MINISTRY OF HEALTH

More documents

Recommendations

Info

1.2 TB Case Finding 2012 Kenya has witnessed a steady decline in TB (All forms) cases notified to the national program since 2006 as shown in figure 1.1. Figure 1. 1: TB case finding Trends: 1987-2012 In 2012, a total of 99,159 TB cases were detected, notified and put on treatment, out of which 37% were new smear positive, 29% were PTB, 10% were retreatment cases and the rest were EPTB and smear not done as shown in figure 1.2. Figure 1. 2: Case Finding Summary Page | 12
Supervision of treatment and effective case holding is key to desirable treatment outcomes. In 2012 86% of TB cases enrolled on treatment took medication under the supervision of family members or friends, while 2% were supervised by HCWs, 2% by the community volunteers and less than 1% were not done by anybody except self as shown in figure 1.3. 1.3 TB Case Holding 1.3.1 New smear positive PTB Figure 1. 3: Analysis of DOTs BY The country attained a cure rate of 82% for new smear positive cases, while 6% completed treatment bringing a treatment success rate of 88% as shown in table 1.2. In terms of regional performance, North Eastern and Rift Valley North TB control regions had the best cure rate at 89%. Eastern North province had the least cure rate at 66% followed by Nyanza north at 70% and Nairobi south at 78% of all registered patients being cured. Eastern north also has the highest default rate at 10%, followed by Nairobi south at 5% and the region with the least default rate is NEP with 2%.In terms of dead rate, Nyanza north reported a dead rate of 6%, and Nairobi North at the least at 1%. Table 1. 2: Treatment success rate of New PTB+ Treatment Loss to Transferred REGION Cured completed Failures Died follow up out TSR NEP 89 3 1 3 2 3 92 RVPN 89 2 0 4 4 1 91 CEP 87 2 1 4 4 2 89 COP 87 2 1 2 4 3 89 WEP 86 4 2 3 3 3 90 EAPS 85 3 1 3 4 3 88 RVPS 85 5 0 4 4 2 90 NBIN 84 7 1 1 4 2 91 NYPS 82 6 1 4 4 3 88 NBIS 78 7 1 2 6 6 85 NYPN 70 12 1 6 5 6 82 EAPN 66 18 1 2 10 4 84 Kenya 82 6 1 3 5 3 88 Page | 13
Page 1 and 2: THE REPUBLIC OF KENYA MINISTRY OF H
Page 3 and 4: Editor-In-Chief Dr. Joseph Sitienei
Page 5 and 6: TABLE OF CONTENTS TABLE OF CONTENTS
Page 7 and 8: Chapter 10: Leprosy control .......
Page 9 and 10: Foreword As we progress towards the
Page 11: Chapter 1: DOTS Expansion 1.1 Polit
Page 15 and 16: 1.4 TB in Children The total number
Page 17 and 18: Chapter 2: TB/HIV control In TB/HIV
Page 19 and 20: Chapter 3: Drug Resistant TB 3.1 Na
Page 21 and 22: ) Testing algorithm The testing alg
Page 23 and 24: 3.3 MDR TB Case holding A total of
Page 25 and 26: 4.2 Implementation of TB infection
Page 27 and 28: 5.2 Data Quality Control and Audit
Page 29 and 30: ethical and review committee at Ken
Page 31 and 32: Figure 6. 1: World TB day activitie
Page 33 and 34: supported the establishment of a me
Page 35 and 36: Chapter 7: DLTLD TB and TB/HIV cont
Page 37 and 38: Key aspect of the proposal included
Page 39 and 40: Chapter 9: Practical Approach to Lu
Page 41 and 42: Chapter 10: Leprosy control 10.1 Le
Page 43 and 44: Annexes Annex 1. 1: 2012 Leprosy ca
Page 45: Annex 1. 3: MDR TB cases started on

MINISTRY OF HEALTH

Create successful ePaper yourself

Delete template?

Save as template?