, Ghaziabad; Bareilly
DTC, Surat; Rajkot; Vadodara; LG Hospital, Maninagar, Ahmedabad
DTC, South Sikkim
Madurai Medical College; IRL Chennai; Coimbatore; CMC Vellore
DR-TB Centre Aizawl,
Murshidabad; DTC Kolkata; Howrah City; Amtala
3.2 Programmatic Management of Drug Resistant

TB (PMDT)
India is one of the countries in the world with the highest burden of multidrug-resistant tuberculosis (MDR-TB).
As per the WHO Global Report on Tuberculosis 2013, India accounts for 64,000 MDRTB cases out of 300,000
cases estimated globally to occur among the notified pulmonary TB cases annually.
RNTCP Response to the challenge of drug resistant TB

The key focus of RNTCP combating the challenge of drug resistance is to prevent its emergence by providing
quality DOTS diagnostic and treatment services, increasing the visibility and reach of the programme services
and promoting adherence to International Standards of TB care and Standards of TB Care in India by all
healthcare providers.
Indiscriminate and injudicious use of anti-TB drugs, especially outside the programme, is a significant contributor
to the emergence of drug resistance TB. The programme has taken concrete steps to promote rational use of
anti-TB drugs; these include the novel initiative of extending universal access to free quality anti-TB drugs across
India and the development of a guidance document, popularly called The Chennai Consensus Statement, for
healthcare providers on the prevention and management of drug resistance TB outside the programme settings.
The programme through the aegis of professional medical associations and Medical Council of India is sensitizing,
educating and urging healthcare providers on judicious use of anti-TB drugs. The intervention of drug regulatory
authority of the country is being sought to strictly enforce sale of anti-TB drugs against valid prescription through
a special directive.
Besides initiating and strengthening measures for prevention of drug resistance, the programme has
simultaneously initiated diagnostic and treatment services for the management of MDR TB. These services
are considered Standard of Care and are an integral component of RNTCP to manage M/XDR-TB through the
existing programme.
The PMDT services for quality diagnosis and treatment of drug resistant TB cases were initiated in 2007 in
Gujarat and Maharashtra. Despite the modest progress from 2007 - 2009, the programme had ambitious plans
to rapidly scale up the PMDT services in the country. In 2009, it was envisioned that by the end of 2011 the
MDR TB services will be introduced in all the states across the country in a phased manner that was achieved in
time. The plan to extend drug susceptibility testing to all smear positive retreatment cases upon diagnosis, and
all new cases that are smear-positive early during the first-line anti-TB treatment by 2012 also was achieved.
This is further complemented by a nationwide laboratory scale up plan developed by the programme n to have
43 culture & DST laboratories (Solid & LPA techniques including Liquid Culture in 33 labs) in the public health
sectors by 2015
Diagnosis of drug resistant TB

Currently all re-treatment cases at diagnosis, any smear positive during follow up, contacts of confirmed DR TB
case and HIV associated TB cases at diagnosis are included in the definition of presumptive DRTB cases. For
diagnosis of XDR-TB, DST for second-line drugs is offered to patients on MDR TB regimen if culture positive at 6
months or if culture reversion occurs during MDRTB treatment after culture conversion to negative.
For drug susceptibility testing sputum specimen is transported to accredited reference laboratory. Rapid
molecular test like Line Probe Assay (LPA) and CB-NAAT, if available is the preferred DST method for first line
drugs. DST for 2nd line drugs is done at 3 National Reference Labs (NIRT-Chennai, NTI-Bangalore, LRS-Delhi).
DST to second-line drugs will be offered to all confirmed MDR TB cases at diagnosis as the lab capacity becomes
increasingly available in all 33 labs being developed for liquid culture and DST in a phased manner up to 2015.
TB Annual Report
17
As the laboratory diagnostic capacity got enhanced, districts have moved from higher risk criteria to lower risk
criteria for early diagnosis of DRTB. By the end of 2013, only 107 districts follow criteria A, 151 districts are
implementing criteria B and the remaining 446 districts have moved into criteria C.
XDRTB is suspected if the follow-up culture of MDRTB patient on treatment remains positive at 6th month or
later or culture reversion occurs at any time of treatment. In such cases, that culture isolate from the follow-up
culture laboratory will be sent to the linked National Reference Laboratory (NRL) for Drug Sensitivity Test (DST)
for second line anti TB drugs.
In 2013, examination of DRTB suspects recorded 71% and enrolment of MDRTB patients for treatment recorded
47% increase compared to the previous year. A total of 1,81,021 DRTB suspects were tested and 20,763
MDRTB cases were put on treatment in 2013.
Treatment of drug resistant TB

Treatment of Drug Resistant TB is based on Rifampicin DST results. Initial hospitalization at DR-TB Centers
is followed by ambulatory care. Standardized treatment regimen for MDR TB under daily DOT includes (69m) Kanamycin, Levofloxacin, Cycloserine, Ethionamide, Pyrazinamide, Ethambutol / (18m) Levofloxacin,
Cycloserine, Ethionamide, Ethambutol. PAS is used as a substitute drug in case of intolerance. In cases with
Ofloxacin or Kanamycin resistance detected at baseline wherever facilities to undertake quality assured DST to
second line drugs is locally available, the regimen for MDR TB can be suitably modified to replace Levofloxacin
with Moxifloxacin and PAS or to replace Kanamycin with Capreomycin respectively. Drug supply using 1 monthly
patient wise box of different weight bands is in place.
Standardized treatment Regimen for XDR TB under daily DOT includes (6-12m) Capreomycin, PAS, Moxifloxacin,
High dose INH, Clofazimine, Linezolid, Amoxy-Clavulanic Acid / (18m) all the above drugs except Capreomycin.
Clarithromycin and Thyacitazone used as a substitute drug in case of intolerance.
Result of MDRTB Treatment: The treatment outcome report is submitted 31-33 months after patients in the
respective cohort are started treatment. Thus the latest annual cohort of MDRTB patients whose treatment
outcomes were reported in 2013 is from July 2010 to June 2011. Of the 3530 MDRTB cases registered during
this period, 48% were successfully treated, 22% died, 18% defaulted and 6% failed treatment. Only 14 states
have MDRTB cases registered during this period. Majority of these patients were heavily treatment experienced
and detected late during the early scale up phase of the respective states. These factors could have contributed
to the high death rates among them.
18
Achievements during 2013

The key activities undertaken for enhancements of programmatic management of drug resistant TB under
RNTCP in India are summarized below:
yy
India has introduced PMDT services in all 35 states on 24th March 2013. As on February 2014,PMDT
services are available in all 35 states of the country across 704 districts covering the entire population
(100%) of the country
yy
110 DR TB wards established with airborne infection control measures by end of 2013.
yy
The country has shown an accelerated progress in scale up of PMDT diagnostic services as compared to
the early implementation years from 2007 2012. A total of 51 C-DST labs were established using various
technologies- 37 Solid culture labs, 12 Liquid culture labs and 41 LPA labs.
yy
181021 MDR-TB suspects were tested for MDR-TB and 20763 patients were initiated on MDR-TB treatment
during 2013.
yy
Focused and periodic intensive PMDT review meetings at regional levels with key state officials were
conducted in 2013 with the objective to closely monitor the progress made by every state in their PMDT
scale up plans and to further accelerate the scale up of PMDT services by addressing challenges through
timely intervention.
yy
Programme is in the process of developing guidelines and regulation of newer anti-TB drugs in India. To look
into possibility of introduction of Bedaquiline in India a protocol for multi-centric study is being finalized for
four selected sites in the country.
yy
Additional Human Resources: Each DRTB Centre is provided with a counselor. Counseling of DRTB patients
and their families is important for compliance to treatment, identification and management of adverse
reaction to drugs and to ensure social security.
Newer Initiatives in PMDT

One of the aims of ensuring effective management of tuberculosis (TB) is to minimize the development of drug
resistance. Surveillance of antituberculosis drug resistance is, therefore, an essential tool for monitoring the
effectiveness of TB control programmes and improving national and global TB control efforts. Antituberculosis
drug resistance among new and previously untreated TB cases, a proxy indicator for primary or initial drug
resistance, suggests tuberculosis transmission. Antituberculosis drug resistance among previously treated TB
cases, a proxy indicator for acquired drug resistance, suggests failure of effective management in the prior TB
episode.
Worldwide, approximately 4% of new cases and 20% of previously treated cases had multidrug resistant TB
(MDR-TB), that is TB resistant to at least two of the first-line drugs, isoniazid and rifampicin [1,2]. Extensively
drug resistant TB (XDR-TB), a severe form of TB, has been reported by 84 countries, and the average proportion
of MDR-TB cases with XDR-TB worldwide is 9.0%. By the end of 2011, China, India and the Russian Federation
contributed to almost 60% of the estimated global burden of MDR-TB, yet to date, no nationally representative
antituberculosis drug resistance data is available in India.
The Revised National Tuberculosis Control Programme (RNTCP)with support from U.S. Centers for Disease
Control and Prevention (CDC) and the World Health Organization (WHO); is in the process of undertaking a
National Antituberculosis Drug Resistance Survey in a representative sample of both newly diagnosed sputum
smear-positive pulmonary TB cases and previously treated sputum smear-positive pulmonary TB cases.
The survey will provide a statistically representative national estimate of the prevalence of antituberculosis drug
resistance among new and previously treated patients in India, and will contribute to a more accurate estimate
of antituberculosis drug resistance globally.
TB Annual Report
19
3.3 TB-HIV
Background
Tuberculosis and HIV duo forms the deadly synergy; the patients with these diseases more often will have
unfavourable outcomes. HIV infection increases the risk of progression of latent TB infection to active TB disease
thus increasing risk of death if not timely treated for both TB and HIV. Correspondingly, TB is the most common
opportunistic infection and cause of mortality among people living with HIV (PLHIV), difficult to diagnose and
treat owing to challenges related to co-morbidity, pill burden, co-toxicity and drug interactions. HIV prevalence
among incident TB patients is estimated to be 5.95% (95% CI 5.93%5.97%). 130000 HIV-associated TB
patients are emerging annually. By numbers India ranks 2nd in the world and accounts for about 10% of the
global burden of HIV-associated TB. The mortality in this group is very high and every year: 42000 people die
every year among TB/HIV coinfected patients.
TB-HIV collaborative activities between Revised National Tuberculosis Control Programme (RNTCP) and
Department of AIDS Control (DAC) started initially in the year 2001. Since then, TB-HIV activities have evolved
time to time in line with updated scientific evidences prevailed. National Framework for joint TB-HIV collaborative
activities was developed under which National and State TB/HIV coordinating mechanism were put in place;
Service delivery level coordination bodies were established at district level. Components such as dedicated
human resources, integration of surveillance, joint training, standard recording & reporting, joint monitoring &
evaluation, operational research were strategically implemented and nationwide coverage was achieved in July
2012. At the National level TB-HIV coordination committee (NTCC) and technical working group (NTWG) regularly
monitor and suggest on key policy related to TB/HIV Collaborative activities.
Progress
Interventions to reduce the burden of TB among people living with HIV include the early provision of antiretroviral
therapy (ART) for people living with HIV in line with WHO guidelines and the Three Is for HIV/TB: intensified TB
case-finding followed by high-quality antituberculosis treatment, isoniazid preventive therapy (IPT) and infection
control in HIV care setting. There has been significant improvement on above indicators in recent years. India
adopted all recommendations suggested by the World Health Organization recommended TB/HIV collaborative
activities.
HIV testing of TB patients is now routine through provider initiated testing and counseling (PITC), implemented
in all states. At Country level, as of 4th Quarter (Oct-Dec) 2013, 61% of TB patients knew their HIV status which
has increased from 11% in 2008. In 2013, 887903 TB patients (63% of total TB patients registered) were tested
for HIV; 45,999 (5% of those tested) were diagnosed as HIV positive and were offered access to HIV care.
20
Trend of proportion of TB patients with known HIV Status, 4Q08-4Q13
The updated WHO TB/HIV policy of 2012 recommended implementation of PITC among presumptive TB cases.
Considering the country evidence and global recommendation, the National Technical Working Group on TB/HIV
decided to implement PITC among presumptive TB cases in all high HIV prevalent settings in India (A and B
category districts) in a phased manner. Routine screening of Presumptive TB cases for HIV is being implemented
in phase wise manner throughout the country.
Similarly Among HIV-infected TB patients diagnosed in 4Q13 91% were put on (co-trimoxazole preventive therapy
(CPT). The coverage of ART among TB patients who were known to be HIV-positive reached 86% in patients
registered in Oct-Dec 2012, up from 49% in 2008.
Trend of HIV-infected TB patients receiving CPT during TB treatment, 4q 2008 4q 2012
TB Annual Report
21
Trend of HIV-infected TB patients receiving ART during TB treatment, 4q 2008 4q 2012
Intensified TB case finding has been implemented nationwide at all HIV Care centers (at Integrated Counseling
and Testing Centres (ICTCs) and ART centres. As of December 2013, 410 ART centres, and 871 link ART centres
and 158 Link ART plus Centres are operating in the country. Table below shows the trend of intensive case
finding at ICTC and ART centres in India.
Table: Trend of Intensive case finding at ICTC and ART centers India
ICTC
ART
Centre
Year
Total
clients
Presumptive
TB cases
referred
Total TB
cases
Detected
Total
Put on
DOTS
Proportion
referred
Proportion
detected TB
Proportion
Put on DOTS
2010
2011
2012
2013
2010
2011
2012
2013
7678746
9774581
9193113
7264722
1748431
3822281
5591758
6483326
484617
580695
552350
620539
56739
111521
137113
166383
51412
55572
46863
64506
15911
28435
28012
24914
40185
42223
36842
45471
13318
23773
24410
23124
6%
6%
6%
9%
3%
3%
2%
3%
11%
10%
8%
10%
28%
25%
20%
15%
78%
76%
79%
71%
84%
84%
87%
93%
In proportion ART and ICTC centres contributes to around 4% of case finding of the RNTCP (Table below).
Table: Contribution of ICTC and ART centers in TB case detection
Year
2010
2011
2012
2013
22
Total TB cases Detected

(ICF ICTC+ ART)
67323
84007
74875
89420
Total cases Put

on DOTS
53503
65996
61252
68595
Total TB cases notified

under RNTCP
1521438
1515872
1467585
1415617
Percentage Contribution
of ICF in TB notification
3.5%
4.4%
4.2%
4.8%
Country is monitoring Treatment outcome among TB HIV patients over the years (Table Below).
Table: Trend of Treatment outcome among TB/HIV patients
Year
2009
2010
2011
2012
All TB-HIV Total

Case Registered
36483
43093
47097
34134
Treatment
Success
27727 (76%)
33277 (77%)
36661 (78%)
26363 (77%)
Died
Failure
Default
5472 (15%)
5764 (13%)
5292 (11%)
4538 (13%)
365 (1%)
556 (1%)
2323 (5%)
418 (1%)
2189 (6%)
2644 (6%)
2093 (4%)
2230 (7%)
Transferred Switch to
out
Cat IV
730(2%)
0
724 (2%)
0
488 (1%)
185 (0.5%)
443 (1%)
150 (0.5%)
Important developments /decisions in 2013

1. National Framework for Joint HIV/TB Collaborative Activities, November 2013 has been published which
incorporates recent policy updates in NACP and RNTCP and align with respective national strategic plan for
next 5 year along with recommendations in WHO HIV/TB policy guidelines 2012.
2. The formerly-named intensified package of HIV/TB services is now the national TB/HIV policy standard for
all states. A single and uniform policy, national policy framework exists.
3. The Government of India has constituted National TB/HIV Co-ordination Committee (NTCC) to oversee the
TB HIV coordination at various level.
4. Isoniazid Prevention Therapy (IPT) implementation plan approved by NTWG. The policy recommends the
use of a simplified clinical algorithm for TB screening that relies on the absence or presence of four clinical
symptoms (current cough, weight loss, fever and night sweats) to identify people eligible for IPT or for further
diagnostic work-up of TB.) This is being implemented in phase wise manner.
5. RNTCP has also endorsed the policy of prioritizing to offer rapid molecular test Xpert-MTB/Rif (CBNNAT) to
all presumptive TB cases among PLHIV for early diagnosis of TB as well as Rif resistance. Currently 80 such
CBNAAT machines deployed across the country.
6. PITC among presumptive TB being implemented in phase wise manner in India
7. Airborne infection control at ART centres and associated HIV care settings has been identified as an area of
increasing importance. This component is crucial in cutting the chain of transmission for air borne diseases.
National Airborne Infection Control guidelines have been developed, including special recommendations for
airborne infection control activities in ART centres. The same has been endorsed by the NTWG. Administrative,
Environmental and respiratory control measures to be put I effect as per the existing AIC guideline.
8. The eligibility for receiving ART has been revised from CD4 level of 350 to 500 for all PLHIV. This step will
ensure that HIV positive persons are initiated on treatment at an early stage and while enhancing their
longevity and productivity, it will contribute to preventing new infections as well.
TB Annual Report
23
3.4 Childhood Tuberculosis

Background
As per the Global Report on Tuberculosis 2013, there were an estimated 5,30,000 TB cases among children
(under 15 years of age) and 74000 TB deaths (among HIV-negative children) in 2012 (6% and 8% of the
global totals, respectively). It is one of the top 10 causes of childhood mortality. Though MDR-TB and XDRTB is documented among paediatric age group, there are no estimates of overall burden, chiefly because of
diagnostic difficulties and exclusion of children in most of the drug resistance surveys.
Program features for Paediatric Tuberculosis

In order to simplify the management of paediatric TB, RNTCP in association with Indian Academy of Paediatrics
(IAP) has described criteria for suspecting TB among children, has separate algorithms for diagnosing pulmonary
TB and peripheral TB lymphadenitis and a strategy for treatment and monitoring patients who are on treatment.
In brief, TB diagnosis is based on clinical features, smear examination of sputum where this is available, positive
family history, tuberculin skin testing, chest radiography and histo-pathological examination as appropriate.
The treatment strategy comprises three key components. First, as in adults, children with TB are classified,
categorised, registered and treated with intermittent short-course chemotherapy (thrice-weekly therapy from
treatment initiation to completion), given under direct observation of a treatment provider (DOT provider) and
the disease status is monitored during the course of treatment. Second, based on their pre- treatment weight,
children are assigned to one of pre-treatment weight bands and are treated with good quality anti-TB drugs
through ready-to-use patient wise boxes containing the patients complete course of anti-TB drugs are made
available to every registered TB patient according to programme guidelines.
Implementation status India

RNTCP India is reporting the age wise case detection since beginning. The proportion of paediatric TB cases
registered under RNTCP has been constant in the past five years and for 2013, 63919 new TB cases were
notified accounting for 5% of all cases. This is in the range of the expected incidence by WHO report. However
considering difficulties in diagnosis of paediatric TB under field condition, the notification rates can be further
strengthened.
Trend of Paediatric TB cases out of all New TB cases under RNTCP
24
However, the proportion of paediatric TB case detection significantly varies from 5-14% in larger states.
Contact Tracing and Chemoprophylaxis

The contact screening is one of the ways for intensified case finding activity which RNTCP has implemented
since its inception. Under RNTCP all children less than 6 years of age, contacts of the family member suffering
with active TB are screened for TB and provided INH chemoprophylaxis once active TB has been ruled out.
The implementation is through General Health System, which varies from place to place and the adherence to
guideline is less than satisfactory. On analyzing last 10 Central Internal Evaluations conducted in year 2012, it
was noted that 35% of children less than 6 years did not receive chemoprophylaxis.
In general the integration of the programme to the basic health service is a key process to success and hence
there is an opportunity to improve the situation further. Its worth noting that, the induction training manual
for medical officers, health care worker includes the component on contact screening and chemoprophylaxis.
Hence focusing on the training quality and post training follow-up in long run will help to improve the situation.
RNTCP is focusing on the issue and continuously monitoring the performance through regular review.
In addition the RNTCP under its case base web base notification (NIKSHAY), India has started getting following
information for all TB cases registered in India. This step will further improve the monitoring the contact tracing
and chemo prophylaxis among children.
Photo: Dr. R S Gupta (DDG-TB)delivering a lecture in 51st PEDICON at Indore
National Technical Working Group (NTWG)

on Paediatric TB
The National Technical Working Group (NTWG) on Paediatric TB has been constituted and its first meeting took
place on July 2013. This committee has examined the current policy & practices and provides suggestions to
CTD for improving situation of childhood TB.
New initiatives which will be taken up for improving

situation of childhood TB
yy
Diagnosis of Pediatric TB
RNTCP will enhance the capacity for collection and processing of alternate samples (GA/IS/BAL etc)
standardize the method for sample collection and conduct trainings
Programme will develop SOPs for sample collection and processing at district hospital level
TB Annual Report
25
yy
Correctly interpreting X ray findings and identifying radiological changes highly suggestive of TB
Giving intradermal TST and interpreting the findings of Mantoux test correctly
diagnosis of paediatric TB through newer diagnostic RNTCP approved technologies
Treatment of Pediatric TB
26
SOP for paediatricians outside the system for:
Program is actively considering
Daily treatment regimen to be provided for all pediatric TB cases.
Dispersible FDCs are to be used in children provided that the defined criteria are met
Making DOT patient-friendly: Program will explore alternative approaches like Mother or care giver
at home as DOT provider
12 months of treatment to be given for serious forms of TB i.e. miliary TB, TB meningitis, disseminated
TB, spinal TB and osteo-articular TB.
3.5 Partnerships
To achieve Universal access to TB care and treatment for all, RNTCP has taken steps to reach the unreached
through synergising the efforts of all partners and stakeholders. This change is reflected through increased
allocation for partnerships, increase in manpower through sanction of dedicated positions to focus on partnership
at state and district levels, greater flexibility to allow for innovation, capacity building through focussed training
and an enabling environment to pilot new initiatives and supplement efforts being made by RNTCP in both rural
and urban areas.
The guidelines for the NGO/PP schemes have undergone revision in 2008 and are again under revision in
consultation with various stakeholders to provide them with more options as per RNTCP priorities. RNTCP is also
exploring options for structured engagement with private sector partners in major cities of India with primary
focus on notification through innovative partnership mechanisms. At present RNTCP has established 2569 NGO
partnerships and 13150 collaborations with private practitioners and other private sector entities.
CBCI CARD
CBCI-CARD (Catholic Bishops Conference of India-Coalition for AIDS & Related Diseases) is a civil society
organisation comprising over 3000 healthcare and social work facilities, associated with the Catholic Church
in India. The CBCI-CARD Project is a GFATM supported partnership initiative of RNTCP, which endeavours to
improve access to diagnostic and treatment services within the Catholic Church Healthcare Facilities (CHFs) and
thereby improve the quality of care for patients suffering from tuberculosis in India.
Under this partnership, across 19 states of India, field consultants visit CHFs, conduct situational analysis, liaise
with programme managers and other CHF personnel to participate in TB control and care. The project conducts
training and sensitization workshops for healthcare providers to ensure that RNTCP is implemented according
to guidelines, ensures participation of CHFs in the programme through MoUs signed with the local District/
State TB Programme Managers under the NGO-PP schemes, sensitization workshops and training programmes
at national, state and district levels are also conducted to facilitate effective dialogue and interaction between
partners. Advocacy, awareness generation, supervision and monitoring are important components of the project.
TB Annual Report
27
The key achievements of the project are:

yy
9879 TB patients were notified to district TB authorities
yy
9008 sputum positive TB patients were diagnosed from 86 designated microscopy centres (DMCs)
yy
Five Medical Colleges, 9 DNB training institutes, 90 hospitals and 433 dispensaries have been involved in
RNTCP
yy
2721 hospital and health centre staffs were sensitized in RNTCP
yy
1480 medical and paramedical personnel underwent one-day RNTCP modular trainings
yy
77 school health activities were organized
yy
77920 TB suspects were referred for sputum examination to RNTCP DMCs
yy
World TB Day activities were organized in 95 centres across 19 states
Foundation for Innovative New Diagnostics (FIND)

FIND works as an implementing partner, providing access to rapid and quality assured diagnosis of TB and
MDR TB as per the National PMDT scale up plan. FIND supplements RNTCP efforts through technical support,
equipment, consumables, human resources, infrastructure, monitoring and mentoring It provides 300 additional
laboratory professionals under the GFATM project. These include microbiologists, technical officers, technicians
and attendants to support day-to-day functioning of the laboratories.
Key activities of the year include:

yy
Eight national-level trainings for 89 laboratory professionals equipping them with hands-on knowledge of
diagnostic procedures
yy
35 onsite trainings in rapid TB diagnostics for 275 people
yy
In the first three quarters of 2013, about 100,000 MDR TB suspects were tested with new rapid TB
diagnostics and about 17,000 MDR TB cases were diagnosed
Indian Medical Association (IMA)

The IMA RNTCP PPM project started as a sub recipient to the Central TB Divisions Global Fund Round Six in
April 2008 in five states and one union territory of India, namely, Uttar Pradesh, Punjab, Haryana, Maharashtra,
Andhra Pradesh and Chandigarh covering 167 districts. Subsequently, 10 more states viz Bihar, Chhattisgarh,
Gujarat, Jharkhand, Kerala, Orissa, Rajasthan, Tamil Nadu, Uttaranchal and West Bengal were added.
The objective of this project is to improve access to the diagnostic and treatment services of DOTS and thereby,
improve the quality of care for patients suffering from tuberculosis through the involvement of IMA leaders
and RNTCP staff. The key activities undertaken as part of the project include state/district level workshops,
28
publication of quarterly TB/RNTCP newsletter, publication in JIMA, district level CMEs of all the IMA branches in
the target states, produce IEC materials, assist DTOs in training of private providers etc.
Key achievements are:
yy
Sensitization of 86626 private medical practitioners on RNTCP
yy
Training of 14982 private doctors in 15 states and one union territory
yy
Under this project 4314 DOTS centres and 95 DMCs are functional
Pharmacist partnership
The management of TB patients requires a multi-disciplinary approach by a multi-disciplinary team. As community
pharmacies are often the first port of call for patients seeking healthcare, pharmacists form a crucial part of
this team. For systematic and comprehensive engagement of pharmacists and chemists it is crucial to work
with their associations, provide training and possibly accreditation. The Central TB Division signed an MOU with
the Indian Pharmaceutical Association (IPA), All India Organisation of Chemists & Druggists (AIOCD), Pharmacy
Council of India (PCI) and SEARPharm Forum representing World Health Organization (WHO) International
Pharmaceutical Federation (FIP) Forum of National Associations in South East Asia for engaging pharmacists
in RNTCP.
Pharmacists training in Gujarat
Pharmacists training in Chennai by REACH
Key achievements include:

yy
Development of training module for engagement of community pharmacists
yy
Training of master trainers for the engagement of community pharmacists in select states
yy
State level training of pharmacists in Gujarat and West Bengal
yy
Engagement of community pharmacists through NGO partners supported by Eli Lilly in select states using
RNTCP module
yy
1031 community pharmacists have undergone modular training and 350 pharmacists are referring
suspects to RNTCP and 23 pharmacists are working as DOTS provider.
Improving Health Behavior Project (IHBP)

The IHBP supplements the efforts of RNTCP on ACSM with focus on institutional capacity building. The major
activities conducted under this initiative include:
yy
Two workshops on ACSM and media engagement were conducted jointly by the Central TB Division and
IHBP. A total of 33 state IEC and ACSM officers working under RNTCP participated in the programme.
TB Annual Report
29
yy
Support in strengthening media engagement in RNTCP programme, through media content analysis of
tuberculosis in the country. The media analysis was carried out from February till September 2013 to
understand the dynamics of news media discussion about tuberculosis in India.
yy
A study to assess the implementation of ACSM in states with respect to its planning, implementation,
monitoring and evaluation. The assessment was carried out in six states - Bihar, Uttar Pradesh, Gujarat,
Meghalaya and Karnataka.
The International Union Against Tuberculosis and Lung

Diseases
Project Axshya (meaning TB-Free) is being implemented by The Union South East Asia Office (USEA) since April
2010. Axshya is a unique civil society initiative working towards improving access to quality TB care and support
especially for the vulnerable and marginalized populations across 300 districts across 21 States. Working in
tandem with the flagship RNTCP, the project through advocacy, communication and community engagement
activities assists in enhancing community ownership and creating demand for quality services for TB control.
Key achievements of the project are:
yy
Axshya facilitated referral and testing of over 3, 50,000 TB symptomatics, of which over 21,000 were
diagnosed as smear positive TB patients. Of these, over 20,000 were successfully initiated on treatment.
yy
The project reached out to over 2,00,000 people through more than 16,000 community meetings held with
the Gaon Kalyan Samitis, Panchayati Raj Institutions (local self-government)) and Self Help Groups (SHGs).
yy
The project has trained over 3,000 RHCPs and AYUSH Providers.
yy
The project scaled up the sputum collection and transportation services thus facilitating TB symptomatic
from inaccessible areas in availing programme services.
yy
Over 250 TB forums have been formed at the district level and have facilitated nutritional support, linkages
with social welfare schemes, rehabilitation of several thousand TB patients. The forums are also actively
sensitizing the TB patients on their rights and responsibilities through the Patient Charter on TB care and
control.
yy
TB Epidemiology: A TB Epidemiology Course was organized from 4-15 March 2013, at the National Institute
of TB and Respiratory Diseases.
World Vision India

To support RNTCP in improving TB case detection, World Vision India (WVI) and its 6 civil society partners GLRA, ADRA India, CARE India, SHIS, TB Alert and LEPRA India have been implementing Project Axshya in
selected problematic areas in West Bengal, Bihar, Jharkhand, Chhattisgarh, Orissa, Madhya Pradesh and
Andhra Pradesh, with the assistance of Global Fund Round 9 TB Grant since April 2010. The key interventions
of the project involve engaging local grass-root level CBOs and community care givers in TB control and care,
linking them with RNTCP through advocacy, capacity building and mobilization activities and strengthening
health systems. The key achievements of the project are:
30
yy
Training 153 Project Managers of TI projects and 532 members of district level PLHIV networks
yy
1180 RHCPs and AYUSH practitioners on TB and RNTCP
yy
140 trainers and 1771 RNTCP and health staff on soft-skills
yy
Facilitated 140 Village Health & Sanitation Committees (VHSCs) to develop their TB action plan
yy
Assisted RNTCP in the retrieval of 911 default cases, referred 20,521 suspects, tested 17,425 cases,
detected 2207 TB cases and put 2134 TB cases on DOTS.
The Partnership for Tuberculosis Care and Control

The Partnership for Tuberculosis Care and Control (PTCC) brings together civil society on a common platform to
support and strengthen Indias national TB control efforts. It serves as a liaison and coordinating body among
groups involved in TB care and control initiatives.
The key activities undertaken in the year were:
yy
Membership of PTCC has risen to 177 organizations and has placed 19 state focal points chosen by state
partners and the State TB Officer
yy
To recognize/acknowledge the effort of individuals and organizations working for tuberculosis care and
control in India, PTCC has instituted an Annual award for TB champions - individual and TB Campion
Organization from across India.Winner of the first award in organization category was P. D. Hinduja Hospital
and in the individual category it was Dr. Nalini Krishnan, REACH. Each received a cash prize of Rs 50,000
and a memento during the national meeting of PTCC.
yy
The regional meetings of the Western and Northern regions were held at Indore and New Delhi respectively
in collaboration with the Central TB Division. The objective of the meetings was to provide a platform for
brainstorming among all stakeholders in finding collaborative solutions to various challenges in the field
and chalking out state-wise action plan on strengthening RNTCP. .
yy
The Partnership newsletter Partners Speak, which features best practices, case studies etc. was distributed
amongst participants.
Programme for Appropriate Technology in Health (PATH)

PATH provides RNTCP with technical assistance to support its efforts to strengthen the laboratory networks
capacity to diagnose drug-resistant TB; facilitate the introduction of improved infection control practices and
build infection control expertise within India and support the effective expansion of Programmatic Management
of Drug Resistant TB (PMDT) activities.
During the year 2013, PATH has supported RNTCP in the following activities:
yy
Collaborated with FIND, WHO, State TB Offices and National Reference Laboratories (NRLs) to undertake
clean room upgrades for the introduction of Line Probe Assays.
yy
Conducted tuberculosis laboratory management training in collaboration with CTD, WHO and FIND.
yy
Under the leadership of the CTD, partner Initiatives Inc., with support from PATH and WHO completed Phase
3 of the Human Resources for Health pilot in four districts to test district administrative and block programme
management integration. The pilot yielded some notable achievements including the orientation of district
and block staff.
yy
Audio visual training modules, which will be used by various agencies and institutions identified by the
Central TB Division for training of Block Medical Officers.
Targeted RHCP intervention UNION project supported by

Lilly MDR-TB Partnership
This project involves engagement with RHCPs to build their capacity and establish effective linkages between
the RNTCP and NGOs. These trained providers then act as a DOT provider and refer TB symptomatics to DMCs.
The project has been piloted in four districts in Jharkhand, Madhya Pradesh, Uttar Pradesh and Rajasthan.
The districts were selected based on RNTCP performance data for Q3 2011 - lower symptomatic referral
(<100/100000) and annualized total case notification rate (<135/100000).
TB Annual Report
31
A mobile application is being piloted in three DMCs of Khunti, a tribal district in Jharkhand India. Two applications
have been developed under the mobile platform. One is used by RHCPs and NGO supervisors while referring
patients to DMCs and the other is used by laboratory technicians to upload the sputum test results of referred
patients, thus creating a referral and tracking database updated on real-time basis. The application also includes
engaging audio-visual clips to aid RHCPs counselling on TB. In the seven months since its f implementation, 314
symptomatics have been referred, of which 22 have been diagnosed with TB and put on DOTs. The RHCPs have
also become DOT providers for these TB patients. Overall, in four sites 588 RHCPs were trained, 1079 chest
symptomatic were referred, 110 TB patients were diagnosed and 80 RHCPs were providing DOTS between May
and December 2013.
Patient referral using mobile application and counselling
32
Involvement of Medical Colleges in RNTCP

Under RNTCP Medical Colleges play important roles in service delivery, advocacy, training and operational
research. RNTCP is supporting Medical Colleges with additional human resources, logistics for microscopy, funds
to conduct sensitizations, trainings and research in RNTCP priority areas. Medical colleges have contributed in
a major way in finding more TB cases, especially smear negative and extra - pulmonary cases. Keeping in view
of increasing participation of Medical colleges in the Programme as tuberculosis units, microscopy centers,
treatment observation centres, etc., medical colleges are currently divided into six zones North, East, West,
South 1, South 2 and North-East Zones. At present over 330 medical colleges both public and private medical
colleges have been involved in TB control in India.
The Medical college involvement under RNTCP is through the Task Force Mechanism wherein the representation
from the Medical College faculty in each medical college core committee, representation from each medical
college core committee in the State Task Force and at the Zonal Task Force.
Medical College Core Committee: A Medical College Core committee is formed in each Medical college
including least 4 members, with representatives from department of medicine, chest medicine, microbiology
and community medicine. The Core Committee functions to establish quality assured sputum smear microscopy
facility in the medical college as well as treatment and referral services to all kind of TB patients. Furthermore
it Organize sensitization / workshops / trainings for faculty members / PGs / UGs / Interns / paramedical staff,
etc and also undertake Operational Research for RNTCP.
Each Medical College is provided with a Medical Officer, Lab technician and a TB Health Visitor to facilitate the
RNTCP activities through the respective District Health Societies. The logistics for the laboratory and all the
reporting formats are provided by RNTCP
State Task Force (STF): Composed of a Chairman who is an elected representative from the medical college
in the State, STO of the State is the member secretary. Members of STF include representatives of each of the
Medical colleges of the State, on rotation basis if required. The main task of STF is to provide leadership and
advocacy, coordination, undertake monitoring, lead operational research and support policy development on
issues related to effective involvement of medical colleges in RNTCP at State level and to ensure establishment
of DMC cum DOT centres in all Medical Colleges.
Zonal Task Force (ZTF): Composed of a Chairman who is an elected representative from STF chairpersons in
the respective Zone with two years tenure. Member secretary of ZTF will be the STO of the State where Medical
College of ZTF Chairman is situated. Members of ZTF are representatives of the State Task forces within the
zone. In addition to Ensuring constitution of State Task Force (STF) in all States under the Zone, the main task of
ZTF is to provide leadership and advocacy, coordination, undertake monitoring, lead operational research and
support policy development on issues related to effective involvement of medical colleges in RNTCP at Zonal
level. The annual Zonal Task Force (ZTF) CMEs cum workshops are held every year. The Medical college Zonal
task force workshop is an opportunity for reviewing the performance of medical colleges and advocating the
guidelines of RNTCP.
ZTF workshops were held as follows during 2013
S. No.
1
2
3
4
5
Zone
West Zone
South 2 Zone
North Zone
East Zone
North East Zone
TB Annual Report
Venue of ZTF
Goa
Pudducherry
Dharamshala, Himachal Pradesh
Raipur, Chhattisgarh
Dibrugarh, Assam
33
This year one of the key activities was the process of capacity building of the medical college faculty in doing
operational research and for which the Zonal OR Capacity building workshops have been initiated.
National Task Force (NTF): The NTF comprises of representatives from seven nodal medical colleges, CTD, TRC,
NTI, LRS and WHO. It has a Chairman who is selected on rotational basis from amongst the 7 nodal medical
colleges. DDG (TB) is the member-secretary of the NTF. The main task of NTF is to provide leadership and
advocacy, coordination, undertake monitoring, lead operational research and support policy development on
issues related to effective involvement of medical colleges in RNTCP at National level.
In 2013, the medical colleges diagnosed a total of 214330 TB cases including 95450 Sputum Positive
Pulmonary, 40680 Sputum Negative Pulmonary and 78200 Extra Pulmonary TB cases.
Research under RNTCP

The RNTCP is based on global scientific and operational guidelines and evidence, and that evidence has
continued to evolve with time. As new evidence became available, RNTCP has made necessary changes in
its policies and programme management practices. In addition, with the changing global scenario, RNTCP is
incorporating newer and more comprehensive approaches to TB control. To generate the evidence needed
to guide policy makers and programme managers, the programme implemented measures to encourage
operational research (OR). Efforts of RNTCP to promote OR yielded success and most of the studies has are
linked to the main priorities of TB control.
The programme requires more knowledge and evidence of the effectiveness of interventions to optimize policies,
improve service quality, and increase operational efficiency. This has led to the realization of the need for a more
proactive approach to promoting OR for the benefit of the TB control efforts. Further more, the programme
seeks to better leverage the enormous technical expertise and resources existing with in India both with in the
Programme, and across the many medical colleges, institutions, and agencies. Operational research aims to
improve the quality, effectiveness, efficiency and accessibility (coverage) of the control efforts.
Following is the summary of number of Operational Research proposals and status of approval by the mechanism
of State OR Committees, Zonal OR Committees and National Standing OR Committee in year 3Q12-2Q13.
Particular
Post Graduate Thesis approved
OR proposal submitted to Zonal
OR committee
OR proposal approved by Zonal
OR committee
East
8
3
West
39
7
North
11
2
North-East
4
4
South-I
13
3
South-II
16
10
Total
91
19
10
17
Important developments
34
yy
National Research Dissemination Workshop was organized on 26-27 August 2013 at Delhi; eminent experts
participated as delegates and presented operational research findings with policy implications
yy
Program has initiated process to develop web-based application for streamlining operational research to
facilitate transparent and accountable system ensuring timely feedback and decisions of the respective OR
committees to the applicant Principle Investigators.
yy
The program is considering establishment of a National Research Cell which will act as a focal point for
Research in RNTCP.
3.6 Case studies of community intervention

CBCI-CARD
Diagnosing 100% MDR TB patients in Meghalaya
The Nazareth Hospital, Shillong invested in a TB culture laboratory based on Line-Probe Assay, while working
closely with the CBCI CARD and the State TB Cell. The hospital has been certified by the Central TB Division and
is the only laboratory in the state diagnosing MDR-TB. The Nazareth Hospital was also given the Best NGO award
in the state on the World TB Day.
Inauguration of LPA by Mr. D.P. Wahlang, Commissioner of Health, in the presence of Archbishop Dominic Jala
Security against TB
Mr Jonus Soreng, 40 years, who worked as security guard lost his job after he was
diagnosed with spinal TB with paraplegia. His condition deteriorated within days and
he was unable to even sit down. The Sisters of Missionaries of Charity carried him
to their centre Shanti Bhawan, Gopabandhupally, Rourkela which also functions as
a DOT centre. Over 42 TB cases have been treated at this centre between Jan.-Dec.
2013. The centre also offers residential and nutrition facilities to patients. Mr. Soreng
was put on treatment in April and completed treatment in December 2013 under the
supervision of the Sisters. He has now recovered and resumed work.
From a TB patient to being the class topper

Fatima lives in a slum in Kolkata. She was suffering from extra pulmonary TB and receiving DOTS from Seva
Kendra since October 2012. She was unable to attend school regularly and lead a normal life because of her
illness. After taking medicines for 2-months, she started feeling well and her family members thought she had
been cured and decided to stop her medicine. The DOT provider Shama Khatoon and Sister Rozina visited
her home, counselled her parents and helped them understand that the full course of DOT is necessary and
incomplete treatment can put the patient at risk of developing drug resistant MDR TB which is difficult to cure.
She resumed her medicines and completed her treatment. Now she is able to concentrate on her studies and
socialise with her friends. She topped her class in the annual examinations and has been promoted to Class X
now.
TB Annual Report
35
Indian Medical Association

The IMA PPM GFATM Project has been sensitising and training private medical practitioners in order to involve
them in RNTCP and TB control initiatives. Keeping in mind the priority of notification, the IMA consultant actively
counselled Kamala Nursing at Vishakapattanam to get involved in the project by notifying TB cases which is now
mandatory. The establishment has agreed over a period of 9-months has examined 241 TB suspects, of which
it has notified and put on treatment 85 TB cases to RNTCP.
The UNION
TB Forum initiatives: Nutritional support for MDR-TB patients
The TB forum in Villupuram district of Tamil Nadu has been active in
ensuring extended nutritional support for children with MDR-TB. Roshni,
a six-year-old girl, who has been diagnosed with MDR-TB a beneficiary
of this initiative. The daughter of an autorickshaw driver, she had just
completed kindergarten when she was diagnosed with TB and taken to a
private hospital for treatment. However, her treatment was discontinued
after 2-months when her parents were unable to afford the medication.
Her condition worsened and she was eventually referred to the RNTCP for examination. Here, she was diagnosed
with MDR-TB.
The familys financial condition deteriorated and they couldnt even afford food for Roshni. The Project Axshya
District Coordinator heard of her plight and introduced her family to the local TB Forum. The forum organised
nutritional support Roshni, including wheat, a health drink, vegetables and nutrition powder as well as stationery
for her studies. The TB Forum raises funds from local donors and sponsors to meet their operational costs and
ensure sustainability of support initiatives.
Bridging TB and HIV

Mrs. Unnamalai is an outreach worker with Project Axshya in Arani block,
Navalpakkam of Villupuram District, which works against mother to-child
HIV transmissions. After receiving training under Project Axshya, she has
been working for TB control and has contributed significantly in the past
year by following up and referring the PLHIVs for TB test and treatment.
She plays a pivotal role in identifying and following up with HIV positive
pregnant women in the block and encouraging them to get tests for TB.
Over the past year, she has counseled over 140 HIV positive women and
11 of them were diagnosed with TB. She constantly strives to ensure
that all her patients are getting preventive treatment for both HIV and TB, thereby bridging the gap between both
the programmes. Apart from facilitating their treatment, she puts in much effort to ensure that these patients
do not interrupt treatment by travelling the extra distance to reach them as and when necessary for counseling
and guidance.
36
Messiah of TB
Mr. Manas Kumar Dhara is a community volunteer in Project Axshya and
works in the Tamluk Tuberculosis Unit (TU) of the challenging district of East
Medinipur. GLRA, a SR partner of World Vision India implements Project
Axshya in East Medinipur and seven other districts of West Bengal.
A number of times, as we have traversed through the dusty roads and
narrow bylanes of Tamluk, meeting villagers, PRI and club members, SHGs
and other community groups, as part of TB control activities, we have heard
the varying tales of Mr Manas, as if a messiah of DOTS, who roams around
every day enquiring about TB symptoms, referring suspects, providing DOTS, retrieving defaulters, counseling
patients and peers, and tagging the needy patients to social support schemes. His daily schedule starts early
in the morning and ends late evening. A readily available and committed volunteer, we found both patients
and health providers looking up to him for support related to TB cure and care. He has also been acting as a
Community DOT-Plus Provider for a number of MDR cases. A summary of his achievements in the July-September
quarter are listed below:
yy
28 suspects were referred
yy
Eight patients were confirmed TB
yy
Seven default retrieval and 10 TB patients were linked to social support schemes
A meaningful partnership
Mr. G. Venkata Swami of Shivani Medicals, Kasipet in Mandamarri TU in Adilabad district was identified by
REACH for training and involvement as community pharmacist working for TB control. After undergoing modular
training he became motivated to work for TB patients. He referred eight TB symptomatic cases and two amongst
them were diagnosed with pulmonary TB. These numbers were achieved over a span of just four months.
Sreenivas an 18-year-old boy was suffering with cough and often visited Mr. Swami for medicines. Mr. Swami
referred Sreenivas for a TB test and sent his assistant with him to the DMC. After being diagnosed positive for
TB, Sreenivas expressed his apprehension about taking DOTS from the local ASHA worker who was a known
person. Understanding the sensitivity of the situation and fear of stigma, Mr. Swami come forward to take up
his DOTS provision and assured him of confidentiality. After taking DOTS, Sreenivas at present is much better
and is going to college regularly. As Mr. Swamis shop is near the bus-stand, Sreenivas takes his medicines on
his way to college. He serves as DOTS provider to another person diagnosed with TB. Most of these referred
symptomatic cases came to the medical shop for cough medicines.
TB Annual Report
37
3.7 Advocacy, Communication and Social

Mobilization in RNTCP
Advocacy, Communication and Social Mobilization (ACSM) is an important component of RNTCP and forms a
supportive strategy that focuses on addressing challenges related to early identification of TB cases, treatment
completion and combating stigma.
As part of the strategy, multiple-stakeholders including policy-makers, healthcare providers, NGOs, CBOs, local
self-governments, media and other vibrant community groups are targeted for improved provision of treatment
and care.
Building capacities
The media advocacy workshop for State TB Officers was organized in June to help them reach out to the media
to appropriately articulate and highlight pertinent TB related issues.
The State IEC Officers are responsible for planning and implementation of ACSM strategy at both the State and
District levels. An ACSM and media engagement workshop was organized in November in Delhi for IEC officers
from across all States and Union Territories (UTs) with support from IHBP - FHI 360, a partner organization. The
workshop aimed to develop the capabilities of State IEC officers in the planning and implementation of ACSM
activities in the field as well as enhancing outreach within communities through the media.
World TB Day
The annual calendar of outreach and awareness initiatives culminate in a flurry of activities converging on 24
March, celebrated the world over as the World TB Day. This day is designed to help focus public attention on
tuberculosis and serve as a reminder of the fact that TB continues to be an epidemic in many parts of the world
to this day, especially our own country 2,74,000 people die from TB each year in India. The World TB Day
commemorates the day in 1882 when Dr Robert Koch discovered the cause of tuberculosis, the TB bacillus,
charting the way towards diagnosis and cure.
Like every year, the day was celebrated with the usual zest and gusto across States and UTs. The theme was,
Stop TB in my life time zero deaths from TB. A complete spectrum of activities were planned and executed
ranging from awareness walks and runs; quiz, drawing and painting competitions; folk dance, music and a host
of other awareness generating performances; exhibitions, events and other public functions to reward and
recognize patients, health providers, civil society members, organizations and support groups.
Currently, there are four key activities integrated within the ACSM strategy implemented at the district and subdistrict levels, that seek to engage and interface with individuals, groups and influencers within the community
- patient provider meetings, community level meetings, school-based activities and activities to sensitize PRIs
and NGOs etc.
In 2013-14 RNTCP, reached out to people across the country through
yy
660241 patient provider meetings
yy
636899 community level meetings
yy
108614 school outreach activities
yy
587110 sensitization meetings with PRIs, NGOs etc.
These along with a complete set of planned activities helped the programme make inroads into the community
to enhance case finding and treatment adherence along with other programmatic goals.
The first meeting of the ACSM technical taskforce the National ACSM Advisory Committee comprising
stakeholders from RNTCP, NGO partners and specialists in core competency areas was convened in New Delhi
38
in October 2013 to review RNTCP ACSM strategy and its rollout. The advisory committee set up four Sub-Groups
to help define a nuanced approach to planning and management; material development; training and education;
and monitoring and evaluation of ACSM activities at the national, state, district and sub-district levels. The
committee shared inputs on policy, strategy and implementation aspects of ACSM under the programme. Going
forward, it will continue to assist in identifying needs, gaps and challenges to ensure a focused and strategic
ACSM support to the programme.
Joining hands under HIV-TB collaboration

The Andhra Pradesh State TB Cell and State AIDS Control Society in collaboration with NGO partner TB Alert
India organized a state level training of Project Managers of the Targeted Intervention HIV Projects on TB and
RNTCP services, and assist them in developing a TB action plan to enhance early detection of TB cases in HIV
high risk groups like IDUs, migrants, sex workers and truckers.
Telugu film star Dr. Rajendra Prasad (extreme right) at the RNTCP stall during the World AIDS Day 2013
Saying it with a song

Manimaran, ACSM Officer Puducherry, has helped script a Tamil song
on TB awareness, which was broadcast on FM radio channels in
Puducherry. The UT has also collaborated with the State Road Transport
Corporation to display stickers with messages on TB symptoms and
treatment inside buses run by the corporation.
Leveraging opportunities to draw

focus on TB
The NRI Sammelan showcased opportunities across sectors in Punjab. The District TB Centre Jalandhar leveraged
this opportunity to generate awareness about TB and RNTCP services amongst participants. Strategically
placed signages, IEC material and audio-visual aids showcased documentaries and advertisements on TB. The
RNTCP staff interacted with visitors at the event to build awareness about TB and the steps being taken by the
government to control and eradicate the disease.
New Years greeting

The District Health Society, Mansa, organized a district level function to release the
New Year Calendar for 2013 with TB-DOTS as its theme. A newsletter with New Year
wishes and information related to TB was also circulated to sarpanches of villages,
rural clubs, Bharti Kissan Union, IMA doctors and other departments.
TB Annual Report
39
3.8 Financial planning & management

Revised National Tuberculosis Control Programme is a centrally sponsored scheme implemented through
NRHM with the State, District & Municipal Corporation Health Societies having a separate sub-account for TB
Control Activities through which the funds from the Ministry of Health and Family Welfare are disbursed for
implementation of the project activities within the concerned State/ District/ Municipal Corporation.
Financial Management is an integral and important component for RNTCP. The planning process focuses on
financial analysis for programmatic and management use and meeting reporting obligations for all stakeholders
and producing accurate and timely information that forms basis for better decisions, reducing delays and
bottlenecks. This also deals with overall financial management deals with approval and review of annual plans
and budgets. The budgetary management is about fund flow mechanisms, delegation of financial powers,
accounting and internal control system and to ensure that funds are effectively used for programme objectives.
It brings together planning, budgeting, accounting, disbursements, procurements, financial reporting, internal
control including internal audit, external audit, filing programme updates and disbursement requests and
managing resources efficiently as well as effectively. Fiduciary requirements are addressed by designing and
implementing effective audit mechanisms at all levels. This provides reasonable assurance that:
(i) Operations are being conducted effectively, efficiently and in accordance with RNTCP financial norms
(ii) Financial and operational reporting are reliable
(iii) Laws and regulations are being complied with
(iv) Assets and records are being maintained properly
Focus areas under planning and financial management

under RNTCP during 12th FYP
The areas that will receive attention during 12th Five Year Plan of RNTCP include:
yy
Delegation of financial powers
yy
Asset management
yy
Audit structures
yy
Grants management
yy
NGO financing and accounts
yy
Timely settlement of advances
yy
Inter-unit transfers
yy
Alignment with the financial management of NRHM FMR
yy
Human resource for financial management
40
Details of allocation under RNTCP in 2012-13 and 2013-14

The overall financial performance of RNTCP in the first two years of 12th Five Year Plan is as under (all figures
in Rs Crores):
Financial year
2012-13
2013-14
Budgetary Estimate Revised Estimate (RE)

(BE)
710.15
557.15
710.15
500.00
Final Estimate (FE)
Expenditure
467.00
500.00
466.15
472.59*
*All figures are till February 2014
Release and Expenditure in Financial Year 2013-14 (All figures in lakhs)

(Rs. in lakhs)
Sl.No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Name of the
State / UT
Andhra Pradesh
Andaman & Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
D & N Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
TB Annual Report
2013-14
Cash
1782.22
73.08
408.57
894.71
890.04
113.02
788.18
51.24
24.80
1049.23
75.97
1890.13
451.61
383.50
591.32
886.63
1379.58
996.98
19.56
1449.59
4983.68
255.87
266.88
295.92
233.18
879.51
156.71
694.91
967.52
176.59
1578.88
156.03
Releases
Commodity
2233.30
2.15
9.91
364.61
134.70
21.72
13.02
1.44
1.03
377.47
11.34
4025.13
13.64
127.02
88.69
17.14
63.74
662.31
0.35
693.22
1039.07
21.95
21.2
8.17
20.08
22.82
21.25
358.42
1082.07
5.02
927.25
27.99
Total
4015.52
75.23
418.48
1259.32
1024.74
134.74
801.2
52.68
25.83
1426.7
87.31
5915.26
465.25
510.52
680.01
903.77
1443.32
1659.29
19.91
2142.81
6022.75
277.82
288.08
304.09
253.26
902.33
177.96
1053.33
2049.59
181.61
2506.13
184.02
Cash
977.56
29.17
330.51
797.76
585.62
94.72
313.76
33.63
7.87
476.52
62.66
1627.92
406.44
199.25
405.38
531.49
1296.84
562.07
6.01
770.92
3617.6
264.35
136.86
116.79
185.95
795.85
95.82
436.14
924.77
98.89
1312.56
89.01
Expenditure
Commodity
2233.3
2.15
9.91
364.61
134.7
21.72
13.02
1.44
1.03
377.47
11.34
4025.13
13.64
127.02
88.69
17.14
63.74
662.31
0.35
693.22
1039.07
21.95
21.2
8.17
20.08
22.82
21.25
358.42
1082.07
5.02
927.25
27.99
Total
3210.86
31.32
340.42
1162.37
720.32
116.44
326.78
35.07
8.9
853.99
74
5653.05
420.08
326.27
494.07
548.63
1360.58
1224.38
6.36
1464.14
4656.67
286.3
158.06
124.96
206.03
818.67
117.07
794.56
2006.84
103.91
2239.81
117
41
Sl.No.
33
34
35
Name of the
State / UT
Uttar Pradesh
Uttrakhand
West Bengal
Total
Releases to NGOs/
Study
HQ Expenditure
Grand Total
2013-14
Releases
Cash
Commodity
3817.66
1014.13
265.41
5.33
1119.85
480.56
30048.56
13917.24
1205.64
0.00
Total
4831.79
270.74
1600.41
43965.80
1205.64
Cash
2709.88
254.63
1984.97
22540.17
153.41
410.83
31665.03
410.83
45582.27
409.84
23103.42
0.00
13917.24
Expenditure
Commodity
1014.13
5.33
480.56
13917.24
0.00
Total
3724.01
259.96
2465.53
36457.41
153.41
0.00
409.84
13917.24 37020.66
Annual audit under RNTCP:

The annual audit of RNTCP is being done by Directorate General of Audit and Central Expenditure (DCACE).
RNTCP financial updates in 2013
Following policy level updates have happened under RNTCP in 2013:
1. The National Strategic Plan of RNTCP was approved in January 2013 where RNTCP was allocated a funding
of Rs 4500.15 crore under 12th Five Year Plan (2012-17). The distribution across the plan period is as
under:
42
2. The new financial norms of RNTCP was approved in July 2013.

3. Mission Steering Group (MSG) has approved the revised incentives rates under RNTCP. Also some new
incentive for program under 12th Five Year Plan have been approved.
4. Global Fund Grant, Single stream funding Phase 2 was approved for CTD with a funding of USD 226.74
million for the period April 2013 to September 2015.
5. Department of Economic Affairs (DEA) has approved a credit of USD 100 million from World Bank to RNTCP
for two years starting from April 2014.
6. In Financial Year 2013-14, 693 more Tuberculosis Units have been sanctioned which will align the
Tuberculosis Units with BPMUs of NRHM.
7. The MoU between MoHFW and WHO has been signed under GFATM Single Stream Funding TB grant.
TB Annual Report
43
44
Chapter 4:
TB surveillance in
India with Nikshay
4.1 Nikshay (Case Based
online software)
Background: RNTCP since implementation followed international
guidelines for recording and reporting for Tuberculosis Control
Programme with minor modifications. Epi-info based EPI-CENTRE
software was being used for the purpose of electronic data
transmission from district level upwards. Initially DOS version was in
use and the programme shifted to windows version in 2007. However,
the data available at district, state or national level was in aggregated
form, with a lead time of >4 months, excluding private sector and
neither could help much for TB burden estimation or individual case
management or monitoring. To address this Central TB Division (CTD)
in collaboration with National Informatics Centre (NIC) undertook
the initiative to develop a Case Based Web online (cloud) application
named Nikshay. This software was launched in May 2012 and has
following functional components.
TB Annual Report
yy
Master management
yy
User details
yy
TB Patient registration & details of diagnosis, DOT Provider, HIV

status, Follow-up, contact tracing, Outcomes
yy
Details of solid and liquid culture & DST, LPA, CBNAAT details
yy
DR-TB patient registration with details
yy
Referral and transfer of patients
yy
Private health facility registration and TB Notification
yy
Mobile application for TB notification
yy
SMS alerts to patients on registration
yy
SMS alerts to programme officers
45
yy
Automated periodic Reports
Case Finding
Sputum conversion
Treatment outcome
Data security / confidentiality

Security audit of Nikshay application is done as per guidelines of Department of IT. Password protection is
applicable for each level of user. Password reset facility is available at higher users in hierarchy. Access to
relevant information for each user, based on defined functions.
Data quality
Since the software do not itself generate information and almost all information is digitized from the source
which exists in the programme; the inherent quality of data of the programme is transferred. Transcription
errors if any are being evaluated by the programme in implementation research mode. However, Nikshay
already has internal validations for most of the variables based on the logic flow and conditionalitys. But a
judgement of choice of stricter validations against the availability of complete and accurate information; is
also an opportunity to improve processes in the programme. It started with certain mandatory fields which
were defined and these now ensure completeness of information regarding those variables e.g. DOT provider
details. Unwanted characters avoided at entry. Regular feedback from administrator to check bugs if any, has
been established. Most importantly data point formats of Metadata and Data Standards (MDDS) have been
followed in the development of this could application. In future, this will be the basis for system integration and
interoperability to set an example of EMR/EHR.
Till 10th March 2014, status of implementation and is as below:
TB Patients Registered under RNTCP
Peripheral Health Institutes (PHI) registered
Tuberculosis Officials details
District TB Officers details
State TB Officers details
Contractual Employees details
Non-RNTCP Health Establishments registered
Non-RNTCP Patients registered
Culture & Drug Resistant Labs Patients registered
Drug Resistant Tuberculosis Patients registered
23,69,515
41,277
2703
667
35
6901
64,073
56,087
20995
1979
Implementation challenges
Many of the PHCs in the country do not have adequate ICT infrastructure like computer, internet connectivity
and Data Entry Operator. Also intermittent electricity supply hampers the data entry and use of Nikshay. Also
patient treatment cards need to be brought to TU/Block level or even at district level in certain areas for data
entry. Slow internet / web connectivity in some places and incomplete treatment cards at many places also
slows down the process.
However, support from NRHM in terms of ICT infrastructure and data entry operators has significantly contributed
to use of Nikshay software across the country.
46
Chapter 4: TB surveillance in India with Nikshay
National e-Governance award

NIKSHAY was honored with National
e-Governance Award (Gold) 2013-14
during the National Conference on
e-Governance held at Kochi on 30-31
January, 2014 under category Sectoral
Award Healthcare. These awards are
organized by Ministry of Administrative
Reforms, Grievence Redressal and
Pensions in collaboration with Department
of IT, Ministry of Communication and
Information Technology, Government of
India.
The award was given by Sh Nikhil Kumar,
Honble Governor of Kerala, Sh V. Narayanasamy, Honble Minister for State of Personnel, Public Grievances and
Pensions. The gold award was received by officials from Central TB Division and NIC.
TB Annual Report
47
4.2 TB Notification
Background: Indias National TB Control programme provides quality assured diagnostic and treatment
services to all the TB patients including necessary supportive mechanisms for ensuring treatment adherence
and completion. However these services cannot be made available to large number of patients availing services
from private sector, as they are not currently reported to the programme. The National Programme is unable to
support TB patients and facilitate effective treatment as there is no information on TB and M/XDR TB diagnosis
and treatment in private sector and unable to monitor and act for this looming epidemic. The country has a
huge private sector and it is growing at enormous pace. Private sector predominates in health care and TB
treatment. Extremely large quantities of anti-TB drugs are sold in the private sector. Poor prescribing practices
among private providers with inappropriate and inadequate regimens and unsupervised treatment continues
in private sector without supporting patient for ensuring treatment adherence and completion with unrestricted
access to first and second line TB drugs without prescription. High cost of TB and M/XDR TB drugs for privately
treated patients is leading to further poverty and treatment interruptions.
A large number of patients are not benefitted with programme services and this leads to non adherence,
incomplete, inadequate treatment leading to M/XDR TB, mitigating all the efforts of the programme to prevent
emergence and spread of drug resistance. If the TB patients diagnosed and treated under private sector are
reported to public health authorities, the mechanisms available under the programme can be extended to these
patients to ensure treatment adherence and completion. The impending epidemic of M/XDR TB can only be
prevented to a large extent by this intervention.
To curb this situation, Govt of India declared Tuberculosis a notifiable disease on 7th May 2012 with the following
objectives.
Objectives
1. To have establish Tuberculosis surveillance system in the country
2. To extend mechanisms of TB treatment adherence and contact tracing to patients treated in private sector
3. To ensure proper TB diagnosis and case management and further accelerate reduction of TB transmission
4. To mitigate the impeding Drug resistant TB epidemic in the country
Implementation tools & methods

For the purpose of notification, the contact details of the nodal officer at district level and the reporting formats
are available on the website www.tbcindia.nic.in. All the health establishments throughout the country in public
as well as private and non governmental sector are expected to notify TB cases.
For the purpose of notification the definition of TB cases is as below:
yy
Microbiologically-confirmed TB case Patient diagnosed with at least one clinical specimen positive for
acid fast bacilli, or Culture-positive for Mycobacterium tuberculosis, or RNTCP-approved Rapid Diagnostic
molecular test positive for tuberculosis.
OR
yy
Clinical TB case Patient diagnosed clinically as tuberculosis, without microbiologic confirmation and
initiated on anti-TB drugs.
List of RNTCP endorsed TB diagnostics are as below:

Smear Microscopy (for AFB):
48
Sputum smear stained with Zeil-Nelson Staining or
Fluorescence stains and examined under direct or indirect microscopy with or without LED.
Culture:
Solid(Lowenstein Jansen) media or
Liquid media (Middle Brook) using manual, semi-automatic or automatic machines e.g. Bactec, MGIT
etc.
Rapid diagnostic molecular test:
Conventional PCR based Line Probe Assay for MTB complex or
Real-time PCR based Nucleic Acid Amplification Test (NAAT) for MTB complex e.g. GeneXpert
Sputum Smear Microscopy (for AFB): Sputum smear stained with Zeil-Nelson Staining or Fluorescence stains
and examined under direct or indirect microscopy.
Sputum Culture: Sputum culture on solid (Lowenstein Jansen) media or liquid media (Middle Brook) using
manual, semi-automatic or automatic machines e.g. Bactec, MGIT etc.
Rapid diagnostic molecular test: Line Probe Assay for MTB or Nucleic Acid Amplification Test (CB-NAAT)
Options of Notification modalities

TB Notification using Nikshay
TB Notification (using mobile app)
Option of registration and login for private facilities for TB notification indirectly in Nikshay will be made available
by June 2014.
Challenges
Sensitization of huge number of private health care providers especially with inadequate human resources is
a big challenge. Also, following up notified cases as a public health responsibility in a manner acceptable to
patients and the community is another challenge. Managing huge information at different levels and creating
a national TB register and ensuring deduplication for converting the information in burden statement is also
challenging.
However, with support of various partners like IMA & CBCI, notification is progressing.
TB Annual Report
49
TB notification status
With efforts for sensitization of programme officials & staff and then subsequently to private sector, the number
of private health facilities registered in Nikshay for TB notification increased many fold in 2013 as compared to
2012. A total of >57,000 private health facilities are registered till now.
With increasing number of health facilities registered notification of TB cases also increased many fold. Till now,
>41,000 TB cases have been notified by private sector in addition to ~5,000 cases notified by public sector
being treated outside RNTCP. Though this is still the beginning and case based surveillance with increasingly
complete notification by all health facilities across the country will be the milestone for RNTCP in the coming
years.
50
Chapter 5:
RNTCP
performance:
notification
and Treatment
Outcome trends
Every quarter, Central TB Division receives aggregate case-finding,
programme management, sputum conversion, and treatment
outcome information for patients registered under the programme
from over 2,700 Tuberculosis Units nationwide. RNTCP follows the
global method of cohort analysis for describing case finding and
treatment outcomes. Timely data collection and dissemination are
hallmarks of the RNTCP surveillance and data management systems.
The data from the quarterly reports are analyzed and disseminated in
the public domain as quarterly performance reports before the end of
the subsequent quarter and as an annual report. For the purpose of
describing the notification in this section, the data from the reports of
the 4 quarters in a calendar year have been added and is presented
in the form of annual data. Though the programme was formally
initiated in the year 1997 and the quarterly reporting mechanism
was in place since inception, the data presented below extend from
the year 1999, when approximately about 10% of the countrys
population was covered onwards. The rapid pace of DOTS expansion
over the past decade complicates longitudinal data analysis in a
number of ways. District-by-district scale-up of RNTCP services over
several years changes the denominator of population covered every
quarter. Basic demographic characteristics of implementing districts
differed over the expansion years, as well as the expected evolution
of services and TB epidemiology in areas implementing RNTCP over
longer time periods.
For the purposes of this analysis, districts implementing RNTCP less
than one year during the initial year of implementation were attributed
to cover a population proportionate to the number of days in the first
year that services were available in each district. The rates presented
in this section are all per 100,000 populations after adjusting for the
TB Annual Report
51
number of days of implementation by individual districts till year 2006. Also the population of the districts is
based on 2001 census and 2011 Census India for these two years and estimated for the rest of the years based
on these two Censuses. Though the population in the tables is complete population of services covered as on
31st December of that year.
Sputum Microscopy Services and TB Suspect Examination

Over the 13 year analysis period, the population covered increased from 139 million to 1.23 billion populations
(Table 1). Smear microscopy services are reported independently of case notification results. As expected from
service expansion, the absolute number of TB suspects examined by smear microscopy annually has increased
manifold, from 0.96 million to 7.8 million. Over the same time period, the rate of TB suspect examination
increased by 50%, from 421 per 100,000 population covered by RNTCP services to 651 per 100,000 population
in 2013. Similarly, the rate of sputum smear positive cases diagnosed by microscopy has increased by 20%,
from 65 to 79 per 100,000 population by the year 2008, remained at that level for four years and has started
decreasing to 74 per 100,000 in year 2013 [Figure 1]. The average number of suspects examined for every
sputum smear positive case diagnosed has gradually increased at the rate of2% per year, from 2001 to 2013,
the number of suspects examined per smear positive case diagnosed has increased by 36% from 6.4 to 8.7
suspects (Figure 2) still suggesting that yield is progressively decreasing per unit case finding activity. Total and
sputum smear positive case notification is also shown in Table 1. An average difference of 14% [Range 915%]
was observed between the rate of sputum-positive cases diagnosed and the sputum-positive case notification
rate. This is one of the challenge programme will have to address in coming quarters, for which registration of
each TB case at diagnosis would be first step to bring in more accountability to treat each diagnosed cases in
the country.
Notification Rates of TB Cases

Overall, case notification has increased over the 13 year analysis period, and the notification rates of most types
of TB cases has steadily increased or remained stable, with the exceptions of new smear-negative (Table 2 and
Figure 3) and treatment after default later suggesting overall improvement in programme though indirectly
(Table 2 and Figure 4). The total case notification rate has increased from 101 cases per 100,000 population in
1999 to 139 per 100,000 population in 2004, remained near 130 till 2009 and started decreasing since 2010
stooping to 113 per 100,000 population in 2013 (Table 1). The NSP case notification rate has increased from
39 cases per 100,000 population in 1999 to 53 per 100,000 population in the year 2008, and has remained
at around 53/100,000 till 2011 but has decreased to 50 per 100,000 population in year 2013. The NSN
notification rates have shown a decreasing trend from 45 per 100,000 population in 2004 to 23 per 100,000
population in 2013 (Table 2 and Figure 3), and continues to fall. Some of the arguments for this are increased
efforts to get the sputum examined and bacilli demonstrated with increasing availability and application of
quality sputum smear microscopy services expanded under the programme.
The notification rate of re-treatment cases has increased by 40% over first few years, from 18 per 100,000
population in 1999 to 26 per 100,000 population in 2008, but has started showing decline to 22 per 10000
population by 2013. The increase in retreatment notification rates appears to be driven largely by increases
in the notification rates of the relapse and others types of re-treatment cases. The re-treatment others
notification rate has almost doubled from 4 per 100,000 population in 1999 to 8 per 100,000 population by
the year 2008 and continues to at that level in 2013. The notification rate of failure-type re-treatment cases
has remained almost stable from 2002 to 2010at the rate of 2 cases per 100,000 population. But after that,
decreasing trend is evident with expansion of PMDT services across the country with DST being offered earlier
to high risk patients. The Treatment after default notification rates have declined from 10/100,000 population
in 2001 to 5/100,000 population in 2011 (Table 2 and Figure 4).
52
Chapter 5: RNTCP performance: notification and Treatment Outcome trends
TB Annual Report
53
139
241
441
528
761
920
1058
1105
1,138
1,156
1,174
1,192
1,210
1,228
1,247
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Sputum smear
positive cases
diagnosed
Number Rate
n/a
1,48,610
65
2,86,789
73
3,56,409
75
5,55,250
81
7,11,661
83
7,62,619
76
8,34,628
76
8,79,741
77
9,11,821
79
9,30,453
79
939062
79
953032
79
933905
76
928190
74
Suspects
examined
Number Rate
n/a
9,56,113
421
20,46,039
517
25,07,455
524
39,55,395
576
51,28,852
599
56,84,860
569
62,16,509
566
64,83,312
570
68,17,390
590
72,47,895
617
75,50,522
633
78,75,158
651
78,67,194
640
81,21,514
651
Sputum Microscopy
Services (RNTCP)
Number
Rate
61,103
46
1,31,100
58
2,52,878
64
3,27,519
68
4,73,378
69
6,15,343
72
6,76,542
68
7,46,149
68
7,90,463
69
8,15,254
71
8,25,397
70
8,31,429
70
8,44,920
70
8,17,234
67
7,98,414
64
Total sputum smear

positive cases notified
(RNTCP)
Number
Rate
1,33,918
101
2,40,835
106
4,68,360
118
6,19,259
129
9,06,638
132
11,88,545
139
12,94,550
129
14,00,340
127
14,74,605
130
15,17,363
131
15,33,309
131
15,22,147
128
15,15,872
125
14,67,585
119
14,10,880
113
Estimated population based on 2001 and 2011 Census
Number Rate
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
441
0.04
4555
0.4
Total TB cases
notified outside
RNTCP (public
sector)
Case Notification
Total TB cases
notified (RNTCP)
Population is total covered at respective year end till 2006 and rates adjusted for number of days of implementation for newer areas
Total population
of India covered
under RNTCP
(millions)
Year
Table 1: TB Case finding activities and notification rates (1999 - 2013)
Number
Rate
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
3,106
0.3
38,596
3.1
Total TB cases
notified (private
sector)
Figure 1: Rate of TB suspect examined and smear positive TB cases diagnosed per 100,000 population
Figure 2: Trends in suspects examined per smear positive TB case diagnosed (2000-2013)
54
TB Annual Report
55
528 2,43,529
761 3,58,490
920
2002
2003
2004
93,359
1105
1,138 5,92,262
1,156
2007
2008
1,210 6,42,321
1,228 6,29,589
1,247 6,19,923
2011
2012
2013
6,24,617
2010
50
51
53
53
53
53
52
51
51
54
52
51
47
41
39
Rate
2,90,543
3,17,616
3,40,203
3,66,381
3,84,113
3,90,260
3,98,707
4,01,384
3,92,679
3,81,656
2,91,062
1,95,798
1,46,145
73,714
42,180
Number
23
26
28
31
33
34
35
37
39
45
42
41
37
32
32
Rate
New smear
negative
Rate
2,25,619 18
2,34,029 19
2,26,965 19
2,31,121 19
2,33,026 20
2,20,185 19
2,06,701 18
1,83,719 17
1,70,783 17
1,44,182 17
1,09,777 16
72,288 15
52,373 13
28,004 12
16,015 12
Number
New extrapulmonary
Rate
1,02,101 8
1,06,463 9
1,12,508 9
1,10,691 9
1,08,361 9
1,04,210 9
96,781 9
90,153 8
75,054 8
62,251 7
46,577 7
34,143 7
23,122 6
12,511 6
7,334 6
Number
Re-treatment
Relapse
62,509
64,782
72,787
72,110
73,549
76,583
77,397
76,699
72,021
67,657
54,353
40,767
38,400
20,288
9,326
Number
Estimated population based on 2001 and 2011 Census
10
Rate
Re-treatment
Treatment
after default
Population is total covered at respective year end till 2006 and rates adjusted for number of days of implementation for newer areas
6,30,165
1,174
1,192
2009
6,16,027
5,54,914
1058 5,07,089
2005
2006
4,65,616
1,83,970
241
441
2001
51,627
Number
New smear
positive
2000
139
Population
covered
(millions)
1999
Year
13,881
16,400
17,304
18,463
18,870
18,434
19,012
19,496
17,710
16,296
11,560
8,684
6,195
3,183
1,401
Number
1.1
1.0
1.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
1.0
1.0
Rate
Re-treatment
Failure
94774
96567
101832
91,708
88,976
89,995
83,746
74,270
59,845
51,929
35,983
24,578
18,450
9,115
5,541
Number
Rate
Re-treatment
Others
14,10,880
14,67,585
15,15,872
15,22,147
15,33,309
15,17,363
14,74,605
14,00,340
12,94,550
11,88,545
9,06,638
6,19,259
4,68,360
2,40,835
1,33,918
Number
113
119
125
128
131
131
130
127
129
139
132
129
118
106
101
Rate
Total case
notification
Table 2: Notification rates of different types of TB under RNTCP, 1999:2012 (Numbers & notification rates per 100,000 population)
All New (incident) TB Case Notification

The number and rate of all new (incident) cases notified in the country has steadily increased at the rate of
7% annually for several years initially in the implementation of the programme starting from 83 per 100,000
population in 1999 to 116 per 100,000 population in 2004, with almost 40% increase in half a decade (Figure
5). The decline began after complete coverage in the country, and the all new (incident) TB case notification rate
has decreased from 116 per 100,000 population in 2004 to 91 per 100,000 population in year 2013 showing
a decline of 20%, almost 2% annually. This is corroborative with the findings of repeat ARTI surveys, suggesting
declining transmission rates in the community.
Treatment Outcomes of Notified TB Cases

Treatment outcomes of pulmonary sputum-positive cases notified under RNTCP is summarized in Table 3.
Among NSP cases, the treatment success rate has been > 85% since the year 2001. The death rate and
failure rate has been about 5% and 2% respectively. The default rates has decreased from 9% for the cohort of
TB patients registered in 1999 to 6% for the cohort of patients registered in 2012. Among smear positive retreatment cases the treatment success rate has been ~70% since implementation. The death rate has shown
increase from 7% to 8%, failure rate about 6%. High default rates > 15% has been an area of concern among
the re-treatment cases. The treatment success rate has been relatively less favorable among re-treatment TAD
cases and failure cases (Table 4) when compared to the treatment success rate among other smear positive TB
cases (NSP and relapse).
Death rates among re-treatment cases have been higher when compared to the death rates among new smear
positive TB cases (Table 3 and Table 4). Among re-treatment cases, the death rates among failure cases has
been consistently higher by about 1-2% when compared to the death rates among other types of re-treatment
cases.
Figure 3: Trends in type of TB case notification rate (1999-2013)
56
Figure 4: Trends in type of re-treatment TB case notification rate (1999-2013)
Figure 5: Trend in incident TB case notification rate (1999-2013)
TB Annual Report
57
58
Success
82%
84%
85%
87%
86%
86%
86%
86%
87%
87%
87%
88%
88%
87%
New smear positive

Death
Failure
5%
3%
4%
3%
5%
3%
4%
3%
5%
2%
4%
2%
5%
2%
5%
2%
5%
2%
4%
2%
4%
2%
4%
2%
4%
2%
4%
2%
The year shown is the year of registration
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Default
9%
8%
7%
6%
6%
7%
7%
6%
6%
6%
6%
6%
5%
6%
Success
85%
86%
86%
87%
87%
87%
87%
87%
87%
88%
88%
89%
89%
89%
New smear negative

Death
Failure
4%
1%
3%
1%
4%
1%
4%
1%
4%
1%
4%
1%
4%
1%
4%
1%
3%
1%
3%
1%
3%
1%
3%
1%
3%
0%
4%
0%
Default
9%
9%
8%
7%
7%
8%
8%
8%
8%
7%
7%
7%
7%
6%
Success
91%
91%
91%
92%
92%
92%
91%
90%
91%
92%
92%
93%
93%
93%
Table 3: Treatment outcomes among notified new TB cases, 19992012

New Extra Pulmonary
Death
Failure
2%
0%
2%
0%
2%
0%
2%
0%
2%
0%
2%
0%
2%
0%
3%
0%
2%
0%
3%
0%
2%
0%
3%
0%
2%
0%
2%
0%
Default
6%
7%
6%
5%
5%
5%
6%
5%
5%
4%
4%
4%
4%
3%
TB Annual Report
59
75%
74%
2011
2012
7%
7%
7%
7%
7%
7%
7%
7%
4%
5%
5%
5%
5%
4%
5%
5%
5%
5%
6%
6%
6%
6%
The year shown is the year of registration
75%
2007
2010
74%
2006
75%
73%
2005
75%
73%
2008
7%
74%
2004
2009
7%
75%
2003
7%
7%
74%
75%
7%
2001
73%
2000
7%
Failure
Relapse
Death
2002
73%
Success
1999
Year
11%
11%
12%
12%
12%
12%
14%
14%
13%
12%
12%
12%
14%
13%
Default
54%
55%
57%
58%
59%
60%
58%
59%
62%
60%
60%
59%
57%
61%
Success
9%
10%
10%
10%
9%
9%
9%
8%
8%
9%
8%
9%
9%
7%
Death
12%
15%
15%
16%
14%
13%
14%
14%
13%
14%
15%
15%
14%
13%
Failure
Failure
15%
16%
16%
15%
16%
16%
18%
18%
16%
16%
66%
68%
68%
68%
68%
68%
66%
67%
69%
69%
71%
71%
16%
69%
16%
65%
Success
19%
17%
Default
8%
8%
8%
8%
8%
8%
8%
8%
7%
8%
7%
7%
7%
7%
Death
17%
17%
4%
3%
18%
17%
4%
4%
17%
18%
4%
4%
19%
20%
4%
4%
18%
4%
16%
5%
18%
16%
5%
5%
17%
21%
Default
5%
6%
Failure
Treatment After Default
70%
71%
71%
71%
71%
70%
69%
69%
71%
70%
72%
71%
69%
68%
Success
8%
8%
8%
8%
8%
8%
8%
7%
7%
8%
7%
7%
7%
7%
Death
5%
5%
5%
6%
5%
5%
6%
6%
6%
6%
6%
6%
6%
6%
Failure
14%
14%
14%
14%
14%
15%
16%
17%
16%
15%
14%
15%
16%
18%
Default
Total Smear positive Re-treatment
Table 4: Treatment outcomes among notified smear-positive re-treatment TB cases, 19992012
TB Suspects examined per 100,000 Population per Quarter,

by Districts, India 2013
60
Incident TB case notified per 1,00,000 population by

District, India 2013
TB Annual Report
61
Treatment success rate of New Smear Positive

Cases by District, India 2012
62
Treatment success rate of Re-treatment Smear

Positive Cases by District, India 2012
TB Annual Report
63
64
State and District Wise

Annualized Performance 2013
TB Annual Report
65
66
State and District Wise Annualized Performance 2013
TB Annual Report
67
344
628
336
752
Kerala
Lakshadweep
Madhya
Pradesh
131
Jammu &
Kashmir
Jharkhand
70
Himachal
Pradesh
Karnataka
263
Dadar &
Nagar Haveli
625
Chhattisgarh
Haryana
265
Chandigarh
Gujarat
11
Bihar
15
1084
Assam
Goa
320
Arunachal
Pradesh
14
Andhra
Pradesh
173
859
Andaman &
Nicobar
Daman & Diu
State
Delhi
Population
(in lakh)
covered
by RNTCP1
474333
1153
364892
509305
163133
88810
63107
181374
475598
15574
156463
3143
4145
118417
19245
444090
142972
10780
532026
4204
No. of
suspects
examined
158
445
271
203
119
170
225
173
190
264
227
299
279
112
445
102
112
187
155
275
Suspects
examined
per lakh
population
8%
2%
-1%
-1%
3%
-6%
-16%
1%
8%
1%
-8%
-4%
47%
-2%
-3%
-1%
3%
-2%
-4%
3%
Rate of
change in
suspects
examined
per lakh
population
(compared
to same
quarter in
previous
year)
54770
16
15064
44741
22509
7436
6514
25629
61129
1182
22345
281
329
13164
2466
47021
21812
1377
74161
337
No of
Smear
positive
patients
diagnosed2
72
24
11
12
10
13
11
13
12
Suspects
examined
per smear
positive
case
diagnosed
7%
-30%
0%
2%
5%
7%
5%
0%
5%
11%
2%
-24%
66%
3%
-2%
-1%
5%
-11%
1%
7%
Rate of
change in
suspects
examined
per s+
case
diagnosed
(compared
to same
quarter in
previous
year)
73
25
45
71
65
57
93
98
98
80
129
107
89
50
228
43
68
96
86
88
Annual
smear
positive
case
notification
rate
(reported
by RNTCP
DMCs)
62
19
38
55
59
50
102
78
79
59
109
109
48
45
120
37
58
84
71
79
Annual
smear
positive
case
notification
rate [from
CFR: sm
+ cases
(NSP +
Rel + TAD)
/ Pop]
92420
23
24204
61446
34941
11038
13691
38104
74086
1778
50727
742
411
25889
2890
67020
35624
2500
103707
738
Total
patients
registered
for
treatment3
123
35
72
98
102
85
196
145
119
120
294
282
111
98
267
62
111
174
121
193
Annual
total case
notification
rate
51
19
33
42
52
38
73
53
59
46
75
78
36
40
95
30
48
63
56
59
Annual
new smear
positive
case
notification
rate
Performance of RNTCP: Case finding and notification (2013)
36
12
17
28
11
29
27
11
16
48
57
20
34
33
15
27
30
25
53
Annual
new smear
negative
case
notification
rate
16
11
17
19
20
50
27
17
36
104
84
33
12
94
17
37
16
47
Annual
new extra
pulmonary
case
notification
rate
20
20
15
15
43
39
31
23
67
64
21
11
46
13
20
41
24
32
Annual
previously
treated
case
notification
rate
12
14
13
31
27
21
16
36
35
12
29
11
23
17
23
Annual
previously
treated
smear
positive
case
notification
rate
5.2
0.0
1.9
0.8
2.6
1.6
4.4
8.7
10.3
0.1
1.8
0.0
0.0
1.5
3.3
2.3
3.7
7.1
3.3
0.0
No of TB
cases
notified
by private
sector per
1,00,000
population
68
24638
8589
28
31
11
20
429
13
284
711
742
37
2068
105
932
12471
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Grand Total
11
12
10
12
10
11
4%
1%
-4%
3%
-3%
0%
0%
17%
-5%
5%
-5%
9%
13%
11%
-13%
10%
74
66
93
85
47
71
128
89
84
210
65
78
63
76
33
69
79
58
70
76
42
60
110
71
73
65
57
79
57
68
36
59
1416014
90423
13700
256733
2540
80407
1637
94698
37258
1458
45269
3339
2005
5002
2329
137237
Total
patients
registered
for
treatment3
63
48
49
62
36
48
85
52
52
53
48
61
44
53
29
46
Annual
new smear
positive
case
notification
rate
30
13
26
27
12
23
50
34
22
12
21
35
30
26
20
23
Annual
new smear
negative
case
notification
rate
21
18
24
14
11
20
77
20
28
30
21
35
72
46
20
22
Annual
new extra
pulmonary
case
notification
rate
3. Total patients registered for treatment includes new sputum smear positive cases, new smear negative cases, new EP cases, new others, relapse, failure, TAD and retreatment
others
114
97
131
124
68
108
264
133
131
112
105
167
178
160
83
119
Annual
total case
notification
rate
Smear positive patients diagnosed include new smear positive cases and smear positive retreatment cases, data from DMCs
928190
61658
9711
176153
1746
52769
796
63028
23864
2727
27818
1566
711
2366
926
80068
Annual
smear
positive
case
notification
rate [from
CFR: sm
+ cases
(NSP +
Rel + TAD)
/ Pop]
Projected population based on census population of 2011 is used for calculation of case-detection rate. 1 lakh = 100,000 population
2%
1%
-13%
0%
-6%
7%
0%
8%
-8%
4%
-12%
-4%
1%
-2%
-33%
14%
Suspects
examined
per smear
positive
case
diagnosed
Annual
smear
positive
case
notification
rate
(reported
by RNTCP
DMCs)
2.
163
151
153
150
134
222
310
158
164
465
117
181
190
198
72
191
Suspects
examined
per lakh
population
No of
Smear
positive
patients
diagnosed2
Rate of
change in
suspects
examined
per s+
case
diagnosed
(compared
to same
quarter in
previous
year)
1.
8121514
562619
64102
1239375
20020
659389
7685
448894
186568
24192
200964
14469
8125
879121
1153
State
No. of
suspects
examined
Population
(in lakh)
covered
by RNTCP1
Rate of
change in
suspects
examined
per lakh
population
(compared
to same
quarter in
previous
year)
27
18
31
22
17
52
27
29
17
14
35
32
34
14
27
Annual
previously
treated
case
notification
rate
17
13
22
15
13
32
20
22
14
21
14
19
14
Annual
previously
treated
smear
positive
case
notification
rate
3.1
0.3
0.3
0.3
0.0
2.5
0.0
0.7
1.6
0.0
0.0
14.1
0.8
32.3
0.0
9.6
No of TB
cases
notified
by private
sector per
1,00,000
population
TB Annual Report
69
2863
1966
Karnataka
Kerala
1172
Jharkhand
Lakshadweep
563
5087
Delhi
Jammu &
Kashmir
55
Daman & Diu
507
18
Dadar &
Nagar Haveli
Himachal
Pradesh
1071
Chhattisgarh
1484
233
Chandigarh
Haryana
3001
Bihar
92
1258
Assam
2935
250
Arunachal
Pradesh
Gujarat
3030
Andhra
Pradesh
Goa
35
Andaman &
Nicobar
State
43%
9%
6%
4%
6%
5%
5%
5%
6%
13%
10%
5%
5%
10%
6%
4%
13%
4%
6%
No (%) of
pediatric
cases out of
all New cases
75%
84%
88%
91%
88%
92%
90%
92%
85%
89%
63%
90%
88%
90%
85%
88%
88%
90%
87%
3 month
conversion
rate of
new smear
positive
patients
16
11783
66%
100%
30613
18405
6405
6068
19007
46521
825
16778
72
197
10880
1247
35808
16317
1166
56665
299
62%
77%
73%
80%
75%
74%
64%
72%
55%
63%
69%
76%
72%
69%
65%
73%
56%
3 month
conversion
rate of
retreatment
patients
100%
88%
87%
88%
97%
97%
90%
93%
91%
87%
57%
95%
91%
93%
87%
87%
95%
91%
96%
No (%) of all
Smear Positive
cases started
RNTCP DOTS
within 7 days of
diagnosis
16
12314
33687
20748
6509
6141
20186
48763
845
18799
126
205
11676
1311
40314
17765
1217
60292
278
100%
92%
95%
99%
98%
99%
96%
97%
93%
98%
100%
99%
97%
98%
98%
95%
99%
97%
89%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
8594
22311
12710
5570
4485
14188
36434
725
14654
45
152
7403
971
23250
11493
759
45250
246
100%
81%
82%
75%
92%
88%
87%
92%
98%
96%
62%
90%
75%
86%
80%
80%
91%
87%
88%
No (%) of all
cured Smear
Positive cases
having end
of treatment
follow- up
sputum done
within 7 days of
last dose
13
15440
32877
27919
1111
2931
12838
44249
177
3429
134
60
15043
751
53654
13308
794
88155
237
100%
65%
53%
79%
14%
28%
38%
60%
10%
9%
43%
39%
60%
26%
82%
38%
36%
85%
32%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
0%
89%
95%
49%
43%
65%
77%
95%
96%
74%
80%
42%
48%
97%
34%
36%
84%
95%
82%
Proportion
of all
registered
TB cases
with
known
HIV status
2%
12%
2%
1%
1%
2%
4%
6%
2%
0%
3%
3%
1%
4%
1%
0%
10%
0%
0%
2%
14%
1%
0%
1%
1%
5%
6%
1%
1%
0%
0%
1%
1%
0%
0%
10%
1%
Proportion Proportion
of TB
of TB
patients
patients
known
known
to be HIV to be HIV
infected
infected
among
among
tested
registered
Performance of RNTCP: Case finding (2013), Smear Conversion (4q12-3q13), quality of DOTS
81%
100%
26%
23%
80%
73%
98%
96%
69%
100%
50%
11%
97%
45%
59%
0%
92%
0%
89%
90%
84%
64%
83%
65%
92%
83%
91%
100%
50%
57%
90%
73%
75%
67%
83%
25%
of HIV
of HIV
infected
infected
TB
TB
patients
patients
put on
put on
CPT( RT
ART( RT
report)
report)
70
63919
Grand Total
6%
632
3087
Uttarakhand
9920
Uttar Pradesh
West Bengal
5%
61
Tripura
5%
4%
3%
5%
9%
117
3385
5%
Tamil Nadu
3598
Rajasthan
5%
7%
5%
11%
9%
11%
5%
6%
8%
Sikkim
90
1541
1901
Orissa
Punjab
299
Nagaland
Pondicherry
448
154
106
Manipur
Meghalaya
6687
Maharashtra
Mizoram
6264
Madhya
Pradesh
State
No (%) of
pediatric
cases out of
all New cases
90%
87%
86%
91%
90%
90%
82%
91%
89%
92%
88%
93%
94%
84%
88%
90%
91%
3 month
conversion
rate of
new smear
positive
patients
72%
66%
71%
76%
72%
70%
63%
78%
76%
81%
68%
84%
74%
61%
74%
64%
71%
3 month
conversion
rate of
retreatment
patients
705011
45948
6312
141830
1329
37621
708
41615
20026
785
20593
1299
654
1919
686
62654
41960
88%
82%
87%
90%
83%
83%
98%
82%
92%
90%
84%
89%
100%
91%
94%
90%
89%
No (%) of all
Smear Positive
cases started
RNTCP DOTS
within 7 days of
diagnosis
777239
53485
6873
156018
1573
43621
718
48880
21292
774
24090
1365
651
1980
698
68365
45664
97%
95%
95%
99%
98%
96%
99%
96%
98%
88%
98%
93%
99%
94%
96%
98%
97%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
542693
37846
5119
115595
1107
27665
522
36743
16511
633
15226
1013
557
1225
517
43756
29410
84%
87%
87%
86%
80%
82%
97%
81%
93%
96%
75%
80%
91%
84%
84%
84%
79%
No (%) of all
cured Smear
Positive cases
having end
of treatment
follow- up
sputum done
within 7 days of
last dose
736069
20782
7719
182844
1062
20872
605
17275
13579
35379
1528
448
2254
1015
58687
58900
54%
24%
60%
74%
42%
26%
37%
19%
36%
78%
58%
22%
49%
69%
46%
66%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
63%
64%
58%
25%
68%
92%
81%
48%
86%
98%
59%
82%
80%
29%
73%
87%
50%
Proportion
of all
registered
TB cases
with
known
HIV status
5%
2%
1%
2%
1%
6%
0%
1%
1%
3%
2%
7%
13%
1%
8%
9%
1%
3%
1%
0%
0%
1%
6%
0%
0%
1%
3%
1%
6%
12%
0%
8%
9%
0%
of TB
of TB
patients
patients
known
known
to be HIV to be HIV
infected
infected
among
among
tested
registered
91%
91%
67%
21%
81%
90%
100%
78%
90%
95%
46%
86%
91%
100%
47%
98%
51%
84%
83%
76%
62%
63%
79%
100%
85%
87%
95%
63%
54%
50%
75%
51%
86%
86%
of HIV
of HIV
infected
infected
TB
TB
patients
patients
put on
put on
CPT( RT
ART( RT
report)
report)
TB Annual Report
71
320
1084
11
265
173
15
625
263
70
131
344
628
336
752
1153
Chandigarh
Chhattisgarh
Dadar & Nagar

Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu &
Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
14
Arunachal
Pradesh
Assam
859
Andhra Pradesh
Bihar
Andaman &
Nicobar
State
22766
1096
5077
6555
208
627
459
580
3275
401
608
720
106
2633
416
18
3551
Number
Population (in
of health
lakh) covered
facilities
by RNTCP1 registered in
2013
1014
69
880
469
30
225
74
53
51
68
98
164
16
309
Number
of health
facilities
registered
(Laboratories
- Private)
15875
571
2129
4794
85
191
279
146
2175
398
309
374
101
1918
257
923
Number
of health
facilities
registered
(Single clinic
- Private)
5139
330
1012
1263
84
60
104
364
740
209
209
164
90
2254
781
58
11
12
17
35
153
81
48
Number
Number of
of health
patients
facilities
notified by
registered
(Laboratories
(Multi-clicnic - Private)
Private)
TB case notificaiotn in 2013
5061
2646
170
258
576
180
59
260
3144
136
37
30
2135
665
617
Number of
patients
notified by
(Single clinic
- Private)
5221
1231
471
227
309
11
249
2012
3270
172
361
211
440
102
2133
Number of
patients
notified by
(Multi-clinic Private)
11063
3935
652
494
887
203
311
2289
6449
308
398
36
2499
1186
102
2798
9.6
5.2
0.0
1.9
0.8
2.6
1.6
4.4
8.7
10.3
0.1
1.8
0.0
0.0
1.5
3.3
2.3
3.7
7.1
3.3
0.0
No of TB
No of TB
cases notified
patients
by private
notification by
sector per
private sector
1,00,000
population
72
742
37
2068
105
932
12471
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Grand Total
59058
4016
866
3088
478
4824
853
72
144
21
206
35517
1738
453
2034
178
543
15172
1165
248
889
261
539
1430
45
19
43
96
17
Cohort for 2013 is based on Date of diagnosis reported
711
Rajasthan
1399
3.
284
Punjab
11
12
11
17535
133
305
456
131
89
82
365
Number of
patients
notified by
(Single clinic
- Private)
Notification information as per information in Nikshay
13
Pondicherry
19
Number
Number of
of health
patients
facilities
notified by
registered
(Laboratories
(Multi-clicnic - Private)
Private)
Projected population based on census population of 2011 is used for calculation of case notification rate 1 lakh = 1,00,000 population
429
Orissa
16
Number
of health
facilities
registered
(Single clinic
- Private)
2.
20
Nagaland
35
32
Number
of health
facilities
registered
(Laboratories
- Private)
1.
31
11
Meghalaya
Mizoram
28
Manipur
State
Number
Population (in
of health
lakh) covered
facilities
by RNTCP1 registered in
2013
19631
60
16
274
1293
370
336
200
642
Number of
patients
notified by
(Multi-clinic Private)
38596
238
35
622
1845
501
442
282
1007
3.1
0.3
0.3
0.3
0.0
2.5
0.0
0.7
1.6
0.0
0.0
14.1
0.8
32.3
0.0
No of TB
No of TB
cases notified
patients
by private
notification by
sector per
1,00,000
private sector
population
TB Annual Report
73
802
15486
32673
982
10730
153
76
Arunachal
Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar &
Nagar Haveli
Daman & Diu
5026
5979
17915
27781
11199
Haryana
Himachal
Pradesh
Jammu &
Kashmir
Jharkhand
Karnataka
Kerala
36333
51271
859
1594
566
1203
22180
Madhya
Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
11
13779
Gujarat
Lakshadweep
705
35871
Goa
13854
50200
Andhra
Pradesh
Delhi
268
Registered
Andaman &
Nicobar
State
82%
89%
88%
79%
82%
84%
86%
91%
81%
81%
84%
84%
87%
85%
86%
83%
84%
74%
83%
80%
86%
75%
80%
83%
85%
88%
Cured
5%
2%
1%
3%
3%
2%
3%
0%
3%
1%
6%
5%
3%
1%
0%
1%
0%
0%
0%
8%
0%
13%
4%
2%
4%
1%
Completed
5%
2%
3%
5%
3%
6%
4%
9%
5%
6%
3%
3%
4%
4%
5%
3%
3%
3%
4%
4%
4%
3%
5%
2%
5%
1%
Died
1%
3%
3%
5%
4%
2%
1%
0%
5%
3%
1%
1%
3%
2%
2%
3%
3%
4%
1%
1%
4%
1%
3%
3%
2%
5%
Failure
6%
3%
4%
7%
8%
5%
5%
0%
5%
7%
5%
4%
3%
6%
5%
7%
5%
18%
6%
7%
2%
7%
8%
7%
4%
3%
Defaulted
New Smear Positive1
1%
0%
0%
1%
1%
1%
1%
0%
1%
1%
0%
3%
0%
0%
1%
1%
2%
0%
4%
1%
2%
1%
1%
1%
0%
1%
Trans
out
0%
0%
0%
0%
0%
1%
0%
0%
0%
0%
0%
0%
0%
0%
1%
2%
3%
1%
2%
0%
2%
0%
0%
2%
0%
1%
Switched
to Cat IV
10732
768
526
956
819
28696
26652
5410
13895
10353
1749
2118
6524
7349
256
8399
109
87
9723
336
20054
8602
535
23058
213
Regist-ered
86%
91%
102%
89%
90%
87%
90%
100%
91%
86%
88%
90%
93%
87%
89%
89%
92%
62%
83%
85%
93%
89%
83%
89%
90%
87%
Completed
5%
2%
3%
3%
2%
5%
2%
0%
4%
6%
4%
2%
4%
3%
5%
5%
2%
4%
1%
5%
3%
2%
4%
3%
4%
4%
Died
0%
1%
0%
1%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
1%
2%
1%
1%
0%
0%
1%
0%
0%
1%
0%
0%
Failure
7%
6%
3%
6%
7%
7%
6%
0%
4%
7%
7%
5%
3%
8%
5%
2%
3%
33%
7%
9%
2%
7%
12%
6%
5%
6%
Defaulted
New Smear Negative2
1%
1%
0%
1%
0%
1%
1%
0%
1%
1%
1%
2%
0%
0%
0%
0%
1%
0%
9%
1%
1%
2%
1%
1%
0%
2%
Trans
out
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Switched
to Cat IV
Treatment Ourcome if New TB cases registered in 2012
9466
765
740
1378
613
25532
10898
5987
12504
2488
2757
3196
7211
9968
564
17466
44
67
3448
948
5138
5191
435
14172
226
Regist-ered
92%
96%
103%
92%
92%
92%
94%
100%
91%
89%
93%
92%
95%
94%
93%
94%
96%
100%
96%
95%
97%
85%
90%
94%
94%
94%
Completed
3%
1%
3%
2%
2%
3%
2%
0%
4%
5%
3%
2%
2%
1%
3%
4%
1%
0%
0%
3%
1%
2%
2%
1%
3%
2%
Died
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Failure
5%
3%
3%
4%
6%
4%
3%
0%
4%
4%
4%
3%
3%
4%
4%
1%
2%
0%
1%
3%
1%
5%
6%
3%
2%
4%
Defaulted
New Extra Pulmonary2
1%
0%
0%
1%
0%
1%
1%
0%
1%
2%
0%
3%
0%
0%
1%
1%
1%
0%
3%
1%
1%
8%
1%
1%
1%
0%
Trans
out
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Switched
to Cat IV
74
43838
628897
West Bengal
Grand Total
86%
84%
83%
81%
5%
4%
2%
4%
4%
4%
4%
3%
5%
2%
3%
2%
1%
2%
2%
7%
1%
2%
5%
Failure
6%
6%
7%
6%
4%
7%
1%
5%
5%
5%
Defaulted
1%
1%
2%
1%
0%
0%
0%
0%
2%
0%
Trans
out
0%
0%
0%
0%
0%
0%
8%
0%
0%
1%
Switched
to Cat IV
317155
14292
3178
59951
395
18723
341
25680
6483
192
Regist-ered
89%
85%
87%
90%
86%
92%
90%
91%
89%
87%
Completed
Treatment success for New Smear Negative and New Extra Pulmonary are treatment completed.
5558
2%
5%
4%
4%
5%
6%
Died
Treatment success for New Smear Positive is cured and treatment completed.
130268
Uttar Pradesh
Uttarakhand
87%
1%
0%
3%
3%
0%
Completed
2.
1393
Tripura
84%
79%
86%
83%
83%
Cured
New Smear Positive1
1.
494
33671
39904
Rajasthan
Tamil Nadu
15642
Punjab
Sikkim
633
Registered
Pondicherry
State
4%
6%
3%
2%
7%
4%
2%
3%
5%
8%
Died
0%
0%
1%
0%
0%
0%
3%
0%
1%
1%
Failure
6%
7%
7%
7%
6%
4%
1%
6%
5%
4%
Defaulted
New Smear Negative2
1%
1%
3%
1%
1%
0%
2%
0%
1%
0%
Trans
out
0%
0%
0%
0%
0%
0%
1%
0%
0%
0%
Switched
to Cat IV
233622
17355
2863
32509
443
14674
554
15044
8614
358
Regist-ered
93%
90%
94%
94%
89%
96%
95%
95%
94%
97%
Completed
2%
4%
1%
1%
5%
2%
4%
2%
3%
1%
Died
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Failure
3%
4%
3%
3%
6%
2%
1%
3%
2%
1%
Defaulted
New Extra Pulmonary2
1%
1%
1%
1%
0%
0%
1%
0%
1%
0%
Trans
out
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Switched
to Cat IV
TB Annual Report
75
187525
Total
50
7530
161
1861
2948
248
768
50
13
4045
168
7658
4560
1738
1261
Andaman &
Nicobar
Andhra
Pradesh
Arunachal
Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar &
Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal
Pradesh
Jammu &
Kashmir
73%
75%
70%
69%
66%
70%
85%
62%
61%
81%
62%
57%
75%
70%
62%
Cured
64771
Treatment
after default
No. registered
16384
Failure
State
106370
82%
82%
75%
71%
69%
71%
85%
62%
74%
81%
79%
68%
79%
76%
68%
Success
62%
58%
47%
67%
4%
6%
7%
8%
4%
5%
0%
6%
6%
2%
6%
8%
1%
8%
16%
4%
5%
5%
6%
11%
4%
0%
2%
4%
3%
4%
6%
4%
5%
6%
Failure
Relapse
Died
8%
8%
9%
7%
5%
3%
12%
4%
14%
17%
15%
11%
2%
3%
1%
1%
3%
2%
8%
3%
Transferred Switched
out
to Cat IV
6%
4%
12%
13%
13%
7%
8%
20%
14%
5%
10%
16%
8%
9%
6%
Defaulted
4%
0%
0%
1%
0%
2%
0%
4%
1%
3%
1%
1%
1%
0%
0%
Transferred
out
0%
2%
1%
2%
4%
11%
8%
6%
1%
5%
1%
1%
7%
2%
4%
Switched
to Cat IV
178
216
777
755
34
548
149
66
519
425
44
1516
18
No.
registered
53%
50%
53%
52%
41%
54%
0%
50%
47%
65%
37%
38%
41%
49%
39%
Cured
58%
59%
61%
54%
41%
55%
0%
50%
62%
65%
51%
49%
41%
56%
39%
Success
9%
11%
9%
10%
15%
4%
0%
0%
5%
8%
10%
12%
9%
11%
11%
Died
13%
17%
10%
13%
15%
8%
0%
0%
8%
9%
16%
16%
18%
14%
22%
Failure
Failure
15%
7%
16%
20%
6%
9%
100%
0%
20%
5%
15%
16%
5%
13%
6%
Defaulted
4%
1%
1%
1%
3%
3%
0%
50%
3%
2%
2%
1%
0%
1%
6%
Transferred
out
1%
5%
4%
3%
21%
20%
0%
0%
2%
12%
6%
6%
27%
5%
17%
Switched
to Cat IV
346
243
2123
4692
60
1932
10
18
625
57
4429
1296
85
5709
17
No.
registered
62%
56%
60%
62%
55%
64%
60%
50%
50%
65%
58%
49%
53%
61%
47%
Cured
State-wise outcome of Smear Positive Retreatment cases 2012 (excluding Others)
70%
66%
54%
74%
No.
Cured Success Died Failure Defaulted
registered
Relapse
Type of
retreatment
case
Outcome of Smear Positive Retreatment cases for India 2012 (excluding Others)
73%
69%
67%
64%
55%
64%
60%
50%
66%
65%
77%
58%
64%
70%
53%
Success
5%
9%
9%
9%
2%
6%
0%
6%
8%
11%
6%
9%
9%
10%
35%
Died
5%
5%
4%
5%
5%
2%
10%
11%
4%
2%
2%
4%
6%
4%
6%
Failure
TAD
13%
16%
19%
19%
30%
13%
20%
28%
21%
12%
12%
22%
12%
13%
6%
Defaulted
3%
0%
1%
2%
2%
3%
0%
6%
1%
5%
1%
5%
2%
1%
0%
Transferred
out
0%
1%
1%
2%
7%
11%
10%
0%
0%
5%
1%
1%
7%
2%
0%
Switched
to Cat IV
76
1229
Kerala
193
18984
1596
6761
106370
Uttarakhand
West Bengal
Grand Total
65%
183
4969
Sikkim
Tamil Nadu
Uttar Pradesh
69%
71%
4844
9462
Punjab
Rajasthan
Tripura
72%
116
Pondicherry
67%
69%
67%
72%
75%
64%
59%
74%
231
2126
Orissa
70%
61%
73%
57%
65%
100%
69%
60%
65%
Cured
Nagaland
322
126
139
Manipur
Meghalaya
10495
Maharashtra
Mizoram
5336
Madhya
Pradesh
4593
Lakshadweep
1605
Jharkhand
No. registered
Karnataka
State
74%
72%
73%
81%
77%
69%
65%
79%
76%
72%
74%
84%
75%
68%
78%
62%
76%
100%
74%
64%
77%
Success
7%
8%
6%
5%
7%
8%
6%
6%
8%
6%
8%
3%
6%
7%
2%
9%
6%
0%
6%
9%
6%
Died
4%
6%
5%
2%
5%
4%
8%
3%
4%
10%
2%
4%
3%
9%
8%
4%
3%
0%
6%
8%
3%
Failure
Relapse
11%
11%
12%
11%
9%
16%
2%
10%
9%
7%
13%
5%
8%
8%
9%
13%
12%
0%
7%
17%
9%
Defaulted
1%
1%
3%
1%
1%
1%
1%
0%
1%
0%
2%
0%
1%
1%
1%
2%
1%
0%
1%
1%
3%
Transferred
out
3%
2%
1%
0%
1%
2%
19%
2%
1%
5%
1%
3%
9%
7%
2%
9%
1%
0%
5%
1%
2%
Switched
to Cat IV
16384
2022
208
1842
30
730
57
810
494
39
316
74
22
171
34
1481
898
643
1098
164
No.
registered
47%
45%
37%
54%
63%
41%
32%
56%
52%
51%
53%
54%
50%
25%
44%
38%
45%
65%
36%
44%
Cured
54%
48%
42%
64%
63%
45%
32%
68%
60%
51%
64%
65%
55%
27%
47%
42%
57%
70%
41%
55%
Success
9%
8%
12%
8%
3%
11%
14%
6%
10%
10%
8%
8%
5%
6%
9%
12%
10%
5%
13%
8%
Died
12%
14%
18%
10%
3%
12%
12%
8%
10%
26%
7%
14%
32%
23%
29%
11%
12%
10%
17%
16%
Failure
Failure
15%
15%
15%
17%
20%
22%
0%
13%
12%
13%
14%
7%
18%
18%
9%
17%
16%
9%
23%
11%
Defaulted
1%
2%
3%
1%
0%
1%
2%
0%
3%
0%
2%
1%
0%
1%
0%
1%
0%
1%
1%
0%
Transferred
out
8%
14%
10%
1%
10%
9%
40%
4%
6%
0%
5%
5%
9%
25%
6%
17%
5%
5%
5%
10%
Switched
to Cat IV
64771
3427
746
12835
31
3661
27
5280
1232
52
1689
155
23
173
68
4496
3912
598
3574
1150
No.
registered
58%
52%
53%
64%
48%
53%
33%
65%
60%
60%
49%
73%
43%
43%
65%
46%
55%
42%
44%
63%
Cured
66%
57%
61%
74%
52%
60%
33%
74%
66%
63%
63%
80%
65%
47%
72%
52%
70%
49%
49%
75%
Success
8%
10%
8%
6%
19%
9%
22%
7%
10%
13%
9%
7%
0%
10%
7%
11%
8%
12%
13%
7%
Died
3%
5%
5%
2%
6%
3%
4%
3%
4%
4%
2%
5%
4%
13%
4%
4%
3%
6%
6%
2%
Failure
TAD
17%
23%
15%
14%
19%
26%
11%
13%
15%
19%
21%
5%
26%
20%
16%
21%
16%
29%
27%
11%
Defaulted
3%
3%
10%
4%
3%
1%
0%
0%
3%
0%
4%
2%
0%
6%
0%
4%
2%
2%
5%
2%
Transferred
out
2%
2%
1%
0%
0%
1%
30%
2%
1%
0%
1%
1%
4%
3%
0%
7%
1%
2%
1%
1%
Switched
to Cat IV
TB Annual Report
77
30
21
12
14
24
31
14
50
Haryana
Himachal
Pradesh
Jammu &
Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya
Pradesh
Dadar & Nagar

Haveli
Gujarat
27
Chhattisgarh
Chandigarh
Goa
38
Bihar
26
Assam
25
14
Arunachal
Pradesh
Delhi
24
Andhra Pradesh
Daman & Diu
Andaman &
Nicobar
Implementing
states
161
73
141
117
42
49
65
144
40
77
183
76
15
182
761
502
665
300
172
193
252
757
20
196
326
17
742
345
34
931
13
Total no. of
Implementing
reporting
district details
units
No. of
No. of
(Districts /
TB
Units
DMCs
DTC)
49
70
61
34
16
30
145
48
22
651
22
17
83
NGO
172
20
82
22
42
45
4971
48
44
12
76
137
PP
12
24
42
18
35
Medical
College
Involvement of Other sectors
50
14
29
21
13
12
19
21
24
26
22
26
14
17
DTO
11
16
10
14
11
30
20
2nd MO
11
16
10
14
11
30
20
MO-TC
148
74
134
66
40
51
66
142
41
68
146
75
13
172
STS
153
72
128
66
44
48
49
135
36
53
148
76
13
173
STLS
Number of key staff in position
Programme infrastructure, staffing and training status 2013
796
19
657
630
427
231
156
246
717
20
190
336
17
751
421
44
849
40
LT
82%
84%
80%
86%
69%
86%
76%
72%
95%
99%
76%
100%
67%
80%
100%
64%
77%
69%
74%
100%
MO
86%
100%
81%
87%
78%
91%
79%
65%
96%
100%
33%
100%
89%
79%
100%
71%
65%
58%
85%
100%
Para Staff
In Place and trained

in RNTCP
78
19
703
Grand Total
31
Tamil Nadu
West Bengal
Sikkim
13
34
Rajasthan
Uttarakhand
10
20
Punjab
Pondicherry
75
31
Orissa
Tripura
11
Nagaland
Uttar Pradesh
193
Mizoram
13
3000
193
31
403
184
58
111
13
13
Manipur
381
78
Meghalaya
Maharashtra
Implementing
states
13325
818
151
1890
55
805
20
850
284
26
549
38
33
64
55
1441
Total no. of
Implementing
reporting
district details
units
No. of
No. of
(Districts /
TB
Units
DMCs
DTC)
2591
175
135
160
37
41
44
34
54
10
298
330
NGO
13273
62
62
88
154
215
17
14
6963
PP
1457
186
28
364
10
164
147
58
104
10
12
12
169
Medical
College
Involvement of Other sectors
629
19
13
63
24
32
18
31
74
DTO
448
19
12
54
25
29
18
33
11
62
2nd MO
448
19
12
54
25
29
18
33
11
62
MO-TC
1583
41
23
11
230
STS
2737
194
28
416
12
182
172
56
109
12
328
STLS
Number of key staff in position
8448
182
21
379
10
154
155
53
96
12
811
LT
69%
11%
76%
33%
33%
32%
100%
36%
45%
25%
35%
63%
100%
50%
52%
72%
MO
88%
100%
100%
89%
100%
97%
100%
91%
100%
100%
100%
78%
100%
86%
89%
93%
Para Staff
In Place and trained

in RNTCP
TB Annual Report
79
Andaman
Adilabad
Anantapur
Bhadrachalam
Chittoor
Cuddapah
East Godavari
Guntur
Hyderabad
Karimnagar
Khammamh
Krishna
Kurnool
Mahbubnagar
Medak
Nalgonda
Nellore
Nizamabad
Prakasam
Rangareddi
Srikakulam
Visakhapatnam
Vizianagaram
Warangal
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
District
Andaman & Nicobar
State
35.7
23.8
43.5
27.4
53.7
34.4
25.9
30.1
35.3
30.7
41.0
41.0
45.9
19.9
38.7
40.7
49.6
52.2
29.3
42.3
8.5
41.4
27.8
3.8
Population
(in lakh)
covered by
RNTCP1
18835
16307
33681
19050
23368
19081
14311
17828
15133
12479
22632
24568
25027
13709
22765
39009
36661
37575
18188
26285
8012
27121
13826
4204
No. of
suspects
examined
132
172
194
174
109
139
138
148
107
101
138
150
136
173
147
240
185
180
155
155
235
164
124
275
Suspects
examined
per lakh
population
-6%
-13%
3%
-8%
4%
-7%
-32%
-8%
-4%
4%
15%
3%
-10%
-4%
6%
-3%
-6%
-11%
-7%
-4%
2%
4%
6%
3%
Rate of
change in
suspects
examined
per lakh
population
3597
2050
3838
2065
3766
2589
1562
2491
3003
1743
2993
3387
3351
2368
2963
5701
5367
3978
2145
4216
1383
3831
2388
337
No of Smear
positive
patients
diagnosed2
12
Suspects
examined
per smear
positive case
diagnosed
-6%
-1%
5%
-7%
8%
-1%
-19%
1%
1%
10%
9%
3%
2%
-1%
15%
1%
-2%
-1%
-10%
-2%
7%
4%
7%
7%
Rate of
change in
suspects
examined
per s+ case
diagnosed
101
86
88
75
70
75
60
83
85
57
73
83
73
119
77
140
108
76
73
100
162
93
86
88
Annual
Smear
positive case
detection
rate (from
PMR)
75
76
75
68
61
72
59
64
71
60
65
69
59
97
65
68
81
68
71
65
147
68
84
79
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
3901
3628
5578
3258
5791
4457
2361
3232
3801
2844
4076
5535
4668
2847
3785
6612
6617
7104
3380
4325
1893
4795
3916
738
Total
patients
registered
for
treatment3
109
153
128
119
108
130
91
107
108
92
99
135
102
143
98
163
133
136
116
102
222
116
141
193
Annual
total case
notification
rate
Performance of RNTCP case finding (2013), Smear conversion (4q12-3q13), Treatment Outcome 2012 and Notification by private sector
52
63
64
57
47
56
50
49
56
48
52
53
47
69
50
53
65
57
50
52
109
54
67
59
Annual
new smear
positive case
notification
rate
80
Prakasam
Rangareddi
Srikakulam
Visakhapatnam
Vizianagaram
Warangal
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Nellore
Nizamabad
Andhra Pradesh
Nalgonda
Andhra Pradesh
Andhra Pradesh
Mahbubnagar
Medak
Andhra Pradesh
Andhra Pradesh
Krishna
Kurnool
Andhra Pradesh
Andhra Pradesh
Karimnagar
Hyderabad
Andhra Pradesh
Khammamh
Guntur
Andhra Pradesh
Andhra Pradesh
East Godavari
Andhra Pradesh
Andhra Pradesh
Chittoor
Cuddapah
Andhra Pradesh
Andhra Pradesh
Anantapur
Bhadrachalam
Andhra Pradesh
Andhra Pradesh
Andaman
Adilabad
Andaman & Nicobar
District
Andhra Pradesh
State
17
35
25
31
14
35
19
25
18
16
20
34
19
24
18
29
29
38
19
13
47
25
35
53
Annual
new smear
negative
case
notification
rate
27
23
12
27
14
12
14
14
12
51
16
18
15
17
12
12
13
47
Annual
new extra
pulmonary
case
notification
rate
31
27
17
19
20
30
14
25
20
16
18
34
22
39
23
30
24
22
31
20
55
25
26
32
Annual
previously
treated case
notification
rate
31
27
17
19
20
30
14
25
20
16
18
34
22
39
23
30
24
22
31
20
55
25
26
32
Annual
previously
treated
smear
positive
case
notification
rate
45
139
210
97
314
81
56
55
100
106
118
179
91
46
54
493
146
185
59
77
21
98
106
35
2%
5%
4%
4%
7%
2%
3%
2%
3%
5%
4%
4%
2%
2%
2%
9%
3%
3%
2%
2%
1%
3%
3%
6%
No (%) of pediatric cases

out of all New cases
93%
93%
95%
95%
93%
87%
89%
91%
91%
90%
90%
90%
89%
66%
91%
92%
93%
93%
91%
90%
85%
83%
89%
87%
3 month
conversion
rate of
new smear
positive
patients4
82%
87%
83%
86%
78%
66%
69%
67%
68%
73%
83%
75%
67%
56%
66%
76%
82%
81%
68%
68%
69%
62%
66%
56%
3 month
conversion
rate of
retreatment
patients4
91%
91%
91%
93%
89%
84%
89%
86%
90%
86%
85%
85%
89%
74%
88%
87%
91%
90%
91%
88%
90%
82%
90%
89%
Treatment
Success
rate of
new smear
positive
patients5
82%
82%
72%
83%
76%
63%
61%
57%
75%
65%
71%
66%
69%
59%
67%
70%
79%
76%
74%
64%
77%
64%
73%
59%
Treatment
success
rate among
smear
positive
previously
treated
cases5
2589
1653
3061
1644
3095
2233
1477
1797
2323
1753
2509
2588
2472
1590
2365
2737
3848
3245
1909
2578
1187
2590
2242
299
94%
89%
93%
87%
92%
88%
94%
91%
91%
94%
92%
87%
88%
80%
91%
97%
95%
91%
90%
92%
92%
89%
93%
96%
No (%) of all Smear Positive

cases started RNTCP DOTS
within 7 days of diagnosis
2702
1801
3233
1767
3293
2516
1518
1950
2416
1837
2640
2961
2631
1882
2530
2808
4014
3498
2000
2785
1186
2703
2379
278
98%
97%
98%
94%
98%
99%
97%
99%
95%
99%
97%
100%
94%
94%
97%
99%
99%
98%
95%
99%
92%
93%
99%
89%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
TB Annual Report
81
Visakhapatnam
Vizianagaram
Warangal
Andhra Pradesh
Andhra Pradesh
Andhra Pradesh
Rangareddi
Srikakulam
Andhra Pradesh
Prakasam
Andhra Pradesh
Andhra Pradesh
Nellore
Nizamabad
Andhra Pradesh
Nalgonda
Andhra Pradesh
Andhra Pradesh
Medak
Andhra Pradesh
Krishna
Andhra Pradesh
Kurnool
Khammamh
Andhra Pradesh
Mahbubnagar
Karimnagar
Andhra Pradesh
Andhra Pradesh
Hyderabad
Andhra Pradesh
Andhra Pradesh
Guntur
Andhra Pradesh
Chittoor
Andhra Pradesh
Cuddapah
Bhadrachalam
Andhra Pradesh
East Godavari
Anantapur
Andhra Pradesh
Andhra Pradesh
Adilabad
Andhra Pradesh
Andhra Pradesh
Andaman
District
Andaman &
Nicobar
State
2213
1589
2694
1309
2656
1714
1286
1416
1773
1323
1873
1832
2232
610
1910
2435
3521
2925
1412
1908
459
1603
1699
246
91%
85%
95%
80%
91%
89%
91%
86%
86%
87%
86%
78%
84%
72%
88%
99%
92%
91%
86%
84%
44%
80%
88%
88%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7
days of last
dose
3901
3386
4796
2857
4758
4452
2282
3231
3694
2669
3917
5312
1573
2572
3197
3579
5879
6620
3144
3586
1496
4368
3872
237
100%
93%
86%
88%
82%
100%
97%
100%
97%
94%
96%
96%
38%
93%
85%
54%
89%
93%
94%
83%
79%
91%
99%
32%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
96%
98%
97%
97%
96%
99%
95%
94%
96%
100%
96%
100%
87%
85%
96%
94%
98%
96%
93%
89%
97%
97%
92%
82%
Proportion
of all
registered
TB cases
with
known HIV
status
4%
8%
11%
10%
10%
18%
6%
11%
7%
9%
4%
8%
19%
9%
8%
6%
15%
16%
8%
10%
7%
5%
5%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
4%
7%
11%
8%
10%
14%
6%
11%
8%
10%
4%
9%
19%
6%
9%
8%
16%
16%
7%
10%
4%
7%
4%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
100%
93%
97%
100%
100%
100%
98%
98%
99%
97%
98%
83%
61%
94%
64%
91%
97%
99%
99%
100%
100%
99%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
99%
93%
92%
50%
89%
75%
91%
79%
85%
97%
90%
87%
73%
66%
82%
62%
89%
85%
86%
92%
92%
100%
91%
25%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
10
73
155
20
11
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
13
18
19
43
101
55
15
34
22
15
67
41
30
242
16
11
14
50
50
23
35
Number
of health
facilities
registered
(Single
clinic Private) in
2013
37
11
396
63
196
164
76
84
139
75
114
34
163
23
66
159
141
45
28
13
45
130
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
22
17
Number of
patients
notified by
(Laboratories
- Private) in
2013
18
114
33
11
67
57
76
12
60
14
82
Number
of
patients
notified
by (Single
clinic Private) in
2013
32
33
63
10
88
437
66
23
120
16
41
78
216
440
34
23
103
83
92
32
12
Number
of
patients
notified
by
(Multiclinic Private)
in 2013
38
51
177
43
89
448
133
23
120
18
47
135
314
440
63
23
111
143
19
97
122
18
Total
cases
nofied
by
private
sector
in 2013
1.1
2.1
4.1
1.6
1.7
13.0
5.1
0.8
3.4
0.6
1.1
3.3
0.1
15.8
11.4
1.5
0.5
2.1
4.9
0.4
11.4
2.9
0.6
0.0
Notification
rate per
1,00,000
population
(private
sector)
82
West Godavari
Changlang
Dibang Valley
East Kameng
East Siang
Kurung Kumey
Lohit
Lower Subansiri
Papum Pare
Tawang
Tirap
Upper Siang
Upper Subansiri
West Kameng
West Siang
Baksa
Barpeta
Bongaigaon
Cachar
Chirang
Darrang
Dhemaji
Dhubri
Dibrugarh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Assam
Assam
Assam
Assam
Assam
Assam
Assam
Assam
Assam
District
Andhra Pradesh
State
13.6
20.0
7.1
9.3
5.1
17.8
7.3
16.8
9.5
1.2
0.9
0.9
0.4
1.2
0.5
1.8
0.9
1.7
0.9
1.0
0.8
0.6
1.5
39.9
Population
(in lakh)
covered by
RNTCP1
8646
7366
2441
3002
1052
8375
5099
5969
1248
651
447
367
367
787
292
3582
557
850
337
952
589
396
606
26575
No. of
suspects
examined
158
92
86
80
52
117
175
89
33
139
123
106
250
169
140
488
161
122
90
231
180
154
98
166
Suspects
examined
per lakh
population
14%
7%
-1%
-4%
0%
28%
17%
20%
16%
-34%
-4%
-19%
-14%
0%
17%
-3%
1%
6%
28%
0%
-28%
-9%
Rate of
change in
suspects
examined
per lakh
population
1843
1080
484
395
191
1141
691
759
214
66
62
41
38
89
22
550
32
136
22
98
88
52
81
3386
No of Smear
positive
patients
diagnosed2
10
10
13
17
15
10
Suspects
examined
per smear
positive case
diagnosed
15%
21%
5%
-5%
-5%
10%
2%
20%
14%
0%
-20%
-10%
0%
-17%
57%
-15%
-15%
-12%
5%
2%
-37%
1%
Rate of
change in
suspects
examined
per s+ case
diagnosed
135
54
68
42
38
64
95
45
22
56
68
47
103
76
42
299
37
78
24
95
108
81
53
85
Annual
Smear
positive case
detection
rate (from
PMR)
95
48
66
40
39
50
76
30
49
56
68
65
101
86
44
163
49
73
34
105
115
82
68
81
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
2699
1836
753
687
274
1976
830
1034
878
133
125
99
65
239
62
739
87
191
61
227
217
71
184
5303
Total
patients
registered
for
treatment3
198
92
106
74
54
111
114
62
92
114
138
114
177
205
119
402
101
110
65
220
266
110
119
133
Annual
total case
notification
rate
81
39
55
34
31
46
63
24
42
50
62
47
82
69
35
111
36
55
22
78
85
57
57
66
Annual
new smear
positive case
notification
rate
TB Annual Report
83
Tirap
Upper Siang
Upper Subansiri
West Kameng
West Siang
Baksa
Barpeta
Bongaigaon
Cachar
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Arunachal Pradesh
Assam
Assam
Assam
Assam
Dibrugarh
Tawang
Arunachal Pradesh
Assam
Papum Pare
Arunachal Pradesh
Dhubri
Lower Subansiri
Arunachal Pradesh
Dhemaji
Lohit
Arunachal Pradesh
Assam
Kurung Kumey
Arunachal Pradesh
Assam
East Siang
Arunachal Pradesh
Chirang
East Kameng
Arunachal Pradesh
Darrang
Dibang Valley
Arunachal Pradesh
Assam
Changlang
Assam
West Godavari
Arunachal Pradesh
District
Andhra Pradesh
State
32
27
19
16
10
31
18
17
27
29
15
11
27
13
80
16
17
62
51
14
24
31
Annual
new smear
negative
case
notification
rate
61
13
12
24
21
41
21
60
78
56
89
17
11
38
43
17
12
Annual
new extra
pulmonary
case
notification
rate
24
20
19
12
10
24
14
16
15
31
24
28
15
123
31
29
24
43
87
31
21
24
Annual
previously
treated case
notification
rate
24
20
19
12
10
24
14
16
15
31
24
28
15
123
31
29
24
43
87
31
21
24
Annual
previously
treated
smear
positive
case
notification
rate
240
44
11
13
47
14
19
18
20
11
35
74
10
11
18
30
10
154
10%
3%
2%
2%
2%
3%
2%
2%
2%
17%
9%
11%
9%
17%
17%
14%
17%
8%
21%
10%
21%
2%
7%
4%
No (%) of pediatric
cases out of all New
cases
87%
85%
84%
80%
78%
89%
91%
83%
87%
96%
98%
97%
94%
96%
95%
78%
84%
88%
95%
96%
89%
93%
82%
96%
3 month
conversion
rate of
new smear
positive
patients4
72%
64%
70%
60%
55%
69%
64%
71%
74%
91%
100%
80%
71%
75%
80%
50%
58%
71%
40%
74%
75%
65%
74%
85%
3 month
conversion rate
of retreatment
patients4
87%
89%
80%
81%
84%
87%
83%
85%
98%
95%
100%
94%
91%
68%
78%
82%
77%
95%
81%
97%
82%
94%
Treatment
Success
rate of
new smear
positive
patients5
72%
70%
59%
50%
52%
64%
66%
72%
100%
83%
100%
79%
100%
58%
53%
81%
57%
67%
50%
70%
85%
86%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1258
802
451
348
113
796
512
593
207
66
62
32
37
99
22
313
35
125
35
105
82
54
99
3180
95%
81%
94%
90%
56%
87%
91%
81%
80%
100%
100%
78%
100%
97%
96%
97%
80%
98%
100%
96%
85%
100%
93%
97%

1232
915
480
383
62
875
525
728
259
66
62
34
37
101
23
323
44
128
35
107
96
54
107
3242
93%
93%
100%
99%
31%
95%
93%
100%
100%
100%
100%
83%
100%
99%
100%
100%
100%
100%
100%
98%
100%
100%
100%
99%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
84
Upper Siang
Dhemaji
Dhubri
Dibrugarh
Assam
Assam
Darrang
Assam
Assam
Cachar
Bongaigaon
Assam
Chirang
Barpeta
Assam
Assam
Baksa
Assam
Assam
West Kameng
West Siang
Arunachal Pradesh
Arunachal Pradesh
Upper Subansiri
Arunachal Pradesh
Arunachal Pradesh
Tawang
Tirap
Arunachal Pradesh
Papum Pare
Arunachal Pradesh
Arunachal Pradesh
Lohit
Lower Subansiri
Arunachal Pradesh
Arunachal Pradesh
East Siang
Kurung Kumey
Arunachal Pradesh
Arunachal Pradesh
Dibang Valley
East Kameng
Arunachal Pradesh
Changlang
Arunachal Pradesh
West Godavari
Arunachal Pradesh
District
Andhra Pradesh
State
866
579
301
219
507
496
382
44
57
46
32
27
84
25
146
28
91
16
66
37
45
59
2858
83%
68%
83%
90%
75%
86%
68%
43%
89%
79%
97%
96%
93%
89%
92%
97%
100%
89%
99%
82%
100%
77%
87%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
823
1321
357
282
417
47
62
216
30
13
153
19
380
12
61
13
14
84
3014
30%
72%
47%
41%
21%
6%
4%
48%
24%
15%
11%
63%
31%
51%
5%
7%
33%
27%
6%
100%
46%
56%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
23%
26%
48%
47%
12%
37%
70%
34%
28%
83%
55%
85%
45%
42%
92%
99%
71%
63%
100%
56%
79%
100%
36%
94%
Proportion
of all
registered
TB cases
with
known HIV
status
0%
1%
0%
0%
0%
4%
2%
1%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
15%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
1%
1%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
0%
0%
0%
0%
14%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
67%
0%
92%
100%
0%
0%
0%
69%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
100%
67%
75%
100%
50%
0%
100%
78%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
12
28
Number
of health
facilities
registered
(Single
clinic Private) in
2013
18
12
47
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
67
Number of
patients
notified by
(Laboratories
- Private) in
2013
26
13
23
40
Number
of
patients
notified
by (Single
clinic Private)
in 2013
36
51
102
81
Number
of
patients
notified
by
in 2013
103
26
51
13
23
102
121
Total
cases
nofied
by
private
sector
in 2013
7.5
1.3
0.0
0.0
0.0
2.9
1.8
1.4
0.0
0.0
0.0
0.0
0.0
0.0
0.0
55.5
0.0
0.0
0.0
0.0
0.0
0.0
0.0
3.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
85
Lakhimpur
Marigaon
Nagaon
Nalbari
North Cachar Hills
Sibsagar
Sonitpur
Tinsukia
Udalguri
Araria
Arwal
Aurangabad
Assam
Assam
Assam
Assam
Assam
Assam
Assam
Assam
Assam
Bihar
Bihar
Bihar
Bhojpur
Kokrajhar
Assam
Bihar
Karimganj
Assam
Bhagalpur
Karbi Anglong
Assam
Bihar
Kamrup
Assam
Banka
Jorhat
Assam
Begusarai
Hailakandi
Assam
Bihar
Golaghat
Assam
Bihar
Goalpara
District
Assam
State
28.4
31.7
30.9
21.2
26.2
7.3
29.3
8.6
13.5
19.8
11.8
2.2
8.7
29.0
9.8
10.7
9.3
12.5
9.9
28.7
11.2
6.8
10.9
10.4
Population
(in lakh)
covered by
RNTCP1
11462
18824
14003
10796
10188
4454
9312
3844
8374
11032
5600
1293
4198
12316
3783
2871
4580
5118
4126
13574
7409
3235
4551
3870
No. of
suspects
examined
101
149
113
127
97
152
79
112
155
139
118
147
121
106
96
67
124
102
104
118
165
119
105
93
Suspects
examined
per lakh
population
-8%
-7%
1%
13%
-5%
6%
4%
-6%
4%
5%
11%
18%
39%
3%
-6%
-8%
44%
9%
1%
-9%
4%
2%
24%
-1%
Rate of
change in
suspects
examined
per lakh
population
900
1660
1291
817
1031
418
937
536
1732
1878
940
195
527
1509
476
613
714
558
604
2284
776
308
756
608
No of Smear
positive
patients
diagnosed2
13
11
11
13
10
11
10
10
11
Suspects
examined
per smear
positive case
diagnosed
-1%
-3%
12%
-3%
-9%
2%
12%
-5%
2%
13%
14%
-13%
7%
4%
3%
-3%
27%
6%
11%
-7%
16%
-11%
2%
2%
Rate of
change in
suspects
examined
per s+ case
diagnosed
32
52
42
39
39
57
32
63
128
95
80
89
61
52
48
57
77
45
61
80
69
45
69
59
Annual
Smear
positive case
detection
rate (from
PMR)
27
39
38
38
34
42
28
58
104
81
74
84
58
37
43
55
71
39
55
58
58
39
65
55
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1312
2424
2120
1445
1253
421
1465
1187
2634
2930
1627
295
829
2173
909
1000
1164
978
1194
3463
1300
478
1493
1003
Total
patients
registered
for
treatment3
46
77
69
68
48
58
50
139
195
148
138
134
95
75
92
94
126
78
120
121
116
71
137
97
Annual
total case
notification
rate
21
32
30
32
27
33
24
50
85
68
60
54
48
31
34
47
63
34
46
42
47
33
57
49
Annual
new smear
positive case
notification
rate
86
Karbi Anglong
Karimganj
Kokrajhar
Lakhimpur
Assam
Assam
Assam
Assam
Banka
Begusarai
Bhagalpur
Bhojpur
Bihar
Bihar
Bihar
Araria
Bihar
Bihar
Udalguri
Assam
Arwal
Tinsukia
Assam
Aurangabad
Sonitpur
Assam
Bihar
Sibsagar
Assam
Bihar
Nalbari
North Cachar
Hills
Assam
Assam
Marigaon
Kamrup
Assam
Nagaon
Jorhat
Assam
Assam
Hailakandi
Assam
Assam
Goalpara
Golaghat
Assam
District
Assam
State
10
23
23
18
16
49
25
37
24
31
15
22
31
21
35
17
41
29
24
15
45
23
Annual
new smear
negative
case
notification
rate
15
52
15
31
15
10
15
11
18
24
13
18
10
Annual
new extra
pulmonary
case
notification
rate
12
16
13
15
11
14
25
33
28
23
43
17
14
24
15
20
13
22
32
21
16
15
Annual
previously
treated case
notification
rate
12
16
13
15
11
14
25
33
28
23
43
17
14
24
15
20
13
22
32
21
16
15
Annual
previously
treated
smear
positive
case
notification
rate
55
234
119
39
51
17
87
22
191
120
93
19
43
17
38
27
22
28
70
63
12
56
22
6%
12%
7%
3%
5%
5%
7%
2%
9%
5%
7%
3%
3%
2%
3%
5%
3%
3%
3%
3%
6%
3%
4%
3%
No (%) of pediatric
cases
84%
87%
93%
82%
86%
88%
84%
90%
90%
85%
90%
86%
89%
90%
85%
83%
89%
92%
88%
87%
88%
88%
91%
89%
3 month
conversion
rate of
new smear
positive
patients4
70%
74%
81%
63%
73%
75%
69%
78%
74%
61%
67%
75%
73%
73%
74%
67%
73%
79%
72%
70%
61%
83%
70%
67%
3 month
conversion
rate of
retreatment
patients4
84%
85%
93%
88%
82%
90%
83%
87%
88%
82%
85%
77%
85%
88%
79%
83%
81%
87%
85%
84%
83%
81%
83%
82%
Treatment
Success
rate of
new smear
positive
patients5
69%
68%
84%
68%
66%
85%
67%
72%
72%
59%
67%
83%
64%
67%
52%
71%
62%
68%
64%
53%
56%
60%
69%
51%
Treatment
success
rate among
smear
positive
previously
treated
cases5
521
1171
1077
725
812
256
679
430
1231
1435
738
179
438
795
381
552
561
431
517
1521
621
200
674
533
68%
93%
91%
90%
90%
82%
82%
86%
85%
87%
83%
96%
85%
74%
89%
91%
84%
87%
93%
89%
95%
75%
95%
90%

729
1254
1185
785
906
311
823
491
1285
1563
794
175
511
993
382
600
630
485
548
1655
656
260
685
593
96%
100%
100%
97%
100%
100%
99%
98%
89%
94%
90%
94%
100%
92%
89%
99%
94%
98%
99%
97%
100%
98%
96%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
TB Annual Report
87
Banka
Begusarai
Bhagalpur
Bhojpur
Bihar
Bihar
Bihar
Bihar
Arwal
Araria
Bihar
Aurangabad
Udalguri
Assam
Bihar
Tinsukia
Assam
Bihar
Sibsagar
Sonitpur
Assam
Assam
Nalbari
North Cachar
Hills
Assam
Assam
Marigaon
Nagaon
Assam
Assam
Kokrajhar
Lakhimpur
Assam
Karimganj
Assam
Assam
Kamrup
Karbi Anglong
Assam
Assam
Hailakandi
Jorhat
Assam
Assam
Goalpara
Golaghat
Assam
District
Assam
State
517
896
809
402
598
195
531
265
1045
1075
550
44
296
797
218
360
370
237
360
1172
463
136
313
398
88%
89%
76%
83%
89%
82%
78%
84%
92%
85%
75%
48%
58%
84%
81%
78%
80%
65%
77%
87%
84%
74%
73%
90%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
526
2291
1730
1179
1181
115
733
820
808
1021
785
122
375
508
214
768
417
514
637
1077
474
128
711
404
48%
95%
81%
91%
89%
37%
54%
69%
31%
35%
48%
41%
45%
23%
24%
78%
36%
53%
53%
31%
36%
27%
48%
51%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
18%
59%
58%
19%
21%
50%
48%
37%
34%
33%
22%
55%
51%
48%
28%
10%
46%
27%
12%
34%
57%
28%
52%
53%
Proportion
of all
registered
TB cases
with
known HIV
status
3%
3%
2%
10%
7%
1%
2%
0%
0%
0%
1%
0%
0%
1%
1%
0%
1%
2%
2%
1%
0%
0%
1%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
2%
0%
0%
1%
1%
1%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
76%
29%
42%
100%
0%
100%
0%
0%
60%
0%
0%
33%
57%
0%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
67%
93%
29%
75%
100%
44%
80%
0%
100%
100%
0%
0%
83%
43%
100%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
16
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
25
54
67
38
38
106
48
18
11
Number
of health
facilities
registered
(Single
clinic Private) in
2013
13
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
14
Number of
patients
notified by
(Laboratories
- Private) in
2013
92
140
66
15
76
12
477
33
10
69
Number
of
patients
notified
by (Single
clinic Private) in
2013
17
61
19
206
16
34
Number
of
patients
notified
by (Multiclinic
- Private)
in 2013
93
147
66
15
76
29
552
52
216
16
103
Total
cases
nofied
by
private
sector
in 2013
0.0
2.9
4.8
0.3
2.5
2.1
2.6
0.0
2.1
27.9
0.0
0.0
0.0
1.8
0.0
0.0
0.0
0.0
0.0
7.5
1.4
0.0
0.2
9.9
Notification
rate per
1,00,000
population
(private
sector)
88
Buxar
Darbhanga
Gaya
Gopalganj
Jamui
Jehanabad
Kaimur
Katihar
Khagaria
Kishanganj
Lakhisarai
Madhepura
Madhubani
Munger
Muzaffarpur
Nalanda
Nawada
Paschim Champaran
Patna
Purba Champaran
Purnia
Rohtas
Saharsa
Samastipur
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
District
Bihar
State
44.4
19.8
30.9
34.2
53.1
60.3
41.0
23.2
30.0
49.9
14.2
46.8
20.8
10.5
17.7
17.3
32.0
17.0
11.7
18.3
26.7
45.7
41.0
17.8
Population
(in lakh)
covered by
RNTCP1
20749
6412
14760
20362
18964
24528
17261
6612
9588
21916
7997
15736
9851
4297
6895
6615
13864
5465
4235
6437
11831
12503
19259
8964
No. of
suspects
examined
117
81
119
149
89
102
105
71
80
110
141
84
118
103
98
96
108
80
90
88
111
68
118
126
Suspects
examined
per lakh
population
-3%
-3%
-12%
-3%
1%
-6%
2%
0%
-7%
-1%
9%
-6%
-7%
14%
5%
-9%
-5%
2%
-9%
10%
-7%
4%
11%
3%
Rate of
change in
suspects
examined
per lakh
population
2254
575
1200
2358
2360
2900
2028
655
888
2528
860
1892
1011
324
864
534
2092
593
522
775
1014
1533
2699
784
No of Smear
positive
patients
diagnosed2
11
12
10
11
10
13
12
12
11
Suspects
examined
per smear
positive case
diagnosed
-3%
1%
5%
-4%
-1%
-6%
5%
15%
14%
-7%
-1%
-5%
-18%
41%
-3%
0%
-5%
-4%
-3%
-12%
-12%
4%
-2%
14%
Rate of
change in
suspects
examined
per s+ case
diagnosed
51
29
39
69
44
48
49
28
30
51
61
40
49
31
49
31
65
35
44
42
38
34
66
44
Annual
Smear
positive case
detection
rate (from
PMR)
44
26
35
61
38
31
45
27
26
45
58
35
44
28
44
28
57
30
42
37
34
28
54
40
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
3159
916
1654
3019
2785
4662
2241
905
1251
4202
1289
2272
1087
613
1063
719
2218
812
896
1132
1397
3284
3425
1108
Total
patients
registered
for
treatment3
71
46
53
88
52
77
55
39
42
84
91
49
52
59
60
42
69
48
76
62
52
72
84
62
Annual
total case
notification
rate
35
24
30
50
33
24
38
22
23
35
47
31
36
22
38
24
48
24
32
31
28
24
43
31
Annual
new smear
positive case
notification
rate
TB Annual Report
89
Purnia
Bihar
Samastipur
Purba
Champaran
Bihar
Bihar
Patna
Bihar
Rohtas
Paschim
Champaran
Bihar
Saharsa
Nawada
Bihar
Bihar
Nalanda
Bihar
Bihar
Munger
Muzaffarpur
Bihar
Madhubani
Bihar
Bihar
Lakhisarai
Madhepura
Bihar
Bihar
Khagaria
Kishanganj
Bihar
Bihar
Kaimur
Katihar
Bihar
Jehanabad
Bihar
Bihar
Gopalganj
Jamui
Gaya
Bihar
Bihar
Darbhanga
Bihar
Bihar
Buxar
District
Bihar
State
15
17
12
17
24
10
24
20
14
11
20
17
29
14
15
Annual
new smear
negative
case
notification
rate
12
Annual
new extra
pulmonary
case
notification
rate
16
10
17
10
17
17
15
10
18
13
12
20
12
13
14
18
14
Annual
previously
treated case
notification
rate
16
10
17
10
17
17
15
10
18
13
12
20
12
13
14
18
14
Annual
previously
treated
smear
positive
case
notification
rate
143
34
64
123
73
384
72
33
65
163
83
82
29
25
39
31
64
20
58
36
62
122
146
53
6%
4%
5%
5%
3%
11%
4%
5%
6%
5%
8%
4%
3%
6%
4%
5%
4%
3%
9%
4%
6%
5%
5%
6%
No (%) of pediatric
cases
89%
92%
88%
90%
78%
87%
93%
94%
79%
90%
89%
87%
86%
78%
84%
85%
82%
80%
78%
77%
93%
71%
94%
81%
3 month
conversion
rate of
new smear
positive
patients4
78%
91%
78%
82%
61%
64%
81%
82%
65%
77%
76%
71%
72%
62%
62%
72%
68%
58%
71%
71%
86%
56%
80%
67%
3 month
conversion rate
of retreatment
patients4
90%
92%
87%
90%
93%
88%
92%
89%
84%
86%
89%
86%
94%
81%
87%
84%
79%
83%
80%
80%
93%
94%
89%
82%
Treatment
Success
rate of
new smear
positive
patients5
84%
89%
79%
85%
82%
71%
83%
76%
69%
73%
75%
68%
89%
72%
72%
68%
70%
73%
65%
77%
87%
86%
73%
79%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1637
454
996
1897
1767
1599
1445
596
741
1840
792
1607
874
280
696
430
1490
485
466
606
880
1098
2077
665
83%
88%
90%
90%
86%
85%
78%
96%
93%
81%
96%
96%
94%
91%
88%
88%
81%
95%
91%
88%
95%
84%
93%
93%

1968
510
1097
2065
2053
1766
1777
620
763
2246
828
1673
926
307
792
483
1839
485
383
688
916
1265
2237
716
100%
99%
100%
98%
100%
94%
96%
100%
96%
99%
100%
100%
100%
100%
100%
99%
100%
95%
75%
100%
99%
96%
100%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
90
Patna
Purba
Champaran
Purnia
Rohtas
Saharsa
Samastipur
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Nawada
Paschim
Champaran
Bihar
Nalanda
Bihar
Bihar
Munger
Muzaffarpur
Bihar
Bihar
Madhubani
Madhepura
Bihar
Bihar
Kishanganj
Lakhisarai
Bihar
Khagaria
Bihar
Bihar
Kaimur
Katihar
Jehanabad
Bihar
Bihar
Jamui
Bihar
Bihar
Gaya
Gopalganj
Bihar
Darbhanga
Bihar
Buxar
Bihar
District
Bihar
State
1184
270
886
1368
720
1040
1089
499
564
926
430
971
561
190
403
229
1364
274
262
197
692
498
1520
530
77%
75%
87%
87%
68%
79%
79%
87%
84%
59%
75%
79%
85%
74%
68%
72%
100%
77%
84%
55%
91%
80%
91%
92%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
2297
695
1143
2859
1885
931
1166
822
1103
2589
1234
2002
3070
456
893
575
1947
486
685
1097
1319
3010
3151
929
73%
75%
76%
95%
85%
35%
57%
93%
89%
63%
96%
92%
98%
74%
84%
85%
88%
60%
77%
97%
95%
94%
92%
91%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
21%
25%
26%
40%
56%
27%
27%
28%
21%
17%
32%
66%
30%
81%
44%
44%
34%
8%
10%
35%
43%
10%
46%
39%
Proportion
of all
registered
TB cases
with
known HIV
status
4%
0%
3%
2%
4%
1%
1%
4%
5%
3%
2%
4%
3%
2%
5%
4%
4%
8%
14%
3%
5%
6%
12%
3%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
1%
0%
0%
0%
1%
0%
0%
0%
0%
0%
1%
4%
0%
1%
2%
1%
2%
1%
1%
2%
2%
0%
4%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
17%
84%
33%
0%
0%
20%
0%
31%
0%
86%
0%
67%
76%
0%
0%
5%
56%
76%
75%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
95%
50%
80%
100%
50%
0%
90%
33%
31%
100%
100%
0%
52%
88%
100%
57%
86%
74%
87%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
69
10
12
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
91
23
123
56
364
23
194
75
51
56
37
37
37
73
10
39
123
Number
of health
facilities
registered
(Single
clinic Private) in
2013
30
41
17
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
19
Number of
patients
notified by
(Laboratories
- Private) in
2013
104
170
95
40
92
21
22
72
13
42
64
16
488
56
51
Number
of
patients
notified
by (Single
clinic Private) in
2013
51
130
Number
of
patients
notified
by
(Multiclinic
- Private)
in 2013
104
221
114
170
93
21
22
74
13
42
66
16
488
61
51
Total
cases
nofied
by
private
sector
in 2013
2.3
0.0
7.1
3.3
3.2
1.5
0.0
0.0
0.7
0.4
5.2
0.0
0.0
1.2
2.4
3.8
0.3
0.9
0.0
0.1
18.3
1.3
1.2
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
91
Saran
Sheikhpura
Sheohar
Sitamarhi
Siwan
Supaul
Vaishali
Chandigarh
Balod
Baloda
Balrampur
Bastar
Bemetara
Bijapur-CG
Bilaspur
Dantewada
Dhamtari
Durg
Gariaband
Janjgir
Jashpur
Kanker
Kawardha
Kondagaon
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Chandigarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
District
Bihar
State
5.7
8.5
7.7
8.9
16.2
6.7
17.8
8.3
3.0
21.3
2.9
6.7
8.5
7.2
13.3
9.3
10.8
36.5
23.3
34.7
35.7
6.9
6.6
41.2
Population
(in lakh)
covered by
RNTCP1
1098
3421
5341
5077
6241
1403
13340
2806
2365
10664
1685
1332
4878
776
3327
2997
19245
14242
6420
15317
16073
2097
2844
12957
No. of
suspects
examined
48
100
173
143
96
53
187
84
199
125
146
50
143
27
63
81
445
98
69
110
113
76
107
79
Suspects
examined
per lakh
population
5%
-5%
42%
-8%
50%
-21%
96%
14%
-27%
16%
-3%
-3%
-4%
16%
0%
-6%
-4%
6%
Rate of
change in
suspects
examined
per lakh
population
94
315
529
467
444
219
1334
397
369
1384
286
111
765
114
303
199
2466
1402
601
1334
1738
247
204
1198
No of Smear
positive
patients
diagnosed2
12
11
10
11
14
10
12
11
15
10
11
11
14
11
Suspects
examined
per smear
positive case
diagnosed
2%
-7%
29%
29%
-11%
-6%
10%
-4%
-24%
-17%
-2%
-3%
1%
3%
7%
-12%
1%
-4%
Rate of
change in
suspects
examined
per s+ case
diagnosed
16
37
69
53
27
33
75
48
124
65
99
17
90
16
23
21
228
38
26
38
49
36
31
29
Annual
Smear
positive case
detection
rate (from
PMR)
14
38
65
49
28
34
66
41
90
59
76
20
63
17
35
18
120
28
25
32
46
35
28
27
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
266
535
971
741
1208
356
3080
732
418
2569
363
270
1204
322
895
421
2890
2130
873
2028
2364
658
393
2025
Total
patients
registered
for
treatment3
46
63
126
84
75
53
173
88
141
121
126
41
141
45
68
45
267
58
38
59
66
96
59
49
Annual
total case
notification
rate
12
33
59
46
27
31
58
36
79
54
65
17
54
17
32
16
95
20
21
24
40
26
19
20
Annual
new smear
positive case
notification
rate
92
Baloda
Balrampur
Bastar
Bemetara
Bijapur-CG
Bilaspur
Dantewada
Dhamtari
Durg
Gariaband
Janjgir
Jashpur
Kanker
Kawardha
Kondagaon
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Balod
Chhattisgarh
19
Vaishali
Chandigarh
Bihar
Chandigarh
Siwan
Supaul
Bihar
Bihar
39
24
17
43
24
35
14
60
34
35
37
31
17
46
17
24
15
33
15
12
Sheohar
Sitamarhi
16
12
Bihar
Sheikhpura
Annual
new smear
negative
case
notification
rate
Bihar
Saran
Bihar
District
Bihar
State
13
38
11
18
19
94
Annual
new extra
pulmonary
case
notification
rate
10
12
17
15
11
20
22
46
16
18
10
24
23
14
Annual
previously
treated case
notification
rate
10
12
17
15
11
20
22
46
16
18
10
24
23
14
Annual
previously
treated
smear
positive
case
notification
rate
12
48
13
22
13
186
13
94
18
44
10
47
19
233
87
20
59
137
25
15
52
4%
3%
5%
2%
2%
4%
7%
1%
3%
4%
6%
1%
4%
4%
6%
5%
10%
6%
3%
4%
7%
5%
6%
4%
No (%) of pediatric
cases
70%
90%
90%
94%
97%
88%
85%
89%
80%
92%
73%
84%
69%
91%
94%
75%
90%
79%
74%
84%
84%
76%
78%
81%
3 month
conversion
rate of
new smear
positive
patients4
57%
76%
70%
90%
94%
86%
62%
69%
55%
59%
58%
60%
71%
100%
88%
71%
76%
63%
76%
68%
68%
53%
59%
61%
3 month
conversion rate
of retreatment
patients4
93%
90%
88%
94%
93%
83%
87%
71%
94%
61%
79%
91%
86%
87%
97%
92%
88%
85%
80%
73%
Treatment
Success
rate of
new smear
positive
patients5
86%
70%
78%
84%
89%
67%
63%
54%
79%
69%
64%
45%
76%
73%
86%
89%
74%
51%
58%
62%
Treatment
success
rate among
smear
positive
previously
treated
cases5
82
300
442
394
441
200
1097
294
229
1168
167
106
492
120
304
130
1247
909
517
979
1425
179
96
1044
100%
90%
87%
87%
96%
87%
92%
85%
86%
92%
76%
80%
91%
97%
98%
79%
93%
81%
87%
87%
86%
75%
50%
92%

61
328
507
383
457
209
1186
341
243
1253
212
120
537
124
310
163
1311
1096
589
1123
1621
238
122
1129
74%
99%
100%
85%
100%
91%
99%
99%
91%
99%
96%
91%
99%
100%
100%
99%
98%
98%
100%
100%
98%
100%
64%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
TB Annual Report
93
971
Durg
Gariaband
Chhattisgarh
Chhattisgarh
Kanker
Kawardha
Kondagaon
Chhattisgarh
Chhattisgarh
Chhattisgarh
Janjgir
Dhamtari
Chhattisgarh
Jashpur
Dantewada
Chhattisgarh
Chhattisgarh
Bilaspur
Chhattisgarh
Chhattisgarh
Bemetara
Bijapur-CG
Chhattisgarh
Bastar
Chhattisgarh
Chhattisgarh
Baloda
Balrampur
Chhattisgarh
Chhattisgarh
Chandigarh
Balod
Vaishali
Bihar
Chandigarh
Supaul
Bihar
Chhattisgarh
508
Siwan
Bihar
102
25
151
307
186
471
97
674
218
153
878
60
155
63
219
92
274
432
807
Sheohar
Sitamarhi
86
426
Bihar
Sheikhpura
100%
61%
79%
95%
82%
104%
68%
62%
70%
79%
45%
80%
93%
82%
95%
69%
86%
73%
79%
69%
69%
74%
66%
80%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Bihar
Saran
Bihar
District
Bihar
State
135
250
239
651
683
149
1827
523
332
2143
104
644
240
343
318
751
1933
870
1747
2206
658
393
1748
56%
53%
25%
94%
57%
43%
62%
71%
79%
81%
39%
53%
75%
57%
76%
26%
87%
100%
86%
93%
69%
100%
86%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
46%
71%
53%
60%
27%
55%
37%
49%
69%
59%
14%
60%
18%
47%
33%
22%
97%
54%
38%
31%
28%
24%
32%
7%
Proportion
of all
registered
TB cases
with
known HIV
status
0%
2%
1%
31%
0%
1%
4%
1%
0%
2%
0%
3%
3%
0%
3%
0%
1%
1%
1%
1%
8%
10%
0%
18%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
1%
1%
0%
0%
1%
1%
1%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
44%
0%
0%
97%
28%
22%
29%
0%
0%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
0%
56%
67%
0%
90%
89%
22%
85%
89%
40%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
17
34
28
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
11
17
76
106
101
98
54
124
Number
of health
facilities
registered
(Single
clinic Private) in
2013
47
67
22
11
12
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
126
Number of
patients
notified by
(Laboratories
- Private) in
2013
29
30
58
231
59
34
Number
of
patients
notified
by (Single
clinic Private) in
2013
350
12
Number
of
patients
notified
by
in 2013
29
350
36
58
369
59
42
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
1.2
0.0
0.0
0.0
1.6
0.2
0.0
16.4
0.0
0.0
0.0
0.0
0.0
0.0
3.3
1.6
0.0
0.0
10.3
0.0
8.9
1.0
Notification
rate per
1,00,000
population
(private
sector)
94
3.7
2.1
Mahasamund
Mungeli
Narayanpur
Raigarh
Raipur
Rajnandgaon
Sukma
Surajpur
Surguja
Dadra & Nagar Haveli
Daman
Diu
Bijwasan
BJRM Chest Clinic
BSA Chest Clinic
CD Chest Clinic
DDU Chest Clinic
DFIT Chest Clinic
GTB Chest Clinic
Gulabi Bagh
Hedgewar Chest Clinic
Jhandewalan
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Chhattisgarh
Dadar & Nagar Haveli
Daman & Diu
Daman & Diu
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
5.6
4.9
5.7
7.6
9.6
9.1
5.1
5.1
5.2
5.1
0.6
8.0
8.2
2.6
16.0
22.3
15.2
1.5
7.1
10.3
6.8
Koriya
12.5
Korba
Population
(in lakh)
covered by
RNTCP1
Chhattisgarh
District
Chhattisgarh
State
3199
3348
4657
9883
2001
10673
4495
3908
5619
3368
946
2197
4145
6399
1078
464
9032
14188
5566
855
1004
4373
2240
6467
No. of
suspects
examined
142
172
205
325
52
292
221
192
272
166
420
266
279
201
33
45
141
159
92
147
35
106
83
130
Suspects
examined
per lakh
population
-15%
-16%
-21%
14%
-74%
0%
41%
25%
11%
90%
56%
-17%
47%
124%
6%
37%
-2%
-19%
23%
-13%
-7%
Rate of
change in
suspects
examined
per lakh
population
472
503
663
1369
281
1382
604
618
714
450
49
232
329
534
122
85
956
1777
774
148
105
545
273
515
No of Smear
positive
patients
diagnosed2
19
13
12
10
13
Suspects
examined
per smear
positive case
diagnosed
1%
-10%
3%
19%
12%
-15%
-1%
-8%
0%
-14%
3%
-32%
66%
20%
13%
-4%
20%
-6%
19%
-42%
18%
Rate of
change in
suspects
examined
per s+ case
diagnosed
84
103
116
180
29
151
119
122
138
89
87
112
89
67
15
33
60
80
51
102
15
53
40
41
Annual
Smear
positive case
detection
rate (from
PMR)
83
64
88
94
29
145
91
124
140
114
357
42
48
59
17
27
60
64
47
91
17
50
33
40
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1448
768
1313
1914
676
3705
1431
1727
1712
1523
525
217
411
1533
382
98
1916
2848
1544
247
231
935
532
1272
Total
patients
registered
for
treatment3
258
158
231
251
70
406
282
340
331
300
932
105
111
192
47
38
120
127
102
169
32
91
79
102
Annual
total case
notification
rate
51
47
69
67
21
101
63
87
92
86
268
26
36
54
15
21
52
56
44
80
15
46
29
36
Annual
new smear
positive case
notification
rate
TB Annual Report
95
CD Chest Clinic
DDU Chest Clinic
DFIT Chest Clinic
GTB Chest Clinic
Gulabi Bagh
Jhandewalan
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
BJRM Chest Clinic
BSA Chest Clinic
Delhi
Delhi
Diu
Daman
Daman & Diu
Bijwasan
Dadar & Nagar

Haveli
Daman & Diu
Surguja
Chhattisgarh
Delhi
Sukma
Surajpur
Chhattisgarh
Chhattisgarh
Raipur
Rajnandgaon
Chhattisgarh
Chhattisgarh
Narayanpur
Raigarh
Chhattisgarh
Mungeli
Chhattisgarh
Chhattisgarh
Koriya
Mahasamund
Chhattisgarh
District
Chhattisgarh
Korba
Chhattisgarh
State
37
18
33
38
73
54
64
51
42
133
37
20
92
22
33
41
47
32
27
32
46
Annual
new smear
negative
case
notification
rate
93
58
87
88
23
146
105
119
109
115
352
11
33
20
17
17
41
11
11
Annual
new extra
pulmonary
case
notification
rate
75
34
41
57
17
87
59
69
79
57
179
32
21
26
18
14
16
10
Annual
previously
treated case
notification
rate
75
34
41
57
17
87
59
69
79
57
179
32
21
26
18
14
16
10
Annual
previously
treated
smear
positive
case
notification
rate
161
72
123
203
56
376
118
141
174
136
43
12
18
94
11
105
118
18
15
11
48
28
66
16%
12%
11%
14%
11%
13%
10%
10%
13%
11%
10%
8%
5%
7%
3%
1%
6%
5%
1%
7%
5%
6%
6%
6%
No (%) of pediatric
cases
86%
91%
90%
85%
84%
87%
88%
81%
91%
85%
100%
54%
90%
93%
99%
71%
87%
89%
89%
86%
95%
91%
89%
94%
3 month
conversion
rate of
new smear
positive
patients4
68%
66%
78%
70%
69%
70%
67%
68%
71%
70%
57%
54%
63%
89%
100%
56%
61%
69%
68%
65%
78%
68%
72%
73%
3 month
conversion
rate of
retreatment
patients4
84%
80%
83%
81%
86%
84%
76%
79%
88%
87%
100%
68%
83%
94%
88%
87%
87%
7%
83%
91%
94%
Treatment
Success
rate of
new smear
positive
patients5
65%
60%
67%
66%
73%
67%
64%
66%
67%
76%
100%
58%
59%
84%
66%
63%
74%
91%
67%
64%
78%
Treatment
success
rate among
smear
positive
previously
treated
cases5
428
311
464
684
254
1149
427
622
622
506
23
49
197
444
126
54
915
1315
698
113
109
498
190
452
90%
96%
89%
91%
89%
85%
91%
97%
85%
85%
100%
48%
95%
94%
92%
77%
93%
88%
97%
84%
92%
94%
84%
91%

473
324
521
748
30
1325
469
639
722
592
23
103
205
461
136
54
973
1396
717
134
119
529
227
496
100%
100%
100%
100%
11%
97%
100%
100%
99%
100%
100%
100%
99%
98%
99%
77%
99%
94%
100%
100%
100%
100%
100%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
96
GTB Chest Clinic
Gulabi Bagh
Jhandewalan
Delhi
Delhi
Delhi
Delhi
DDU Chest Clinic
DFIT Chest Clinic
Delhi
CD Chest Clinic
Delhi
Delhi
BJRM Chest Clinic
BSA Chest Clinic
Delhi
Delhi
Diu
Bijwasan
Daman & Diu
Delhi
Daman
Dadar &
Nagar Haveli
Daman & Diu
Surajpur
Surguja
Chhattisgarh
Sukma
Chhattisgarh
Chhattisgarh
Raipur
Rajnandgaon
Chhattisgarh
Chhattisgarh
Narayanpur
Raigarh
Chhattisgarh
Chhattisgarh
Mahasamund
Mungeli
Chhattisgarh
District
Chhattisgarh
Korba
Koriya
Chhattisgarh
Chhattisgarh
State
408
326
477
649
166
805
234
331
487
242
17
28
152
441
104
36
670
936
432
62
85
292
129
459
100%
97%
100%
91%
77%
91%
100%
99%
100%
100%
100%
50%
90%
89%
91%
73%
87%
60%
69%
100%
77%
70%
91%
85%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
19
280
371
426
388
10
20
114
60
1004
317
78
1175
1052
390
173
198
809
260
1006
1%
1%
0%
15%
55%
15%
23%
1%
42%
43%
39%
65%
83%
80%
61%
37%
26%
70%
86%
87%
49%
79%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
66%
99%
86%
66%
81%
76%
40%
71%
88%
71%
75%
94%
42%
44%
8%
14%
90%
34%
67%
66%
62%
51%
41%
46%
Proportion
of all
registered
TB cases
with
known HIV
status
3%
2%
3%
1%
4%
2%
1%
3%
3%
1%
0%
1%
3%
5%
0%
7%
3%
3%
0%
4%
1%
2%
3%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
2%
2%
3%
2%
5%
2%
0%
1%
2%
1%
0%
2%
0%
0%
0%
0%
1%
1%
0%
1%
0%
1%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
96%
100%
100%
97%
53%
90%
94%
82%
100%
100%
100%
50%
14%
7%
0%
0%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
92%
100%
100%
97%
75%
89%
100%
82%
100%
100%
100%
50%
73%
7%
100%
90%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
16
42
36
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
72
20
59
110
43
67
11
23
Number
of health
facilities
registered
(Single
clinic Private)
in 2013
103
36
25
19
14
21
10
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
Number
of
patients
notified
by
(Single
clinic Private)
in 2013
33
Number
of
patients
notified
by
in 2013
33
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
0.0
0.0
3.6
0.0
1.4
0.0
0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.3
0.0
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
97
Karawal Nagar
Kingsway Camp
LN Chest Clinic
LRS
MNCH Chest Clinic
Moti Nagar
Narela
NDMC
Nehru Nagar
Patparganj
R.K.Mission
RTRM Chest Clinic
SGM Chest Clinic
Shahdra
SPM Marg
SPMH Chest Clinic
North Goa
South Goa
Ahmadabad
Ahmadabad MC
Amreli
Anand
Banaskantha
Bharuch
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Delhi
Goa
Goa
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
District
Delhi
State
16.0
32.2
21.6
15.7
57.6
16.9
6.5
8.3
6.2
5.1
6.0
7.4
5.1
7.1
7.7
10.9
6.1
6.7
6.1
5.1
10.1
4.6
7.9
7.6
Population
(in lakh)
covered by
RNTCP1
11173
21303
15306
12723
36046
13122
4293
11281
6935
3531
4505
6496
6049
3747
10499
10320
14195
6529
7964
3058
5822
5865
5148
4649
No. of
suspects
examined
174
165
177
203
156
194
166
341
281
174
187
220
298
132
339
236
583
242
327
151
144
321
163
153
Suspects
examined
per lakh
population
2%
7%
1%
9%
5%
20%
-7%
5%
2%
-6%
-31%
-20%
3%
-39%
9%
-1%
-2%
-10%
4%
-14%
-30%
3%
-22%
-13%
Rate of
change in
suspects
examined
per lakh
population
1600
3288
2288
1279
6113
1676
461
721
1086
460
760
866
757
554
1608
1939
1538
850
1084
587
979
621
706
894
No of Smear
positive
patients
diagnosed2
10
16
Suspects
examined
per smear
positive case
diagnosed
6%
6%
4%
9%
5%
12%
8%
10%
5%
-8%
0%
-5%
0%
-3%
6%
-14%
27%
10%
-1%
-7%
11%
17%
-4%
-4%
Rate of
change in
suspects
examined
per s+ case
diagnosed
100
102
106
82
106
99
71
87
176
91
126
117
149
78
208
178
253
126
178
116
97
136
90
118
Annual
Smear
positive case
detection
rate (from
PMR)
84
80
85
71
74
77
58
61
167
65
112
103
120
72
182
154
82
109
146
171
84
57
86
131
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1983
3514
2893
1403
8520
1875
756
1022
2900
887
1915
2286
1463
1186
3555
4548
1417
1817
2722
2299
2041
886
1554
3034
Total
patients
registered
for
treatment3
124
109
134
90
148
111
117
123
469
175
318
309
288
167
459
417
233
270
447
454
202
194
197
400
Annual
total case
notification
rate
65
57
58
59
53
56
43
48
112
39
75
69
84
52
125
105
56
76
102
115
60
39
58
93
Annual
new smear
positive case
notification
rate
98
27
Ahmadabad MC
Amreli
Anand
Banaskantha
Bharuch
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
17
South Goa
Ahmadabad
Goa
SPMH Chest Clinic
North Goa
Delhi
Goa
Gujarat
15
SPM Marg
Delhi
13
21
14
44
28
54
SGM Chest Clinic
Shahdra
67
43
Delhi
R.K.Mission
RTRM Chest Clinic
Delhi
Delhi
69
73
34
51
80
74
31
37
34
68
Annual
new smear
negative
case
notification
rate
Delhi
Patparganj
Narela
Delhi
Delhi
Moti Nagar
Delhi
NDMC
MNCH Chest Clinic
Delhi
Nehru Nagar
LRS
Delhi
Delhi
LN Chest Clinic
Delhi
Delhi
Karawal Nagar
Kingsway Camp
Delhi
District
Delhi
State
15
14
41
14
31
39
186
56
110
107
88
49
163
145
90
76
176
158
69
71
54
158
Annual
new extra
pulmonary
case
notification
rate
29
36
39
18
39
32
25
22
128
52
79
67
73
39
102
92
53
66
89
107
42
48
51
80
Annual
previously
treated case
notification
rate
29
36
39
18
39
32
25
22
128
52
79
67
73
39
102
92
53
66
89
107
42
48
51
80
Annual
previously
treated
smear
positive
case
notification
rate
53
121
81
60
500
59
42
50
409
76
247
237
125
114
405
462
106
168
272
210
178
87
104
327
3%
5%
4%
5%
8%
4%
7%
6%
19%
12%
17%
13%
11%
13%
15%
13%
10%
12%
12%
12%
11%
13%
9%
13%
No (%) of pediatric
cases
92%
93%
93%
91%
85%
91%
79%
89%
89%
90%
88%
91%
91%
90%
91%
88%
94%
89%
90%
88%
90%
87%
92%
88%
3 month
conversion
rate of
new smear
positive
patients4
80%
75%
78%
68%
66%
67%
56%
71%
73%
73%
71%
68%
79%
72%
77%
66%
74%
80%
78%
76%
73%
79%
73%
68%
3 month
conversion
rate of
retreatment
patients4
88%
88%
88%
88%
77%
86%
79%
88%
85%
84%
82%
84%
93%
83%
88%
83%
89%
86%
80%
84%
83%
88%
89%
84%
Treatment
Success
rate of
new smear
positive
patients5
69%
75%
68%
63%
56%
65%
56%
68%
67%
66%
65%
61%
85%
65%
63%
62%
76%
73%
69%
67%
73%
75%
67%
68%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1214
2476
1750
1068
4025
1160
350
475
923
320
598
704
590
521
1167
1569
481
715
753
360
765
251
663
931
89%
95%
93%
94%
92%
86%
88%
92%
87%
92%
87%
90%
95%
99%
81%
91%
94%
95%
83%
40%
89%
94%
97%
91%

1369
2553
1803
1109
4165
1264
357
488
1061
346
691
781
621
524
1438
1715
510
755
801
894
850
267
676
1026
100%
98%
96%
97%
95%
94%
90%
95%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
88%
100%
99%
100%
99%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
TB Annual Report
99
Ahmadabad MC
Amreli
Anand
Banaskantha
Bharuch
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
292
South Goa
Ahmadabad
North Goa
Goa
Goa
SPMH Chest Clinic
Delhi
Gujarat
433
SPM Marg
Delhi
692
984
2017
1430
858
2798
851
706
250
634
SGM Chest Clinic
Shahdra
Delhi
377
595
1103
1113
561
660
430
598
1045
279
665
821
87%
94%
92%
92%
92%
83%
95%
99%
82%
98%
100%
100%
76%
99%
100%
100%
100%
99%
81%
100%
100%
100%
98%
95%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Delhi
R.K.Mission
RTRM Chest Clinic
Delhi
Delhi
Nehru Nagar
Patparganj
Delhi
NDMC
Delhi
Delhi
Moti Nagar
Narela
Delhi
Delhi
LRS
MNCH Chest Clinic
Delhi
Delhi
Kingsway Camp
LN Chest Clinic
Delhi
Delhi
Karawal Nagar
District
Delhi
State
1266
2110
1899
974
2231
1579
118
59
833
120
124
311
100
157
59
24
25
178
64%
60%
66%
69%
26%
84%
16%
6%
30%
14%
6%
21%
8%
0%
0%
8%
4%
0%
3%
2%
6%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
93%
91%
86%
88%
91%
96%
93%
99%
70%
64%
97%
88%
93%
84%
67%
58%
86%
87%
65%
94%
73%
80%
74%
58%
Proportion
of all
registered
TB cases
with
known HIV
status
4%
3%
4%
4%
6%
5%
8%
4%
2%
4%
1%
1%
2%
2%
1%
2%
3%
2%
2%
1%
2%
4%
2%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
4%
2%
3%
4%
5%
5%
8%
5%
1%
3%
2%
1%
2%
3%
1%
1%
2%
2%
1%
1%
2%
3%
2%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
99%
100%
98%
100%
98%
97%
98%
94%
14%
11%
0%
74%
100%
100%
87%
98%
78%
68%
56%
25%
18%
96%
76%
6%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
98%
100%
87%
98%
87%
88%
82%
83%
100%
89%
100%
100%
100%
100%
87%
98%
100%
68%
69%
69%
100%
96%
76%
62%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
16
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
57
61
55
31
26
475
157
241
42
Number
of health
facilities
registered
(Single
clinic Private) in
2013
41
44
22
71
183
18
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
63
304
41
47
70
126
Number
of
patients
notified
by (Single
clinic Private) in
2013
29
169
53
171
47
85
Number
of
patients
notified
by
in 2013
92
473
41
47
55
241
55
211
Total
cases
nofied
by
private
sector
in 2013
5.7
14.7
1.9
3.0
1.0
14.2
0.3
0.0
0.0
0.0
0.0
0.0
0.0
7.7
0.0
0.0
0.0
0.1
34.7
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
100
Bhavnagar
Chhota Udepur
Dahod
Gandhinagar
Jamnagar
Junagadh
Kachchh
Kheda
Mahesana
Narmada
Navsari
Panch Mahals
Patan
Porbandar
Rajkot
Sabarkantha
Surat
Surat MC
Surendranagar
The Dangs
Vadodara
Vadodara Corp
Valsad
Vyara (Surat)
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
District
Gujarat
State
8.3
17.6
17.2
15.4
2.3
18.2
46.1
16.7
25.1
39.3
6.1
13.9
24.7
13.8
6.1
21.0
23.8
21.6
28.4
22.3
14.4
22.0
10.3
29.8
Population
(in lakh)
covered by
RNTCP1
6701
11491
10041
18334
1885
15205
37576
15777
16245
30384
3900
13318
17507
11247
5853
17218
15644
14488
19478
16496
12630
25680
7429
21398
No. of
suspects
examined
201
163
146
297
201
209
204
236
162
193
161
240
177
204
240
205
164
168
172
185
220
292
179
180
Suspects
examined
per lakh
population
2%
-5%
-1%
3%
2%
6%
24%
9%
-1%
2%
-2%
7%
6%
16%
2%
5%
2%
8%
9%
1%
16%
24%
9%
7%
Rate of
change in
suspects
examined
per lakh
population
869
1356
1629
2525
193
1858
3696
2492
2642
3187
418
1509
3123
1287
719
1800
2670
1621
2112
1631
1300
2612
1059
2577
No of Smear
positive
patients
diagnosed2
10
10
10
10
10
10
10
Suspects
examined
per smear
positive case
diagnosed
7%
-11%
-12%
7%
-2%
6%
7%
10%
6%
2%
9%
4%
-4%
16%
-6%
5%
-1%
12%
9%
3%
12%
13%
7%
3%
Rate of
change in
suspects
examined
per s+ case
diagnosed
104
77
94
164
82
102
80
149
105
81
69
109
126
94
118
86
112
75
74
73
91
119
102
87
Annual
Smear
positive case
detection
rate (from
PMR)
94
71
72
98
77
76
74
92
82
67
69
84
106
79
96
71
85
64
71
68
77
106
96
74
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1198
1731
2129
2273
223
1903
5893
2382
3531
3709
712
1658
3657
1643
785
2075
2922
1799
2626
2145
1699
2949
1293
2963
Total
patients
registered
for
treatment3
144
98
124
147
95
105
128
142
141
94
117
119
148
119
129
99
123
83
93
96
118
134
125
100
Annual
total case
notification
rate
71
57
53
68
58
56
58
70
61
55
60
59
73
59
75
57
62
54
57
51
58
69
68
57
Annual
new smear
positive case
notification
rate
TB Annual Report
101
Vadodara
Vadodara Corp
Valsad
Vyara (Surat)
Gujarat
Gujarat
Gujarat
The Dangs
Gujarat
Surendranagar
Gujarat
Sabarkantha
Gujarat
Gujarat
Rajkot
Gujarat
Surat
Porbandar
Gujarat
Surat MC
Patan
Gujarat
Gujarat
Panch Mahals
Gujarat
Gujarat
Narmada
Navsari
Gujarat
Gujarat
Mahesana
Junagadh
Gujarat
Gujarat
Jamnagar
Gujarat
Kachchh
Gandhinagar
Gujarat
Kheda
Dahod
Gujarat
Gujarat
Chhota Udepur
Gujarat
Bhavnagar
Gujarat
District
Gujarat
State
23
15
16
17
29
23
11
20
15
10
17
10
11
12
Annual
new smear
negative
case
notification
rate
16
12
24
20
12
12
31
21
10
13
14
10
17
14
12
13
17
16
10
13
Annual
new extra
pulmonary
case
notification
rate
33
22
31
44
21
28
31
35
40
20
20
39
44
28
30
23
31
17
22
25
34
43
34
23
Annual
previously
treated case
notification
rate
33
22
31
44
21
28
31
35
40
20
20
39
44
28
30
23
31
17
22
25
34
43
34
23
Annual
previously
treated
smear
positive
case
notification
rate
34
45
80
65
62
301
65
91
204
71
60
143
56
21
67
68
62
117
100
70
130
39
102
4%
3%
5%
4%
5%
4%
7%
4%
4%
7%
12%
5%
6%
4%
4%
4%
3%
4%
6%
6%
6%
6%
4%
4%
No (%) of pediatric
cases
94%
92%
90%
94%
89%
91%
92%
93%
93%
92%
90%
92%
95%
94%
94%
92%
92%
90%
93%
91%
93%
96%
92%
92%
3 month
conversion
rate of
new smear
positive
patients4
88%
75%
73%
78%
63%
69%
73%
75%
79%
76%
43%
61%
77%
80%
83%
72%
70%
58%
69%
71%
72%
85%
74%
76%
3 month
conversion
rate of
retreatment
patients4
91%
87%
86%
87%
89%
84%
87%
90%
88%
88%
89%
87%
90%
88%
91%
88%
86%
88%
88%
85%
88%
90%
88%
89%
Treatment
Success
rate of
new smear
positive
patients5
81%
60%
56%
68%
80%
65%
64%
74%
74%
70%
67%
58%
74%
72%
74%
70%
66%
59%
64%
56%
75%
76%
76%
72%
Treatment
success
rate among
smear
positive
previously
treated
cases5
721
1160
1091
1469
164
1327
3194
1448
1881
2571
409
1059
2532
1039
535
1280
1838
1331
1966
1479
1036
2290
918
2090
91%
92%
87%
95%
91%
95%
93%
93%
90%
96%
95%
90%
95%
95%
89%
86%
89%
95%
96%
95%
94%
98%
92%
94%

789
1262
1153
1490
180
1384
3409
1556
2036
2641
424
1168
2656
1074
585
1397
1839
1349
2039
1504
1078
2299
999
2189
100%
100%
92%
97%
100%
99%
99%
100%
97%
99%
99%
99%
100%
98%
97%
94%
89%
96%
99%
96%
97%
98%
100%
98%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
102
Surat
Surendranagar
The Dangs
Vadodara
Vadodara Corp
Valsad
Vyara (Surat)
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Sabarkantha
Gujarat
Surat MC
Rajkot
Gujarat
Gujarat
Porbandar
Gujarat
Gujarat
Patan
Panch Mahals
Gujarat
Gujarat
Narmada
Mahesana
Gujarat
Navsari
Kheda
Gujarat
Gujarat
Kachchh
Gujarat
Gujarat
Jamnagar
Junagadh
Gujarat
Gujarat
Dahod
Gandhinagar
Gujarat
Chhota Udepur
Gujarat
Bhavnagar
Gujarat
District
Gujarat
State
678
922
876
1014
134
945
2275
1222
1525
2219
351
801
2033
884
472
1078
1460
997
1550
1037
871
1763
703
1686
92%
93%
89%
91%
89%
93%
96%
93%
86%
98%
90%
91%
95%
97%
91%
88%
87%
89%
93%
85%
96%
96%
89%
92%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
971
1419
462
1556
178
1316
2061
1872
2699
1687
204
1076
3031
1233
676
996
1791
1284
1976
1605
1210
1780
956
2151
81%
82%
22%
68%
80%
69%
35%
79%
76%
45%
29%
65%
83%
75%
86%
48%
61%
71%
75%
75%
71%
60%
74%
73%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
96%
96%
91%
97%
98%
98%
100%
96%
95%
94%
98%
96%
97%
95%
95%
90%
95%
97%
99%
92%
99%
99%
97%
93%
Proportion
of all
registered
TB cases
with
known HIV
status
2%
3%
8%
5%
2%
6%
6%
3%
3%
6%
6%
4%
2%
4%
2%
8%
3%
4%
2%
5%
7%
2%
2%
3%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
3%
3%
7%
3%
3%
7%
8%
5%
3%
6%
6%
6%
2%
4%
2%
9%
3%
7%
3%
4%
6%
4%
1%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
96%
98%
99%
86%
97%
100%
100%
100%
100%
98%
97%
100%
100%
100%
100%
99%
86%
100%
100%
99%
100%
100%
99%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
95%
94%
88%
84%
43%
95%
87%
92%
99%
100%
95%
96%
98%
90%
87%
96%
91%
83%
100%
99%
95%
99%
100%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
26
108
83
48
73
66
200
234
23
85
37
24
88
157
58
22
37
65
Number
of health
facilities
registered
(Single
clinic Private) in
2013
22
14
29
62
93
12
12
18
31
11
16
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
13
13
Number of
patients
notified by
(Laboratories
- Private) in
2013
45
40
70
25
33
331
478
58
110
15
150
505
36
282
227
14
183
Number
of
patients
notified
by (Single
clinic Private) in
2013
112
16
1493
185
150
15
10
12
27
247
272
71
179
41
Number
of
patients
notified
by
in 2013
157
22
40
71
1531
218
334
641
15
68
122
42
251
422
505
41
362
406
16
224
Total
cases
nofied
by
private
sector
in 2013
0.2
8.9
1.3
2.6
0.0
3.9
33.2
13.0
13.3
16.3
2.5
4.9
4.9
3.1
41.1
20.1
0.2
0.3
17.8
1.8
25.2
18.5
1.5
7.5
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
103
Ambala
Bhiwani
Faridabad
Fatehabad
Gurgaon
Hisar
Jhajjar
Jind
Kaithal
Karnal
Kurukshetra
Mahendragarh
Mewat
Palwal
Panchkula
Panipat
Rewari
Rohtak
Sirsa
Sonipat
Yamunanagar
Bilaspur (HP)
Chamba
Hamirpur (HP)
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Haryana
Himachal Pradesh
Himachal Pradesh
Himachal Pradesh
District
Haryana
State
4.6
5.3
3.9
12.6
15.3
13.4
11.0
9.3
12.5
5.8
10.8
11.3
9.6
10.0
15.6
11.1
13.8
9.9
18.1
15.7
9.8
18.6
16.9
11.8
Population
(in lakh)
covered by
RNTCP1
4666
6691
3599
8070
10924
9128
14853
3504
6560
7351
6085
6957
6152
7240
10099
6164
7203
5252
12724
12606
4971
13329
8120
14082
No. of
suspects
examined
252
316
231
160
178
170
338
94
132
317
141
154
161
181
162
139
130
132
176
201
127
179
120
299
Suspects
examined
per lakh
population
-4%
36%
-4%
15%
3%
1%
5%
-31%
-11%
-8%
5%
39%
-5%
-1%
-1%
5%
-7%
-27%
9%
16%
-14%
14%
-12%
-2%
Rate of
change in
suspects
examined
per lakh
population
513
698
379
1087
1857
1264
2278
609
947
744
912
1120
852
1049
1655
872
1097
609
1998
1477
767
1633
1249
1553
No of Smear
positive
patients
diagnosed2
10
10
Suspects
examined
per smear
positive case
diagnosed
-6%
32%
-2%
9%
-6%
6%
9%
-22%
-3%
-9%
-4%
7%
6%
-1%
-2%
-6%
2%
3%
4%
16%
-11%
-6%
0%
-2%
Rate of
change in
suspects
examined
per s+ case
diagnosed
111
132
97
86
121
94
208
66
76
128
85
99
89
105
106
78
79
61
111
94
79
88
74
132
Annual
Smear
positive case
detection
rate (from
PMR)
96
132
108
72
106
80
97
63
69
91
88
79
75
89
85
76
74
68
72
68
67
80
67
81
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
761
1156
649
1640
2873
1674
1977
1157
1779
1111
1562
1453
1230
1332
2533
1274
1649
1241
2174
2919
1117
3803
1954
1652
Total
patients
registered
for
treatment3
164
218
166
130
187
125
180
125
143
192
145
129
129
133
162
115
119
125
120
186
114
204
116
140
Annual
total case
notification
rate
70
91
74
57
75
52
62
41
47
63
57
49
50
63
61
52
48
47
47
49
46
53
43
58
Annual
new smear
positive case
notification
rate
104
Rohtak
Sirsa
Sonipat
Yamunanagar
Bilaspur (HP)
Chamba
Hamirpur (HP)
Haryana
Haryana
Haryana
Haryana
Himachal Pradesh
Himachal Pradesh
Himachal Pradesh
Panipat
Rewari
Panchkula
Haryana
Haryana
Palwal
Haryana
Haryana
Mewat
Haryana
Kurukshetra
Mahendragarh
Haryana
Haryana
Jhajjar
Haryana
Karnal
Hisar
Haryana
Haryana
Gurgaon
Haryana
Jind
Fatehabad
Haryana
Kaithal
Faridabad
Haryana
Haryana
Bhiwani
Haryana
Ambala
Haryana
District
Haryana
State
22
26
16
19
26
18
29
24
35
27
23
21
23
13
34
18
19
21
24
58
24
41
24
19
Annual
new smear
negative
case
notification
rate
39
39
33
26
38
15
39
22
19
59
23
19
19
25
30
12
19
25
13
36
11
63
15
28
Annual
new extra
pulmonary
case
notification
rate
34
62
43
29
49
40
50
37
41
42
42
40
36
31
38
33
34
32
36
44
33
47
34
35
Annual
previously
treated case
notification
rate
34
62
43
29
49
40
50
37
41
42
42
40
36
31
38
33
34
32
36
44
33
47
34
35
Annual
previously
treated
smear
positive
case
notification
rate
37
17
44
90
39
93
47
66
56
74
83
43
34
95
18
59
36
78
169
26
266
36
32
1%
4%
4%
3%
4%
3%
7%
6%
5%
6%
7%
8%
5%
3%
5%
2%
5%
4%
5%
8%
3%
9%
3%
3%
No (%) of pediatric
cases
91%
92%
90%
90%
92%
90%
90%
89%
91%
89%
92%
91%
92%
90%
88%
93%
92%
93%
88%
87%
92%
90%
87%
93%
3 month
conversion
rate of
new smear
positive
patients4
82%
85%
77%
62%
82%
67%
68%
70%
85%
72%
80%
79%
80%
68%
73%
77%
70%
79%
76%
80%
81%
74%
62%
86%
3 month
conversion
rate of
retreatment
patients4
87%
84%
88%
89%
90%
84%
86%
81%
87%
85%
90%
87%
86%
91%
89%
88%
86%
85%
84%
83%
86%
86%
82%
89%
Treatment
Success
rate of
new smear
positive
patients5
77%
72%
81%
64%
80%
61%
69%
65%
80%
66%
89%
79%
70%
66%
79%
66%
70%
74%
67%
66%
72%
63%
65%
81%
Treatment
success
rate among
smear
positive
previously
treated
cases5
441
735
415
908
1629
963
898
446
725
506
947
851
684
867
1271
835
901
637
1205
895
604
1372
991
872
98%
99%
95%
94%
97%
87%
83%
87%
84%
94%
97%
95%
94%
95%
93%
95%
86%
89%
88%
81%
87%
91%
83%
89%

449
740
426
932
1657
1019
1073
495
866
507
952
894
677
905
1357
880
1013
716
1265
957
610
1385
1070
956
99%
100%
98%
97%
99%
92%
99%
97%
100%
94%
98%
99%
93%
100%
99%
100%
97%
100%
93%
87%
88%
91%
90%
97%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
TB Annual Report
105
Sonipat
Yamunanagar
Bilaspur (HP)
Chamba
Hamirpur (HP)
Haryana
Haryana
Himachal Pradesh
Himachal Pradesh
Himachal Pradesh
Rohtak
Rewari
Haryana
Sirsa
Panipat
Haryana
Haryana
Panchkula
Haryana
Haryana
Mewat
Palwal
Haryana
Haryana
Kurukshetra
Mahendragarh
Haryana
Haryana
Kaithal
Karnal
Haryana
Jind
Haryana
Haryana
Hisar
Jhajjar
Haryana
Haryana
Fatehabad
Gurgaon
Haryana
Haryana
Bhiwani
Faridabad
Haryana
Haryana
Ambala
District
Haryana
State
345
439
300
630
1330
643
614
275
659
381
718
537
529
649
991
544
778
571
884
747
439
853
655
761
91%
83%
86%
90%
94%
79%
69%
87%
84%
93%
97%
74%
89%
95%
100%
93%
89%
95%
85%
92%
81%
90%
67%
89%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
88
378
38
1152
806
1040
292
577
1132
406
1532
616
484
419
1374
267
44
344
304
1265
327
257
80
120
12%
37%
8%
70%
29%
62%
15%
57%
64%
37%
98%
51%
39%
32%
54%
87%
15%
28%
14%
51%
29%
7%
6%
10%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
63%
68%
73%
67%
100%
76%
67%
72%
62%
81%
80%
70%
88%
81%
91%
81%
72%
88%
58%
89%
69%
69%
74%
83%
Proportion
of all
registered
TB cases
with
known HIV
status
3%
2%
0%
1%
2%
0%
2%
12%
2%
1%
1%
0%
1%
1%
0%
1%
2%
2%
2%
1%
1%
1%
3%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
2%
0%
1%
0%
1%
1%
1%
1%
1%
1%
1%
0%
1%
0%
0%
0%
0%
1%
1%
1%
0%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
71%
0%
50%
0%
91%
100%
93%
88%
93%
100%
42%
29%
25%
0%
0%
71%
40%
67%
56%
0%
100%
86%
67%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
79%
0%
75%
100%
47%
64%
89%
50%
80%
92%
58%
29%
100%
50%
100%
57%
53%
75%
22%
0%
100%
71%
50%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
22
19
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
14
22
22
12
10
18
16
Number
of health
facilities
registered
(Single
clinic Private) in
2013
127
16
24
14
19
21
30
22
29
17
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
13
Number of
patients
notified by
(Laboratories
- Private) in
2013
64
85
26
52
15
Number
of
patients
notified
by
(Single
clinic Private)
in 2013
104
52
228
143
65
179
267
50
293
22
118
426
60
Number
of
patients
notified
by
in 2013
108
116
228
228
65
189
269
89
345
24
134
426
60
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
0.3
7.0
0.1
0.0
12.5
18.3
0.5
21.1
0.0
0.0
6.5
12.1
0.0
19.5
9.0
19.1
0.0
2.5
7.2
25.2
5.1
Notification
rate per
1,00,000
population
(private
sector)
106
Lahul & Spiti
Mandi
Shimla
Sirmaur
Solan
Una
Anantnag
Badgam
Baramula
Doda
Jammu
Kargil
Kathua
Kupwara
Leh (Ladakh)
Poonch
Pulwama
Rajouri
Srinagar
Udhampur
Bokaro
Himachal Pradesh
Himachal Pradesh
Himachal Pradesh
Himachal Pradesh
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jharkhand
Kullu
Himachal Pradesh
Himachal Pradesh
Kinnaur
Himachal Pradesh
District
Himachal Pradesh
Kangra
Himachal Pradesh
State
21.5
9.1
16.3
6.4
8.7
5.0
1.5
9.1
6.4
1.5
19.2
9.6
14.6
7.7
15.5
5.3
5.9
5.4
8.3
10.2
0.3
4.5
0.9
15.4
Population
(in lakh)
covered by
RNTCP1
12094
6190
11532
3824
5183
2851
1303
6707
3748
1227
17775
3742
8523
5173
11032
3755
1671
4728
2283
13673
433
4254
974
16380
No. of
suspects
examined
141
171
177
148
149
144
213
184
146
206
231
97
146
169
178
177
71
218
69
335
336
238
283
266
Suspects
examined
per lakh
population
5%
-13%
-7%
0%
-7%
7%
-17%
5%
-11%
-6%
-4%
-13%
-4%
-6%
-10%
-18%
-80%
5%
-78%
4%
-25%
-3%
-3%
12%
Rate of
change in
suspects
examined
per lakh
population
1239
618
583
304
362
232
63
426
508
59
2678
381
407
329
486
467
141
479
262
1084
489
69
1927
No of Smear
positive
patients
diagnosed2
10
10
20
13
14
12
21
16
21
10
21
16
23
12
10
13
72
14
Suspects
examined
per smear
positive case
diagnosed
18%
-7%
15%
15%
11%
22%
2%
15%
-2%
27%
-4%
-13%
48%
16%
36%
-11%
7%
16%
11%
6%
127%
-1%
43%
-1%
Rate of
change in
suspects
examined
per s+ case
diagnosed
58
68
36
47
42
47
41
47
79
40
140
40
28
43
31
88
24
89
32
106
19
110
80
125
Annual
Smear
positive case
detection
rate (from
PMR)
39
70
27
42
47
46
41
58
78
40
95
42
25
42
31
87
87
92
100
111
40
120
95
98
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1645
1079
1078
538
567
462
189
666
838
165
2811
844
591
423
787
706
1285
1014
1766
2157
63
1332
189
2613
Total
patients
registered
for
treatment3
76
119
66
84
65
93
123
73
131
111
146
88
41
55
51
133
218
187
213
211
196
298
220
170
Annual
total case
notification
rate
33
45
23
30
44
40
27
52
54
34
63
30
22
38
27
70
71
66
76
74
25
79
69
72
Annual
new smear
positive case
notification
rate
TB Annual Report
107
Una
Anantnag
Badgam
Baramula
Doda
Jammu
Kargil
Kathua
Kupwara
Leh (Ladakh)
Poonch
Pulwama
Himachal Pradesh
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Jammu & Kashmir
Bokaro
Solan
Himachal Pradesh
Jharkhand
Sirmaur
Himachal Pradesh
Udhampur
Shimla
Himachal Pradesh
Jammu & Kashmir
Mandi
Himachal Pradesh
Rajouri
Lahul & Spiti
Himachal Pradesh
Srinagar
Kullu
Himachal Pradesh
Jammu & Kashmir
Kinnaur
Jammu & Kashmir
Kangra
Himachal Pradesh
District
Himachal Pradesh
State
20
12
10
10
21
19
21
41
17
11
17
59
35
23
30
40
67
13
16
Annual
new smear
negative
case
notification
rate
31
27
29
22
54
10
22
21
27
33
10
12
25
47
41
72
56
81
88
72
44
Annual
new extra
pulmonary
case
notification
rate
15
29
14
10
24
33
14
40
15
21
42
44
42
52
50
65
60
36
Annual
previously
treated case
notification
rate
15
29
14
10
24
33
14
40
15
21
42
44
42
52
50
65
60
36
Annual
previously
treated
smear
positive
case
notification
rate
64
37
61
33
25
21
29
16
13
109
63
41
27
85
13
34
35
62
59
126
112
5%
5%
6%
7%
5%
5%
2%
5%
3%
9%
5%
9%
8%
7%
12%
2%
3%
5%
4%
4%
4%
12%
3%
5%
No (%) of pediatric
cases
91%
92%
87%
92%
93%
90%
80%
92%
82%
97%
85%
86%
91%
91%
87%
95%
91%
89%
95%
93%
100%
96%
89%
92%
3 month
conversion
rate of
new smear
positive
patients4
75%
74%
72%
82%
86%
80%
65%
79%
59%
75%
72%
73%
85%
78%
68%
72%
74%
75%
86%
79%
71%
86%
81%
80%
3 month
conversion
rate of
retreatment
patients4
89%
89%
88%
90%
91%
91%
92%
93%
88%
95%
85%
88%
90%
89%
92%
92%
90%
88%
93%
89%
80%
91%
87%
92%
Treatment
Success
rate of
new smear
positive
patients5
72%
80%
70%
81%
79%
75%
94%
83%
80%
85%
76%
70%
87%
79%
81%
75%
77%
81%
82%
76%
88%
81%
83%
83%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1128
543
449
270
409
232
62
526
488
59
1840
409
359
294
465
458
91
492
182
1108
13
526
83
1524
94%
84%
100%
100%
100%
100%
95%
100%
96%
100%
98%
100%
96%
92%
95%
98%
97%
97%
97%
95%
100%
96%
98%
99%

1199
576
449
271
409
232
62
526
492
59
1868
409
369
320
467
468
89
492
155
1143
13
545
85
1536
100%
90%
100%
100%
100%
100%
95%
100%
97%
100%
100%
100%
99%
100%
97%
100%
95%
97%
83%
98%
100%
99%
100%
100%
No (%) of all
Smear Positive
cases registered
within one
month of
starting RNTCP
DOTS treatment
108
Baramula
Srinagar
Udhampur
Bokaro
Jammu & Kashmir
Jharkhand
Rajouri
Jammu & Kashmir
Jammu & Kashmir
Poonch
Leh (Ladakh)
Jammu & Kashmir
Pulwama
Kupwara
Jammu & Kashmir
Jammu & Kashmir
Kathua
Jammu & Kashmir
Jammu & Kashmir
Jammu
Kargil
Jammu & Kashmir
Jammu & Kashmir
Doda
Jammu & Kashmir
Jammu & Kashmir
Anantnag
Badgam
Jammu & Kashmir
Una
Himachal Pradesh
Jammu & Kashmir
Sirmaur
Solan
Himachal Pradesh
Himachal Pradesh
Mandi
Shimla
Himachal Pradesh
Himachal Pradesh
Kullu
Lahul & Spiti
Himachal Pradesh
Himachal Pradesh
Kangra
Kinnaur
Himachal Pradesh
District
Himachal Pradesh
State
921
419
505
186
442
185
47
502
274
70
1298
298
446
323
575
444
63
379
127
851
382
76
1072
83%
83%
100%
67%
98%
86%
100%
100%
90%
96%
94%
100%
93%
89%
89%
99%
59%
89%
95%
95%
37%
89%
89%
84%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1898
91
34
40
17
115
15
14
497
88
45
155
216
94
297
41
409
555
21
794
83%
8%
3%
7%
32%
18%
6%
12%
22%
11%
11%
18%
30%
40%
30%
15%
19%
56%
12%
31%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
37%
21%
42%
0%
77%
23%
44%
97%
0%
19%
61%
0%
48%
49%
65%
88%
79%
47%
63%
49%
0%
33%
37%
90%
Proportion
of all
registered
TB cases
with
known HIV
status
2%
0%
0%
0%
0%
1%
0%
0%
1%
0%
0%
0%
0%
3%
0%
1%
0%
1%
1%
0%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
0%
0%
0%
2%
0%
0%
0%
0%
0%
0%
0%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
23%
33%
100%
100%
100%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
80%
64%
67%
50%
86%
0%
97%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
11
40
44
21
16
11
35
14
37
20
11
22
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
40
29
20
88
12
12
39
35
183
Number
of health
facilities
registered
(Single
clinic Private) in
2013
32
21
10
12
18
12
43
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
205
52
19
36
31
30
58
Number
of
patients
notified
by (Single
clinic Private) in
2013
21
45
198
Number
of
patients
notified
by (Multiclinic
- Private)
in 2013
228
68
21
36
31
30
58
45
201
Total
cases
nofied
by
private
sector
in 2013
10.6
0.0
4.2
0.0
0.5
0.0
2.0
2.3
0.0
5.4
1.9
0.0
2.1
0.3
1.9
0.2
9.9
0.2
0.0
4.4
0.0
45.0
5.8
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
109
Chatra
Deoghar
Dhanbad
Dumka
Garhwa
Giridih
Godda
Gumla
Hazaribagh
Jamtara
Khunti
Kodarma
Lathehar
Lohardaga
Pakaur
Palamu
Pashchimi Singhbhum
Purbi Singhbhum
Ramgarh
Ranchi
Sahibganj
Saraikela-Kharsawan
Simdega
Bagalkot
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Karnataka
District
Jharkhand
State
19.4
6.3
11.1
12.0
30.4
9.9
23.9
15.7
20.2
9.4
4.8
7.6
7.5
5.5
8.2
18.1
10.7
13.7
25.5
13.8
13.8
28.0
15.6
10.9
Population
(in lakh)
covered by
RNTCP1
12332
2709
6421
6562
14589
4468
9698
8161
12110
4723
1425
5309
2375
2059
3744
9515
3664
5129
8544
5288
9572
12745
8561
3668
No. of
suspects
examined
159
108
145
137
120
113
101
130
150
126
74
175
79
93
114
131
86
94
84
96
174
114
137
84
Suspects
examined
per lakh
population
-14%
4%
6%
8%
-2%
-7%
-3%
24%
7%
-3%
-13%
23%
-6%
43%
4%
-5%
-3%
-3%
3%
-1%
18%
0%
0%
-6%
Rate of
change in
suspects
examined
per lakh
population
1144
452
718
868
2096
555
1810
1465
1565
875
266
558
212
312
605
1076
597
796
1493
756
1114
1552
970
559
No of Smear
positive
patients
diagnosed2
11
10
11
Suspects
examined
per smear
positive case
diagnosed
-2%
6%
4%
-4%
-1%
0%
0%
14%
5%
0%
-11%
16%
12%
33%
-1%
4%
3%
-13%
-1%
-3%
27%
8%
4%
10%
Rate of
change in
suspects
examined
per s+ case
diagnosed
59
72
65
72
69
56
76
93
77
93
55
74
28
56
73
59
56
58
59
55
81
55
62
51
Annual
Smear
positive case
detection
rate (from
PMR)
47
72
61
66
50
54
66
89
74
90
54
70
25
53
72
55
56
54
56
50
78
50
57
51
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1788
678
1393
1459
2638
854
2908
2532
2763
1317
379
790
322
492
936
1561
862
1434
1880
1490
1999
2662
1094
853
Total
patients
registered
for
treatment3
92
108
126
122
87
86
122
162
137
140
79
104
43
89
114
86
81
105
74
108
145
95
70
78
Annual
total case
notification
rate
35
63
55
58
43
47
56
81
64
83
43
62
19
47
61
48
50
47
49
43
68
46
53
46
Annual
new smear
positive case
notification
rate
110
Saraikela-Kharsawan
Simdega
Bagalkot
Jharkhand
Jharkhand
Karnataka
Ranchi
Sahibganj
Jharkhand
Jharkhand
Purbi Singhbhum
Ramgarh
Jharkhand
Pashchimi Singhbhum
Jharkhand
Jharkhand
Pakaur
Palamu
Jharkhand
Jharkhand
Lathehar
Kodarma
Jharkhand
Lohardaga
Khunti
Jharkhand
Jharkhand
Jamtara
Jharkhand
Jharkhand
Gumla
Hazaribagh
Jharkhand
Jharkhand
Giridih
Godda
Jharkhand
Jharkhand
Dumka
Garhwa
Jharkhand
Dhanbad
Jharkhand
Jharkhand
Chatra
Deoghar
Jharkhand
District
Jharkhand
State
24
30
48
39
19
22
32
59
41
34
11
25
20
22
22
13
37
10
43
52
27
20
Annual
new smear
negative
case
notification
rate
12
10
11
11
12
Annual
new extra
pulmonary
case
notification
rate
22
12
17
17
15
10
22
15
20
21
16
12
10
29
11
12
18
11
18
23
15
10
Annual
previously
treated case
notification
rate
22
12
17
17
15
10
22
15
20
21
16
12
10
29
11
12
18
11
18
23
15
10
Annual
previously
treated
smear
positive
case
notification
rate
88
15
36
73
103
30
79
63
124
23
14
36
12
23
10
58
30
43
75
62
37
108
31
23
6%
2%
3%
6%
5%
4%
3%
3%
5%
2%
5%
5%
5%
5%
1%
4%
4%
4%
5%
5%
2%
5%
3%
3%
No (%) of pediatric
cases
89%
78%
93%
88%
94%
86%
93%
93%
94%
90%
76%
95%
85%
92%
94%
92%
90%
85%
91%
88%
93%
94%
95%
84%
3 month
conversion
rate of
new smear
positive
patients4
70%
52%
78%
75%
71%
63%
83%
85%
81%
79%
61%
90%
68%
72%
76%
76%
79%
77%
81%
75%
82%
79%
77%
61%
3 month
conversion
rate of
retreatment
patients4
83%
74%
93%
89%
87%
90%
89%
89%
94%
88%
82%
95%
84%
90%
92%
91%
93%
92%
91%
91%
88%
90%
96%
96%
Treatment
Success
rate of
new smear
positive
patients5
62%
59%
92%
81%
59%
70%
70%
78%
79%
87%
67%
79%
69%
59%
72%
75%
83%
80%
82%
83%
75%
72%
90%
90%
Treatment
success
rate among
smear
positive
previously
treated
cases5
766
387
596
699
1445
515
1437
1152
1429
626
201
471
177
268
513
967
501
603
1303
547
892
1289
796
463
82%
85%
88%
87%
94%
97%
90%
83%
95%
74%
77%
89%
92%
91%
86%
97%
83%
81%
89%
79%
82%
91%
90%
82%

908
447
680
797
1534
532
1579
1392
1510
845
255
531
193
295
596
996
606
739
1438
692
1089
1356
884
563
97%
98%
100%
100%
99%
100%
99%
100%
100%
100%
97%
100%
100%
100%
100%
100%
100%
99%
99%
100%
100%
96%
100%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
111
Hazaribagh
Jamtara
Jharkhand
Jharkhand
Lathehar
Lohardaga
Pakaur
Palamu
Pashchimi Singhbhum
Purbi Singhbhum
Ramgarh
Ranchi
Sahibganj
Saraikela-Kharsawan
Simdega
Bagalkot
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Jharkhand
Karnataka
Khunti
Gumla
Jharkhand
Kodarma
Godda
Jharkhand
Jharkhand
Giridih
Jharkhand
Jharkhand
Dumka
Garhwa
Dhanbad
Jharkhand
Jharkhand
Deoghar
Jharkhand
Jharkhand
Chatra
District
Jharkhand
State
626
186
358
405
1085
266
1130
631
1104
304
134
278
137
177
346
710
285
317
819
323
576
1146
729
343
82%
65%
59%
80%
87%
66%
87%
61%
89%
43%
64%
61%
91%
77%
76%
81%
60%
58%
77%
57%
69%
86%
86%
80%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
960
614
1020
1080
1801
719
2324
2070
1736
1243
379
602
234
490
779
1443
813
1002
1549
1211
1917
1464
785
746
54%
91%
73%
74%
68%
84%
80%
82%
63%
95%
100%
81%
73%
100%
83%
93%
94%
72%
82%
80%
96%
57%
72%
87%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
97%
39%
43%
87%
46%
51%
51%
83%
42%
54%
67%
28%
35%
37%
45%
56%
87%
41%
22%
7%
75%
24%
90%
36%
Proportion
of all
registered
TB cases
with
known HIV
status
41%
0%
0%
2%
1%
1%
4%
0%
1%
0%
0%
0%
10%
0%
0%
14%
0%
1%
5%
7%
0%
2%
0%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
50%
0%
0%
2%
0%
0%
1%
0%
1%
0%
0%
0%
7%
0%
0%
4%
0%
0%
0%
0%
0%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
100%
0%
88%
33%
0%
30%
0%
0%
0%
0%
8%
0%
0%
57%
50%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
89%
100%
100%
96%
57%
100%
80%
0%
67%
100%
90%
92%
100%
20%
57%
25%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
18
Number
of health
facilities
registered
(Single
clinic Private) in
2013
35
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
23
11
44
288
Number
of
patients
notified
by (Single
clinic Private) in
2013
287
Number
of
patients
notified
by
in 2013
23
287
12
44
288
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
1.9
9.4
0.2
0.0
0.8
0.0
0.0
0.0
0.0
0.0
0.0
0.4
2.4
0.0
0.0
0.0
0.0
20.9
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
112
Bangalore City
Bangalore Rural
Bangalore Urban
Belgaum
Bellary
Bidar
Bijapur
Chamarajanagar
Chikkaballapur
Chikmagalur
Chitradurga
Dakshina Kannada
Davanagere
Dharwad
Gadag
Gulbarga
Hassan
Haveri
Kodagu
Kolar
Koppal
Mandya
Mysore
Raichur
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
District
Karnataka
State
19.8
30.7
18.6
14.3
15.8
5.7
16.4
18.2
26.3
10.9
19.0
20.0
21.4
17.0
11.7
12.9
10.5
22.3
17.5
26.0
49.1
22.6
10.1
75.8
Population
(in lakh)
covered by
RNTCP1
16763
30853
17617
9457
11081
5256
11490
19488
19644
9424
14696
18684
19593
12592
11844
10167
10171
14711
12494
22422
33523
21193
9069
49944
No. of
suspects
examined
212
251
237
166
175
231
175
267
186
215
194
234
229
185
253
197
243
165
179
216
171
234
224
165
Suspects
examined
per lakh
population
3%
-16%
-13%
-3%
-4%
-3%
11%
-1%
2%
-6%
-2%
3%
-3%
-10%
-5%
9%
6%
14%
2%
9%
-3%
4%
15%
7%
Rate of
change in
suspects
examined
per lakh
population
1952
3701
1181
1092
1010
249
856
1018
1623
750
1592
1642
1460
1251
630
1011
779
1315
1130
2450
2500
1682
661
6150
No of Smear
positive
patients
diagnosed2
15
11
21
13
19
12
13
11
13
10
19
10
13
11
11
13
13
14
Suspects
examined
per smear
positive case
diagnosed
1%
-17%
-3%
2%
4%
11%
19%
10%
15%
10%
-3%
1%
3%
0%
-5%
15%
-1%
18%
2%
2%
-2%
4%
10%
7%
Rate of
change in
suspects
examined
per s+ case
diagnosed
99
120
64
76
64
44
52
56
62
69
84
82
68
73
54
79
74
59
65
94
51
74
65
81
Annual
Smear
positive case
detection
rate (from
PMR)
74
63
60
71
49
39
51
49
51
61
53
57
43
73
51
69
76
44
57
64
45
89
62
38
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
2522
3332
1771
1758
1477
389
1725
1403
2391
1064
1704
2036
1670
2196
1026
1522
1236
1737
2234
2917
4023
3758
1134
5677
Total
patients
registered
for
treatment3
128
108
95
123
93
68
105
77
91
97
90
102
78
129
88
118
118
78
128
112
82
166
112
75
Annual
total case
notification
rate
54
49
48
55
41
30
40
37
35
46
41
43
33
59
38
55
58
36
40
49
39
68
49
26
Annual
new smear
positive case
notification
rate
TB Annual Report
113
Haveri
Kodagu
Kolar
Karnataka
Karnataka
Karnataka
Raichur
Hassan
Karnataka
Karnataka
Gulbarga
Karnataka
Mysore
Gadag
Karnataka
Karnataka
Dharwad
Karnataka
Koppal
Davanagere
Karnataka
Mandya
Dakshina Kannada
Karnataka
Karnataka
Chitradurga
Karnataka
Karnataka
Chikmagalur
Karnataka
Bidar
Karnataka
Chikkaballapur
Bellary
Karnataka
Karnataka
Belgaum
Karnataka
Bijapur
Bangalore Urban
Karnataka
Chamarajanagar
Bangalore Rural
Karnataka
Karnataka
Bangalore City
Karnataka
Karnataka
District
State
28
18
28
15
27
14
14
16
10
27
10
20
12
20
43
23
20
21
17
Annual
new smear
negative
case
notification
rate
11
22
19
12
25
16
18
15
14
16
24
19
17
19
20
21
23
14
16
10
46
26
23
Annual
new extra
pulmonary
case
notification
rate
35
20
19
28
13
13
20
16
28
21
16
24
18
25
19
22
24
14
31
25
13
30
20
17
Annual
previously
treated case
notification
rate
35
20
19
28
13
13
20
16
28
21
16
24
18
25
19
22
24
14
31
25
13
30
20
17
Annual
previously
treated
smear
positive
case
notification
rate
167
176
56
69
64
15
120
36
99
56
88
54
86
57
36
50
36
100
86
189
303
169
45
323
9%
6%
4%
5%
5%
5%
9%
3%
6%
7%
6%
3%
7%
3%
5%
4%
4%
7%
5%
8%
9%
6%
5%
7%
No (%) of pediatric
cases
85%
86%
90%
88%
89%
90%
86%
92%
88%
88%
86%
89%
86%
89%
86%
89%
87%
91%
90%
92%
88%
89%
87%
84%
3 month
conversion
rate of
new smear
positive
patients4
62%
57%
64%
53%
63%
74%
70%
72%
57%
69%
61%
77%
65%
58%
54%
52%
65%
68%
68%
63%
71%
68%
59%
50%
3 month
conversion
rate of
retreatment
patients4
82%
81%
86%
81%
87%
89%
82%
83%
80%
83%
82%
82%
83%
84%
83%
82%
84%
81%
82%
84%
82%
86%
85%
78%
Treatment
Success
rate of
new smear
positive
patients5
51%
53%
58%
54%
56%
60%
66%
56%
45%
59%
53%
55%
54%
57%
53%
51%
60%
58%
49%
58%
68%
64%
51%
46%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1297
1807
998
928
678
206
658
787
1151
578
939
985
903
1115
549
706
802
815
979
1499
2028
1714
570
2500
86%
91%
87%
88%
86%
90%
76%
87%
82%
85%
91%
85%
93%
88%
89%
77%
91%
80%
95%
88%
90%
84%
88%
85%

1357
1860
1105
1049
768
223
822
866
1285
671
1029
1101
898
1220
614
910
857
905
1002
1607
2186
1989
647
2905
90%
94%
96%
99%
97%
97%
95%
95%
91%
98%
100%
95%
92%
96%
99%
99%
97%
89%
97%
94%
97%
97%
100%
99%
No (%) of all
Smear Positive
cases registered
within one
month of starting
RNTCP DOTS
treatment
114
Bidar
Bijapur
Chamarajanagar
Chikkaballapur
Chikmagalur
Chitradurga
Dakshina Kannada
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Kodagu
Kolar
Koppal
Mandya
Mysore
Raichur
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Hassan
Haveri
Karnataka
Gulbarga
Karnataka
Karnataka
Dharwad
Gadag
Karnataka
Karnataka
Davanagere
Bellary
Karnataka
Karnataka
Bangalore Urban
Belgaum
Bangalore Rural
Karnataka
Karnataka
Bangalore City
Karnataka
Karnataka
District
State
826
1193
936
657
557
182
517
682
884
510
606
714
674
840
323
556
560
583
598
989
1382
1392
425
1524
73%
84%
93%
84%
79%
93%
75%
88%
82%
84%
81%
85%
83%
83%
75%
77%
91%
73%
80%
80%
76%
83%
91%
81%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
2014
799
1163
1211
777
247
1375
787
1512
183
531
1413
846
1562
694
757
796
941
908
1085
1884
2594
528
1907
79%
24%
66%
69%
53%
63%
80%
56%
63%
17%
31%
69%
51%
71%
68%
48%
59%
54%
42%
37%
47%
69%
44%
34%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
95%
95%
99%
99%
99%
98%
81%
98%
93%
100%
97%
93%
98%
98%
96%
96%
98%
93%
97%
98%
98%
93%
98%
81%
Proportion
of all
registered
TB cases
with
known HIV
status
12%
9%
12%
14%
8%
7%
10%
13%
9%
13%
15%
14%
8%
8%
9%
8%
8%
22%
8%
14%
24%
8%
6%
7%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
14%
10%
14%
17%
10%
9%
8%
11%
15%
19%
15%
13%
9%
9%
10%
7%
10%
35%
9%
14%
26%
10%
7%
6%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
99%
100%
100%
99%
97%
99%
100%
100%
100%
100%
99%
100%
98%
100%
99%
100%
99%
100%
100%
100%
99%
100%
98%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
87%
91%
95%
94%
92%
97%
95%
89%
99%
88%
88%
86%
99%
86%
91%
89%
86%
87%
85%
98%
88%
89%
93%
81%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
26
27
39
13
10
11
29
28
11
41
55
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
112
160
236
122
40
43
154
116
129
192
680
95
172
189
36
36
41
30
129
34
239
246
554
Number
of health
facilities
registered
(Single
clinic Private) in
2013
31
31
38
25
36
11
28
19
60
38
16
99
43
21
32
12
35
45
13
105
28
81
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
27
31
26
39
28
11
Number
of
patients
notified
by (Single
clinic Private) in
2013
23
71
22
54
22
Number
of
patients
notified
by
in 2013
28
25
11
31
32
75
22
54
61
30
15
Total
cases
nofied
by
private
sector
in
2013
0.4
0.9
1.3
0.8
0.0
0.0
0.0
0.0
0.2
2.8
1.7
0.3
3.5
1.3
0.3
0.0
0.0
2.4
3.5
0.0
0.6
0.7
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
115
Ramanagara
Shimoga
Tumkur
Udupi
Uttara Kannada
Yadgiri
Alappuzha
Ernakulam
Idukki
Kannur
Kasaragod
Kollam
Kottayam
Kozhikode
Malappuram
Palakkad
Pathanamthitta
Thiruvananthapuram
Thrissur
Wayanad
Lakshadweep
Alirajpur
Anuppur
Ashoknagar
Karnataka
Karnataka
Karnataka
Karnataka
Karnataka
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Lakshadweep
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
District
Karnataka
State
8.8
7.8
7.5
0.6
8.2
31.3
33.3
12.0
28.3
41.4
31.1
19.9
26.5
13.1
25.4
11.2
33.0
21.4
12.0
14.8
12.1
27.5
18.0
11.1
Population
(in lakh)
covered by
RNTCP1
4477
5318
3394
1153
8433
35780
52527
15453
23692
38057
27340
28718
29416
12570
25813
15540
30656
20897
9389
12974
11772
24806
15523
10333
No. of
suspects
examined
128
171
112
445
256
286
394
321
209
230
220
360
278
240
254
348
232
244
195
220
243
225
215
232
Suspects
examined
per lakh
population
33%
45%
6%
2%
-8%
0%
1%
7%
9%
-1%
5%
-9%
-10%
21%
-6%
-4%
-2%
-8%
24%
-4%
3%
-2%
-5%
-12%
Rate of
change in
suspects
examined
per lakh
population
761
550
391
16
290
1703
1718
659
1413
1221
1259
1166
1268
497
916
307
1796
851
695
608
761
2090
1099
659
No of Smear
positive
patients
diagnosed2
10
72
29
21
31
23
17
31
22
25
23
25
28
51
17
25
14
21
15
12
14
16
Suspects
examined
per smear
positive case
diagnosed
-15%
23%
0%
-30%
-5%
2%
3%
2%
3%
-1%
2%
-3%
-11%
14%
3%
-1%
-4%
8%
35%
8%
13%
4%
0%
2%
Rate of
change in
suspects
examined
per s+ case
diagnosed
87
71
52
25
35
54
52
55
50
29
40
58
48
38
36
28
54
40
58
41
63
76
61
59
Annual
Smear
positive case
detection
rate (from
PMR)
73
69
46
19
34
42
39
49
46
27
31
48
46
38
30
27
42
42
55
38
46
64
54
60
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1376
790
555
23
619
2330
2368
1069
2147
2380
2174
1715
2218
864
1514
577
2470
1759
1125
1045
929
3094
1640
1123
Total
patients
registered
for
treatment3
157
102
74
35
75
74
71
89
76
57
70
86
84
66
60
52
75
82
93
71
77
112
91
101
Annual
total case
notification
rate
65
63
42
19
31
35
34
43
40
24
27
42
38
32
25
24
35
36
40
32
36
51
44
46
Annual
new smear
positive case
notification
rate
116
Malappuram
Palakkad
Pathanamthitta
Thiruvananthapuram
Thrissur
Wayanad
Lakshadweep
Alirajpur
Anuppur
Ashoknagar
Kerala
Kerala
Kerala
Kerala
Kerala
Kerala
Lakshadweep
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Kollam
Kerala
Kozhikode
Kasaragod
Kerala
Kottayam
Kannur
Kerala
Kerala
Idukki
Kerala
Kerala
Ernakulam
Kerala
Uttara Kannada
Karnataka
Yadgiri
Udupi
Karnataka
Alappuzha
Tumkur
Karnataka
Karnataka
Shimoga
Kerala
Ramanagara
Karnataka
District
Karnataka
State
63
25
20
18
10
16
11
14
14
19
14
19
19
13
17
13
11
Annual
new smear
negative
case
notification
rate
12
11
20
18
17
19
18
16
22
20
16
14
17
16
13
17
14
17
23
20
23
Annual
new extra
pulmonary
case
notification
rate
18
12
10
11
11
11
11
13
11
28
12
17
22
14
21
Annual
previously
treated case
notification
rate
18
12
10
11
11
11
11
13
11
28
12
17
22
14
21
Annual
previously
treated
smear
positive
case
notification
rate
43
22
11
121
154
81
61
93
367
302
117
156
33
104
32
185
160
39
45
17
95
63
36
4%
3%
2%
43%
21%
8%
4%
6%
5%
17%
16%
8%
8%
5%
8%
6%
9%
10%
5%
5%
2%
4%
5%
4%
No (%) of pediatric
cases
91%
91%
92%
75%
86%
83%
84%
85%
83%
84%
80%
87%
85%
89%
82%
82%
81%
85%
80%
87%
83%
85%
89%
92%
3 month
conversion
rate of
new smear
positive
patients4
60%
69%
70%
100%
63%
64%
64%
69%
60%
72%
65%
58%
69%
78%
72%
75%
64%
64%
58%
74%
50%
61%
72%
65%
3 month
conversion
rate of
retreatment
patients4
91%
90%
86%
91%
89%
82%
84%
91%
84%
83%
83%
83%
87%
88%
82%
78%
82%
86%
73%
85%
86%
83%
85%
86%
Treatment
Success
rate of
new smear
positive
patients5
80%
74%
59%
100%
71%
62%
70%
68%
70%
71%
66%
62%
73%
72%
66%
79%
62%
60%
52%
62%
63%
55%
62%
58%
Treatment
success
rate among
smear
positive
previously
treated
cases5
575
474
253
16
265
1179
1270
561
1122
947
859
851
1182
456
716
274
1207
894
512
522
565
1623
881
552
89%
89%
73%
100%
91%
85%
94%
94%
83%
81%
86%
85%
94%
89%
90%
89%
83%
95%
74%
90%
95%
89%
89%
79%

642
535
341
16
285
1231
1312
580
1109
1098
979
878
1242
472
692
302
1255
879
612
555
575
1778
722
661
99%
100%
99%
100%
98%
89%
97%
97%
82%
94%
98%
88%
98%
92%
87%
98%
86%
94%
89%
95%
97%
98%
73%
95%
No (%) of all
Smear Positive
cases registered
within one
month of starting
RNTCP DOTS
treatment
TB Annual Report
117
Alirajpur
Anuppur
Ashoknagar
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
208
Wayanad
Thiruvananthapuram
Thrissur
Kerala
Kerala
Lakshadweep
Pathanamthitta
Kerala
Kerala
Palakkad
Kerala
Lakshadweep
867
Malappuram
Kerala
658
292
224
216
952
416
720
686
643
Kottayam
Kozhikode
Kerala
792
316
534
211
885
706
291
442
499
1256
600
487
80%
62%
81%
100%
85%
80%
83%
83%
74%
75%
82%
76%
83%
77%
82%
86%
84%
85%
69%
88%
97%
88%
68%
79%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Kerala
Kasaragod
Kollam
Kerala
Kerala
Idukki
Kannur
Kerala
Ernakulam
Kerala
Kerala
Yadgiri
Alappuzha
Karnataka
Kerala
Udupi
Uttara Kannada
Karnataka
Karnataka
Shimoga
Tumkur
Karnataka
Karnataka
Ramanagara
District
Karnataka
State
997
162
304
13
440
1446
1513
758
1302
2031
1370
800
1039
636
895
436
1330
1444
835
681
551
1813
895
628
72%
32%
63%
100%
72%
62%
64%
70%
66%
84%
63%
47%
48%
75%
59%
72%
62%
82%
72%
65%
59%
59%
60%
56%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
42%
60%
70%
0%
97%
90%
97%
89%
69%
99%
82%
93%
100%
100%
88%
94%
84%
82%
99%
93%
99%
98%
94%
97%
Proportion
of all
registered
TB cases
with
known
HIV status
0%
0%
0%
1%
2%
3%
1%
4%
1%
1%
1%
2%
3%
1%
2%
1%
1%
9%
8%
15%
12%
5%
7%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
2%
2%
3%
1%
2%
1%
2%
1%
2%
4%
3%
2%
1%
2%
12%
10%
15%
12%
8%
7%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
60%
84%
81%
82%
60%
86%
86%
100%
98%
100%
55%
50%
89%
100%
99%
99%
100%
100%
98%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
50%
100%
92%
82%
88%
95%
79%
100%
95%
97%
79%
58%
74%
100%
90%
94%
100%
83%
92%
91%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
23
136
217
27
255
31
107
12
61
19
13
58
20
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
14
42
19
67
58
1232
11
189
206
141
33
39
14
64
126
151
128
341
182
81
Number
of health
facilities
registered
(Single
clinic Private)
in 2013
32
45
109
69
75
38
68
102
163
32
37
45
72
125
27
48
62
171
90
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
11
Number of
patients
notified by
(Laboratories
- Private) in
2013
107
28
10
64
Number
of
patients
notified
by (Single
clinic Private) in
2013
92
18
13
46
75
10
25
51
123
12
11
Number
of
patients
notified
by
in 2013
97
18
13
53
193
38
27
12
51
123
20
77
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
0.0
0.0
0.2
3.1
0.5
1.1
1.9
4.7
1.2
0.1
1.0
0.9
2.0
0.3
3.7
0.9
0.6
0.0
0.4
0.0
4.3
0.0
Notification
rate per
1,00,000
population
(private
sector)
118
Balaghat
Barwani
Betul
Bhind
Bhopal
Burhanpur
Chhatarpur
Chhindwara
Damoh
Datia
Dewas
Dhar
Dindori
Guna
Gwalior
Harda
Hoshangabad
Indore
Jabalpur
Jhabua
Katni
Khandwa
Khargone
Mandla
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
District
Madhya Pradesh
State
10.9
19.4
13.6
13.4
10.6
25.5
33.9
12.9
5.9
21.0
12.9
7.3
22.6
16.2
8.1
13.1
21.7
18.3
7.8
24.5
17.6
16.3
14.4
17.6
Population
(in lakh)
covered by
RNTCP1
6895
12350
7883
5299
5363
24370
32132
11596
4021
21691
6791
7436
12696
9209
3310
9111
12142
19434
6260
20761
7663
10296
8614
17421
No. of
suspects
examined
158
159
145
99
126
239
237
226
170
258
132
255
140
142
102
174
140
266
200
212
109
158
150
247
Suspects
examined
per lakh
population
7%
16%
-1%
21%
10%
8%
3%
4%
6%
-33%
55%
-12%
11%
2%
17%
22%
28%
2%
10%
-1%
8%
3%
8%
221%
Rate of
change in
suspects
examined
per lakh
population
894
1567
856
847
763
2363
3561
1229
333
2389
575
448
1244
885
795
1649
1205
2182
500
3032
774
942
899
1036
No of Smear
positive
patients
diagnosed2
10
12
12
17
10
10
10
13
10
11
10
17
Suspects
examined
per smear
positive case
diagnosed
3%
8%
-2%
28%
12%
11%
5%
6%
6%
-35%
61%
-19%
6%
9%
-8%
7%
20%
9%
28%
3%
5%
1%
11%
176%
Rate of
change in
suspects
examined
per s+ case
diagnosed
82
81
63
63
72
93
105
96
56
114
45
61
55
55
98
126
56
120
64
124
44
58
63
59
Annual
Smear
positive case
detection
rate (from
PMR)
71
73
60
51
67
73
75
87
50
94
41
59
54
53
80
114
48
81
64
72
38
40
51
56
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1583
2678
1433
1741
1424
3522
5313
2508
648
3676
1589
706
2511
1583
1274
2443
2040
2356
1079
4479
1681
1271
1197
1723
Total
patients
registered
for
treatment3
145
138
106
130
134
138
157
195
110
175
124
97
111
98
156
187
94
129
138
183
95
78
83
98
Annual
total case
notification
rate
62
65
54
43
60
58
60
79
45
71
36
50
50
48
59
83
35
65
56
56
29
33
46
50
Annual
new smear
positive case
notification
rate
TB Annual Report
119
Hoshangabad
Indore
Jabalpur
Jhabua
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Mandla
Harda
Madhya Pradesh
Madhya Pradesh
Gwalior
Madhya Pradesh
Khargone
Guna
Madhya Pradesh
Madhya Pradesh
Dindori
Madhya Pradesh
Katni
Dhar
Madhya Pradesh
Khandwa
Dewas
Madhya Pradesh
Madhya Pradesh
Datia
Madhya Pradesh
Madhya Pradesh
Damoh
Madhya Pradesh
Burhanpur
Madhya Pradesh
Chhatarpur
Bhopal
Madhya Pradesh
Chhindwara
Bhind
Madhya Pradesh
Madhya Pradesh
Betul
Madhya Pradesh
Madhya Pradesh
Balaghat
Barwani
Madhya Pradesh
District
Madhya Pradesh
State
47
36
31
71
56
30
26
77
47
36
56
25
40
25
47
36
30
31
53
50
40
23
18
30
Annual
new smear
negative
case
notification
rate
22
25
12
22
41
23
32
23
13
17
13
28
18
39
11
11
Annual
new extra
pulmonary
case
notification
rate
14
12
11
14
28
29
15
11
36
14
37
39
20
25
11
37
17
10
12
Annual
previously
treated case
notification
rate
14
12
11
14
28
29
15
11
36
14
37
39
20
25
11
37
17
10
12
Annual
previously
treated
smear
positive
case
notification
rate
103
340
125
94
67
218
602
242
87
392
114
44
227
120
152
94
53
148
74
523
135
76
41
55
7%
14%
10%
6%
5%
8%
14%
10%
15%
13%
8%
7%
10%
8%
16%
5%
3%
8%
7%
15%
10%
7%
4%
4%
No (%) of pediatric
cases
93%
93%
90%
87%
96%
94%
96%
93%
89%
93%
89%
92%
94%
92%
90%
87%
93%
94%
91%
95%
89%
92%
90%
92%
3 month
conversion
rate of
new smear
positive
patients4
74%
82%
63%
65%
76%
68%
90%
77%
42%
62%
66%
73%
83%
63%
43%
60%
79%
85%
78%
71%
70%
79%
67%
67%
3 month
conversion
rate of
retreatment
patients4
91%
89%
92%
88%
96%
91%
93%
92%
90%
90%
88%
88%
93%
89%
86%
87%
89%
94%
90%
89%
83%
86%
91%
89%
Treatment
Success
rate of
new smear
positive
patients5
82%
70%
65%
69%
78%
60%
77%
81%
56%
63%
77%
67%
86%
61%
58%
67%
77%
89%
72%
60%
62%
73%
74%
63%
Treatment
success
rate among
smear
positive
previously
treated
cases5
715
1306
739
634
616
1757
2432
1006
259
1658
475
392
1028
803
646
1446
976
1458
473
1521
593
572
691
810
93%
91%
91%
91%
86%
93%
95%
90%
85%
83%
89%
89%
83%
93%
99%
96%
91%
97%
94%
84%
86%
86%
93%
80%

753
1434
806
691
711
1859
2559
1121
232
1992
511
433
1124
860
639
1513
1019
1498
496
1785
682
668
737
966
98%
100%
99%
99%
99%
99%
100%
100%
77%
100%
96%
99%
91%
100%
98%
100%
96%
100%
98%
99%
99%
100%
99%
96%
No (%) of all
Smear Positive
cases registered
within one
month of starting
RNTCP DOTS
treatment
120
Khandwa
Khargone
Mandla
Madhya Pradesh
Madhya Pradesh
Katni
Madhya Pradesh
Madhya Pradesh
Jabalpur
Indore
Madhya Pradesh
Jhabua
Hoshangabad
Madhya Pradesh
Madhya Pradesh
Harda
Madhya Pradesh
Madhya Pradesh
Guna
Gwalior
Madhya Pradesh
Madhya Pradesh
Dindori
Madhya Pradesh
Dhar
Damoh
Madhya Pradesh
Madhya Pradesh
Chhindwara
Madhya Pradesh
Datia
Chhatarpur
Madhya Pradesh
Dewas
Burhanpur
Madhya Pradesh
Madhya Pradesh
Bhopal
Madhya Pradesh
Madhya Pradesh
Betul
Bhind
Madhya Pradesh
Barwani
Madhya Pradesh
Balaghat
Madhya Pradesh
District
Madhya Pradesh
State
542
983
475
368
429
1410
2060
908
118
1194
397
218
813
591
222
731
557
1467
438
1202
411
473
474
443
82%
91%
71%
62%
70%
90%
92%
89%
54%
89%
85%
66%
78%
77%
60%
74%
69%
98%
90%
80%
82%
84%
70%
62%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1247
1171
1275
1589
443
2385
3335
1563
669
2318
402
592
990
980
663
916
1451
2298
486
2856
689
1042
674
1380
79%
45%
89%
91%
42%
68%
63%
62%
86%
63%
26%
84%
53%
62%
52%
37%
71%
98%
45%
65%
45%
82%
56%
80%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
74%
54%
67%
37%
83%
60%
68%
77%
75%
43%
18%
35%
66%
59%
29%
48%
32%
20%
57%
59%
14%
13%
44%
58%
Proportion
of all
registered
TB cases
with
known HIV
status
1%
0%
1%
0%
0%
1%
4%
0%
1%
1%
1%
1%
0%
2%
0%
0%
1%
0%
6%
1%
2%
3%
1%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
0%
3%
0%
1%
0%
0%
0%
0%
1%
0%
0%
0%
0%
3%
0%
0%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
25%
100%
0%
0%
0%
95%
0%
0%
0%
63%
33%
33%
12%
0%
0%
17%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
0%
0%
75%
100%
79%
99%
100%
0%
83%
100%
67%
100%
44%
0%
0%
17%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
14
22
16
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
39
104
69
73
15
78
41
Number
of health
facilities
registered
(Single
clinic Private) in
2013
57
15
119
10
22
24
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
148
39
49
54
24
60
286
Number
of
patients
notified
by (Single
clinic Private) in
2013
62
84
163
146
75
233
Number
of
patients
notified
by
in 2013
210
127
219
55
170
143
519
Total
cases
nofied
by
private
sector
in
2013
0.0
10.8
0.0
0.0
0.0
5.0
0.0
0.0
0.2
10.4
4.3
0.0
7.5
8.8
0.0
0.0
0.0
28.4
0.0
0.0
0.0
0.0
0.3
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
121
Sehore
Seoni
Shahdol
Shajapur
Sheopur
Shivpuri
Sidhi
Singrauli
Tikamgarh
Ujjain
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Ahmadnagar
Satna
Madhya Pradesh
Maharashtra
Sagar
Madhya Pradesh
Umaria
Rewa
Madhya Pradesh
Vidisha
Ratlam
Madhya Pradesh
Madhya Pradesh
Rajgarh
Madhya Pradesh
Madhya Pradesh
Panna
Neemuch
Madhya Pradesh
Raisen
Narsinghpur
Madhya Pradesh
Madhya Pradesh
Morena
Madhya Pradesh
Mandsaur
Madhya Pradesh
District
Madhya Pradesh
State
43.0
15.1
6.7
20.6
15.0
12.2
11.7
17.9
7.1
15.7
11.0
14.3
13.6
23.1
24.6
24.5
15.1
16.0
13.8
10.5
8.6
11.3
20.4
13.9
Population
(in lakh)
covered by
RNTCP1
32020
8464
3837
14063
2777
8797
5111
12003
3254
5804
4746
6125
5144
11547
12744
17122
7059
7266
7720
4483
6065
4382
10665
9222
No. of
suspects
examined
186
140
144
171
46
180
110
168
114
93
108
107
95
125
129
175
117
113
140
106
177
97
131
166
Suspects
examined
per lakh
population
7%
11%
12%
18%
-31%
55%
15%
9%
-8%
-8%
5%
4%
18%
-8%
15%
-4%
8%
11%
14%
29%
16%
-18%
26%
3%
Rate of
change in
suspects
examined
per lakh
population
2419
1034
320
1987
353
620
690
1686
642
841
648
778
601
1346
1881
1764
1000
851
743
769
581
486
1365
1114
No of Smear
positive
patients
diagnosed2
13
12
14
10
10
10
Suspects
examined
per smear
positive case
diagnosed
-4%
9%
21%
14%
-1%
34%
20%
5%
25%
3%
2%
2%
1%
14%
17%
4%
4%
9%
14%
15%
30%
-12%
9%
4%
Rate of
change in
suspects
examined
per s+ case
diagnosed
56
68
48
97
24
51
59
94
90
54
59
54
44
58
76
72
66
53
54
73
68
43
67
80
Annual
Smear
positive case
detection
rate (from
PMR)
56
67
46
60
30
46
48
102
105
52
48
51
40
49
68
64
56
45
54
66
71
41
58
74
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
4438
2068
544
2519
850
1012
1317
2648
1097
1516
1069
1171
1247
3388
2721
3304
2037
1920
1403
1059
1291
977
2016
2067
Total
patients
registered
for
treatment3
103
137
82
122
57
83
113
148
154
97
97
82
92
147
110
135
135
120
102
101
151
86
99
149
Annual
total case
notification
rate
49
50
41
42
23
39
42
84
82
46
42
42
36
46
56
55
42
37
40
50
55
31
38
47
Annual
new smear
positive case
notification
rate
122
Tikamgarh
Ujjain
Umaria
Vidisha
Ahmadnagar
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Maharashtra
Sidhi
Singrauli
Madhya Pradesh
Madhya Pradesh
Sheopur
Shivpuri
Madhya Pradesh
Madhya Pradesh
Shajapur
Sehore
Madhya Pradesh
Madhya Pradesh
Satna
Madhya Pradesh
Seoni
Sagar
Madhya Pradesh
Shahdol
Rewa
Madhya Pradesh
Madhya Pradesh
Ratlam
Madhya Pradesh
Madhya Pradesh
Raisen
Rajgarh
Madhya Pradesh
Madhya Pradesh
Neemuch
Panna
Madhya Pradesh
Narsinghpur
Madhya Pradesh
Madhya Pradesh
Mandsaur
Morena
Madhya Pradesh
District
Madhya Pradesh
State
24
38
24
34
18
20
36
31
24
20
30
18
32
69
28
39
46
45
29
19
45
25
13
44
Annual
new smear
negative
case
notification
rate
14
18
22
10
11
12
15
10
12
22
11
19
20
10
13
13
13
18
Annual
new extra
pulmonary
case
notification
rate
16
31
24
10
14
23
27
36
16
14
13
13
16
21
28
29
22
23
37
18
36
39
Annual
previously
treated case
notification
rate
16
31
24
10
14
23
27
36
16
14
13
13
16
21
28
29
22
23
37
18
36
39
Annual
previously
treated
smear
positive
case
notification
rate
178
86
31
268
12
58
108
118
57
92
44
40
54
106
88
193
146
100
52
91
30
46
97
145
5%
5%
6%
13%
2%
7%
10%
5%
7%
7%
5%
4%
5%
3%
4%
7%
9%
7%
5%
11%
3%
6%
8%
10%
No (%) of pediatric
cases
91%
89%
91%
93%
76%
90%
83%
92%
84%
93%
92%
94%
89%
87%
89%
93%
93%
89%
90%
91%
91%
89%
91%
90%
3 month
conversion
rate of
new smear
positive
patients4
58%
76%
66%
72%
58%
71%
50%
69%
58%
75%
83%
74%
73%
69%
72%
74%
74%
55%
80%
63%
75%
59%
74%
65%
3 month
conversion
rate of
retreatment
patients4
87%
88%
90%
88%
76%
92%
94%
92%
91%
89%
90%
91%
88%
90%
89%
89%
83%
87%
91%
89%
90%
86%
88%
90%
Treatment
Success
rate of
new smear
positive
patients5
64%
76%
63%
70%
62%
83%
90%
74%
82%
84%
88%
72%
77%
74%
72%
70%
69%
66%
84%
75%
81%
62%
67%
76%
Treatment
success
rate among
smear
positive
previously
treated
cases5
2292
953
255
1173
276
423
462
1664
461
783
486
658
530
1072
1531
1531
710
694
554
634
555
379
934
934
94%
94%
83%
94%
85%
74%
76%
90%
84%
95%
91%
89%
96%
93%
90%
96%
83%
95%
74%
90%
91%
79%
78%
89%

2426
998
298
1210
323
562
576
1802
525
818
537
668
548
1119
1658
1198
837
731
694
681
594
469
1162
1049
100%
98%
97%
97%
100%
99%
94%
98%
95%
100%
100%
90%
99%
97%
97%
75%
97%
100%
93%
97%
98%
98%
97%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
123
Vidisha
Ahmadnagar
Madhya Pradesh
Singrauli
Madhya Pradesh
Maharashtra
Sidhi
Madhya Pradesh
Umaria
Shivpuri
Madhya Pradesh
Madhya Pradesh
Sheopur
Madhya Pradesh
Tikamgarh
Shajapur
Madhya Pradesh
Ujjain
Shahdol
Madhya Pradesh
Madhya Pradesh
Seoni
Madhya Pradesh
Madhya Pradesh
Satna
Sagar
Madhya Pradesh
Sehore
Rewa
Madhya Pradesh
Madhya Pradesh
Ratlam
Madhya Pradesh
Madhya Pradesh
Raisen
Rajgarh
Madhya Pradesh
Madhya Pradesh
Neemuch
Panna
Madhya Pradesh
Madhya Pradesh
Morena
Narsinghpur
Madhya Pradesh
Madhya Pradesh
Mandsaur
District
Madhya Pradesh
State
1576
768
168
752
122
211
338
978
189
741
282
395
358
931
913
1301
384
452
401
434
360
238
355
683
90%
94%
67%
82%
54%
54%
74%
79%
60%
91%
65%
69%
86%
78%
68%
87%
65%
85%
68%
85%
68%
63%
47%
85%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1164
787
476
1620
471
631
1241
2256
718
920
440
1055
961
1860
1795
2418
1628
1484
133
48
897
739
1712
1733
26%
38%
88%
66%
73%
62%
95%
85%
93%
61%
43%
95%
77%
55%
66%
73%
80%
77%
9%
86%
69%
76%
85%
84%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
95%
32%
63%
67%
61%
45%
36%
27%
42%
55%
42%
54%
34%
46%
19%
82%
47%
39%
61%
64%
57%
25%
24%
63%
Proportion
of all
registered
TB cases
with
known HIV
status
8%
0%
0%
2%
0%
1%
1%
1%
0%
1%
1%
1%
0%
0%
2%
1%
2%
1%
0%
0%
4%
1%
1%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
7%
0%
0%
1%
0%
0%
0%
0%
0%
0%
0%
2%
0%
0%
0%
1%
1%
0%
0%
0%
2%
0%
0%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
98%
82%
0%
0%
14%
0%
0%
0%
0%
0%
91%
0%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
98%
95%
100%
56%
57%
100%
0%
100%
100%
96%
95%
50%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
33
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
833
15
21
46
16
Number
of health
facilities
registered
(Single
clinic Private) in
2013
478
15
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
11
38
Number of
patients
notified by
(Laboratories
- Private) in
2013
57
94
22
832
744
284
Number
of
patients
notified
by (Single
clinic Private) in
2013
163
96
47
22
29
146
12
40
69
Number
of
patients
notified
by
in 2013
231
96
49
116
51
978
794
44
353
Total
cases
nofied
by
private
sector
in 2013
5.4
0.1
0.3
4.7
0.0
0.1
0.0
0.0
0.0
0.0
0.0
3.4
0.0
5.0
2.1
0.0
64.9
0.0
0.0
0.0
92.8
0.0
2.2
25.4
Notification
rate per
1,00,000
population
(private
sector)
124
Centenary
Chandrapur
Chembur
Colaba
Dadar
Dahisar
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Bhandara
Maharashtra
Maharashtra
Bandra West
Maharashtra
Byculla
Bandra East
Maharashtra
Buldana
Bail Bazar Road
Maharashtra
Maharashtra
Aurangabad MC
Maharashtra
Maharashtra
Aurangabad
Maharashtra
Borivali
Andheri West
Maharashtra
Bid
Andheri East
Maharashtra
Maharashtra
Amravati Rural
Maharashtra
Maharashtra
Amravati MC
Maharashtra
Bhiwandi Nizampur
Akola Municipal
Corporation
Maharashtra
Maharashtra
Ahmednagar MC
Akola
Maharashtra
District
Maharashtra
State
3.9
6.3
5.8
4.4
22.5
3.0
4.7
26.6
5.5
26.5
7.3
12.3
3.6
6.2
0.5
12.0
25.9
7.5
8.7
23.0
6.6
4.4
14.3
3.6
Population
(in lakh)
covered by
RNTCP1
3885
8246
4753
3438
18148
6008
12154
21101
3278
20903
7160
12206
3064
3963
1971
7056
17403
5526
6038
19656
6073
3410
10724
2718
No. of
suspects
examined
249
325
205
196
201
501
643
199
149
197
245
248
212
159
930
147
168
185
174
214
229
194
188
189
Suspects
examined
per lakh
population
25%
70%
45%
7%
-40%
20%
18%
12%
12%
1%
25%
3%
Rate of
change in
suspects
examined
per lakh
population
487
1217
600
486
1625
724
1031
2118
417
1286
767
743
453
420
274
1134
1210
616
583
1613
411
521
518
278
No of Smear
positive
patients
diagnosed2
11
12
10
16
16
14
10
12
15
21
10
Suspects
examined
per smear
positive case
diagnosed
15%
49%
11%
7%
-47%
11%
14%
3%
46%
2%
17%
7%
Rate of
change in
suspects
examined
per s+ case
diagnosed
125
192
104
111
72
242
218
80
76
48
105
60
125
67
517
94
47
83
67
70
62
119
36
77
Annual
Smear
positive case
detection
rate (from
PMR)
75
77
96
98
60
191
87
52
56
43
77
53
82
85
729
53
55
81
70
56
41
48
47
27
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
593
1663
1398
1103
2381
1668
1024
2448
587
1748
1651
1304
603
1472
1299
1155
1981
1255
1343
2283
644
430
1216
317
Total
patients
registered
for
treatment3
152
262
241
251
106
557
217
92
107
66
226
106
167
236
2453
96
76
168
155
99
97
98
85
88
Annual
total case
notification
rate
60
55
63
59
49
121
59
39
41
36
56
42
65
60
519
41
46
64
54
42
27
33
36
17
Annual
new smear
positive case
notification
rate
TB Annual Report
125
Ahmednagar MC
Akola
Akola Municipal
Corporation
Amravati MC
Amravati Rural
Andheri East
Andheri West
Aurangabad
Aurangabad MC
Bail Bazar Road
Bandra East
Bandra West
Bhandara
Bhiwandi Nizampur
Bid
Borivali
Buldana
Byculla
Centenary
Chandrapur
Chembur
Colaba
Dadar
Dahisar
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
District
Maharashtra
State
32
55
48
48
21
136
32
19
23
57
25
22
60
593
21
26
20
22
16
15
21
Annual
new smear
negative
case
notification
rate
28
78
63
60
15
121
61
13
14
10
42
18
30
57
568
28
46
39
16
23
22
16
24
Annual
new extra
pulmonary
case
notification
rate
32
74
67
84
21
178
65
21
29
12
72
22
50
60
772
20
14
38
36
22
25
26
18
26
Annual
previously
treated case
notification
rate
32
74
67
84
21
178
65
21
29
12
72
22
50
60
772
20
14
38
36
22
25
26
18
26
Annual
previously
treated
smear
positive
case
notification
rate
43
179
35
103
68
167
48
67
33
53
132
64
33
136
94
39
73
118
81
78
22
14
37
16
9%
15%
3%
14%
4%
15%
7%
4%
8%
4%
12%
6%
8%
12%
11%
4%
5%
12%
8%
4%
5%
4%
4%
7%
No (%) of pediatric
cases
90%
89%
92%
87%
90%
90%
91%
85%
90%
88%
89%
90%
91%
91%
93%
87%
93%
93%
92%
88%
90%
79%
86%
70%
3 month
conversion
rate of
new smear
positive
patients4
61%
73%
70%
52%
68%
60%
51%
55%
51%
62%
79%
59%
61%
72%
58%
58%
85%
50%
60%
73%
74%
54%
70%
45%
3 month
conversion
rate of
retreatment
patients4
86%
85%
85%
73%
88%
84%
76%
80%
88%
85%
87%
86%
84%
92%
86%
88%
91%
87%
83%
83%
72%
80%
72%
Treatment
Success
rate of
new smear
positive
patients5
43%
42%
66%
32%
63%
67%
38%
56%
48%
59%
66%
59%
57%
72%
41%
52%
74%
56%
66%
60%
53%
56%
48%
Treatment
success
rate among
smear
positive
previously
treated
cases5
275
490
529
406
1204
556
402
1188
275
1103
470
567
311
546
368
586
1306
552
610
1093
268
170
557
97
92%
98%
93%
93%
87%
96%
94%
83%
88%
96%
82%
85%
100%
95%
92%
90%
90%
99%
98%
83%
96%
79%
80%
92%

299
499
550
435
1307
578
422
1351
313
1141
563
670
311
557
370
652
1426
558
625
1311
274
214
691
69
100%
100%
97%
99%
95%
100%
99%
95%
100%
99%
99%
100%
100%
97%
93%
100%
99%
100%
100%
99%
98%
99%
100%
65%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
126
Chembur
Colaba
Dadar
Dahisar
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Centenary
Chandrapur
Maharashtra
Byculla
Maharashtra
Maharashtra
Borivali
Buldana
Maharashtra
Maharashtra
Bhiwandi Nizampur
Bhandara
Maharashtra
Bid
Bandra West
Maharashtra
Maharashtra
Bandra East
Maharashtra
Maharashtra
Aurangabad MC
Bail Bazar Road
Maharashtra
Maharashtra
Andheri West
Aurangabad
Maharashtra
Andheri East
Maharashtra
Maharashtra
Amravati MC
Amravati Rural
Maharashtra
Akola Municipal
Corporation
Maharashtra
Maharashtra
Ahmednagar MC
Akola
Maharashtra
District
Maharashtra
State
168
307
483
258
846
349
177
572
159
556
432
373
180
612
252
453
1010
369
618
682
229
105
352
62
92%
98%
86%
83%
89%
77%
79%
71%
64%
82%
94%
72%
78%
92%
86%
93%
89%
89%
88%
71%
97%
76%
77%
85%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
187
633
340
319
1178
444
151
791
123
939
780
851
90
159
483
1028
385
263
969
330
260
992
32%
39%
24%
29%
50%
35%
15%
32%
21%
54%
47%
65%
15%
26%
37%
0%
53%
33%
22%
42%
51%
60%
81%
1%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
84%
87%
89%
80%
92%
64%
76%
81%
89%
100%
93%
96%
91%
88%
73%
92%
89%
88%
86%
78%
93%
96%
94%
89%
Proportion
of all
registered
TB cases
with
known HIV
status
10%
6%
11%
7%
6%
7%
14%
4%
8%
15%
6%
8%
5%
5%
5%
5%
9%
7%
6%
4%
7%
12%
8%
17%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
2%
1%
2%
4%
6%
2%
3%
3%
2%
14%
7%
7%
2%
2%
0%
6%
4%
0%
2%
4%
8%
10%
7%
18%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
100%
100%
98%
100%
100%
100%
99%
100%
99%
99%
100%
100%
92%
100%
100%
72%
96%
99%
100%
95%
100%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
58%
100%
82%
67%
95%
100%
85%
83%
82%
67%
94%
100%
100%
72%
100%
100%
76%
96%
99%
94%
86%
100%
84%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
14
39
20
34
27
40
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
79
143
20
80
135
71
75
113
132
357
100
76
107
42
149
202
136
88
195
62
266
98
355
190
Number
of health
facilities
registered
(Single
clinic Private) in
2013
19
18
22
65
12
42
112
16
36
28
142
67
20
44
24
182
106
11
117
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
84
308
12
16
Number of
patients
notified by
(Laboratories
- Private) in
2013
18
26
31
194
51
25
83
27
29
110
13
17
Number
of
patients
notified
by (Single
clinic Private) in
2013
53
16
209
31
54
70
64
96
17
12
37
41
159
19
362
108
30
64
97
122
Number
of
patients
notified
by
in 2013
146
342
216
57
55
105
258
148
25
37
47
45
254
46
391
219
36
71
126
145
Total
cases
nofied
by
private
sector
in
2013
37.5
53.9
37.3
13.0
2.4
0.0
22.2
9.7
26.9
0.9
0.0
3.0
13.0
0.0
85.0
21.1
1.8
52.4
25.3
1.6
10.7
28.7
0.1
40.3
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
127
Hingoli
Jalgaon
Jalgaon MC
Jalna
Kalyan Dombivli MC
Kandivali
Kolhapur
Kolhapur MC
Kurla
Latur
Malad
Malegoan Corporation
Mira Bhayander
Mulund
Nagpur MC
Nagpur Rural
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Goregaon
Maharashtra
Maharashtra
Gondiya
Maharashtra
Govandi
Ghatkopar
Maharashtra
Grant Road
Gadchiroli
Maharashtra
Maharashtra
Dhule MC
Maharashtra
Maharashtra
Dhule
District
Maharashtra
State
23.1
24.7
3.5
8.4
4.8
8.5
25.2
8.3
5.6
34.1
6.2
12.8
20.1
4.7
38.6
12.1
4.1
4.2
4.7
13.6
6.6
11.0
3.9
17.2
Population
(in lakh)
covered by
RNTCP1
15824
15550
4006
4797
4489
6687
21799
3610
3287
35680
3504
6677
6649
4879
19206
5587
1457
2401
3759
8098
5395
8005
4449
12366
No. of
suspects
examined
171
157
282
143
232
197
216
108
146
261
141
130
83
258
124
115
90
142
200
149
204
182
288
180
Suspects
examined
per lakh
population
4%
6%
8%
6%
40%
19%
41%
7%
37%
-3%
20%
6%
2%
4%
3%
12%
Rate of
change in
suspects
examined
per lakh
population
1615
1941
400
616
526
783
1242
281
253
1927
400
919
774
661
1643
617
212
226
385
721
640
907
696
1135
No of Smear
positive
patients
diagnosed2
10
10
18
13
13
19
12
11
10
11
11
Suspects
examined
per smear
positive case
diagnosed
18%
-9%
19%
-2%
28%
10%
39%
12%
34%
-16%
18%
2%
10%
5%
-1%
-1%
Rate of
change in
suspects
examined
per s+ case
diagnosed
70
79
113
74
109
92
49
34
45
56
64
72
39
140
43
51
52
53
82
53
97
82
180
66
Annual
Smear
positive case
detection
rate (from
PMR)
64
58
64
69
82
90
41
35
40
51
71
51
37
55
48
49
67
122
70
45
86
71
80
66
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
2335
2793
523
995
982
1986
1860
823
484
2725
1051
1776
1516
498
3877
1054
527
1521
912
1199
1267
1244
506
1772
Total
patients
registered
for
treatment3
101
113
147
119
203
234
74
99
86
80
169
139
75
105
100
87
129
359
194
88
192
113
131
103
Annual
total case
notification
rate
52
43
52
54
67
64
34
24
31
46
55
33
27
44
38
36
54
77
49
36
61
59
63
58
Annual
new smear
positive case
notification
rate
128
Malegoan
Corporation
Mira Bhayander
Mulund
Nagpur MC
Nagpur Rural
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Kurla
Maharashtra
Latur
Kolhapur MC
Maharashtra
Malad
Kolhapur
Maharashtra
Maharashtra
Kandivali
Maharashtra
Kalyan Dombivli MC
Jalgaon MC
Jalna
Maharashtra
Maharashtra
Maharashtra
Jalgaon
Maharashtra
Maharashtra
Grant Road
Hingoli
Maharashtra
Maharashtra
Goregaon
Gondiya
Maharashtra
Govandi
Ghatkopar
Maharashtra
Maharashtra
Gadchiroli
Maharashtra
Maharashtra
Dhule
Dhule MC
Maharashtra
District
Maharashtra
State
18
16
32
10
54
47
13
20
16
12
28
32
19
23
32
19
13
78
47
21
28
21
17
21
Annual
new smear
negative
case
notification
rate
13
27
36
25
51
55
13
25
23
11
41
27
10
21
12
13
31
87
41
16
43
13
25
10
Annual
new extra
pulmonary
case
notification
rate
18
27
28
29
31
68
13
29
15
11
44
47
19
18
19
19
32
117
57
15
61
20
26
14
Annual
previously
treated case
notification
rate
18
27
28
29
31
68
13
29
15
11
44
47
19
18
19
19
32
117
57
15
61
20
26
14
Annual
previously
treated
smear
positive
case
notification
rate
92
109
52
31
78
143
83
58
32
117
61
120
26
19
118
28
24
172
55
38
87
43
22
67
5%
5%
12%
4%
9%
10%
5%
10%
8%
5%
8%
10%
2%
5%
4%
3%
6%
17%
9%
4%
10%
4%
5%
4%
No (%) of pediatric
cases
91%
91%
85%
89%
86%
90%
87%
92%
94%
94%
91%
83%
88%
90%
89%
89%
92%
90%
88%
88%
89%
91%
96%
93%
3 month
conversion
rate of
new smear
positive
patients4
76%
70%
71%
62%
64%
57%
59%
62%
65%
65%
62%
54%
73%
57%
57%
70%
52%
64%
59%
67%
60%
75%
85%
72%
3 month
conversion
rate of
retreatment
patients4
88%
85%
88%
86%
89%
83%
80%
90%
83%
88%
91%
74%
88%
88%
84%
83%
89%
83%
85%
81%
86%
90%
97%
88%
Treatment
Success
rate of
new smear
positive
patients5
71%
57%
33%
46%
61%
39%
42%
55%
62%
61%
42%
50%
77%
49%
58%
67%
52%
51%
50%
55%
70%
70%
78%
70%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1389
1359
219
558
375
745
944
264
213
1636
448
590
722
243
1625
536
216
520
290
550
506
676
304
1054
59%
53%
95%
97%
94%
93%
88%
91%
93%
93%
100%
87%
93%
92%
85%
87%
77%
97%
87%
90%
88%
85%
98%
92%

1492
1431
230
576
397
794
1067
257
229
1753
450
681
771
264
1902
597
246
528
332
614
571
778
310
1138
100%
99%
100%
100%
99%
99%
99%
88%
100%
100%
100%
100%
100%
100%
100%
97%
88%
99%
100%
100%
100%
98%
100%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
129
Mulund
Nagpur MC
Nagpur Rural
Maharashtra
Mira Bhayander
Maharashtra
Maharashtra
Malegoan
Corporation
Maharashtra
Maharashtra
Latur
Malad
Maharashtra
Maharashtra
Kolhapur MC
Kurla
Maharashtra
Kolhapur
Maharashtra
Maharashtra
Kalyan Dombivli MC
Kandivali
Maharashtra
Maharashtra
Jalgaon MC
Jalna
Maharashtra
Maharashtra
Hingoli
Jalgaon
Maharashtra
Grant Road
Maharashtra
Maharashtra
Goregaon
Govandi
Maharashtra
Maharashtra
Ghatkopar
Gondiya
Maharashtra
Maharashtra
Dhule MC
Gadchiroli
Maharashtra
District
Maharashtra
Dhule
Maharashtra
State
1137
1057
191
475
257
605
597
182
166
1213
131
434
567
189
997
402
142
569
179
387
369
550
270
810
89%
84%
96%
100%
85%
88%
82%
85%
92%
86%
87%
93%
91%
96%
72%
83%
64%
86%
89%
80%
75%
87%
98%
87%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1298
607
190
606
240
1043
1016
283
122
1706
462
82
635
27
2114
668
70
733
353
853
407
609
128
1286
56%
22%
39%
60%
24%
52%
55%
34%
25%
65%
48%
5%
41%
5%
55%
64%
15%
48%
39%
71%
38%
49%
25%
73%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
92%
95%
76%
99%
82%
86%
86%
80%
99%
97%
80%
93%
87%
98%
88%
94%
84%
80%
82%
92%
75%
92%
99%
87%
Proportion
of all
registered
TB cases
with
known HIV
status
5%
12%
10%
8%
7%
6%
11%
5%
17%
11%
8%
7%
7%
9%
8%
6%
11%
5%
8%
4%
7%
2%
8%
8%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
7%
15%
1%
8%
7%
1%
14%
1%
22%
13%
1%
7%
8%
13%
9%
8%
6%
1%
2%
5%
2%
2%
8%
6%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
92%
97%
99%
100%
94%
100%
100%
100%
71%
100%
100%
100%
100%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
94%
97%
100%
88%
75%
100%
83%
71%
97%
99%
92%
83%
92%
91%
88%
100%
53%
100%
67%
98%
82%
100%
83%
95%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
10
47
31
11
11
10
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
236
519
112
446
162
205
174
129
338
1084
209
148
49
122
344
56
175
43
149
145
129
48
194
Number
of health
facilities
registered
(Single
clinic Private) in
2013
24
96
24
127
21
88
167
265
44
168
15
74
59
29
41
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
67
13
23
Number of
patients
notified by
(Laboratories
- Private) in
2013
24
40
128
65
14
30
84
20
87
151
194
76
217
352
61
179
77
124
25
56
Number
of
patients
notified
by (Single
clinic Private) in
2013
199
373
62
14
46
100
80
47
149
118
49
136
11
37
61
16
Number
of
patients
notified
by
in 2013
224
413
138
127
28
30
130
20
254
231
254
149
196
289
488
61
190
77
38
185
16
32
60
Total
cases
nofied
by
private
sector
in
2013
9.7
16.7
38.9
15.2
5.8
3.5
5.2
2.4
45.1
6.8
40.7
11.6
9.8
61.2
12.6
5.0
46.7
0.0
16.4
2.8
28.0
1.5
8.3
3.5
Notification
rate per
1,00,000
population
(private
sector)
130
Prabhadevi
Pune
Pune Rural
Maharashtra
Maharashtra
Maharashtra
Sindhudurg
Sion
Solapur
Solapur MC
Thane
Thane MC
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Satara
Pimpri Chinchwad
Maharashtra
Maharashtra
Parel
Maharashtra
Sangli MC
Parbhani
Maharashtra
Sangli
Osmanabad
Maharashtra
Maharashtra
Navi Mumbai
Maharashtra
Maharashtra
Nashik Corp
Maharashtra
Ratnagiri
Nashik
Maharashtra
Raigarh
Nandurbar
Maharashtra
Maharashtra
Nanded Waghela MC
Maharashtra
Maharashtra
Nanded
District
Maharashtra
State
18.7
49.6
9.8
34.5
5.7
8.7
30.8
5.2
23.8
16.6
27.0
47.0
32.0
4.9
17.7
3.7
18.8
17.0
11.5
15.3
42.6
16.9
5.7
28.8
Population
(in lakh)
covered by
RNTCP1
13013
29274
5521
18718
10132
11286
26233
2657
26085
16359
20417
39584
21621
2024
12079
18642
7471
11711
11895
11718
28519
9326
4094
16243
No. of
suspects
examined
174
147
141
136
447
324
213
129
274
247
189
210
169
103
170
1252
99
172
259
192
167
138
181
141
Suspects
examined
per lakh
population
20%
24%
-6%
-4%
8%
2%
45%
9%
-2%
17%
15%
23%
4%
-1%
23%
6%
11%
30%
8%
7%
4%
Rate of
change in
suspects
examined
per lakh
population
1818
2871
853
1209
1048
505
1954
254
1459
1231
2144
3823
1864
192
1097
2844
844
687
1416
1017
2082
1093
404
1437
No of Smear
positive
patients
diagnosed2
10
15
10
22
13
10
18
13
10
10
12
11
11
17
12
14
10
11
Suspects
examined
per smear
positive case
diagnosed
-52%
-7%
-59%
27%
16%
140%
33%
77%
-1%
-32%
49%
0%
-10%
-10%
1%
67%
-12%
69%
58%
-3%
29%
58%
Rate of
change in
suspects
examined
per s+ case
diagnosed
97
58
87
35
185
58
63
49
61
74
79
81
58
39
62
764
45
40
123
67
49
65
71
50
Annual
Smear
positive case
detection
rate (from
PMR)
67
62
55
32
95
54
59
45
51
73
74
59
62
72
48
549
42
38
84
53
49
58
45
44
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
3283
6650
1063
2316
2066
1100
3166
530
2529
2411
3892
4263
3682
808
1982
4839
1479
1218
2125
1389
3346
1836
561
2553
Total
patients
registered
for
treatment3
176
134
109
67
365
126
103
103
106
146
144
91
115
164
112
1300
78
71
185
91
79
109
99
89
Annual
total case
notification
rate
49
49
39
27
63
43
50
34
45
59
59
51
55
51
38
224
30
33
58
47
45
46
35
35
Annual
new smear
positive case
notification
rate
TB Annual Report
131
Sindhudurg
Sion
Solapur
Solapur MC
Thane
Thane MC
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Maharashtra
Sangli MC
Satara
Maharashtra
Sangli
Maharashtra
Maharashtra
Raigarh
Ratnagiri
Maharashtra
Maharashtra
Pune
Pune Rural
Maharashtra
Maharashtra
Pimpri Chinchwad
Prabhadevi
Maharashtra
Parel
Maharashtra
Maharashtra
Osmanabad
Parbhani
Maharashtra
Maharashtra
Nashik Corp
Navi Mumbai
Maharashtra
Maharashtra
Nandurbar
Nashik
Maharashtra
Maharashtra
Nanded
Nanded Waghela MC
Maharashtra
District
Maharashtra
State
35
31
22
17
56
38
15
17
24
41
29
14
13
24
15
230
17
17
21
21
16
27
17
21
Annual
new smear
negative
case
notification
rate
49
23
23
10
144
22
19
25
16
15
23
10
27
41
35
166
13
10
47
14
31
17
Annual
new extra
pulmonary
case
notification
rate
43
31
26
13
102
23
19
21
22
31
33
16
20
48
22
680
19
11
54
14
10
21
17
16
Annual
previously
treated case
notification
rate
43
31
26
13
102
23
19
21
22
31
33
16
20
48
22
680
19
11
54
14
10
21
17
16
Annual
previously
treated
smear
positive
case
notification
rate
290
403
57
78
168
42
97
17
84
58
140
145
141
43
98
127
57
50
183
104
206
114
25
95
12%
8%
7%
4%
11%
5%
4%
4%
4%
3%
5%
4%
5%
8%
6%
6%
5%
5%
12%
9%
7%
8%
5%
5%
No (%) of pediatric
cases
83%
88%
88%
88%
83%
89%
91%
90%
91%
91%
87%
93%
95%
90%
88%
82%
90%
92%
87%
93%
95%
86%
90%
83%
3 month
conversion
rate of
new smear
positive
patients4
44%
64%
55%
65%
50%
56%
65%
70%
70%
57%
65%
71%
70%
52%
62%
68%
63%
76%
56%
74%
81%
71%
81%
65%
3 month
conversion
rate of
retreatment
patients4
80%
80%
76%
85%
84%
81%
89%
86%
85%
88%
84%
89%
92%
84%
84%
76%
88%
84%
80%
86%
92%
84%
85%
88%
Treatment
Success
rate of
new smear
positive
patients5
44%
55%
44%
55%
38%
43%
54%
71%
55%
51%
62%
62%
57%
48%
51%
63%
60%
66%
49%
67%
67%
64%
73%
77%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1062
2588
507
960
511
428
1775
204
1109
1152
1820
2550
1949
304
854
2026
711
601
889
764
1956
889
192
1168
6%
46%
80%
56%
90%
95%
57%
1097%
41%
78%
25%
15%
88%
57%
124%
56%
226%
381%
196%
37%
40%
198%
277%
47%

1246
3078
545
1128
549
477
1862
236
1237
1206
2048
2759
1986
355
876
1949
801
670
996
812
2100
1020
197
1230
97%
98%
99%
98%
99%
99%
100%
100%
100%
98%
100%
98%
98%
100%
98%
94%
99%
100%
100%
100%
99%
100%
77%
95%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
132
Nashik Corp
Navi Mumbai
Maharashtra
Maharashtra
Solapur
Solapur MC
Thane
Thane MC
Maharashtra
Maharashtra
Sion
Maharashtra
Maharashtra
Sindhudurg
Maharashtra
Maharashtra
Satara
Ratnagiri
Maharashtra
Maharashtra
Raigarh
Maharashtra
Sangli
Pune Rural
Maharashtra
Sangli MC
Pune
Maharashtra
Maharashtra
Prabhadevi
Maharashtra
Maharashtra
Parel
Pimpri Chinchwad
Maharashtra
Maharashtra
Osmanabad
Nashik
Maharashtra
Parbhani
Nandurbar
Maharashtra
Maharashtra
Nanded Waghela
MC
Maharashtra
Nanded
Maharashtra
District
Maharashtra
State
735
1845
309
706
239
312
1039
132
779
940
1293
1639
1670
252
640
802
488
413
660
619
1273
449
134
773
88%
86%
94%
79%
54%
85%
84%
82%
80%
88%
83%
79%
97%
86%
95%
79%
82%
79%
100%
97%
79%
69%
61%
80%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1787
3925
485
618
340
805
2205
55
806
1781
2827
1206
437
111
162
106
685
645
1020
347
1651
1440
340
1754
55%
54%
46%
27%
22%
73%
70%
90%
32%
74%
73%
30%
22%
14%
10%
8%
46%
52%
48%
25%
49%
78%
61%
69%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
92%
79%
95%
81%
81%
94%
93%
96%
84%
92%
87%
96%
95%
69%
94%
69%
67%
93%
98%
88%
92%
75%
76%
82%
Proportion
of all
registered
TB cases
with
known HIV
status
7%
5%
11%
16%
9%
4%
18%
31%
16%
5%
7%
12%
13%
13%
10%
7%
13%
19%
9%
6%
4%
6%
14%
7%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
7%
4%
13%
16%
2%
5%
15%
36%
18%
6%
6%
13%
16%
2%
13%
1%
13%
26%
10%
7%
4%
6%
11%
6%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
94%
100%
93%
100%
88%
97%
100%
100%
100%
96%
92%
100%
100%
99%
100%
99%
93%
100%
100%
99%
97%
100%
92%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
100%
73%
94%
87%
100%
84%
72%
85%
96%
98%
86%
80%
88%
81%
96%
58%
56%
91%
92%
79%
98%
73%
100%
95%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
71
52
15
11
14
24
96
13
18
23
43
66
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
808
135
44
126
153
37
86
277
96
413
387
222
971
100
453
120
103
262
536
175
320
37
73
183
Number
of health
facilities
registered
(Single
clinic Private) in
2013
220
168
34
17
64
213
30
45
68
134
146
185
219
88
231
104
22
11
11
32
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
41
81
53
Number of
patients
notified by
(Laboratories
- Private) in
2013
36
41
107
389
10
77
247
31
38
17
14
110
16
148
14
24
17
46
532
163
96
Number
of
patients
notified
by (Single
clinic Private) in
2013
140
90
71
54
26
34
126
16
29
51
462
72
72
66
10
14
32
70
Number
of
patients
notified
by
in 2013
176
133
110
401
85
61
103
34
414
16
60
98
560
14
188
17
151
86
143
27
61
570
169
167
Total
cases
nofied
by
private
sector
in
2013
9.4
2.7
11.3
11.6
15.0
7.0
3.3
6.6
17.4
1.0
2.2
2.1
17.5
2.8
10.6
4.6
8.0
5.0
12.4
1.8
1.4
33.7
29.9
5.8
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
133
1.9
Chandel
Churachandpur
Imphal East
Imphal West
Senapati
Tamenglong
Thoubal
Manipur
Manipur
Manipur
Manipur
Manipur
Manipur
Manipur
South Garo Hills
West Garo Hills
West Khasi Hills
Aizawl
Champhai
Kolasib
Meghalaya
Meghalaya
Mizoram
Mizoram
Mizoram
Ri Bhoi
Meghalaya
Meghalaya
East Khasi Hills
Jaintia Hills
Meghalaya
Meghalaya
Ukhrul
Bishnupur
Manipur
East Garo Hills
Yavatmal
Maharashtra
Manipur
Washim
Maharashtra
Meghalaya
4.3
Wardha
Maharashtra
0.9
1.3
4.2
4.1
6.8
1.5
2.7
4.1
8.7
3.3
1.4
3.7
5.3
4.7
2.8
1.5
2.5
28.5
12.3
13.3
7.4
Vikhroli
Maharashtra
5.2
Population
(in lakh)
covered by
RNTCP1
Ulhasnagar MC
District
Maharashtra
State
739
840
3728
2115
4376
704
1144
2426
12501
1372
308
962
377
525
2021
1477
1315
551
589
21827
6235
19396
4504
3474
No. of
suspects
examined
215
162
223
130
162
117
105
147
361
103
41
55
65
36
95
79
117
93
59
192
127
365
152
167
Suspects
examined
per lakh
population
-9%
6%
3%
-8%
-2%
17%
-30%
22%
-3%
10%
-38%
-24%
-20%
-29%
-40%
-36%
-42%
-4%
-15%
4%
6%
27%
10%
Rate of
change in
suspects
examined
per lakh
population
53
43
359
170
510
73
242
1223
148
76
98
48
89
242
209
48
31
85
1750
517
999
548
637
No of Smear
positive
patients
diagnosed2
14
20
10
12
10
10
10
10
27
18
12
12
19
Suspects
examined
per smear
positive case
diagnosed
35%
137%
7%
45%
21%
-6%
53%
8%
4%
-83%
1%
-14%
-48%
-19%
-54%
213%
7%
44%
73%
13%
-71%
Rate of
change in
suspects
examined
per s+ case
diagnosed
62
33
86
42
75
49
59
141
44
40
23
33
24
46
45
17
21
34
61
42
75
74
122
Annual
Smear
positive case
detection
rate (from
PMR)
57
33
68
52
64
65
71
65
92
40
33
26
44
31
38
42
31
29
51
59
43
54
81
95
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
168
132
1011
612
685
128
394
732
2238
213
118
345
97
244
460
544
213
90
218
3115
994
1348
1487
976
Total
patients
registered
for
treatment3
196
102
242
151
101
85
145
177
258
64
62
79
67
67
87
116
76
61
88
109
81
101
200
188
Annual
total case
notification
rate
42
26
52
40
58
61
52
47
66
34
31
22
38
22
31
34
27
24
36
46
29
41
58
67
Annual
new smear
positive case
notification
rate
134
West Garo Hills
West Khasi Hills
Aizawl
Champhai
Kolasib
Meghalaya
Meghalaya
Mizoram
Mizoram
Mizoram
Ri Bhoi
South Garo Hills
Meghalaya
Meghalaya
East Khasi Hills
Jaintia Hills
Meghalaya
East Garo Hills
Meghalaya
Meghalaya
Ukhrul
Manipur
Thoubal
Senapati
Tamenglong
Manipur
Manipur
Imphal West
Manipur
Manipur
Churachandpur
Imphal East
Manipur
Manipur
Bishnupur
Chandel
Manipur
Manipur
Washim
Yavatmal
Maharashtra
Wardha
Maharashtra
Maharashtra
Ulhasnagar MC
Vikhroli
Maharashtra
Maharashtra
District
State
44
18
37
30
14
15
43
38
11
23
13
19
39
26
17
25
17
16
32
33
Annual
new smear
negative
case
notification
rate
76
43
106
50
16
39
47
91
18
23
22
24
25
11
17
18
15
20
46
27
Annual
new extra
pulmonary
case
notification
rate
34
15
47
31
13
10
39
41
61
11
11
11
10
15
13
19
12
18
19
20
20
24
65
61
Annual
previously
treated case
notification
rate
34
15
47
31
13
10
39
41
61
11
11
11
10
15
13
19
12
18
19
20
20
24
65
61
Annual
previously
treated
smear
positive
case
notification
rate
63
82
22
35
119
175
10
15
29
34
89
39
44
84
23
6%
8%
8%
17%
4%
4%
12%
21%
10%
6%
7%
2%
7%
8%
1%
6%
19%
3%
1%
3%
5%
4%
8%
3%
No (%) of pediatric
cases
93%
89%
93%
86%
92%
91%
75%
74%
81%
89%
69%
86%
93%
99%
83%
89%
93%
94%
89%
90%
82%
92%
91%
88%
3 month
conversion
rate of
new smear
positive
patients4
65%
58%
69%
51%
78%
90%
64%
58%
58%
65%
64%
100%
70%
69%
80%
63%
92%
63%
76%
67%
68%
73%
60%
57%
3 month
conversion
rate of
retreatment
patients4
89%
89%
86%
86%
93%
92%
74%
71%
76%
81%
72%
85%
90%
89%
79%
91%
88%
90%
75%
89%
79%
86%
86%
80%
Treatment
Success
rate of
new smear
positive
patients5
53%
100%
71%
54%
71%
91%
59%
52%
45%
75%
70%
85%
82%
88%
65%
47%
86%
71%
81%
68%
60%
70%
49%
46%
Treatment
success
rate among
smear
positive
previously
treated
cases5
49
42
292
203
425
91
47
238
789
126
50
82
46
73
150
122
53
27
83
1444
439
640
499
460
541%
91%
19%
12%
27%
32%
88%
15%
33%
148%
850%
105%
102%
283%
519%
93%
94%
293%
50%
4%
28%
17%
9%
5%

49
43
292
216
433
98
48
227
821
137
50
84
38
78
151
125
53
27
92
1616
530
723
616
497
100%
100%
100%
95%
98%
98%
86%
81%
94%
100%
100%
97%
83%
93%
99%
92%
100%
96%
100%
96%
97%
98%
100%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
135
Ukhrul
East Garo Hills
Manipur
Meghalaya
West Khasi Hills
Aizawl
Champhai
Kolasib
Meghalaya
Mizoram
Mizoram
West Garo Hills
Meghalaya
Mizoram
Ri Bhoi
South Garo Hills
Meghalaya
Meghalaya
East Khasi Hills
Thoubal
Manipur
Jaintia Hills
Tamenglong
Manipur
Meghalaya
Senapati
Manipur
Meghalaya
Imphal East
Churachandpur
Manipur
Imphal West
Chandel
Manipur
Manipur
Bishnupur
Manipur
Manipur
Washim
Wardha
Maharashtra
Yavatmal
Vikhroli
Maharashtra
Maharashtra
Ulhasnagar MC
Maharashtra
Maharashtra
District
State
24
43
198
165
395
52
19
71
435
88
30
52
24
72
111
107
71
20
30
1146
349
521
265
278
53%
98%
94%
97%
96%
68%
100%
54%
81%
81%
100%
83%
86%
100%
83%
86%
93%
61%
55%
86%
93%
83%
81%
100%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
50
72
60
389
278
51
70
216
1158
92
46
234
51
176
260
86
30
132
2069
707
1067
869
38
30%
55%
6%
64%
40%
38%
78%
30%
55%
43%
57%
99%
75%
51%
67%
57%
57%
86%
69%
69%
79%
58%
4%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
76%
93%
77%
16%
92%
31%
22%
16%
21%
21%
81%
92%
84%
90%
49%
72%
60%
41%
92%
85%
85%
94%
73%
98%
Proportion
of all
registered
TB cases
with
known HIV
status
6%
15%
19%
0%
0%
0%
0%
2%
2%
0%
13%
5%
4%
3%
11%
7%
16%
16%
8%
10%
7%
5%
8%
8%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
5%
14%
18%
0%
0%
0%
0%
0%
0%
0%
16%
3%
1%
4%
7%
6%
23%
12%
5%
10%
8%
7%
1%
6%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
11%
100%
100%
100%
26%
40%
0%
11%
0%
52%
96%
55%
18%
99%
96%
100%
80%
97%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
56%
89%
42%
0%
100%
26%
60%
0%
11%
0%
52%
94%
45%
82%
88%
94%
95%
55%
89%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
23
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
18
91
40
51
171
84
Number
of health
facilities
registered
(Single
clinic Private) in
2013
18
57
41
16
106
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
25
340
56
57
20
11
Number
of
patients
notified
by (Single
clinic Private) in
2013
42
600
35
172
69
46
106
Number
of
patients
notified
by
in 2013
67
940
96
234
89
52
117
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
2.2
0.0
0.0
44.7
0.0
0.0
108.5
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
3.4
19.1
6.7
7.0
22.5
Notification
rate per
1,00,000
population
(private
sector)
136
Mon
Peren
Phek
Tuensang
Wokha
Zunheboto
Anugul
Balangir
Baleshwar
Bargarh
Bhadrak
Bhubaneshwar MC
Boudh
Cuttack
Nagaland
Nagaland
Nagaland
Nagaland
Nagaland
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Mokokchung
Nagaland
Nagaland
Kohima
Longleng
Nagaland
Nagaland
Dimapur
Kiphire
Nagaland
Nagaland
Saiha
Serchhip
Mamit
Mizoram
Mizoram
Lunglei
Mizoram
Lawngtlai
Mizoram
District
Mizoram
State
26.8
4.5
8.6
15.4
15.1
23.7
16.9
13.0
1.4
1.7
2.0
1.6
1.0
2.5
2.0
0.5
2.7
0.7
3.8
0.7
0.6
0.9
1.6
1.2
Population
(in lakh)
covered by
RNTCP1
9592
1289
4762
4713
5774
10218
7371
7296
973
979
2733
167
452
2831
1190
494
1381
567
2702
450
531
342
1476
483
No. of
suspects
examined
90
72
139
76
95
108
109
140
171
146
344
25
118
280
152
242
127
190
176
168
228
96
231
99
Suspects
examined
per lakh
population
-13%
-15%
5%
-26%
-8%
-18%
-3%
-8%
7%
6%
17%
-69%
-2%
-12%
6%
140%
9%
5%
-22%
17%
-10%
-13%
2%
10%
Rate of
change in
suspects
examined
per lakh
population
1282
128
600
432
667
1356
947
731
74
82
172
13
34
205
132
48
297
46
463
38
51
30
115
22
No of Smear
positive
patients
diagnosed2
10
11
10
13
12
16
13
13
14
10
12
12
10
11
13
22
Suspects
examined
per smear
positive case
diagnosed
-3%
-1%
-17%
12%
-36%
0%
-46%
-47%
97%
34%
174%
38%
151%
25%
-33%
-25%
-33%
-17%
-55%
-30%
-3%
0%
63%
68%
Rate of
change in
suspects
examined
per s+ case
diagnosed
48
28
70
28
44
57
56
56
52
49
87
35
81
68
94
109
62
121
57
87
34
72
18
Annual
Smear
positive case
detection
rate (from
PMR)
24
39
40
28
46
43
47
46
58
49
83
46
56
102
66
98
83
67
109
58
93
32
71
27
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1488
296
855
761
1635
1711
1940
1000
127
131
567
116
83
427
256
85
489
141
917
97
158
66
262
111
Total
patients
registered
for
treatment3
56
66
100
49
108
72
115
77
89
78
285
70
87
169
131
166
179
189
239
145
271
74
164
91
Annual
total case
notification
rate
20
33
30
23
40
36
44
40
52
41
61
36
35
80
51
72
65
47
80
51
77
21
55
21
Annual
new smear
positive case
notification
rate
TB Annual Report
137
Baleshwar
Bargarh
Bhadrak
Bhubaneshwar MC
Boudh
Cuttack
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Anugul
Balangir
Orissa
Zunheboto
Nagaland
Orissa
Tuensang
Wokha
Nagaland
Nagaland
Peren
Phek
Nagaland
Nagaland
Mokokchung
Mon
Longleng
Nagaland
Nagaland
Kohima
Nagaland
Kiphire
Nagaland
Nagaland
27
Serchhip
Dimapur
Mizoram
Saiha
Mizoram
Nagaland
60
Mamit
Mizoram
10
12
12
23
12
32
12
20
27
66
23
20
35
32
41
61
14
21
Lunglei
21
Lawngtlai
Annual
new smear
negative
case
notification
rate
Mizoram
District
Mizoram
State
18
10
36
15
31
14
22
15
111
14
33
20
33
49
71
33
51
98
25
58
29
Annual
new extra
pulmonary
case
notification
rate
10
17
13
10
14
10
47
13
27
36
26
55
33
29
65
15
36
15
30
21
Annual
previously
treated case
notification
rate
10
17
13
10
14
10
47
13
27
36
26
55
33
29
65
15
36
15
30
21
Annual
previously
treated
smear
positive
case
notification
rate
46
11
143
15
53
45
84
39
14
88
53
51
27
16
30
17
31
10
4%
4%
20%
2%
4%
3%
5%
4%
12%
3%
19%
5%
5%
16%
25%
16%
7%
13%
4%
8%
12%
15%
14%
12%
No (%) of pediatric
cases
85%
88%
91%
89%
89%
89%
89%
93%
96%
100%
93%
91%
96%
91%
92%
94%
91%
100%
94%
93%
98%
95%
95%
97%
3 month
conversion
rate of
new smear
positive
patients4
66%
48%
66%
69%
69%
75%
65%
67%
88%
100%
79%
75%
94%
85%
79%
92%
83%
88%
85%
57%
91%
100%
78%
100%
3 month
conversion
rate of
retreatment
patients4
85%
88%
78%
90%
85%
88%
88%
89%
98%
94%
90%
95%
94%
96%
90%
100%
90%
89%
85%
84%
95%
100%
91%
92%
Treatment
Success
rate of
new smear
positive
patients5
55%
73%
71%
77%
71%
76%
76%
73%
92%
100%
95%
52%
77%
89%
71%
75%
78%
100%
76%
64%
73%
78%
76%
69%
Treatment
success
rate among
smear
positive
previously
treated
cases5
454
147
265
370
623
855
665
566
77
82
172
14
54
183
121
50
230
51
265
39
55
28
117
32
110%
140%
476%
119%
87%
16%
57%
22%
323%
451%
362%
5029%
1231%
203%
58%
164%
74%
27%
17%
469%
220%
179%
197%
150%

637
176
335
437
695
1024
786
670
77
82
172
17
54
188
130
50
230
51
314
39
55
28
117
28
98%
100%
96%
100%
98%
99%
98%
99%
94%
100%
100%
100%
100%
67%
98%
100%
100%
100%
100%
100%
100%
100%
100%
82%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
138
Peren
Bhubaneshwar MC
Cuttack
Orissa
Bhadrak
Orissa
Boudh
Bargarh
Orissa
Orissa
Baleshwar
Orissa
Orissa
Anugul
Balangir
Orissa
Zunheboto
Nagaland
Orissa
Tuensang
Wokha
Nagaland
Nagaland
Phek
Nagaland
Nagaland
Mokokchung
Mon
Nagaland
Nagaland
Longleng
Nagaland
Dimapur
Nagaland
Kiphire
Serchhip
Mizoram
Kohima
Saiha
Mizoram
Nagaland
Mamit
Mizoram
Nagaland
Lawngtlai
Lunglei
Mizoram
District
Mizoram
State
379
168
197
273
464
744
496
452
81
89
152
29
110
127
20
162
56
180
23
48
35
156
30
70%
85%
86%
69%
72%
78%
69%
78%
88%
100%
97%
78%
100%
57%
91%
91%
100%
100%
56%
82%
100%
95%
100%
68%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
1180
276
147
761
1610
1647
1877
925
26
109
523
181
77
419
85
100
46
45
46
58
71
79%
93%
17%
100%
98%
98%
96%
83%
20%
83%
92%
38%
0%
87%
30%
86%
61%
15%
47%
28%
70%
20%
65%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
63%
31%
62%
99%
56%
72%
53%
79%
83%
67%
85%
84%
89%
55%
89%
89%
85%
74%
89%
95%
85%
67%
89%
59%
Proportion
of all
registered
TB cases
with
known HIV
status
1%
0%
4%
1%
1%
1%
2%
1%
4%
2%
2%
4%
0%
2%
2%
0%
7%
5%
15%
11%
0%
7%
6%
5%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
1%
0%
1%
1%
0%
1%
1%
1%
2%
0%
3%
8%
4%
0%
2%
0%
10%
4%
11%
5%
2%
9%
2%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
67%
56%
100%
33%
87%
100%
93%
100%
13%
100%
0%
100%
100%
100%
90%
100%
0%
100%
100%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
67%
56%
100%
33%
60%
93%
50%
33%
88%
89%
0%
100%
81%
100%
31%
100%
0%
100%
100%
0%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
Number
of health
facilities
registered
(Single
clinic Private) in
2013
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
65
17
Number
of
patients
notified
by (Single
clinic Private) in
2013
87
113
Number
of
patients
notified
by
in 2013
152
130
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
55.7
0.0
33.9
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
139
Malkangiri
Mayurbhanj
Nabarangapur
Nayagarh
Nuapada
Puri
Rayagada
Sambalpur
Sonapur
Sundargarh
Pondicherry
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Orissa
Pondicherry
Koraput
Orissa
Khordha
Orissa
Kalahandi
Orissa
Orissa
Jharsuguda
Orissa
Kendujhar
Jajapur
Orissa
Orissa
Jagatsinghpur
Orissa
Kandhamal
Ganjam
Orissa
Kendrapara
Gajapati
Orissa
Orissa
Dhenkanal
Orissa
Orissa
Debagarh
District
Orissa
State
13.0
21.3
6.7
10.7
9.8
17.4
6.2
9.8
12.5
25.7
6.3
14.1
14.4
18.4
14.7
7.5
16.1
5.9
18.7
11.6
36.0
5.9
12.2
3.2
Population
(in lakh)
covered by
RNTCP1
24192
14387
2735
7352
6740
6523
3131
5335
3609
16388
2501
7077
4565
10087
7503
4177
6578
4020
5543
4472
16478
3064
6550
1134
No. of
suspects
examined
465
169
102
172
171
94
126
135
72
159
100
126
79
137
127
139
102
170
74
96
114
130
134
89
Suspects
examined
per lakh
population
4%
-10%
-9%
-17%
1%
-18%
-19%
-30%
-20%
-16%
-34%
-19%
-20%
-8%
9%
-11%
-7%
8%
-4%
-15%
-16%
-9%
3%
-13%
Rate of
change in
suspects
examined
per lakh
population
2727
1857
257
1043
1146
592
478
785
590
2883
522
1370
502
1755
548
647
1147
474
755
262
2534
628
730
170
No of Smear
positive
patients
diagnosed2
11
11
14
17
Suspects
examined
per smear
positive case
diagnosed
20%
-15%
60%
12%
15%
92%
-37%
21%
-58%
-14%
-22%
-31%
15%
-74%
90%
21%
-28%
20%
-9%
106%
-17%
-61%
17%
-21%
Rate of
change in
suspects
examined
per s+ case
diagnosed
210
87
39
98
116
34
77
80
47
112
83
97
35
95
37
86
71
80
40
23
70
107
60
53
Annual
Smear
positive case
detection
rate (from
PMR)
65
75
39
65
108
33
70
60
46
106
119
81
38
81
36
77
65
74
42
23
57
97
59
53
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1458
3022
534
1550
1660
1130
803
1038
912
4840
1064
1775
1016
2938
795
937
1760
807
1567
518
4513
990
1151
263
Total
patients
registered
for
treatment3
112
142
80
145
169
65
129
105
73
188
170
126
71
159
54
125
109
136
84
45
125
168
94
82
Annual
total case
notification
rate
53
63
34
55
95
27
61
45
41
94
104
70
30
69
30
67
56
63
36
20
47
83
50
44
Annual
new smear
positive case
notification
rate
140
Rayagada
Sambalpur
Sonapur
Sundargarh
Pondicherry
Orissa
Orissa
Pondicherry
Puri
Orissa
Orissa
Nuapada
Orissa
Orissa
Nabarangapur
Nayagarh
Orissa
Mayurbhanj
Orissa
Orissa
Koraput
Khordha
Orissa
Malkangiri
Kendujhar
Orissa
Orissa
Kendrapara
Orissa
Orissa
Kalahandi
Kandhamal
Orissa
Orissa
Jajapur
Jagatsinghpur
Orissa
Jharsuguda
Ganjam
Orissa
Orissa
Gajapati
Orissa
Orissa
Debagarh
Dhenkanal
Orissa
District
Orissa
State
12
32
18
33
32
39
15
19
50
27
21
11
44
17
20
26
18
27
24
10
17
Annual
new smear
negative
case
notification
rate
30
25
20
39
23
17
16
23
22
21
19
18
24
24
17
23
19
13
33
34
21
11
Annual
new extra
pulmonary
case
notification
rate
17
22
18
19
13
13
23
22
17
16
11
22
16
16
23
11
17
28
14
11
Annual
previously
treated case
notification
rate
17
22
18
19
13
13
23
22
17
16
11
22
16
16
23
11
17
28
14
11
Annual
previously
treated
smear
positive
case
notification
rate
90
63
12
43
103
39
32
35
38
101
46
112
39
124
26
66
89
20
52
16
270
82
54
7%
2%
3%
3%
7%
4%
4%
4%
5%
2%
5%
7%
5%
5%
4%
8%
6%
3%
4%
3%
7%
10%
5%
1%
No (%) of pediatric
cases
92%
92%
88%
87%
89%
87%
91%
72%
88%
91%
82%
91%
88%
86%
95%
89%
81%
92%
93%
87%
88%
78%
94%
90%
3 month
conversion
rate of
new smear
positive
patients4
81%
75%
75%
71%
73%
62%
66%
53%
72%
71%
71%
79%
70%
62%
88%
62%
64%
73%
83%
80%
60%
53%
64%
80%
3 month
conversion
rate of
retreatment
patients4
83%
89%
87%
86%
87%
86%
90%
69%
91%
90%
86%
87%
87%
85%
95%
89%
81%
87%
92%
91%
85%
73%
90%
88%
Treatment
Success
rate of
new smear
positive
patients5
66%
72%
62%
63%
78%
67%
84%
33%
83%
76%
78%
70%
68%
67%
87%
71%
63%
72%
76%
77%
62%
48%
71%
78%
Treatment
success
rate among
smear
positive
previously
treated
cases5
785
1299
236
639
795
544
341
558
530
2252
646
930
476
1294
496
490
804
397
716
247
1656
522
619
161
145%
36%
303%
110%
38%
291%
180%
212%
41%
23%
116%
47%
61%
37%
98%
388%
61%
207%
60%
467%
24%
84%
110%
232%

774
1550
264
701
1076
579
436
594
560
2729
653
1139
503
1500
543
569
1018
442
761
272
2027
514
731
169
88%
96%
99%
100%
100%
100%
100%
97%
98%
100%
95%
99%
90%
100%
100%
98%
96%
98%
96%
98%
97%
88%
100%
99%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
141
421
202
1072
Rayagada
Sambalpur
Sonapur
Sundargarh
Pondicherry
Orissa
Orissa
Orissa
Orissa
Pondicherry
246
633
364
593
341
Nuapada
Puri
225
Orissa
Orissa
1786
306
865
352
1109
426
224
447
345
533
187
1123
278
461
147
96%
74%
82%
70%
70%
79%
72%
64%
78%
74%
54%
79%
82%
87%
93%
49%
65%
92%
78%
86%
70%
75%
71%
99%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Orissa
Nabarangapur
Nayagarh
Orissa
Malkangiri
Mayurbhanj
Orissa
Koraput
Orissa
Orissa
Kendujhar
Khordha
Orissa
Orissa
Kandhamal
Kendrapara
Orissa
Orissa
Jharsuguda
Jajapur
Orissa
Kalahandi
Jagatsinghpur
Orissa
Orissa
Ganjam
Orissa
Orissa
Dhenkanal
Gajapati
Orissa
Orissa
Debagarh
District
Orissa
State
2868
39
1549
1520
1126
149
26
852
4550
967
1617
58
30
765
878
1565
778
1283
515
3638
872
1045
266
96%
7%
100%
92%
100%
18%
3%
93%
94%
91%
92%
5%
1%
96%
94%
89%
96%
87%
99%
81%
94%
91%
100%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
98%
42%
49%
57%
34%
86%
73%
71%
36%
58%
43%
80%
87%
43%
85%
55%
29%
45%
74%
40%
71%
31%
67%
28%
Proportion
of all
registered
TB cases
with
known HIV
status
3%
1%
1%
1%
3%
2%
0%
1%
1%
1%
1%
7%
2%
0%
1%
1%
4%
1%
1%
2%
8%
4%
1%
3%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
3%
0%
0%
0%
1%
0%
0%
1%
0%
1%
0%
0%
0%
0%
1%
0%
1%
0%
0%
1%
8%
2%
1%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
95%
0%
100%
100%
11%
92%
0%
100%
0%
100%
0%
100%
74%
100%
60%
80%
28%
84%
100%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
95%
100%
100%
100%
89%
92%
0%
60%
50%
100%
100%
100%
79%
75%
40%
80%
55%
84%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
Number
of health
facilities
registered
(Single
clinic Private) in
2013
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
Number
of
patients
notified
by (Single
clinic Private) in
2013
Number
of
patients
notified
by (Multiclinic Private) in
2013
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
142
10.1
9.2
Firozpur
Gurdaspur
Hoshiarpur
Jalandhar
Kapurthala
Ludhiana
Mansa
Moga
Mohali
Punjab
Punjab
Punjab
Punjab
Punjab
Punjab
Punjab
Punjab
Punjab
6.3
Alwar
Banswara
Baran
Rajasthan
Rajasthan
Rajasthan
11.5
Tarn Taran
Ajmer
Punjab
Rupnagar
Sangrur
Punjab
Punjab
Rajasthan
16.9
Patiala
Punjab
12.7
19.0
38.1
26.8
7.0
19.4
6.3
Muktsar
Nawanshahr
Punjab
Punjab
10.2
7.9
35.7
8.4
22.3
16.2
23.5
20.7
6.1
Faridkot
14.2
Fatehgarh Sahib
Bathinda
Punjab
6.1
25.5
Population
(in lakh)
covered by
RNTCP1
Punjab
Barnala
Punjab
District
Punjab
Amritsar
Punjab
State
9629
13524
17531
16430
9701
15329
6421
13444
4724
7321
5447
5561
5847
18669
5317
15569
8814
13456
11149
5923
6514
7230
3949
16183
No. of
suspects
examined
190
178
115
153
212
226
229
174
188
198
135
137
186
131
159
174
136
143
134
241
257
127
162
159
Suspects
examined
per lakh
population
25%
29%
-4%
5%
25%
-9%
-2%
-8%
1%
30%
-17%
-3%
-5%
-20%
-20%
1%
-18%
-13%
-13%
55%
20%
-25%
-10%
-20%
Rate of
change in
suspects
examined
per lakh
population
1583
2396
2863
2991
1200
1479
662
1919
565
1099
602
700
687
2562
586
2391
952
1836
1365
585
948
902
485
2339
No of Smear
positive
patients
diagnosed2
10
10
10
Suspects
examined
per smear
positive case
diagnosed
-41%
-17%
-27%
-14%
-22%
24%
-4%
-5%
-20%
-4%
-1%
-8%
1%
-29%
46%
-22%
-11%
10%
-4%
35%
-32%
-3%
43%
-43%
Rate of
change in
suspects
examined
per s+ case
diagnosed
125
126
75
112
105
87
95
99
90
119
60
69
87
72
70
107
59
78
66
95
150
63
79
92
Annual
Smear
positive case
detection
rate (from
PMR)
106
119
79
81
66
69
82
62
77
84
85
66
75
77
65
86
59
70
70
60
105
65
62
74
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
2289
3390
5892
4512
1167
2305
910
2287
768
1123
1630
1069
950
5339
944
3552
1752
2712
2437
664
1237
1738
631
4043
Total
patients
registered
for
treatment3
180
178
155
168
102
136
130
118
122
122
161
105
121
150
113
159
108
115
117
108
196
122
103
159
Annual
total case
notification
rate
79
101
71
57
46
48
56
47
58
63
66
47
55
57
48
61
40
48
50
47
72
46
50
53
Annual
new smear
positive case
notification
rate
TB Annual Report
143
Nawanshahr
Patiala
Rupnagar
Sangrur
Tarn Taran
Ajmer
Alwar
Banswara
Baran
Punjab
Punjab
Punjab
Punjab
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Mansa
Punjab
Punjab
Ludhiana
Punjab
Muktsar
Kapurthala
Punjab
Punjab
Jalandhar
Punjab
Moga
Hoshiarpur
Punjab
Mohali
Gurdaspur
Punjab
Punjab
Firozpur
Punjab
Punjab
Faridkot
Fatehgarh Sahib
Punjab
Punjab
Barnala
Bathinda
Punjab
Punjab
Amritsar
District
Punjab
State
37
43
44
37
13
25
17
13
21
17
18
12
14
26
20
25
27
19
22
13
42
30
11
27
Annual
new smear
negative
case
notification
rate
24
12
30
35
15
32
27
34
18
16
47
16
25
36
23
38
14
20
15
30
34
20
19
43
Annual
new extra
pulmonary
case
notification
rate
40
21
38
27
31
31
22
25
25
31
30
26
30
22
35
26
28
30
19
47
26
19
33
Annual
previously
treated case
notification
rate
40
21
38
27
31
31
22
25
25
31
30
26
30
22
35
26
28
30
19
47
26
19
33
Annual
previously
treated
smear
positive
case
notification
rate
74
110
199
245
44
82
26
76
24
39
73
37
34
290
39
181
49
61
87
39
49
60
27
224
4%
4%
4%
7%
5%
5%
4%
4%
4%
4%
6%
5%
5%
7%
5%
7%
4%
3%
5%
7%
5%
4%
5%
7%
No (%) of pediatric
cases
92%
92%
92%
91%
88%
90%
88%
85%
87%
93%
87%
83%
87%
91%
91%
89%
90%
91%
89%
72%
90%
91%
83%
89%
3 month
conversion
rate of
new smear
positive
patients4
81%
79%
85%
80%
76%
81%
71%
72%
68%
78%
62%
71%
72%
78%
73%
77%
80%
82%
69%
58%
78%
81%
75%
75%
3 month
conversion
rate of
retreatment
patients4
90%
92%
92%
88%
87%
87%
87%
79%
83%
91%
83%
84%
89%
87%
85%
87%
86%
88%
84%
72%
90%
86%
85%
86%
Treatment
Success
rate of
new smear
positive
patients5
83%
84%
83%
75%
74%
78%
73%
67%
70%
80%
63%
72%
77%
72%
67%
77%
74%
73%
66%
61%
78%
78%
72%
76%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1175
2057
2417
1776
1154
1269
567
1091
507
833
661
670
606
2237
538
1959
845
1557
1271
587
805
772
409
1688
84%
27%
37%
110%
84%
59%
191%
169%
447%
198%
154%
179%
83%
46%
88%
40%
74%
38%
44%
349%
63%
235%
195%
89%

1333
2216
2870
2100
1292
1356
612
1177
539
887
749
677
680
2316
573
2019
898
1742
1351
631
826
806
415
1746
96%
97%
94%
95%
99%
95%
100%
97%
100%
99%
100%
96%
100%
98%
100%
96%
100%
99%
99%
98%
96%
97%
96%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
144
Mansa
Sangrur
Tarn Taran
Ajmer
Alwar
Banswara
Baran
Punjab
Punjab
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Patiala
Rupnagar
Punjab
Nawanshahr
Punjab
Punjab
Mohali
Muktsar
Punjab
Punjab
Moga
Punjab
Punjab
Kapurthala
Jalandhar
Punjab
Ludhiana
Hoshiarpur
Punjab
Punjab
Gurdaspur
Punjab
Punjab
Fatehgarh Sahib
Firozpur
Punjab
Punjab
Bathinda
Faridkot
Punjab
Barnala
Punjab
Amritsar
Punjab
District
Punjab
State
1008
1325
2077
1636
1010
1194
496
924
383
650
514
464
460
1931
437
1522
722
1280
962
397
668
762
330
1405
89%
67%
81%
87%
88%
95%
95%
89%
88%
92%
93%
93%
99%
96%
94%
92%
94%
85%
92%
85%
97%
99%
85%
100%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
893
895
1404
546
597
274
291
642
445
480
649
455
339
1415
256
1677
521
794
800
344
475
525
70
2530
40%
26%
27%
13%
30%
11%
30%
28%
55%
35%
46%
43%
30%
32%
27%
43%
33%
28%
34%
31%
32%
34%
28%
69%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
26%
35%
78%
68%
87%
92%
91%
78%
92%
72%
70%
88%
90%
86%
84%
74%
92%
89%
86%
83%
96%
87%
81%
95%
Proportion
of all
registered
TB cases
with
known HIV
status
0%
1%
1%
1%
4%
1%
3%
1%
2%
0%
2%
2%
1%
1%
3%
1%
1%
1%
1%
1%
2%
1%
1%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
1%
4%
1%
3%
1%
1%
0%
1%
2%
1%
1%
2%
0%
1%
2%
1%
3%
1%
2%
2%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
75%
88%
100%
100%
83%
96%
95%
100%
0%
80%
95%
100%
94%
71%
88%
86%
90%
84%
89%
94%
93%
100%
90%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
0%
100%
88%
92%
100%
83%
96%
100%
83%
100%
80%
95%
86%
89%
71%
65%
90%
80%
81%
89%
94%
81%
100%
82%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
25
18
10
18
62
18
14
11
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
34
12
41
37
29
13
114
39
35
18
15
15
43
60
18
Number
of health
facilities
registered
(Single
clinic Private) in
2013
28
59
33
44
29
12
25
39
33
66
30
13
20
28
35
18
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
16
Number of
patients
notified by
(Laboratories
- Private) in
2013
24
12
34
Number
of
patients
notified
by (Single
clinic Private) in
2013
136
15
72
147
20
11
42
Number
of
patients
notified
by
in 2013
136
35
72
14
29
148
32
36
12
45
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
3.6
0.0
0.0
0.0
0.0
1.8
0.0
0.5
7.1
1.4
3.7
4.1
0.5
1.4
0.0
1.5
0.2
0.0
0.0
0.8
0.8
1.8
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
145
Barmer
Bharatpur
Bhilwara
Bikaner
Bundi
Chittaurgarh
Churu
Dausa
Dhaulpur
Dungarpur
Ganganagar
Hanumangarh
Jaipur
Jaipur DTC II
Jaisalmer
Jalore
Jhalawar
Jhunjhunun
Jodhpur
Karauli
Kota
Nagaur
Pali
Pratapgarh-RJ
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
District
Rajasthan
State
8.9
21.1
34.3
20.2
15.1
38.2
22.2
14.6
19.0
7.0
31.8
37.2
18.4
20.4
14.4
12.5
17.0
21.2
15.7
11.5
24.5
25.0
26.4
27.0
Population
(in lakh)
covered by
RNTCP1
3533
9908
11928
14541
10994
19292
11495
7267
7396
3456
26330
42719
14480
11177
10451
9574
9803
7413
14533
5238
16624
18864
11556
10078
No. of
suspects
examined
99
117
87
180
182
126
130
124
97
124
207
287
196
137
182
191
144
88
231
113
169
189
109
93
Suspects
examined
per lakh
population
24%
25%
-8%
17%
9%
0%
-2%
12%
21%
-18%
15%
-2%
36%
-1%
48%
8%
-10%
-5%
29%
-1%
2%
5%
-5%
-4%
Rate of
change in
suspects
examined
per lakh
population
827
1275
1563
1839
1257
2161
1430
1281
852
240
2604
5115
1820
1350
2029
1322
956
1440
1423
699
2261
3163
1487
1042
No of Smear
positive
patients
diagnosed2
14
10
10
10
10
Suspects
examined
per smear
positive case
diagnosed
-40%
54%
37%
-36%
9%
11%
45%
-23%
117%
143%
6%
58%
1%
45%
-27%
42%
68%
-45%
96%
75%
22%
27%
-12%
-26%
Rate of
change in
suspects
examined
per s+ case
diagnosed
93
60
46
91
83
57
64
88
45
34
82
137
99
66
141
106
56
68
91
61
92
127
56
39
Annual
Smear
positive case
detection
rate (from
PMR)
100
57
40
62
71
40
61
66
51
32
67
62
84
62
135
96
52
61
102
63
55
110
51
36
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1370
2091
2697
2622
2382
4102
2418
1787
2010
351
4262
4827
2513
2501
3036
1951
2018
2290
2775
1450
2337
4633
3069
1804
Total
patients
registered
for
treatment3
153
99
79
130
158
107
109
122
106
50
134
130
136
123
211
156
119
108
177
126
95
185
116
67
Annual
total case
notification
rate
80
43
29
44
50
30
39
44
39
23
46
43
53
47
109
70
38
40
67
49
36
73
38
29
Annual
new smear
positive case
notification
rate
146
Karauli
Kota
Nagaur
Pali
Pratapgarh-RJ
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Jhunjhunun
Jodhpur
Jhalawar
Rajasthan
Rajasthan
Jalore
Rajasthan
Rajasthan
Jaisalmer
Rajasthan
Ganganagar
Hanumangarh
Rajasthan
Rajasthan
Jaipur
Dungarpur
Rajasthan
Jaipur DTC II
Dhaulpur
Rajasthan
Rajasthan
Dausa
Rajasthan
Rajasthan
Chittaurgarh
Churu
Rajasthan
Rajasthan
Bikaner
Bundi
Bhilwara
Rajasthan
Rajasthan
Bharatpur
Rajasthan
Barmer
Rajasthan
District
Rajasthan
State
32
26
21
35
60
36
23
34
36
28
30
23
32
57
38
43
25
40
34
12
43
43
19
Annual
new smear
negative
case
notification
rate
12
13
11
25
16
22
18
14
30
30
21
22
12
13
14
14
28
19
23
26
11
Annual
new extra
pulmonary
case
notification
rate
31
18
17
25
32
19
28
31
25
11
30
27
39
21
34
36
24
29
42
23
25
44
23
11
Annual
previously
treated case
notification
rate
31
18
17
25
32
19
28
31
25
11
30
27
39
21
34
36
24
29
42
23
25
44
23
11
Annual
previously
treated
smear
positive
case
notification
rate
22
49
100
142
80
161
101
61
37
15
223
315
99
54
57
83
47
83
63
37
115
157
167
50
2%
3%
5%
7%
4%
5%
6%
5%
2%
5%
7%
8%
6%
3%
2%
6%
3%
5%
3%
3%
7%
4%
7%
3%
No (%) of pediatric
cases
91%
92%
90%
91%
92%
93%
91%
90%
91%
85%
93%
93%
91%
91%
92%
92%
92%
91%
92%
91%
90%
90%
91%
91%
3 month
conversion
rate of
new smear
positive
patients4
84%
82%
72%
81%
77%
83%
70%
67%
82%
61%
79%
78%
78%
74%
72%
83%
89%
78%
80%
77%
70%
75%
75%
70%
3 month
conversion
rate of
retreatment
patients4
93%
90%
89%
90%
90%
92%
86%
84%
92%
85%
89%
90%
85%
88%
91%
87%
87%
88%
87%
85%
90%
88%
90%
93%
Treatment
Success
rate of
new smear
positive
patients5
83%
80%
76%
78%
77%
80%
66%
67%
79%
83%
77%
74%
71%
74%
76%
72%
79%
81%
81%
73%
76%
74%
83%
83%
Treatment
success
rate among
smear
positive
previously
treated
cases5
648
958
1220
1048
781
1210
1145
843
892
180
1674
1692
1454
1199
1415
1092
566
1103
1165
623
1113
2446
1101
847
276%
140%
48%
87%
98%
50%
47%
96%
123%
466%
36%
52%
72%
66%
45%
15%
190%
129%
89%
163%
104%
39%
41%
113%

874
1178
1297
1135
1085
1452
1347
963
981
162
2062
2284
1508
1280
1962
1193
841
1210
1548
733
1208
2712
1360
972
96%
98%
94%
88%
100%
99%
98%
97%
99%
72%
96%
99%
95%
100%
100%
98%
95%
92%
95%
99%
89%
98%
98%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
147
Kota
Nagaur
Pali
Pratapgarh-RJ
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Karauli
Jhalawar
Rajasthan
Rajasthan
Jalore
Rajasthan
Jhunjhunun
Jaisalmer
Rajasthan
Jodhpur
Jaipur DTC II
Rajasthan
Rajasthan
Jaipur
Rajasthan
Rajasthan
Ganganagar
Hanumangarh
Rajasthan
Rajasthan
Dhaulpur
Dungarpur
Rajasthan
Rajasthan
Churu
Dausa
Rajasthan
Chittaurgarh
Rajasthan
Rajasthan
Bikaner
Bundi
Rajasthan
Rajasthan
Bharatpur
Bhilwara
Rajasthan
Rajasthan
Barmer
District
Rajasthan
State
434
742
1133
884
586
1161
1115
631
892
190
1791
1771
1102
1142
1138
866
586
923
1159
598
1084
2214
1023
811
55%
75%
86%
73%
66%
75%
99%
84%
89%
81%
87%
84%
88%
93%
78%
83%
72%
85%
82%
84%
86%
86%
67%
83%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
150
161
423
568
565
297
167
216
206
45
838
455
446
383
484
342
584
400
354
200
384
387
817
63
55%
8%
16%
22%
24%
8%
7%
12%
10%
13%
20%
17%
19%
17%
16%
18%
29%
18%
13%
14%
17%
8%
27%
4%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
36%
34%
7%
18%
43%
32%
32%
28%
29%
24%
82%
83%
77%
60%
37%
55%
10%
14%
78%
43%
34%
55%
15%
69%
Proportion
of all
registered
TB cases
with
known HIV
status
0%
1%
1%
1%
0%
3%
8%
0%
6%
1%
1%
1%
0%
0%
1%
1%
1%
1%
1%
1%
0%
3%
0%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
0%
1%
0%
1%
0%
1%
1%
0%
0%
0%
0%
0%
0%
1%
1%
0%
2%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
33%
83%
87%
85%
37%
100%
74%
100%
67%
50%
0%
0%
63%
67%
100%
99%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
100%
33%
83%
87%
85%
78%
100%
95%
100%
75%
100%
0%
100%
33%
67%
0%
99%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
10
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
43
22
16
31
13
14
10
Number
of health
facilities
registered
(Single
clinic Private) in
2013
32
10
58
71
11
18
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
106
15
Number
of
patients
notified
by (Single
clinic Private) in
2013
156
Number
of
patients
notified
by
in 2013
106
156
15
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
5.2
0.0
0.0
0.0
10.7
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
1.3
0.0
0.3
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
148
Namakkal
Perambalur
Tamil Nadu
Tamil Nadu
Dindigul
Tamil Nadu
Nagapattinam
Dharmapuri
Tamil Nadu
Tamil Nadu
Cuddalore
Tamil Nadu
Madurai
Coimbatore
Tamil Nadu
Krishnagiri
Chennai
Tamil Nadu
Tamil Nadu
West Sikkim
Sikkim
Tamil Nadu
South Sikkim
Sikkim
Karur
North Sikkim
Sikkim
Kanyakumari
East Sikkim
Sikkim
Tamil Nadu
Udaipur
Rajasthan
Tamil Nadu
Tonk
Rajasthan
Erode
Sirohi
Rajasthan
Kanchipuram
Sikar
Rajasthan
Tamil Nadu
Sawai Madhopur
Tamil Nadu
Rajsamand
Rajasthan
District
Rajasthan
State
13.5
17.7
16.6
31.3
19.4
11.1
19.2
41.0
23.2
22.2
15.5
26.7
35.7
48.1
1.4
1.5
0.4
2.9
31.7
14.7
10.7
27.8
13.9
12.0
Population
(in lakh)
covered by
RNTCP1
13692
13962
11564
30491
11852
6956
21182
38231
22040
24614
12038
31752
27157
63524
1100
1620
361
4604
31676
9093
6796
19631
10232
5702
No. of
suspects
examined
253
197
174
244
153
157
276
233
237
277
195
297
190
330
198
271
204
401
249
154
158
177
184
119
Suspects
examined
per lakh
population
41%
30%
7%
14%
20%
35%
1%
42%
-5%
9%
3%
-12%
15%
-7%
-5%
-3%
20%
2%
11%
-10%
3%
43%
16%
8%
Rate of
change in
suspects
examined
per lakh
population
753
842
818
3060
746
505
1139
3964
2749
2378
793
1510
2304
6059
119
162
34
481
7327
1696
787
1596
1324
1029
No of Smear
positive
patients
diagnosed2
18
17
14
10
16
14
19
10
10
15
21
12
10
10
11
10
12
Suspects
examined
per smear
positive case
diagnosed
1%
64%
70%
8%
8%
-33%
69%
-10%
-33%
-4%
99%
132%
217%
94%
42%
29%
79%
119%
37%
-18%
39%
88%
3%
-29%
Rate of
change in
suspects
examined
per s+ case
diagnosed
56
48
49
98
39
46
59
97
118
107
51
56
65
126
86
108
77
168
231
115
73
58
95
86
Annual
Smear
positive case
detection
rate (from
PMR)
55
58
51
63
38
59
48
90
63
71
47
63
51
65
83
100
113
129
105
122
67
43
85
81
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
1330
1616
1524
3248
1423
1234
1256
6727
2587
3067
1332
3566
2739
5853
279
352
142
864
6061
3431
1387
2531
2278
1631
Total
patients
registered
for
treatment3
98
91
92
104
73
111
66
164
111
138
86
133
77
122
201
235
321
301
191
233
129
91
164
136
Annual
total case
notification
rate
44
50
43
47
31
49
42
66
48
59
33
46
40
49
72
73
90
97
82
85
52
29
59
58
Annual
new smear
positive case
notification
rate
TB Annual Report
149
30
Karur
Madurai
Nagapattinam
Namakkal
Perambalur
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Kanyakumari
Tamil Nadu
Krishnagiri
Kanchipuram
Tamil Nadu
Tamil Nadu
Erode
Tamil Nadu
Tamil Nadu
Dharmapuri
Dindigul
Tamil Nadu
Tamil Nadu
Coimbatore
Cuddalore
Tamil Nadu
Tamil Nadu
West Sikkim
Chennai
Sikkim
Tamil Nadu
64
South Sikkim
19
15
28
19
16
31
35
27
42
16
33
21
72
49
54
65
Sikkim
Udaipur
Rajasthan
East Sikkim
Tonk
Rajasthan
35
23
North Sikkim
Sirohi
Rajasthan
Sikkim
Sikar
Rajasthan
39
30
Annual
new smear
negative
case
notification
rate
Sikkim
Rajsamand
Sawai Madhopur
Rajasthan
District
Rajasthan
State
20
14
11
18
15
14
30
14
20
19
31
14
30
76
48
95
90
24
36
14
15
29
19
Annual
new extra
pulmonary
case
notification
rate
16
12
10
20
12
18
33
22
17
19
24
15
22
22
50
63
66
30
47
28
24
38
27
Annual
previously
treated case
notification
rate
16
12
10
20
12
18
33
22
17
19
24
15
22
22
50
63
66
30
47
28
24
38
27
Annual
previously
treated
smear
positive
case
notification
rate
75
35
67
161
63
25
46
280
51
179
40
327
58
275
18
28
14
57
228
153
42
102
66
61
7%
2%
5%
6%
5%
2%
4%
5%
2%
7%
4%
11%
3%
6%
7%
10%
12%
8%
4%
6%
4%
5%
4%
5%
No (%) of pediatric
cases
91%
90%
90%
88%
86%
93%
90%
84%
89%
91%
87%
90%
91%
89%
91%
89%
77%
76%
92%
91%
91%
89%
91%
91%
3 month
conversion
rate of
new smear
positive
patients4
68%
76%
64%
71%
71%
77%
76%
60%
52%
72%
67%
80%
66%
74%
82%
67%
64%
59%
82%
77%
84%
81%
76%
80%
3 month
conversion
rate of
retreatment
patients4
87%
86%
88%
77%
85%
88%
87%
87%
79%
87%
80%
90%
83%
86%
89%
86%
75%
74%
92%
87%
88%
86%
91%
89%
Treatment
Success
rate of
new smear
positive
patients5
62%
59%
58%
54%
66%
73%
64%
64%
42%
70%
62%
82%
54%
69%
70%
60%
43%
49%
85%
70%
74%
75%
73%
86%
Treatment
success
rate among
smear
positive
previously
treated
cases5
676
880
712
1771
628
570
787
2227
1343
1314
643
1352
1640
2590
119
144
55
390
2513
1691
658
1119
1065
729
26%
153%
61%
89%
106%
96%
74%
24%
47%
112%
86%
34%
42%
70%
1129%
864%
1169%
341%
49%
141%
16%
12%
5%
40%

726
1036
804
1760
716
675
908
3174
1452
1559
724
1599
1800
3148
119
152
55
392
3244
1777
698
1133
1196
966
96%
100%
93%
88%
96%
99%
99%
85%
96%
99%
99%
94%
97%
100%
100%
100%
100%
99%
96%
97%
95%
92%
99%
99%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
150
Coimbatore
Nagapattinam
Namakkal
Perambalur
Tamil Nadu
Tamil Nadu
Madurai
Tamil Nadu
Tamil Nadu
Karur
Krishnagiri
Tamil Nadu
Tamil Nadu
Kanchipuram
Kanyakumari
Tamil Nadu
Erode
Tamil Nadu
Tamil Nadu
Dharmapuri
Dindigul
Tamil Nadu
Tamil Nadu
Cuddalore
Tamil Nadu
Tamil Nadu
107
West Sikkim
Chennai
Sikkim
Tamil Nadu
112
South Sikkim
Sikkim
553
629
400
959
532
387
556
1684
939
964
407
1164
1067
2385
42
261
East Sikkim
North Sikkim
Sikkim
2235
1393
706
903
821
663
88%
90%
60%
73%
87%
76%
81%
92%
90%
75%
75%
84%
89%
87%
99%
100%
100%
95%
75%
88%
91%
84%
81%
74%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Sikkim
Tonk
Udaipur
Rajasthan
Rajasthan
Sikar
Sirohi
Rajasthan
Rajasthan
Rajsamand
Sawai Madhopur
Rajasthan
District
Rajasthan
State
323
186
86
536
293
148
506
801
865
1638
139
260
909
602
157
150
48
250
2758
560
263
298
362
361
24%
12%
6%
17%
21%
12%
42%
12%
33%
53%
11%
7%
33%
10%
58%
42%
34%
29%
45%
16%
19%
12%
16%
22%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
97%
99%
79%
84%
84%
97%
88%
93%
98%
94%
97%
76%
93%
96%
52%
97%
52%
89%
59%
73%
34%
33%
24%
19%
Proportion
of all
registered
TB cases
with
known HIV
status
10%
13%
4%
7%
13%
14%
2%
5%
9%
11%
9%
6%
6%
3%
0%
0%
1%
1%
1%
0%
2%
2%
0%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
11%
13%
6%
8%
9%
11%
1%
2%
10%
13%
11%
4%
6%
3%
0%
0%
0%
1%
0%
0%
1%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
100%
100%
56%
97%
52%
93%
94%
95%
84%
86%
94%
90%
95%
100%
100%
100%
24%
0%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
83%
82%
35%
90%
82%
48%
93%
88%
73%
77%
68%
83%
63%
89%
100%
100%
100%
53%
0%
0%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
107
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
132
105
223
105
30
22
Number
of health
facilities
registered
(Single
clinic Private) in
2013
252
120
43
52
28
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
95
Number of
patients
notified by
(Laboratories
- Private) in
2013
30
185
13
Number
of
patients
notified
by (Single
clinic Private) in
2013
424
57
455
75
Number
of
patients
notified
by
in 2013
30
704
61
468
76
Total
cases
nofied
by
private
sector
in 2013
0.0
1.7
0.0
22.5
0.0
0.4
0.0
0.0
2.6
0.0
0.0
0.0
13.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
5.5
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
151
Pudukottai
Ramanathapuram
Salem
Sivaganga
Thanjavur
The Nilgiris
Theni
Thiruvallur
Thiruvarur
Tiruchirappalli
Tirunelveli
Tiruppur
Tiruvanamalai
Toothukudi
Vellore
Villupuram
Virudhunagar
Dhalai
North Tripura
South Tripura
West Tripura
Agra
Aligarh
Allahabad
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tamil Nadu
Tripura
Tripura
Tripura
Tripura
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
District
Tamil Nadu
State
61.8
38.1
45.4
17.5
8.9
7.1
3.8
20.0
35.6
40.4
17.9
25.4
25.4
31.6
27.9
13.0
38.3
12.8
7.6
24.7
13.8
35.8
13.8
16.6
Population
(in lakh)
covered by
RNTCP1
47533
34193
38460
10023
4258
3345
2394
15797
21556
42639
13371
20495
13389
23334
20461
10021
27687
12748
17181
31549
11903
21951
14221
12031
No. of
suspects
examined
192
225
212
143
120
119
156
198
151
264
187
202
132
185
183
192
181
249
568
319
216
153
258
181
Suspects
examined
per lakh
population
-6%
10%
-4%
-10%
-4%
1%
-3%
-4%
25%
-12%
8%
-3%
63%
8%
-5%
30%
4%
18%
65%
8%
20%
3%
13%
-11%
Rate of
change in
suspects
examined
per lakh
population
5476
4624
5955
1074
314
210
148
1592
1942
2669
1417
1711
824
1979
1971
984
1815
1151
197
2089
946
2227
786
849
No of Smear
positive
patients
diagnosed2
14
16
16
10
11
16
12
16
12
10
10
15
11
87
15
13
10
18
14
Suspects
examined
per smear
positive case
diagnosed
-50%
-31%
-40%
-52%
42%
32%
23%
-13%
-6%
56%
-47%
20%
-72%
-23%
-11%
2%
-14%
-32%
581%
1%
-11%
8%
39%
20%
Rate of
change in
suspects
examined
per s+ case
diagnosed
89
121
131
61
35
30
38
80
55
66
79
67
32
63
71
75
47
90
26
85
69
62
57
51
Annual
Smear
positive case
detection
rate (from
PMR)
76
101
101
50
35
33
39
64
68
65
67
67
48
53
58
63
60
70
26
65
48
54
67
47
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
7466
7423
6897
1414
418
454
254
2349
4518
5564
1841
2828
2145
2960
3294
1460
4236
1556
430
2642
1241
3120
1362
1359
Total
patients
registered
for
treatment3
121
195
152
81
47
64
66
118
127
138
103
111
84
94
118
112
111
122
57
107
90
87
99
82
Annual
total case
notification
rate
60
85
65
43
30
29
34
52
52
53
55
53
37
43
53
49
46
58
23
53
44
43
56
42
Annual
new smear
positive case
notification
rate
152
Dhalai
North Tripura
South Tripura
West Tripura
Agra
Aligarh
Allahabad
Tripura
Tripura
Tripura
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Tiruppur
Tamil Nadu
Tripura
Tirunelveli
Tamil Nadu
Virudhunagar
Tiruchirappalli
Tamil Nadu
Villupuram
Thiruvarur
Tamil Nadu
Tamil Nadu
Thiruvallur
Tamil Nadu
Tamil Nadu
Theni
Tamil Nadu
Vellore
The Nilgiris
Tamil Nadu
Tamil Nadu
Thanjavur
Tamil Nadu
Toothukudi
Sivaganga
Tamil Nadu
Tiruvanamalai
Salem
Tamil Nadu
Tamil Nadu
Ramanathapuram
Tamil Nadu
Pudukottai
Tamil Nadu
District
Tamil Nadu
State
23
58
13
12
18
20
37
29
31
20
19
18
21
26
28
21
25
11
21
26
14
18
20
Annual
new smear
negative
case
notification
rate
14
26
21
15
14
23
38
13
20
13
16
30
13
24
17
16
16
14
15
11
11
Annual
new extra
pulmonary
case
notification
rate
23
26
52
11
15
23
17
15
19
16
14
22
19
21
18
15
14
Annual
previously
treated case
notification
rate
23
26
52
11
15
23
17
15
19
16
14
22
19
21
18
15
14
Annual
previously
treated
smear
positive
case
notification
rate
246
316
341
38
11
10
204
181
93
73
104
45
110
159
51
127
52
41
116
54
130
116
47
4%
5%
8%
3%
3%
3%
1%
10%
5%
2%
5%
4%
3%
4%
5%
4%
4%
4%
11%
5%
5%
5%
10%
4%
No (%) of pediatric
cases
91%
93%
89%
91%
93%
86%
90%
92%
92%
90%
87%
94%
90%
86%
92%
85%
93%
87%
90%
89%
91%
89%
94%
91%
3 month
conversion
rate of
new smear
positive
patients4
72%
81%
63%
74%
67%
59%
100%
78%
80%
70%
70%
85%
69%
63%
74%
65%
72%
68%
70%
67%
74%
66%
75%
53%
3 month
conversion
rate of
retreatment
patients4
89%
91%
90%
88%
93%
83%
92%
86%
91%
91%
83%
92%
84%
83%
88%
80%
87%
80%
85%
84%
87%
84%
88%
88%
Treatment
Success
rate of
new smear
positive
patients5
76%
79%
64%
72%
81%
57%
73%
67%
79%
71%
58%
82%
58%
54%
66%
58%
64%
51%
75%
56%
62%
52%
60%
64%
Treatment
success
rate among
smear
positive
previously
treated
cases5
4460
3655
3931
748
250
198
133
890
1839
2479
1114
1440
1026
1312
1512
732
1921
709
196
1585
530
1765
787
651
48%
25%
41%
143%
452%
541%
2954%
283%
162%
28%
21%
11%
11%
52%
112%
293%
48%
159%
508%
80%
227%
38%
206%
89%

4736
3922
4615
898
300
226
149
1286
2297
2633
1150
1704
1232
1687
1583
839
2333
850
202
1631
591
1906
933
683
100%
100%
100%
99%
95%
95%
99%
100%
95%
100%
94%
99%
99%
99%
96%
99%
100%
94%
100%
99%
89%
99%
100%
86%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
153
Aligarh
Allahabad
Uttar Pradesh
Uttar Pradesh
627
West Tripura
Agra
Tripura
Uttar Pradesh
223
South Tripura
Tripura
109
3212
2920
2895
148
Dhalai
562
1657
North Tripura
Virudhunagar
Tamil Nadu
Tripura
Villupuram
Tamil Nadu
1937
686
1389
624
798
1327
420
1549
317
144
1033
455
951
627
563
79%
93%
83%
80%
78%
82%
84%
55%
83%
91%
78%
89%
72%
67%
95%
83%
89%
57%
99%
86%
79%
66%
89%
85%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Tripura
Toothukudi
Vellore
Tamil Nadu
Tiruvanamalai
Tamil Nadu
Tamil Nadu
Tirunelveli
Tiruppur
Tamil Nadu
Tamil Nadu
Thiruvarur
Tiruchirappalli
Tamil Nadu
Tamil Nadu
Theni
Thiruvallur
Tamil Nadu
The Nilgiris
Tamil Nadu
Tamil Nadu
Sivaganga
Thanjavur
Tamil Nadu
Tamil Nadu
Ramanathapuram
Salem
Tamil Nadu
Tamil Nadu
Pudukottai
District
Tamil Nadu
State
6415
2533
5695
489
150
281
142
373
1401
3816
412
1161
292
1275
303
231
870
204
194
900
266
739
578
565
88%
88%
83%
35%
36%
62%
66%
16%
31%
69%
22%
41%
14%
43%
9%
16%
21%
14%
45%
34%
21%
24%
42%
35%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
51%
35%
39%
69%
55%
74%
69%
95%
87%
93%
99%
96%
97%
83%
84%
87%
100%
85%
99%
97%
91%
98%
96%
90%
Proportion
of all
registered
TB cases
with
known HIV
status
2%
1%
2%
1%
0%
2%
1%
5%
5%
4%
5%
4%
6%
7%
8%
5%
5%
9%
2%
6%
5%
12%
5%
6%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
1%
0%
0%
1%
0%
2%
0%
6%
4%
3%
3%
6%
7%
6%
8%
3%
4%
15%
5%
6%
6%
15%
4%
7%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
3%
100%
100%
100%
57%
90%
90%
53%
98%
97%
100%
99%
89%
96%
100%
100%
100%
97%
87%
99%
78%
91%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
68%
100%
75%
0%
57%
81%
80%
47%
93%
85%
75%
99%
70%
96%
100%
52%
96%
83%
84%
95%
90%
92%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
27
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
17
10
414
104
229
135
438
49
15
Number
of health
facilities
registered
(Single
clinic Private) in
2013
23
23
91
171
41
40
20
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
14
25
76
45
31
14
Number
of
patients
notified
by (Single
clinic Private) in
2013
59
135
71
33
52
Number
of
patients
notified
by
in 2013
10
18
84
211
116
40
83
15
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.3
0.4
4.7
0.0
8.3
3.7
1.4
0.0
2.2
0.0
2.0
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
154
Barabanki
Bareilly
Basti
Bijnor
Budaun
Bulandshahr
Chandauli
Chitrakoot
Deoria
Etah
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Firozabad
Banda
Uttar Pradesh
Fatehpur
Balrampur
Uttar Pradesh
Uttar Pradesh
Ballia
Uttar Pradesh
Uttar Pradesh
Bahraich
Uttar Pradesh
Farrukhabad
Baghpat
Uttar Pradesh
Uttar Pradesh
Azamgarh
Uttar Pradesh
Etawah
Auraiya
Uttar Pradesh
Faizabad
Amethi
Uttar Pradesh
Uttar Pradesh
Ambedkar Nagar
Uttar Pradesh
Uttar Pradesh
District
State
25.9
27.3
19.7
25.6
16.4
19.4
33.2
10.1
19.8
36.3
30.6
39.2
25.9
45.5
33.6
18.5
21.5
34.4
33.0
13.5
49.4
14.2
24.8
25.1
Population
(in lakh)
covered by
RNTCP1
13755
15505
10797
13608
14805
16333
12209
4743
8882
25937
24698
23706
10895
37577
19366
11718
10244
14335
15582
6751
18735
9386
9023
11038
No. of
suspects
examined
133
142
137
133
226
210
92
118
112
179
202
151
105
207
144
158
119
104
118
125
95
165
91
110
Suspects
examined
per lakh
population
-3%
-13%
10%
-5%
2%
-11%
1%
-29%
10%
20%
21%
4%
-5%
18%
-7%
17%
4%
-8%
-4%
-2%
-10%
0%
34%
-8%
Rate of
change in
suspects
examined
per lakh
population
2210
2069
1562
2223
2362
2305
1677
704
1221
4083
3456
3012
1723
5255
3010
1393
1217
1960
2672
1141
2280
1556
1647
1511
No of Smear
positive
patients
diagnosed2
Suspects
examined
per smear
positive case
diagnosed
-2%
-11%
5%
-2%
-17%
-7%
17%
-4%
19%
-13%
-14%
7%
6%
24%
-10%
37%
47%
6%
-28%
-16%
29%
-37%
-66%
-48%
Rate of
change in
suspects
examined
per s+ case
diagnosed
85
76
79
87
144
119
51
70
62
113
113
77
67
116
90
75
57
57
81
85
46
109
66
60
Annual
Smear
positive case
detection
rate (from
PMR)
79
69
70
79
105
97
47
64
60
113
109
77
59
81
88
63
55
58
76
86
42
100
62
59
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
3831
2859
2391
3092
2676
2792
2432
1274
1807
7978
4589
4334
2875
5980
5046
1986
2110
3245
4361
1781
3866
1775
2227
1861
Total
patients
registered
for
treatment3
148
105
121
121
164
144
73
126
91
220
150
111
111
132
150
107
98
94
132
132
78
125
90
74
Annual
total case
notification
rate
55
56
58
67
71
75
40
49
50
95
84
63
51
59
68
43
52
56
64
60
35
79
54
53
Annual
new smear
positive case
notification
rate
TB Annual Report
155
Ballia
Balrampur
Banda
Barabanki
Bareilly
Basti
Bijnor
Budaun
Bulandshahr
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Faizabad
Farrukhabad
Fatehpur
Firozabad
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Etawah
Uttar Pradesh
Uttar Pradesh
Deoria
Etah
Uttar Pradesh
Uttar Pradesh
Chandauli
Bahraich
Uttar Pradesh
Chitrakoot
Baghpat
Uttar Pradesh
Uttar Pradesh
Azamgarh
Uttar Pradesh
Uttar Pradesh
Amethi
Auraiya
Uttar Pradesh
Uttar Pradesh
Ambedkar Nagar
District
Uttar Pradesh
State
22
17
26
26
23
21
13
29
16
68
27
10
32
30
37
16
36
25
45
19
22
13
18
Annual
new smear
negative
case
notification
rate
24
13
19
11
29
19
25
27
18
14
11
19
24
11
22
Annual
new extra
pulmonary
case
notification
rate
47
19
18
16
40
30
13
24
18
30
35
20
13
32
27
25
12
30
15
26
11
Annual
previously
treated case
notification
rate
47
19
18
16
40
30
13
24
18
30
35
20
13
32
27
25
12
30
15
26
11
Annual
previously
treated
smear
positive
case
notification
rate
444
117
113
113
108
214
148
13
73
291
147
193
108
193
305
96
80
133
127
67
115
48
43
32
17%
5%
6%
4%
5%
10%
7%
1%
5%
4%
4%
5%
4%
4%
7%
6%
4%
4%
3%
5%
4%
3%
2%
2%
No (%) of pediatric
cases
91%
91%
92%
91%
89%
91%
87%
78%
86%
94%
94%
91%
89%
90%
93%
92%
90%
96%
89%
90%
89%
92%
90%
91%
3 month
conversion
rate of
new smear
positive
patients4
70%
77%
79%
77%
68%
82%
70%
62%
74%
82%
86%
76%
67%
71%
82%
79%
69%
91%
75%
79%
76%
79%
80%
82%
3 month
conversion
rate of
retreatment
patients4
91%
92%
88%
90%
87%
94%
90%
85%
85%
94%
92%
90%
88%
86%
91%
91%
85%
93%
87%
89%
86%
93%
92%
94%
Treatment
Success
rate of
new smear
positive
patients5
77%
87%
76%
74%
65%
93%
76%
73%
74%
88%
84%
74%
71%
68%
85%
84%
71%
90%
74%
79%
75%
82%
79%
90%
Treatment
success
rate among
smear
positive
previously
treated
cases5
1814
1688
1203
1834
1566
1557
1382
553
1091
3646
2259
2721
1355
3236
2852
1096
1199
1824
2270
964
1914
1293
1425
1282
38%
114%
133%
102%
210%
90%
115%
252%
100%
44%
65%
52%
89%
15%
37%
308%
188%
136%
54%
277%
137%
76%
77%
123%

2057
1926
1402
2026
1741
1910
1577
665
1201
4077
2408
2997
1555
3707
2953
1171
1199
1865
2476
1168
2052
1448
1549
1408
99%
100%
100%
100%
100%
100%
100%
99%
100%
99%
99%
100%
100%
100%
100%
99%
100%
93%
99%
100%
98%
100%
100%
95%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
156
Basti
Farrukhabad
Fatehpur
Firozabad
Uttar Pradesh
Uttar Pradesh
Faizabad
Uttar Pradesh
Uttar Pradesh
Etah
Etawah
Uttar Pradesh
Uttar Pradesh
Chitrakoot
Deoria
Uttar Pradesh
Chandauli
Uttar Pradesh
Uttar Pradesh
Budaun
Bulandshahr
Uttar Pradesh
Uttar Pradesh
Bijnor
Uttar Pradesh
Uttar Pradesh
Barabanki
Bareilly
Uttar Pradesh
Banda
Uttar Pradesh
Uttar Pradesh
Ballia
Balrampur
Uttar Pradesh
Uttar Pradesh
Baghpat
Bahraich
Uttar Pradesh
Uttar Pradesh
Auraiya
Azamgarh
Uttar Pradesh
Uttar Pradesh
Ambedkar Nagar
Amethi
Uttar Pradesh
Uttar Pradesh
District
State
1410
1600
879
1530
1135
1459
1006
317
817
2613
1900
2353
1051
2447
2698
919
936
1589
2111
720
1663
1061
1086
1164
79%
87%
80%
91%
85%
81%
73%
89%
87%
89%
92%
96%
82%
100%
96%
88%
93%
86%
90%
74%
80%
88%
88%
82%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
3446
2199
1110
2474
2206
2414
2406
1237
1580
5276
2594
3325
2255
4758
3031
1495
1298
1663
3166
1321
1142
1577
738
1307
90%
78%
46%
80%
82%
86%
99%
100%
87%
66%
78%
77%
81%
81%
60%
75%
62%
56%
77%
74%
32%
89%
77%
70%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
17%
39%
20%
34%
63%
16%
36%
48%
46%
7%
49%
10%
17%
3%
21%
54%
2%
15%
4%
47%
4%
26%
19%
22%
Proportion
of all
registered
TB cases
with
known HIV
status
1%
1%
2%
3%
1%
2%
3%
0%
2%
6%
1%
6%
4%
9%
1%
2%
19%
7%
13%
3%
19%
2%
3%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
1%
0%
0%
2%
0%
1%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
1%
0%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
0%
0%
8%
0%
5%
0%
38%
0%
71%
17%
0%
14%
0%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
75%
100%
100%
92%
100%
84%
0%
54%
0%
71%
83%
96%
76%
0%
0%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
31
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
34
32
Number
of health
facilities
registered
(Single
clinic Private) in
2013
56
21
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
113
Number
of
patients
notified
by (Single
clinic Private) in
2013
Number
of
patients
notified
by
in 2013
113
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
4.4
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
157
Gautam Budh Nagar
Ghaziabad
Ghazipur
Gonda
Gorakhpur
Hamirpur
Hapur
Hardoi
Hathras
Jalaun
Jaunpur
Jhansi
Jyotiba Phule Nagar
Kannauj
Kanpur Dehat
Kanpur Nagar
Kanshiram Nagar
Kaushambi
Kheri
Kushinagar
Lalitpur
Lucknow
Maharajganj
Mahoba
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
District
Uttar Pradesh
State
9.0
27.8
48.0
12.2
35.0
40.9
16.2
14.6
45.7
19.2
17.3
19.1
20.7
46.4
17.0
16.2
42.4
14.3
13.0
47.3
35.6
38.1
33.1
17.0
Population
(in lakh)
covered by
RNTCP1
4919
10045
42482
7803
14111
25644
12067
7432
32150
10618
10689
17643
14477
22615
10853
9768
25489
9270
6273
19334
15678
13031
23720
13550
No. of
suspects
examined
136
90
221
160
101
157
186
127
176
139
154
231
175
122
160
151
150
162
120
102
110
85
179
199
Suspects
examined
per lakh
population
-2%
5%
6%
-3%
-10%
-4%
1%
6%
11%
2%
14%
1%
35%
12%
9%
7%
-6%
47%
-16%
-18%
1%
11%
-5%
-4%
Rate of
change in
suspects
examined
per lakh
population
698
1172
6774
1082
2048
3575
1376
1035
5583
1400
1373
1854
2338
2859
1378
1339
4323
1343
1013
3071
2415
2325
3403
2106
No of Smear
positive
patients
diagnosed2
10
Suspects
examined
per smear
positive case
diagnosed
-14%
34%
10%
12%
1%
-19%
71%
4%
-19%
16%
18%
62%
-5%
19%
19%
31%
-7%
4%
6%
-15%
1%
-14%
23%
-6%
Rate of
change in
suspects
examined
per s+ case
diagnosed
77
42
141
88
59
87
85
71
122
73
79
97
113
62
81
83
102
94
78
65
68
61
103
124
Annual
Smear
positive case
detection
rate (from
PMR)
71
42
85
84
57
82
84
70
87
69
75
96
82
57
79
77
95
95
66
53
60
58
116
111
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
762
1721
6668
1463
2850
5350
2351
1601
6221
1691
1797
2340
2555
5555
2509
1582
6813
2530
1319
3499
4346
2936
8536
3893
Total
patients
registered
for
treatment3
85
62
139
120
82
131
145
109
136
88
104
123
123
120
148
98
161
177
101
74
122
77
258
229
Annual
total case
notification
rate
48
37
64
74
52
69
68
62
64
53
61
79
62
50
63
62
82
81
55
46
54
53
91
83
Annual
new smear
positive case
notification
rate
158
Kaushambi
Kheri
Kushinagar
Lalitpur
Lucknow
Maharajganj
Mahoba
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Kanshiram Nagar
Uttar Pradesh
Uttar Pradesh
Kanpur Nagar
Uttar Pradesh
Uttar Pradesh
Kanpur Dehat
Jhansi
Uttar Pradesh
Jaunpur
Uttar Pradesh
Uttar Pradesh
Jyotiba Phule Nagar
Jalaun
Uttar Pradesh
Kannauj
Hathras
Uttar Pradesh
Uttar Pradesh
Hardoi
Uttar Pradesh
Uttar Pradesh
Hamirpur
Hapur
Uttar Pradesh
Uttar Pradesh
Gonda
Gorakhpur
Ghazipur
Uttar Pradesh
Uttar Pradesh
Ghaziabad
Uttar Pradesh
Gautam Budh Nagar
Uttar Pradesh
District
Uttar Pradesh
State
13
24
22
16
33
38
25
15
16
18
22
41
42
50
45
22
10
50
11
53
38
Annual
new smear
negative
case
notification
rate
23
10
11
22
16
13
29
10
63
58
Annual
new extra
pulmonary
case
notification
rate
26
28
18
23
29
11
35
21
18
20
31
12
29
21
20
23
14
11
10
50
50
Annual
previously
treated case
notification
rate
26
28
18
23
29
11
35
21
18
20
31
12
29
21
20
23
14
11
10
50
50
Annual
previously
treated
smear
positive
case
notification
rate
21
48
276
28
90
78
97
89
259
58
51
23
67
137
58
55
156
95
44
119
223
103
564
187
4%
3%
5%
2%
4%
2%
5%
6%
6%
4%
3%
1%
3%
3%
3%
4%
3%
4%
4%
4%
6%
4%
8%
6%
No (%) of pediatric
cases
93%
91%
87%
89%
85%
89%
93%
92%
89%
92%
94%
95%
91%
91%
91%
93%
92%
94%
91%
82%
91%
89%
94%
92%
3 month
conversion
rate of
new smear
positive
patients4
83%
86%
60%
81%
72%
74%
89%
78%
66%
82%
84%
89%
68%
74%
77%
84%
81%
88%
77%
67%
76%
69%
84%
73%
3 month
conversion
rate of
retreatment
patients4
92%
91%
82%
94%
89%
92%
95%
94%
83%
92%
93%
92%
89%
88%
89%
92%
90%
92%
88%
83%
94%
88%
91%
91%
Treatment
Success
rate of
new smear
positive
patients5
88%
85%
62%
88%
78%
85%
93%
96%
63%
82%
84%
86%
65%
68%
76%
83%
79%
85%
71%
63%
85%
79%
83%
80%
Treatment
success
rate among
smear
positive
previously
treated
cases5
569
1002
3579
996
1783
2901
1264
730
3683
1221
1202
1692
1625
2446
1293
1127
3708
1319
777
2193
1870
2058
3666
1716
436%
163%
82%
105%
82%
40%
42%
97%
90%
74%
136%
158%
73%
27%
263%
98%
29%
124%
187%
96%
60%
51%
96%
69%

636
1081
4083
997
1917
3374
1361
1012
3895
1321
1310
1839
1714
2662
1399
1252
4039
1362
855
2540
2166
2221
3751
1902
99%
92%
100%
96%
95%
99%
100%
98%
98%
98%
100%
100%
99%
100%
100%
100%
99%
100%
99%
100%
100%
100%
97%
99%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
159
Kanpur Dehat
Kanpur Nagar
Kanshiram Nagar
Kaushambi
Kheri
Kushinagar
Lalitpur
Lucknow
Maharajganj
Mahoba
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Jyotiba Phule Nagar
Kannauj
Uttar Pradesh
Jhansi
Uttar Pradesh
Uttar Pradesh
Jalaun
Jaunpur
Uttar Pradesh
Uttar Pradesh
Hardoi
Hathras
Uttar Pradesh
Uttar Pradesh
Hamirpur
Hapur
Uttar Pradesh
Gorakhpur
Uttar Pradesh
Uttar Pradesh
Ghazipur
Gonda
Uttar Pradesh
Uttar Pradesh
Gautam Budh Nagar
Ghaziabad
Uttar Pradesh
Uttar Pradesh
District
State
487
1039
2730
841
1604
2454
1176
659
2325
1193
1112
1415
1151
1965
1031
941
2908
888
499
1639
1598
1186
3387
1385
84%
82%
94%
95%
82%
79%
92%
78%
85%
94%
93%
84%
90%
86%
89%
89%
89%
90%
69%
77%
87%
79%
86%
86%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
587
1112
2286
1400
2582
4371
2351
1117
3746
1248
1396
1340
1951
4369
1894
1394
4870
1884
405
2362
2547
2772
4599
2734
78%
64%
34%
96%
91%
86%
100%
70%
63%
74%
78%
57%
76%
79%
75%
88%
71%
74%
31%
67%
58%
95%
54%
70%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
36%
4%
52%
43%
9%
19%
24%
41%
26%
38%
15%
18%
18%
26%
26%
57%
27%
3%
11%
12%
16%
14%
8%
42%
Proportion
of all
registered
TB cases
with
known HIV
status
1%
22%
1%
0%
11%
2%
2%
2%
2%
0%
4%
4%
2%
4%
2%
1%
1%
16%
3%
10%
2%
7%
3%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
0%
0%
0%
0%
0%
0%
55%
100%
0%
11%
0%
0%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
0%
33%
67%
100%
0%
100%
75%
0%
0%
33%
0%
57%
0%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
13
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
257
14
Number
of health
facilities
registered
(Single
clinic Private) in
2013
38
25
32
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
37
Number of
patients
notified by
(Laboratories
- Private) in
2013
Number
of
patients
notified
by (Single
clinic Private) in
2013
25
172
27
Number
of
patients
notified
by
in 2013
25
218
28
Total
cases
nofied
by
private
sector
in 2013
0.0
0.0
0.5
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.3
0.0
0.0
0.0
5.1
0.0
0.0
0.0
0.0
0.0
0.8
0.0
Notification
rate per
1,00,000
population
(private
sector)
160
Pilibhit
Pratapgarh
Rae Bareli
Rampur
Saharanpur
Sambhal
Sant Kabir Nagar
Sant Ravidas Nagar
Shahjahanpur
Shamli
Shravasti
Siddharthnagar
Sitapur
Sonbhadra
Sultanpur
Unnao
Varanasi
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Mirzapur
Moradabad
Meerut
Uttar Pradesh
Uttar Pradesh
Muzaffarnagar
Mau
Uttar Pradesh
Uttar Pradesh
Mathura
Uttar Pradesh
District
Uttar Pradesh
Mainpuri
Uttar Pradesh
State
38.2
32.2
24.4
18.3
46.4
25.3
11.2
13.1
32.0
16.3
18.2
22.2
35.3
24.1
25.6
34.1
21.1
28.8
31.1
25.6
35.7
23.1
25.9
19.1
Population
(in lakh)
covered by
RNTCP1
25747
15961
12245
9822
34253
8414
4638
7914
18645
13028
7593
10792
19531
20873
12851
16665
14018
22202
20577
18012
29658
10688
14365
11408
No. of
suspects
examined
169
124
126
134
185
83
103
152
146
199
104
122
138
217
125
122
166
193
165
176
208
115
139
150
Suspects
examined
per lakh
population
5%
-8%
-6%
17%
2%
-33%
3%
28%
-12%
-5%
-16%
-9%
10%
-1%
-8%
-8%
-11%
31%
3%
-5%
-14%
3%
12%
Rate of
change in
suspects
examined
per lakh
population
3449
2712
1804
1453
3959
1184
751
1229
2567
1329
952
1470
2852
2836
2158
2250
1855
2695
3315
2077
4236
1430
2116
1287
No of Smear
positive
patients
diagnosed2
10
Suspects
examined
per smear
positive case
diagnosed
32%
-7%
-6%
-24%
14%
-8%
-15%
10%
31%
10%
-10%
17%
-4%
-18%
-2%
12%
-15%
-10%
36%
11%
-3%
13%
28%
Rate of
change in
suspects
examined
per s+ case
diagnosed
90
84
74
79
85
47
67
94
80
81
52
66
81
118
84
66
88
94
107
81
119
62
82
67
Annual
Smear
positive case
detection
rate (from
PMR)
62
83
66
75
84
44
62
96
70
83
47
66
77
110
73
64
78
82
97
80
103
52
71
70
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
4414
4174
2262
1798
7019
2018
900
1922
3700
2353
1546
2028
4628
4068
3367
3368
2529
3969
3958
3609
6349
1877
3104
1931
Total
patients
registered
for
treatment3
116
129
93
98
151
80
80
147
116
144
85
91
131
169
132
99
120
138
127
141
178
81
120
101
Annual
total case
notification
rate
56
64
56
64
70
39
54
70
60
69
40
54
57
86
62
55
57
64
79
65
83
47
57
58
Annual
new smear
positive case
notification
rate
TB Annual Report
161
Siddharthnagar
Sitapur
Sonbhadra
Sultanpur
Unnao
Varanasi
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Shamli
Shravasti
Uttar Pradesh
Shahjahanpur
Uttar Pradesh
Uttar Pradesh
Sant Kabir Nagar
Sant Ravidas Nagar
Uttar Pradesh
Uttar Pradesh
Saharanpur
Sambhal
Uttar Pradesh
Uttar Pradesh
Rae Bareli
Rampur
Uttar Pradesh
Pratapgarh
Uttar Pradesh
Uttar Pradesh
Muzaffarnagar
Pilibhit
Uttar Pradesh
Uttar Pradesh
Mirzapur
Moradabad
Uttar Pradesh
Uttar Pradesh
Mau
Meerut
Uttar Pradesh
Uttar Pradesh
Mainpuri
Mathura
Uttar Pradesh
District
Uttar Pradesh
State
28
27
16
12
45
27
10
25
30
44
20
17
21
36
45
18
24
23
13
44
37
21
29
14
Annual
new smear
negative
case
notification
rate
18
14
10
19
12
11
26
18
25
13
29
14
10
Annual
new extra
pulmonary
case
notification
rate
13
24
16
16
28
33
14
22
14
15
28
29
16
17
30
26
22
25
29
20
19
Annual
previously
treated case
notification
rate
13
24
16
16
28
33
14
22
14
15
28
29
16
17
30
26
22
25
29
20
19
Annual
previously
treated
smear
positive
case
notification
rate
299
142
49
73
252
47
35
39
134
88
70
49
196
163
118
108
66
136
140
179
151
67
112
57
8%
4%
3%
5%
4%
3%
4%
3%
4%
4%
5%
3%
5%
5%
4%
4%
3%
4%
4%
6%
3%
4%
4%
4%
No (%) of pediatric
cases
92%
92%
92%
93%
91%
90%
92%
91%
90%
97%
85%
90%
91%
91%
89%
92%
88%
90%
92%
95%
93%
94%
89%
90%
3 month
conversion
rate of
new smear
positive
patients4
71%
84%
81%
80%
80%
81%
80%
77%
84%
89%
62%
75%
81%
75%
80%
79%
79%
70%
74%
84%
83%
81%
69%
80%
3 month
conversion rate
of retreatment
patients4
89%
89%
93%
92%
94%
90%
93%
90%
89%
96%
88%
87%
91%
90%
88%
95%
84%
88%
90%
95%
92%
93%
87%
93%
Treatment
Success
rate of
new smear
positive
patients5
67%
83%
85%
86%
89%
77%
80%
77%
78%
94%
75%
73%
83%
74%
81%
85%
72%
69%
74%
93%
84%
85%
66%
85%
Treatment
success
rate among
smear
positive
previously
treated
cases5
2136
2401
1464
1279
3515
1015
608
1118
1836
1232
708
1400
2481
2501
1498
2068
1613
2250
2811
1912
3375
1092
1659
1368
16%
33%
10%
18%
5%
37%
305%
190%
65%
94%
397%
69%
22%
42%
102%
55%
43%
56%
82%
123%
41%
171%
86%
164%

2338
2682
1564
1369
3919
1132
700
1223
2201
1325
870
1463
2734
2659
1791
2237
1654
2512
3026
2028
3655
1203
1866
1367
99%
100%
96%
99%
100%
100%
100%
97%
98%
98%
98%
100%
100%
100%
100%
99%
100%
100%
100%
99%
99%
99%
100%
100%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
162
Muzaffarnagar
Pilibhit
Pratapgarh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Sitapur
Sonbhadra
Sultanpur
Unnao
Varanasi
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Siddharthnagar
Uttar Pradesh
Uttar Pradesh
Shamli
Shravasti
Uttar Pradesh
Uttar Pradesh
Sant Ravidas Nagar
Shahjahanpur
Uttar Pradesh
Uttar Pradesh
Sambhal
Sant Kabir Nagar
Uttar Pradesh
Uttar Pradesh
Saharanpur
Moradabad
Uttar Pradesh
Uttar Pradesh
Mirzapur
Uttar Pradesh
Rae Bareli
Meerut
Uttar Pradesh
Rampur
Mau
Uttar Pradesh
Uttar Pradesh
Mathura
Uttar Pradesh
Uttar Pradesh
Mainpuri
District
Uttar Pradesh
State
1917
2210
1266
940
2871
1263
572
950
1879
1336
540
832
2330
1792
1134
1465
1216
1865
2214
1840
2958
1014
1223
864
86%
88%
78%
80%
91%
88%
90%
94%
88%
100%
63%
90%
89%
92%
85%
75%
87%
79%
70%
93%
89%
87%
90%
80%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
3081
3244
1058
1723
4865
1405
698
1554
2772
1393
950
1316
3819
3562
2696
2905
1950
3167
3006
2762
5375
1378
2263
1924
70%
78%
69%
96%
69%
70%
78%
81%
79%
59%
61%
62%
83%
88%
85%
85%
77%
77%
76%
77%
85%
73%
73%
100%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
16%
21%
47%
42%
12%
19%
11%
24%
25%
19%
12%
4%
18%
50%
41%
23%
29%
34%
26%
30%
33%
53%
10%
30%
Proportion
of all
registered
TB cases
with
known HIV
status
3%
2%
1%
2%
2%
20%
7%
2%
1%
7%
4%
11%
2%
2%
1%
3%
2%
2%
4%
1%
2%
2%
6%
3%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
0%
0%
0%
0%
0%
2%
0%
0%
0%
1%
0%
0%
0%
0%
0%
1%
0%
0%
0%
0%
0%
2%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
33%
0%
0%
50%
94%
67%
100%
0%
0%
33%
0%
67%
85%
0%
100%
0%
3%
0%
14%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
33%
0%
100%
100%
94%
67%
100%
6%
29%
100%
83%
67%
50%
40%
100%
92%
72%
0%
14%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
15
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
20
87
Number
of health
facilities
registered
(Single
clinic Private) in
2013
41
11
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
Number of
patients
notified by
(Laboratories
- Private) in
2013
166
16
Number
of
patients
notified
by (Single
clinic Private) in
2013
16
26
Number
of
patients
notified
by (Multiclinic
- Private)
in 2013
188
16
26
Total
cases
nofied
by
private
sector
in
2013
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
7.8
0.6
0.0
0.0
0.0
0.0
0.0
0.0
1.1
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
TB Annual Report
163
Haora
Hugli
Jalpaiguri
Koch Bihar
Kolkata
Maldah
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
Birbhum
West Bengal
West Bengal
Barddhaman
West Bengal
Dakshin Dinajpur
Bankura
West Bengal
Darjiling
Uttarkashi
West Bengal
Udhamsingh Nagar
Uttarakhand
Uttarakhand
West Bengal
Rudraprayag
Tehri Garhwal
Uttarakhand
Uttarakhand
Nainital
Hardwar
Uttarakhand
Pithoragarh
Garhwal
Uttarakhand
Dehradun
Uttarakhand
Uttarakhand
Uttarakhand
Chamoli
Champawat
Uttarakhand
Uttarakhand
Almora
Bageshwar
Uttarakhand
District
Uttarakhand
State
40.8
45.8
28.8
39.5
56.3
49.4
18.8
17.1
35.8
78.8
36.7
3.4
17.0
6.4
2.4
5.0
9.9
19.9
7.1
17.5
2.7
4.0
2.7
6.4
Population
(in lakh)
covered by
RNTCP1
25023
38797
18917
36138
26579
29293
14771
12107
20063
51166
27952
1963
9965
3525
1083
3083
5346
8838
5831
15585
1484
1690
1616
4093
No. of
suspects
examined
153
212
164
229
118
148
196
177
140
162
190
144
146
138
111
154
135
111
206
222
138
105
151
159
Suspects
examined
per lakh
population
-3%
2%
1%
3%
-2%
5%
-11%
-1%
-4%
-3%
6%
-4%
-3%
-16%
-21%
-2%
-33%
-10%
-12%
-10%
-18%
-21%
-10%
-15%
Rate of
change in
suspects
examined
per lakh
population
3443
4733
1713
4047
3314
2946
2143
1744
2898
5641
2812
260
1386
359
111
378
1251
1432
975
2446
177
241
176
519
No of Smear
positive
patients
diagnosed2
11
10
10
10
10
Suspects
examined
per smear
positive case
diagnosed
0%
3%
54%
-7%
-15%
43%
-5%
-22%
-33%
16%
105%
20%
1%
48%
-3%
-7%
-51%
-24%
-12%
10%
37%
15%
10%
6%
Rate of
change in
suspects
examined
per s+ case
diagnosed
84
103
59
102
59
60
114
102
81
72
77
76
81
56
45
75
127
72
137
139
66
60
66
81
Annual
Smear
positive case
detection
rate (from
PMR)
72
67
50
97
55
53
89
94
70
63
66
74
65
64
73
72
110
63
71
60
74
78
70
71
Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
4584
5292
2640
6421
5342
4630
3236
2500
3850
8284
4146
519
2181
707
311
543
1837
2317
842
2527
277
581
332
726
Total
patients
registered
for
treatment3
112
116
92
163
95
94
172
147
108
105
113
152
128
111
127
108
186
116
119
144
103
144
124
113
Annual
total case
notification
rate
60
47
44
80
44
37
67
80
59
51
57
56
45
41
57
51
68
46
52
42
56
54
49
55
Annual
new smear
positive case
notification
rate
164
Hugli
Jalpaiguri
Koch Bihar
Kolkata
Maldah
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
Darjiling
Haora
West Bengal
West Bengal
Birbhum
Dakshin Dinajpur
West Bengal
Barddhaman
West Bengal
West Bengal
Uttarkashi
Bankura
Tehri Garhwal
Udhamsingh Nagar
Uttarakhand
Uttarakhand
Uttarakhand
Rudraprayag
Uttarakhand
West Bengal
Nainital
Pithoragarh
Uttarakhand
Uttarakhand
Garhwal
Hardwar
Uttarakhand
Uttarakhand
Champawat
Dehradun
Uttarakhand
Chamoli
Uttarakhand
Uttarakhand
Almora
Bageshwar
Uttarakhand
District
Uttarakhand
State
15
14
23
15
12
21
21
20
18
18
31
35
15
25
15
27
21
20
41
25
22
10
Annual
new smear
negative
case
notification
rate
18
28
22
30
17
19
45
22
13
15
24
37
14
23
27
15
32
24
19
33
16
21
24
25
Annual
new extra
pulmonary
case
notification
rate
19
31
12
30
19
26
39
23
16
20
13
28
34
32
18
27
59
25
27
28
24
43
29
22
Annual
previously
treated case
notification
rate
19
31
12
30
19
26
39
23
16
20
13
28
34
32
18
27
59
25
27
28
24
43
29
22
Annual
previously
treated
smear
positive
case
notification
rate
144
390
57
309
140
231
166
59
87
277
135
30
79
23
12
31
80
139
15
150
13
20
11
29
4%
10%
2%
6%
3%
7%
7%
3%
3%
4%
4%
7%
5%
5%
5%
8%
6%
8%
2%
7%
6%
5%
4%
5%
No (%) of pediatric
cases
88%
80%
89%
89%
86%
85%
87%
86%
88%
88%
93%
97%
91%
90%
81%
78%
77%
85%
85%
83%
82%
92%
89%
87%
3 month
conversion
rate of
new smear
positive
patients4
65%
58%
68%
73%
64%
68%
67%
61%
68%
70%
80%
76%
77%
79%
84%
61%
57%
73%
73%
66%
71%
86%
80%
81%
3 month
conversion
rate of
retreatment
patients4
85%
80%
86%
86%
84%
82%
84%
81%
84%
86%
91%
91%
86%
94%
91%
84%
73%
86%
83%
84%
97%
90%
86%
92%
Treatment
Success
rate of
new smear
positive
patients5
64%
60%
60%
64%
60%
62%
58%
60%
60%
68%
77%
73%
68%
83%
67%
72%
43%
72%
72%
63%
86%
81%
85%
81%
Treatment
success
rate among
smear
positive
previously
treated
cases5
2197
2865
1139
3615
2360
2319
1496
953
2004
4260
2043
219
1090
310
146
335
814
1104
387
882
167
250
189
419
44%
151%
170%
102%
86%
38%
125%
175%
45%
71%
96%
906%
133%
230%
1139%
1130%
239%
17%
209%
29%
73%
105%
415%
240%

2625
3201
1402
3883
3115
2673
1673
1329
2340
5061
2367
241
1096
387
176
377
773
1253
468
994
199
318
138
453
87%
100%
93%
97%
99%
98%
95%
81%
92%
99%
96%
94%
98%
93%
100%
100%
90%
98%
90%
93%
100%
99%
70%
98%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
TB Annual Report
165
Barddhaman
Birbhum
Dakshin Dinajpur
Darjiling
Haora
Hugli
Jalpaiguri
Koch Bihar
Kolkata
Maldah
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
180
Uttarkashi
Bankura
Uttarakhand
West Bengal
891
Tehri Garhwal
Udhamsingh Nagar
Uttarakhand
Uttarakhand
237
1937
2323
1025
2848
1955
1882
1242
1003
1634
3149
1890
324
106
Pithoragarh
Rudraprayag
408
Uttarakhand
Nainital
Uttarakhand
1024
295
719
164
202
154
415
77%
98%
86%
94%
86%
91%
91%
90%
81%
79%
89%
82%
98%
74%
89%
82%
95%
88%
71%
86%
93%
77%
85%
90%
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Uttarakhand
Garhwal
Hardwar
Uttarakhand
Uttarakhand
Champawat
Dehradun
Uttarakhand
Uttarakhand
Bageshwar
Chamoli
Uttarakhand
Uttarakhand
Almora
District
Uttarakhand
State
588
1282
343
957
1549
1891
1755
463
451
2767
1192
424
1067
584
229
265
573
1326
527
1921
180
233
90
300
13%
24%
13%
15%
42%
41%
54%
19%
12%
34%
29%
82%
49%
82%
74%
48%
39%
63%
62%
76%
65%
71%
33%
41%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
49%
86%
42%
63%
59%
80%
49%
38%
37%
79%
48%
64%
67%
52%
68%
57%
49%
64%
38%
65%
83%
38%
30%
57%
Proportion
of all
registered
TB cases
with
known HIV
status
2%
6%
1%
2%
2%
2%
4%
2%
1%
1%
0%
0%
1%
1%
2%
1%
0%
1%
0%
2%
0%
4%
1%
1%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
1%
5%
1%
1%
1%
2%
2%
1%
0%
1%
0%
0%
0%
1%
0%
0%
0%
0%
0%
1%
0%
1%
0%
0%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
100%
99%
96%
98%
86%
88%
92%
60%
50%
88%
33%
100%
100%
0%
100%
71%
55%
0%
88%
100%
0%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
94%
91%
96%
69%
84%
59%
90%
93%
50%
82%
45%
100%
100%
80%
100%
57%
55%
100%
88%
0%
100%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
10
68
17
87
306
14
90
53
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
30
260
48
308
34
38
37
Number
of health
facilities
registered
(Single
clinic Private) in
2013
20
85
20
21
290
40
134
48
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
26
19
Number of
patients
notified by
(Laboratories
- Private) in
2013
19
69
Number
of
patients
notified
by
(Single
clinic Private)
in 2013
12
41
16
Number
of
patients
notified
by
in 2013
24
17
136
35
Total
cases
nofied
by
private
sector
in
2013
0.0
0.5
0.0
0.0
0.0
0.3
0.0
0.0
0.0
1.7
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2.0
0.0
0.0
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
166
Nadia
North 24 Parganas
Puruliya
South 24 Parganas
Uttar Dinajpur
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
Medinipur West
Murshidabad
Nadia
North 24 Parganas
Puruliya
South 24 Parganas
Uttar Dinajpur
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
West Bengal
Medinipur East
West Bengal
11
27
12
17
Annual
new smear
negative
case
notification
rate
Murshidabad
West Bengal
District
Medinipur West
State
Medinipur East
West Bengal
District
West Bengal
State
13
14
12
16
16
18
17
Annual
new extra
pulmonary
case
notification
rate
30.6
83.2
29.9
102.9
52.8
72.5
60.7
52.0
Population
(in lakh)
covered by
RNTCP1
11
12
17
18
15
16
17
Annual
previously
treated case
notification
rate
14205
39889
18778
51040
36166
49046
29259
23430
No. of
suspects
examined
11
12
17
18
15
16
17
Annual
previously
treated
smear
positive
case
notification
rate
116
120
157
124
171
169
121
113
Suspects
examined
per lakh
population
1725
3888
1742
5260
2957
5103
4117
1432
No of Smear
positive
patients
diagnosed2
62
170
98
247
101
265
107
42
3%
4%
4%
4%
3%
4%
2%
2%
No (%) of pediatric
cases
-3%
4%
-2%
-1%
0%
7%
-1%
10%
Rate of
change in
suspects
examined
per lakh
population
86%
87%
91%
82%
90%
90%
89%
86%
3 month
conversion
rate of
new smear
positive
patients4
10
11
10
12
10
16
11%
-28%
46%
25%
13%
8%
-12%
79%
66%
64%
79%
58%
71%
68%
70%
62%
56
47
58
51
56
70
68
28
84%
84%
89%
83%
87%
88%
87%
81%
50
43
55
50
50
65
60
25
63%
60%
74%
65%
64%
66%
68%
60%
2409
5775
3048
8360
4281
7344
6168
2113
Total
patients
registered
for
treatment3
79
69
102
81
81
101
102
41
1301
2830
1324
4871
2561
4065
2715
1030
83%
76%
80%
91%
95%
83%
35%
208%
44
36
46
40
41
55
50
21
Annual
new smear
positive case
notification
rate
1510
3695
1601
5348
2679
4864
2867
1252
96%
99%
97%
100%
100%
99%
77%
92%
No (%) of all
Smear Positive
cases registered
within one month
of starting RNTCP
DOTS treatment
Annual
total case
notification
rate

Annual
smear
positive case
notification
rate [from
CFR: sm +
cases (NSP
+ Rel +
TAD) / Pop]
Treatment
success
rate among
smear
positive
previously
treated
cases5
Annual
Smear
positive case
detection
rate (from
PMR)
Treatment
Success
rate of
new smear
positive
patients5
Rate of
change in
suspects
examined
per s+ case
diagnosed
3 month
conversion
rate of
retreatment
patients4
Suspects
examined
per smear
positive case
diagnosed
TB Annual Report
167
6%
5%
6%
West Zone
East Zone
North-East Zone
6%
5%
North Zone
90%
88%
88%
91%
89%
1375010
2793.7
468.8
East Zone
North-East Zone
South Zone
2419225
3527.3
West Zone
237278
69%
69%
71%
69%
75%
2090957
3103.1
2578.0
North Zone
South Zone
127
123
171
203
161
6%
Summary of performance of Tribal Districts
1999044
5%
78%
49%
61%
86%
83%
73%
41%
59%
90%
89%
85%
87%
88%
86%
-1%
-2%
9%
1%
-2%
337906
64%
69%
68%
65%
75%
74%
74%
597
539
Proportion
of all
registered
TB cases
with
known HIV
status
1482814
89%
14%
Summary of performance of Poor & Backward districts
345
27%
19%
23%
17%
22%
14%
22%
566.1
86%
1577
593
1961
720
1133
760
455
2752.2
1103
88%
82%
96%
95%
84%
76%
72%
No (%) of
cases (all
forms of TB)
registered
receiving
DOT through
a community
volunteer
Summary of performance of Poor & Backward districts
Uttar Dinajpur
West Bengal
2583
1251
3995
2061
3250
1960
755
No (%) of all
cured Smear
Positive
cases
having end
of treatment
follow- up
sputum done
within 7 days
of last dose
Summary of performance of Tribal Districts
Puruliya
South 24 Parganas
West Bengal
West Bengal
Nadia
North 24 Parganas
West Bengal
West Bengal
Medinipur West
Murshidabad
West Bengal
West Bengal
Medinipur East
District
West Bengal
State
5%
1%
24078
121053
204724
137483
217673
31300
159343
273951
189478
274118
88%
89%
3%
2%
0%
3%
2%
1%
1%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
tested
11
88%
85%
89%
88%
90%
71%
74%
44320
178178
3%
1%
0%
2%
1%
1%
1%
2%
Proportion
of TB
patients
known
to be HIV
infected
among
registered
25967
138915
224524
150704
237129
3%
0%
10%
2%
2%
35701
142781
76%
94%
94%
74%
95%
72%
86%
259
98%
97%
95%
97%
39640
77
17193
89278
154668
104461
177093
58
50
65
60
98%
98%
46
112
42
25482
82%
81%
84%
84%
88%
54976
238391
427261
271245
21014
137971
194525
157357
40%
59%
48%
59%
58%
47
42
50
47
60
46652
184928
130
98
35
23
173
38
124
106
Number
of health
facilities
registered
(Multiclicnic
- Private)
in 2013
225202
117
85
121
105
137
79%
82%
73419
269953
29
22
723
53
129
Number
of health
facilities
registered
(Single
clinic Private) in
2013
105863
424141
72
58
Number
of health
facilities
registered
(Laboratories
- Private) in
2013
313
158905
96%
67
57
78
73
88
88%
4%
5%
73%
94%
85%
56%
87%
81%
76%
Proportion
of HIV
infected
TB
patients
put on
ART (RT
report)
88%
Proportion
of HIV
infected
TB
patients
put on CPT
(RT report)
48
60
46%
52%
69%
94%
44%
26
17
27
21
27
67%
70%
18
59%
3%
2%
5%
9%
2%
22
11
19
18
23
31
3%
4%
18
10
Number
of
patients
notified
by (Single
clinic Private) in
2013
44%
31
23
Number of
patients
notified by
(Laboratories
- Private) in
2013
17
1%
1%
4%
9%
2%
1%
21
1%
22
15
25
19
27
Number
of
patients
notified
by
in 2013
17
87%
81%
21
75%
64%
96%
94%
62%
12
16
14
18
18
31
11
Total
cases
nofied
by
private
sector
in 2013
55%
76%
87%
85%
79%
2693
9196
20720
11343
19967
72%
82%
3568
10906
0.0
0.0
0.6
0.3
0.0
0.2
0.0
0.0
Notification
rate per
1,00,000
population
(private
sector)
168
26647
8056
10646
52298
6673
309769
Bihar
Chandigarh
Chattisgarh
Delhi
Goa
Gujarat
207744
17364
790228
32254
Jammu &
Kashmir
Jharkhand
Karnataka
Kerala
56037
1519942
Madhya Pradesh
Maharashtra
Lakshadweep
9371
Himachal
Pradesh
Haryana
10340
21
1598942
Assam
Arunachal
Pradesh
Andhra Pradesh
Andaman &
Nicobar
State
Total Number
of ART centre
Attendees
(Cummulative
for the period)
53563
1413
498
13793
278
5239
102
12860
134
328
430
41
396
92
34319
Number
of TB
Suspects
referred
from ART
to RNTCP
1346
70
26
870
28
260
483
18
29
25
38
2244
Smear
positive
TB cases
2284
44
1017
38
273
554
48
19
23
46
13
2109
Smear
negative
TB cases
2399
77
52
959
12
262
1205
30
100
11
23
33
1203
Extrapulmonary
TB cases
Number of cases detected
6029
187
98
2845
78
793
17
2242
40
171
46
25
107
52
5553
Total
Number
of TB
cases
(d)
4822
102
54
2398
40
595
10
1484
25
117
29
67
13
4500
719
78
32
208
31
139
598
35
35
17
22
29
32
541
514
91
48
205
41
231
12
465
30
57
39
21
58
31
779
Out of (d),
number
Out of (d),
of TB
number of
Out of (f),
patients
TB patients
number
receiving
referred
started on
RNTCP
outside district treatment
treatment
for RNTCP
(g)
within the treatment (f)
district (e)
Referral of TB suspects from ART to RNTCP diagnosis Units (2013)
3282
86
84
1803
43
61
1359
13
25
99
2972
Out
of (d),
number
of TB
patients
receiving
NonRNTCP
(h)
8842
1064
139
1175
262
1417
321
998
26
259
55
73
300
4026
Out of (d),
number of
patients
(HIV
TB Co
infected)
started on
CPT
5425
923
185
2546
293
1315
323
2041
22
221
55
73
300
70
5706
Out of (d),
number of
patients
(HIV TB Co
infected )
started on
ART
TB Annual Report
169
127285
79744
108749
58803
43820
822208
166517
108528
70356
46874
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamilnadu
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
166383
675
920
1583
5017
24544
1218
721
1693
100
51
7353
59
88
154
192
944
44
29
52
19
155
13
143
Smear
positive
TB cases
9089
25
139
218
259
1469
82
50
53
13
82
204
Smear
negative
TB cases
8464
82
79
192
165
896
54
36
77
19
211
11
263
Extrapulmonary
TB cases
Number of cases detected
24914
166
388
544
614
3302
180
120
182
54
425
33
610
Total
Number
of TB
cases
(d)
18765
75
129
183
522
2500
98
63
69
41
315
22
477
4341
97
185
281
61
775
66
48
98
12
100
92
4359
90
151
190
216
541
68
56
95
22
199
101
Out of (d),
number
Out of (d),
of TB
number of
Out of (f),
patients
TB patients
number
receiving
referred
started on
RNTCP
outside district treatment
treatment
for RNTCP
(g)
within the treatment (f)
district (e)
Source of data: Monthly reports on TB-HIV cross referrals submitted by individual ART to the respective State SACS as available till 22nd Feb 2014 from DAC

6483326
688
6140
Nagaland
India
315
5958
Mizoram
62
4377
Meghalaya
5308
177635
Number
of TB
Suspects
referred
from ART
to RNTCP
Manipur
State
Total Number
of ART centre
Attendees
(Cummulative
for the period)
13043
113
46
21
16
1890
20
453
494
40
85
Out
of (d),
number
of TB
patients
receiving
NonRNTCP
(h)
43762
117
3484
1827
10877
4992
269
754
337
353
911
812
60
Out of (d),
number of
patients
(HIV
TB Co
infected)
started on
CPT
33299
190
3438
1735
1465
2984
260
732
738
357
1243
28
618
Out of (d),
number of
patients
(HIV TB Co
infected )
started on
ART
Treatment outcome among all HIV infected New TB cases

Total New Cases
Treatment
Success
Died
Failure
TAD
Transfer
Out
Switch to
CAT 4
75%
25%
0%
0%
0%
0%
7435
83%
11%
1%
4%
0%
0%
Arunachal Pradesh
100%
0%
0%
0%
0%
0%
Assam
50
70%
14%
2%
10%
2%
2%
Bihar
363
72%
15%
2%
7%
2%
1%
Chandigarh
18
72%
17%
11%
0%
0%
0%
Chhattisgarh
62
73%
26%
0%
0%
0%
0%
Dadar & Nagar

Haveli
0%
100%
0%
0%
0%
0%
Daman & Diu
100%
0%
0%
0%
0%
0%
Delhi
392
83%
7%
2%
5%
4%
0%
Goa
79
76%
15%
1%
6%
0%
1%
Gujarat
2267
80%
11%
1%
6%
1%
1%
Haryana
129
80%
12%
3%
4%
1%
0%
Himachal Pradesh
41
80%
15%
0%
2%
2%
0%
Jammu & Kashmir
15
67%
0%
0%
0%
33%
0%
Jharkhand
114
78%
14%
0%
7%
1%
0%
Karnataka
6094
76%
15%
1%
7%
1%
0%
Kerala
307
73%
13%
2%
7%
5%
0%
State
Andaman &
Nicobar
Andhra Pradesh
Lakshadweep
Madhya Pradesh
315
80%
12%
1%
5%
3%
0%
Maharashtra
7480
78%
13%
1%
6%
1%
1%
Manipur
141
81%
5%
2%
6%
0%
6%
100%
0%
0%
0%
0%
0%
Mizoram
136
82%
10%
3%
5%
0%
0%
Nagaland
103
83%
7%
4%
4%
1%
1%
Orissa
355
79%
8%
0%
11%
1%
0%
Pondicherry
34
82%
3%
0%
12%
0%
3%
Punjab
278
69%
15%
2%
10%
2%
1%
Rajasthan
199
78%
11%
2%
7%
1%
2%
80%
0%
20%
0%
0%
0%
3016
80%
13%
1%
6%
0%
0%
Tripura
12
92%
0%
0%
8%
0%
0%
Uttar Pradesh
404
77%
12%
1%
7%
1%
1%
Uttarakhand
36
89%
6%
0%
6%
0%
0%
West Bengal
790
77%
12%
2%
7%
3%
2%
Grand Total
30681
79%
13%
1%
6%
1%
0%
Meghalaya
Sikkim
Tamil Nadu
170
Treatment outcome among all HIV infected Re-treatment TB cases

Total
Retreatment
Cases
Treatment
Success
Died
Failure
TAD
Transfer
Out
Switch to
CAT 4
2749
76%
13%
2%
6%
1%
1%
Arunachal Pradesh
0%
0%
0%
100%
0%
0%
Assam
15
80%
0%
0%
20%
0%
0%
Bihar
313
79%
13%
0%
5%
3%
0%
Chandigarh
13
77%
23%
0%
0%
0%
0%
Chhattisgarh
11
73%
18%
9%
0%
0%
0%
Dadar & Nagar

Haveli
100%
0%
0%
0%
0%
0%
Daman & Diu
100%
0%
0%
0%
0%
0%
Delhi
346
84%
7%
1%
4%
2%
1%
Goa
26
58%
23%
0%
19%
0%
0%
Gujarat
1106
72%
15%
2%
10%
1%
1%
Haryana
98
76%
13%
2%
7%
1%
1%
Himachal Pradesh
28
79%
29%
7%
7%
4%
0%
Jammu & Kashmir
71%
0%
0%
0%
14%
14%
Jharkhand
96
78%
11%
0%
7%
1%
2%
Karnataka
2293
67%
18%
3%
10%
2%
1%
Kerala
149
63%
18%
3%
9%
5%
2%
Madhya Pradesh
140
71%
13%
1%
6%
7%
2%
Maharashtra
4387
72%
15%
1%
9%
2%
1%
Manipur
43
79%
7%
2%
2%
7%
2%
Meghalaya
0%
33%
33%
33%
0%
0%
Mizoram
96
81%
10%
2%
5%
0%
1%
Nagaland
88
77%
8%
2%
5%
6%
2%
Orissa
199
67%
14%
1%
17%
1%
2%
43%
43%
0%
0%
0%
14%
Punjab
226
70%
16%
2%
9%
3%
0%
Rajasthan
204
79%
14%
0%
5%
1%
0%
1972
79%
12%
1%
8%
0%
1%
25%
25%
0%
0%
0%
50%
Uttar Pradesh
218
71%
15%
2%
5%
6%
2%
Uttarakhand
21
67%
19%
10%
0%
0%
5%
West Bengal
367
69%
14%
4%
10%
2%
1%
15230
73%
14%
2%
8%
2%
1%
States
Andaman &
Nicobar
Andhra Pradesh
Lakshadweep
Pondicherry
Sikkim
Tamil Nadu
Tripura
Total
TB Annual Report
171
Perfomance of the RNTCP certified laboratories- January-September 2013

Diagnostic
Culture
Followup
culture
101312
79023
Solid DST LPA DST

Processed
done
955
72362
Liquid
DST Done
Total H+R
Sens
Total H+R
Res
Total H
only Res
Total R only
Res
724
48392
10735
7259
3226
Indicator
Numerator
Denominator
Percentage
n/a
n/a
n/a
174549
222817
78.3
Number of specimen rejected at the lab due to various reason(eg. Leakage,

inadequate quantity, etc)
3911
182985
2.1
Specimens (all) with cultures reported as Mtb. complex
18780
107774
17.4
Smear-positive diagnostic specimens reported as culture-positive
5077
15340
33.1
Specimens (all) with culture-contaminated results
6248
86754
7.2
Specimens (all) with culture results reported as NTM
2677
81314
3.3
Patients (with diagnostic specimens) with DST completed within the

benchmark turn-around time
46811
55602
84.2
Patients (all) with final culture results reported to providers within 1 days of
declaration of result
62193
70094
88.7
Patients with final DST results reported to providers within 1 days of declaration
of result
41746
45655
91.4
Number and Percentage of invalid LPA results
6685
44018
15.2
Number of events of LPA contamination in the quarter
105
14022
0.7
Specimens (all) received within 7 days of sputum collection (with CPC)

Specimens (all) received within 72 hours of sputum collection in 4-8 C (without
CPC*)
172
TB Annual Report
173
SRL, Mumbai ,Maharasthra
IRL,Indore ,Madhya Pradesh
Chotithram,Indore,Madhya Pradesh
IRL,Bhopal,Madhya Pradesh
23
24
25
IRL, Nagpur, Maharasthra
18
22
IRL, Thruvantpuram Kerala
17
Hinduja, Mumbai,Maharasthra
IRL,Bangalore, Karnataka
16
21
IRL, Ranchi,Jarkhand
15
IRL Pune,Maharasthra
IRL,Karnal,Haryana
14
JJ Hospitla,Maharasthra
Micro care Surat,Gujarat
13
19
C & DSTLab, Jamnagar,Gujarat
12
20
IRL, Ahemdabad , Gujarat
IRL,Raipur,Chattisgarh
11
9190
PGI Chandigarh
IRL, New Delhi, Delhi
IRL Guwahati,Assam
Dept of Medicine, AIIMS,New Delhi
253
IRL Patna, Bihar
3494
C & DSL lab,Viskhapatnam,Andhra

Pradesh
10
2813
DFIT Nellore,Andhra Pradesh
240
698
1113
2775
7606
2204
5555
6790
1031
4368
834
3676
5432
3596
164
992
746
BPHRC,Andhra Pradesh
8734
IRL, Hyderabad, Andhra Pradesh
Laboratory
Sr. No
Diagnostic
Sputum
SPECIMENS
inoculated
294
1210
2870
5090
2542
1215
2779
2648
1261
1004
1656
1847
1617
3905
5463
3852
7991
220
267
1175
1282
1149
1645
3727
Follow-Up
SPECIMENS
inoculated
10
19
24
52
98
652
Solid DST
Processed
308
416
Liquid DST
Done
562
730
1333
1968
3945
2975
3533
2656
1262
1375
986
5025
7905
1973
3779
547
282
1123
737
1679
2242
4656
LPA DST
Done
312
484
862
71
1085
2116
1953
2542
1959
732
757
451
3951
6363
1400
2355
380
215
481
234
1286
1418
3227
Total H+R
Senssitive
RNTCP certified Laboratoy Perfomance from January to September 2013
104
71
178
205
848
1084
409
222
126
421
248
277
331
538
580
552
76
24
284
318
113
298
462
Total H+R
Resistance
48
69
128
19
190
311
249
309
234
133
63
87
473
772
194
418
48
23
85
50
181
314
473
Total H only
Resistance
54
57
101
51
125
137
84
33
141
66
110
270
232
75
70
27
120
88
46
77
200
Total R only
Resistance
174
IRL,Chennai,Tamilnadu
CMC,Vellore, Tamilnadu
IRL, Kolkata West Bengal
34
35
36
Total
Nazerath Hospital
IRL Dehradun,Uttarkhand
33
39
IRL,Lucknow,Uttar Pradesh
32
SRL,Kolkata, West Bengal
SMS,Jaipur,Rajasthan
31
IRL Dharampur
IRL Ajmer, Rajasthan
30
37
RMRC, Port Blair
29
38
IRL Cuttack, Odhisa
IRL Puducherry
27
28
RMRC Jabalpur,Madhya Pradesh
Laboratory
26
Sr. No
101312
249
404
770
2072
2388
1097
6141
10082
2458
956
1256
1061
74
Diagnostic
Sputum
SPECIMENS
inoculated
78819
311
2687
1426
1046
1533
818
1413
6559
4567
248
342
634
526
Follow-Up
SPECIMENS
inoculated
955
15
25
25
28
Solid DST
Processed
724
Liquid DST
Done
72362
63
350
1069
332
547
990
1084
2894
6168
4275
734
1009
1061
513
LPA DST
Done
48392
30
202
347
41
418
723
493
1614
4579
3010
521
784
675
321
Total H+R
Senssitive
10735
20
61
425
149
37
93
301
595
546
408
48
69
99
115
Total H+R
Resistance
7259
27
86
37
47
100
109
547
614
428
119
123
98
46
Total H only
Resistance
3236
21
96
37
22
44
74
138
301
206
23
16
22
59
Total R only
Resistance
TB Annual Report
175
337
619
336
739
1139
Jharkhand
Karnataka
Kerala (+LK)^
Madhya Pradesh
Maharashtra^
11
128
Jammu &
Kashmir
Mizoram^
69
Himachal
Pradesh
28
258
Haryana
30
78
620
Manipur
15
Goa
Gujarat*^
(+DD&DNH)
Meghalaya
26
170
Delhi^
50
15
31
24
14
12
21
33
18
11
260
Chhattisgarh
38
24
14
24
Chandigarh^
316
1061
14
Arunachal
Pradesh
Bihar
853
Andhra Pradesh
Assam
Andaman &
Nicobar
State
Total
Population
(In lacs)
Total
number
of
districts
78
50
15
31
24
14
12
21
33
26
18
38
24
14
24
Number of
districts
implementing
PMDT
services
11
30
28
1139
739
336
619
337
128
69
258
620
15
170
260
11
1061
316
14
853
Population
of districts
implementing
PMDT
services (in
lacs)
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
%
population
with
access to
MDR TB
services
under
RNTCP
Indicators on Coverage of MDR TB Services
15
Number
of DR TB
Centres
functional
in the
state
732
1703
745
57892
25219
5910
28936
8268
3634
5315
17821
35133
684
18048
4630
832
22665
10075
916
44566
210
Estimated
number of
MDRTB
suspects
in Criteria
C
153
497
145
32235
5213
6899
2624
2509
933
1460
1494
26082
471
11688
890
819
1288
1646
707
23524
75
Number of
MDR TB
Suspects
subjected
to C-DST
21%
29%
19%
56%
21%
117%
9%
30%
26%
27%
8%
74%
69%
65%
19%
98%
6%
16%
77%
53%
36%
Proportion
of MDRTB
suspects
as per
Criteria C
subjected
to DST
31
157
66
5306
938
213
780
328
109
257
495
1971
45
1456
122
56
530
362
136
1893
16
Number
of MDR
TB Cases
detected
29
134
56
4690
827
220
708
258
129
248
454
1660
42
1281
127
41
508
384
172
1625
21
Number
of MDR
TB Cases
detected
that were
registered
and
initiated on
treatment
#
Indicators on MDR TB Case Finding
114
14
91
86
11
Number
of XDR
TB Cases
detected
that were
registered
and
initiated on
treatment
in 3Q12 #
51
124
35
4042
456
252
288
189
97
125
210
1856
34
1629
51
68
226
274
140
1353
Number
of MDR
TB Case
registered
and
initiated
on Cat IV
in the 4
cohorts
6-9 months
prior (2q12
to 1q13) (a)
36
65
29
2054
297
150
151
107
63
56
135
959
24
999
18
47
151
152
113
839
71%
52%
83%
51%
65%
60%
52%
57%
65%
45%
64%
52%
71%
61%
35%
69%
67%
55%
81%
62%
75%
Out of a,
No. (%) who
are alive, on
treatment
and culture
negative
11
459
53
26
42
17
10
16
22
212
133
10
27
28
163
10%
9%
6%
11%
12%
10%
15%
9%
10%
13%
10%
11%
6%
8%
6%
15%
12%
10%
2%
12%
13%
Out of a,
No. (%)
who died
10
403
43
21
19
10
14
204
217
11
27
14
154
10%
8%
6%
10%
9%
8%
7%
5%
6%
3%
7%
11%
3%
13%
8%
0%
5%
10%
10%
11%
0%
Out of a,
No. (%) who
defaulted
Indicators on 6 months interim report
PMDT Implementation, Diagnosis, 6 months interim, 12 months Culture Conversion and Treatment Outcome of MDR TB Case (Reported by DR-TB Centres of
Implementing States-2013)
176
86
91
295
273
2495
22
71
28
Kerala (+LK)^
Madhya Pradesh
Maharashtra^
Manipur
Meghalaya
Mizoram^
41
Jammu & Kashmir
Karnataka
76
Himachal Pradesh
Jharkhand
119
Haryana
15
31
1491
Goa
27
1546
Chhattisgarh
Delhi^
Gujarat*^ (+DD&DNH)
876
39
Chandigarh^
56
15
39
14
1084
161
163
28
28
26
36
67
605
12
32
41
85
60
503
73
79
Arunachal Pradesh
Assam
954
Andhra Pradesh
54%
55%
64%
43%
59%
55%
31%
33%
63%
47%
56%
41%
48%
57%
44%
82%
56%
66%
76%
53%
57%
Out of b,
No. (%) who
are alive, on
treatment
and culture
negative
Bihar
Andaman & Nicobar
State
Number
of MDR
TB cases
registered
in the 4
cohorts, 1215 months
prior (4q11
to 3q12) (b)
223
26
15
144
54
10
115
14%
11%
5%
9%
10%
5%
3%
9%
5%
8%
4%
10%
19%
3%
7%
5%
14%
7%
1%
12%
0%
Out of b,
No. (%) who
are alive, on
treatment and
culture positive
12
233
43
19
25
23
12
188
88
65
0%
17%
0%
9%
1%
15%
21%
29%
7%
30%
10%
13%
10%
6%
22%
0%
1%
1%
3%
7%
29%
Out of b,
No. (%) who
are alive, on
treatment and
culture not
known
422
47
32
18
11
23
279
188
15
187
11%
8%
9%
17%
17%
11%
20%
13%
17%
9%
19%
19%
16%
12%
7%
15%
21%
11%
6%
20%
0%
Out of b,
No. (%) who
died
Indicators on 12 months Culture Conversion Report
363
35
31
11
10
12
235
262
152
14%
7%
14%
15%
13%
11%
12%
12%
2%
3%
10%
16%
3%
17%
11%
3%
7%
11%
11%
16%
14%
Out of b,
No. (%) who
defaulted
334
130
13
24
55
614
400
331
Number
of MDR
TB cases
registered
in the 4
prior (3q10
to 2q11) (c)
95
53
19
201
175
162
Out of
c, No.
reported as
Cured
40
31
43
36
21
Out of c, No.
reported as
Treatment
Completed
40%
65%
31%
38%
49%
40%
53%
55%
Out of c,
Success
Rate
75
16
17
173
66
67
22%
12%
31%
29%
31%
28%
17%
20%
Out of c, No.
(%) who died
79
18
114
83
57
24%
14%
8%
8%
4%
19%
21%
17%
Out of c,
No. (%) who
defaulted
Indicators on Treatment Outcome of MDR TB Cases
14
63
12
17
4%
4%
31%
0%
16%
10%
3%
5%
Out of c,
No. (%)
who failed
treatment
TB Annual Report
177
13
280
699
732
37
2032
103
923
Puducherry^
Punjab
Rajasthan^
Sikkim^
Tamil Nadu^
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
12285
424
Orissa
India
20
Nagaland
State
Total
Population
(In lacs)
692
19
13
74
31
34
20
31
11
Total
number
of
districts
692
19
13
74
31
34
20
31
11
Number of
districts
implementing
PMDT
services
12285
923
103
2032
37
732
699
280
13
424
20
Population
of districts
implementing
PMDT
services (in
lacs)
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
%
population
with
access to
MDR TB
services
under
RNTCP
Indicators on Coverage of MDR TB Services
99
Number
of DR TB
Centres
functional
in the
state
496108
29688
5543
77882
595
26985
545
33586
14896
449
10706
1299
Estimated
number of
MDRTB
suspects
in Criteria
C
181021
5315
795
4046
41
21857
448
18943
5095
498
1998
633
Number of
MDR TB
Suspects
subjected
to C-DST
36%
18%
14%
5%
7%
81%
82%
56%
34%
111%
19%
49%
Proportion
of MDRTB
suspects
as per
Criteria C
subjected
to DST
23289
1269
208
1781
15
1548
211
2131
515
19
250
75
Number
of MDR
TB Cases
detected
20763
1284
176
1668
17
1224
185
1834
461
18
206
76
Number
of MDR
TB Cases
detected
that were
registered
and
initiated on
treatment
#
Indicators on MDR TB Case Finding
364
16
Number
of XDR
TB Cases
detected
that were
registered
and
initiated on
treatment
in 3Q12 #
16749
1025
135
180
19
978
111
2197
363
29
147
57
9701
742
113
99
14
554
87
1284
222
20
72
43
58%
72%
84%
55%
74%
57%
78%
58%
61%
69%
49%
75%
Out of a,
No. (%) who
are alive, on
treatment
and culture
negative
1704
70
30
94
197
42
10%
7%
2%
17%
11%
10%
4%
9%
12%
17%
6%
5%
Out of a,
No. (%) who
died
1655
91
13
86
224
52
10%
9%
0%
7%
11%
9%
8%
10%
14%
10%
3%
2%
Out of a,
No. (%) who
defaulted
Indicators on 6 months interim report

Number
of MDR
TB Case
registered
and
initiated
on Cat IV
in the 4
cohorts
6-9 months
prior (2q12
to 1q13) (a)
178
526
5490
351
40
29
10
198
24
780
103
15
58
17
50%
67%
71%
43%
77%
48%
65%
47%
57%
79%
53%
77%
Out of b,
No. (%) who
are alive, on
treatment
and culture
negative
845
27
29
100
15
15
8%
5%
11%
10%
8%
7%
5%
6%
8%
5%
14%
5%
Out of b,
No. (%) who
are alive, on
treatment and
culture positive
1063
21
55
227
17
10%
4%
0%
10%
0%
13%
0%
14%
3%
0%
15%
0%
Out of b,
No. (%) who
are alive, on
treatment and
culture not
known
1730
67
15
66
256
24
12
16%
13%
14%
22%
15%
16%
0%
15%
13%
16%
11%
14%
Out of b,
No. (%) who
died
1566
53
56
254
29
14%
10%
4%
12%
0%
14%
14%
15%
16%
0%
3%
5%
Out of b,
No. (%) who
defaulted
2530
230
15
143
189
51
Number
of MDR
TB cases
registered
in the 4
prior (3q10
to 2q11) (c)
975
109
42
88
22
Out of
c, No.
reported as
Cured
239
16
10
12
12
Out of c, No.
reported as
Treatment
Completed
48%
54%
40%
36%
53%
0%
67%
Out of c,
Success
Rate
569
46
39
44
22%
20%
47%
27%
23%
100%
14%
Out of c, No.
(%) who died
452
37
28
29
18%
16%
7%
20%
15%
0%
2%
Out of c,
No. (%) who
defaulted
Indicators on Treatment Outcome of MDR TB Cases
161
17
12
6%
7%
7%
1%
6%
0%
10%
Out of c,
No. (%)
who failed
treatment
* Data from Daman-Diu & Dadra Nagar Haveli is included in Gujarat; Data from Lakshadweep is included in Kerala
# These numbers are NOT from the same cohort of patients from which MDR diagnosed are reported, but rather from treatment initiation registers only. The current PMDT information system does not allow for cohort-based reporting of MDR TB
suspects, hence this should not yet be taken as a proportion of MDR TB diagnosed and used as an indicator for efficiency of initiation on treatment. Future versions of the PMDT reporting system will be based on cohorts of patients tested in
laboratories, and will be used for monitoring of timeliness and efficiency of diagnosis and initiation on treatment
^ numerator includes smear negative retreatment cases registered in the district
11030
West Bengal
India
67
13
Tripura
56
410
Tamil Nadu^
Uttar Pradesh
37
Sikkim^
Uttarakhand
182
1659
19
Puducherry^
Rajasthan^
110
Orissa
Punjab
22
Nagaland
State
Number
of MDR
TB cases
registered
in the 4
prior (4q11
to 3q12) (b)
Indicators on 12 months Culture Conversion Report
TB Annual Report
179
180
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TB India 2014

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TB India 2014

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Government of India

Revised National TB Control Programme

ANNUAL STATUS REPORT

FIND, TREAT, CURE TB, SAVE LIVES

jk"Vh; LokLF; fe'ku

Revised National TB Control Programme

ANNUAL STATUS REPORT

Reach the Unreached

This Publication can be obtained from

Advocacy, Communication and Social Mobilization

Intermediate Reference Laboratory

Standard Operating Procedure

2. TB disease burden in India

3. RNTCP implementation status

3.1 Case detection and treatment

3.2 Programatic Management of Drug Resistant TB

3.6 Case studies

3.8 Financial planning & management

5. RNTCP Performance (Notification and treatment

6. State wise and district wise performance indicators

Chapter1: Central TB Division: Activities undertaken in 2013

Chapter1: Central TB Division: Activities undertaken in 2013

Rate Per 100,000

Chapter 2: Tuberculosis disease burden in India

Treatment of TB Patients under

States and Union Territories (UTs)

Andhra Pradesh, Chattisgarh, Goa, Gujarat,

Chapter 3: RNTCP implementation status

Panel Testing (PT)

Random Blinded Rechecking (RBRC)

Figure 1: Schematic representation of the EQA reporting process

Three-NGO: BPHRC, Hyderabad; Choithram Hospital, Indore; and DFIT Nellore

Two private labs: CMC, Vellore and Microcare, Surat

8 medical colleges: Vishakhapatnam; AIIMS-Dept. of Medicine-New Delhi; AIIMS-Dept. of Laboratory

One private medical college: Subharti Medical College, Meerut.

Chapter 3: RNTCP implementation status

Chapter 3: RNTCP implementation status

3.2 Programmatic Management of Drug Resistant

RNTCP Response to the challenge of drug resistant TB

Diagnosis of drug resistant TB

Treatment of drug resistant TB

Chapter 3: RNTCP implementation status

Achievements during 2013

Newer Initiatives in PMDT

Chapter 3: RNTCP implementation status

Trend of proportion of TB patients with known HIV Status, 4Q08-4Q13

Trend of HIV-infected TB patients receiving ART during TB treatment, 4q 2008 4q 2012

Total TB cases Detected

Total cases Put

Total TB cases notified

Chapter 3: RNTCP implementation status

All TB-HIV Total

Important developments /decisions in 2013

3.4 Childhood Tuberculosis

Program features for Paediatric Tuberculosis

Implementation status India

Chapter 3: RNTCP implementation status

Contact Tracing and Chemoprophylaxis

Photo: Dr. R S Gupta (DDG-TB)delivering a lecture in 51st PEDICON at Indore

National Technical Working Group (NTWG)

New initiatives which will be taken up for improving

diagnosis of paediatric TB through newer diagnostic RNTCP approved technologies

SOP for paediatricians outside the system for: