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West Bengal State Health and Family Welfare Samiti

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RNTCP Performance Indicators :- NSP CDR /TSR<br />

Poor performing<br />

districts<br />

NSPCDR/Treatm<br />

ent Success Rate<br />

(TSR)<br />

Reasons for poor<br />

performance<br />

East Medinipur 29% CDR • Closure of many<br />

DMCs<br />

• Poor involvement of<br />

private practitioners<br />

(PP)<br />

Dakshin Dinajpur 78% TSR • High default rate<br />

• Lack of initial home<br />

visit<br />

Kolkata 77% TSR • Poor treatment<br />

adherence<br />

• Urban migration<br />

• non-involvement of<br />

private sector<br />

Proposed solutions<br />

/Activities in PIP<br />

• Sputum collection<br />

center set up<br />

• involving PPs by IMA<br />

• 2 nd ANM training<br />

• Involving patients in<br />

different social welfare<br />

schemes<br />

• Tribal action plan<br />

implementation<br />

• Treatment service<br />

delivery by other<br />

sectors<br />

• Flexi DOTS<br />

• IEC specially on<br />

slums<br />

Constrain<br />

ts<br />

*Poor performing Districts are Districts with Case Detection rate < 50% <strong>and</strong> Treatment Success rate < 80%<br />

Moderate performing Districts are Districts with Case Detection 50 – 59% <strong>and</strong> Treatment Success rate 80 – 85%

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