National PMDT Scale-up Plan - India - 2011-12 - TBC India

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
National Scale-up Plan for the
Programmatic Management of Drug-
Resistant Tuberculosis (PMDT)
2011 – 2012
GOVERNMENT OF INDIA
Directorate General of Health Services,
Central TB Division, Ministry of Health and Family Welfare,
Nirman Bhavan, New Delhi - 110108
Revised National Tuberculosis Control Programme, India
1

Central TB Division
Directorate General of Health Services
Ministry of Health and Family Welfare
Nirman Bhawan, New Delhi - 110001
http://www.tbcindia.org
ISBN 81-902652-5-3
March 2011
© Central TB Division, Directorate General of Health Services
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Correspondence:
Dr Malik Parmar, RNTCP Consultant – Drug Resistant TB, Central TB Divison, New Delhi
Mobile: +91 96547 27772 Email: parmarm@rntcp.org; malikparmar@gmail.com
2

Acknowledgements
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The National PMDT Scale-up Plan (2011 – 2012) has been prepared by Central TB Division, Directorate
General of Health Services for monitoring the progress made by every state towards the rolling out and
phased expansion of PMDT services towards achieving universal access to quality diagnosis and
treatment of MDR TB. The plan has been developed under the guidance of Dr. Ashok Kumar, DDG (TB),
CTD, by a team comprising of Dr. K Sachdeva (Addl DDG TB, CTD); Dr P Saxena (CMO, CTD); Dr. Puneet
Dewan (MO TB, WHO SEARO); Dr Ranjani Ramachandran (Lab Focal Point, WHO SEARO); Dr. Kiran Rade
(RNTCP Consultant – Epidemiology, CTD and Dr. Malik Parmar (RNTCP Consultant – Drug Resistant TB,
CTD).
We cherish the contribution of the teams from all 35 states comprising of State TB Officers, Director of
STDCs, IRL Microbiologists, Chairperson of various ‘DOTS Plus Sites’, and the many WHO-RNTCP Medical
Consultants who meticulously developed or revised their respective state PMDT scale up plan and
submitted it to the CTD. The state plans aligned with the available national and local resources were
consolidated to evolve this national plan.
The valuable inputs provided by Dr P Kumar, Director - NTI, Bangalore and Dr D Behera, Director – LRS
Institute, New Delhi during the series of state level planning meetings are acknowledged. We also
recognize the technical inputs provide by the team of Strategic Alliance Management Services for Drug
stock management analysis and forecasting the available drug envelop for each state up to 2012.
Contributions by the representatives of FIND India towards aligning the laboratory capacity scale up with
the plan of each state are also appreciated. Funding for the technical assistance provided is largely from
the United States Agency for International Development (USAID), UK Department for International
Development (DFID). Additional resources for accelerating the MDR TB response in India have been
provided by UNITAID under the EXPAND-TB project and also from USAID.
Lastly, we are thankful to Clinton Health Access Initiatives for conducting an external pinch-point
analysis of the countries scale-up plan for diagnosis and management of MDR TB and sharing
recommendations to combat potential gaps identified in the plan.
This document was prepared by Dr Malik Parmar, RNTCP Consultant - Drug Resistant Tuberculosis,
Central TB Division, New Delhi.
3

Abbreviations:
A/C Air Conditioner
C-DST Culture and Drug Susceptibility Testing
CHAI Clinton Health Access Initiative
DDS District Drug Store
DST Drug Susceptibility Testing
EXPAND-TB Expanding Access to New Diagnostics for TB
FIND Foundation for Innovative Newer Diagnostics
GF Global Fund
GLC Green Light Committee
GLI Global Laboratory Initiative
IRL Intermediate Reference Laboratory
LPA Line Probe Assay
MDR Multi Drug Resistant
NGO Non Government Organization
NRL National Reference Laboratory
PMDT Programmatic Management of Drug Resistant TB
PP Private Provider / Prolongation Pouch
PWB Patient Wise Box
RCC Rolling Continuation
RNTCP Revised National Tuberculosis Control Programme
SDS State Drug Store
USAID United States Agency for International Development
WHO World Health Organization
XDR Extensively Drug Resistant
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
4

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Table of contents
1. Introduction .......................................................................................................................................... 8
2. Status of RNTCP-accredited Culture and DST Laboratories – December 2010 .................................... 9
3. Status of previous enrollment of MDR TB cases on treatment – till end-2010.................................... 9
4. RNTCP Vision and Plans for PMDT ......................................................................................................11
4.1. National Lab Scale-up plan ........................................................................................................11
4.2. Second Line Drug Procurement Plan......................................................................................... 13
4.3. Resources Mobilization for PMDT Scale up...............................................................................13
4.4. Engaging with all health care providers and civil society partners: ..........................................14
5. National PMDT Scale-Up Plan for 2011-2012 .....................................................................................16
6. Objectives and Outcome of the plan ..................................................................................................16
7. Approach to compilation ....................................................................................................................16
7.1. Planning & Estimation Tools......................................................................................................17
7.2. Assumptions for projection of MDR TB Suspects and Cases enrollment:.................................17
7.3. Criteria to Suspect MDR TB .......................................................................................................18
7.4. Critical Preparatory Activities:...................................................................................................19
7.5. External Validation of the National PMDT Scale-Up Plan ......................................................... 19
8. National PMDT Scale up Plan Outputs................................................................................................ 20
8.1. National Laboratory Scale up by Technology ............................................................................20
8.2. MDR TB Suspects to be tested v/s Laboratory Capacity (Jan 2011 – Dec 2012).......................20
8.3. Laboratories awaiting accreditation and rollout of services:....................................................23
8.4. Normative Guidance for Switching from MDR TB Suspect’s criteria A to criteria B .................24
8.5. Enrollment plan of MDR suspects to be tested and patients to be initiated on treatment by
Quarter and State ......................................................................................................................26
8.6. Scale up plan in terms of geographical expansion and move towards universal access ..........26
8.7. Second Line Drugs Stock Management and procurement adjustment for 2011-12.................28
8.8. MDR Cases v/s Drug Envelop (Jan 2011 – Dec 2012) ............................................................... 29
8.9. Scale-up of DOTS Plus Sites: ......................................................................................................31
8.10. Estimate of National Training needs: ........................................................................................ 32
8.11. Estimate of National PMDT District Appraisal needs: ............................................................... 33
9. Appraisals, Supervision, Monitoring and Evaluation for PMDT:......................................................... 33
10. Summary of Key Risks and Potential Mitigation Strategies for Scale up of PMDT in India: ..........35
11. Specific action points underway or required of Central TB Division and States to ensure that
PMDT scale-up meets national targets.......................................................................................... 37
12. Summary ........................................................................................................................................40
5

List of Tables:
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Table 1: State Representative Drug Resistance Surveillance Surveys conducted in India
Table 2: PMDT Implementation Status and Progress – 2007 to 2010
Table 3: Elements and timelines of National Lab Scale up Plan for 43 laboratories
Table 4: Laboratories for Solid Culture and DST and Line Probe assay
Table 5: Resources for procurement of second line drugs with timelines
Table 6: Assumptions of MDR TB Rates based on Suspect Criteria and by diagnostic test
Table 7: Expansion by MDR TB Suspect Criteria……move towards Universal Access
Table 8: National Lab Capacity v/s Demand – Summary of Variation by States
Table 9: States with Diagnostic Deficit that need back up laboratory support
Table 10: States with Follow up Deficit that need back up laboratory support
Table 11: Checklist for switching over the MDR TB criteria’s from ‘A’ to ‘B’
Table 12: Summary of Scale up by Geography and Suspects Criteria
Table 13: Drug Envelop by States (15 months working stock)
Table 14: DOTS Plus Sites planned by the states v/s eligibility based on population norm
Table 15: Overview of Appraisals, Supervision, Monitoring and Evaluation Strategy for PMDT
Table 16: Summary of Key Risks and Potential Mitigation Strategies for the scale up of PMDT
List of Figures:
Figure 1: Plan for patients to be tested and treated for MDR TB in India
Figure 2: National Cumulative Accreditations of Laboratories by Technology
Figure 3: National Lab - Diagnostic Capacity vs. Demand
Figure 4: National Lab - Follow Up Capacity vs. Demand
Figure 5: Flow chart on Diagnostic Algorithm for MDR TB Suspect’s in criteria B subjected to LPA
Figure 6: India’s Enrollment Plan of MDR TB Suspects and Cases in 2011 and 2012
Figure 7: PMDT Coverage by Geography and Suspect’s Criteria – As on December 2010
Figure 8: Planned PMDT Coverage by Geography & Suspect’s Criteria – As on December 2012
Figure 9: India’s Enrollment Plan of MDR TB Cases aligned to available Drug Envelop for 2011 and 2012
Figure 10: India’s Enrollment Plan of MDR TB Cases with Deficit/Surplus of Drug Envelop (15m) for 2011
and 2012
Figure 11: Demand for National PMDT Training to meet the scale up plan
Figure 12: Demand for National PMDT Appraisals of Districts to meet the scale up
Figure 13: Tracking of key metrics in the scale up plan
Annexure:
Annexure 1: Agenda for State Wise PMDT Scale up planning meetings………………………………………………...41
Annexure 2: Standard Planning Worksheet for PMDT Scale up Plan by States……………………………………….42
Annexure 3: Scale up of PMDT Services by Geographical coverage of all States over quarters by
2011………………………………………………………………………………………………………………………………………………………47
6

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Annexure 4: Scale up of PMDT Services by Geographical coverage and Suspect’s Criteria by Districts over
the quarters in 2011 & 2012………………………………………………………………………………………………………………….48
Annexure 5: Backfill" drug quantity calculation – by States……………………………………………………………………50
Annexure 6: Immediate Transfers required to states to cover for the time till next drug tranche is
received and Drugs Transferred from 4th Nov-2010 to 13th Jan-2011…………………………………………………..51
Annexure 7: Enrollment plan of MDR TB Suspects and Cases of states by quarters over 2011 – 2012..…52
Annexure 8: Monitoring Indicators on PMDT published in TB India – 2011……………………………………………53
Annexure 9: Summary of PMDT Scale-up Micro-plan by States/Union Territories
1. North Zone – Jammu & Kashmir, Punjab, Himachal Pradesh, Chandigarh, Delhi, Haryana,
Uttarakhand, Uttar Pradesh.........................................................................................................55
2. West Zone – Gujarat, Maharashtra, Rajasthan, Madhya Pradesh, Goa, Daman Diu, Dadra &
Nagar Haveli.................................................................................................................................96
3. East Zone – West Bengal, Bihar, Jharkhand, Orissa, Chhattisgarh……………………………………………133
4. South Zone – Andhra Pradesh, Karnataka, Kerala, Tamil Nadu, Puducherry, Andaman & Nicobar,
Lakshadweep………………………………………………………………………………………………………………………….163
5. North East Zone – Assam, Arunachal Pradesh, Manipur, Mizoram, Meghalaya, Nagaland, Sikkim,
Tripura…………………………………………………………………………………………………………………………………….193
7

1. Introduction
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
India has one-fifth of the world’s MDR TB burden. WHO has estimated that 99,000 MDR-TB cases
emerging in India in 2008 – the largest number for any country globally after China. Drug resistant TB
has frequently been encountered in India and its presence has been known virtually from the time first
line anti-tuberculosis drugs were introduced for the treatment of TB. There have been a number of
reports on drug resistance in India, but the studies used non-standardized methodologies and biased
samples, usually from tertiary level care facilities. There is, however, some valid district and state level
information about extent of drug resistance available.
In 2005-06, RNTCP had undertaken state-representative drug resistance surveys in 3 states, which are
conducted according to a standard international protocol, and collect specimens from a populationbased
sample of smear-positive patients diagnosed at RNTCP designated microscopy centers; the
findings are summarized in the table below:
Table 1: State Representative Drug Resistance Surveillance Surveys conducted in India
State (Survey year) Population
MDR among new cases
(95% CI)
8
MDR among previously-
Rx cases (95% CI)
Gujarat (2007-08) 56 million 2.4% 17.4%
Maharashtra (2008) 108 million 2.7% 14.0%
Andhra Pradesh (’09) 86 million 1.8% 11.8%
DRS surveys are on-going in the state of Orissa and the western half of Uttar Pradesh state. The results
from these surveys are expected in early 2010. Additional drug resistance surveys are planned in 2011-
12 in Tamil Nadu (a second State survey) after 10 years) and Rajasthan. Surveys are planned to be
repeated after a gap of 5 years from the initial survey to observe the trends in DR-TB.
India has also reported cases of extensively drug-resistant TB (XDR-TB) to WHO. The state representative
drug-resistance survey of Gujarat state showed, among MDR TB isolates, 3.2% (confidence limits) XDR
prevalence, but also showed a very high prevalence of fluoroquinolone resistance (%); a credible
estimate of the number of fluroquinolone-resistant or XDR-TB cases in the country is not available.
A national level RNTCP DOTS-Plus Committee was established in April 2005, to develop the national
guidelines (policies and procedures) for the programmatic management of drug-resistant tuberculosis
(PMDT) and also suggest periodic modification in the same in light of the current scientific evidence.
The RNTCP PMDT Guidelines (called “DOTS-Plus” guidelines) were first published in March 2006 and are
updated regularly with the latest issued in May 2010. Procurement mechanism for second-line drugs,
including technical specifications, systems for storage, distribution and quality assurance of the drugs,
etc. were developed. Procurement of the required drugs is conducted by the GoI and also by the Global

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Drug Facility via the WHO Green Light Committee mechanism. Guidelines for Storage of Second-Line
Anti-TB Drugs have been developed in 2011 and disseminated to the states.
2. Status of RNTCP-accredited Culture and DST Laboratories – December 2010
As on December 2010, 23 C&DST labs are accredited after undergoing the process of accreditation as
per RNTCP guidelines to undertake C&DST activities for the diagnosis and follow up of MDR TB patients
as part of the National Laboratory Scale up Plan, including 4 NRL’s, 12 IRL’s and 7 other laboratories in
the NGO, private, or medical college sectors. Many more laboratories are in advanced stages of
preparation.
As of December 2010, the recommended first-line drug susceptibility test for MDR TB suspects from
RNTCP is the line probe assay (LPA), which has been taken up by RNTCP after extensive evaluation and
demonstration phase that was completed in 2010 in collaboration with Foundation for Innovative New
Diagnostics (FIND), India. Line probe Assay has been implemented in the IRLs of Ahmedabad (Gujarat),
Hyderabad (Andhra Pradesh) and IRL Nagpur (Maharashtra) for the diagnosis of MDR TB patients in
these states. In addition the IRLs of Trivandrum (Kerala), NDTB (Delhi), Kolkata (West Bengal), Cuttack
(Orissa), Ajmer (Rajasthan), IRL Pune (Maharashtra), IRL Chennai (Tamil Nadu) and SMS Medical College,
Jaipur will be initiating the LPA proficiency testing shortly and services will become available by end
2011.
It is acknowledged that the laboratory tests applied will continue to evolve as new technology becomes
available and incorporated by the Programme. For example, the RNTCP also will be initiating the
evaluation of the GeneXpert TB-RIF in line with the global consultation guidelines to gather evidence for
use within the country in various settings including non-risk settings. This project has been funded by
USAID Country mission with technical assistance from WHO India and will include 18 sub-district level
settings. LAMP (Loop mediated isothermal amplification) is a manual NAAT that can be performed at
DMC level and is undergoing multi-country validation by FIND, including at a site in Wardha,
Maharashtra (Mahatma Gandhi Medical College).
3. Status of previous enrollment of MDR TB cases on treatment – till end-2010
MDR TB diagnostic and treatment services began in 2007 in Gujarat and Maharashtra. Currently, 12
States namely Gujarat, Maharashtra, Andhra Pradesh, New Delhi, Haryana, Kerala, Tamil Nadu,
Rajasthan, Daman & Diu, West Bengal, Orissa and Jharkhand are implementing PMDT services in some
districts. At the end of the 4 th quarter of 2010 the PMDT services have been scaled up to cover ~ 288
million populations in 141 districts across 12 states. Since the inception of PMDT services in India in
2007, a cumulative total of 19,178 MDR TB Suspects have been examined for diagnosis; 5,365 MDR TB
cases have been confirmed and 3,605 MDR TB cases have been initiated on Category IV treatment (561
cases in GLC states) through 20 DOTS Plus Sites (5 in GLC states).
9

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
In the year 2010, 10,025 MDR TB Suspects have been examined for diagnosis; 2,967 MDR TB cases have
been confirmed and 2178 MDR TB cases have been initiated on Category IV treatment. Two DOTS Plus
Sites started functioning in the year 2010 namely Group of TB Hospitals, Mumbai (Non-GLC) and Itki TB
Sanatorium, Ranchi-Jharkhand (GLC). Twenty DOTS Plus sites for treatment identified and currently
managing MDR-TB cases under RNTCP, and operational work plans for DOTS-Plus activities finalized for
another twenty-five sites. The table below summarizes the state wise status including 5 GLC and 15 Non-
GLC sites:
Table 2: PMDT implementation status and cumulative progress – 2007 to 2010
State No. of
DOTS Plus
Sites
(GLC/WB)
Initiation
of
Diagnostic
services
Initiation
of
10
No. of
Districts
with
services
MDRTB
Suspects
examined
by C-DST
MDRTB
cases
diagnosed
$
MDRTB
cases
initiated on
treatment #
Andhra Pradesh 2 (GLC) Jun ‘08
Treatment
Services
Oct ‘08 8/24 1721 588 425
Delhi 4 (WB) Sep ‘08 Dec ‘08 24/24 4504 1203 703
Gujarat* 2 (WB) Mar ‘07 Aug ‘07 20/30 3950 1277 942
Haryana 1 (GLC) July ‘08 Sep ‘08 7/21 679 150 101
Jharkhand 1 (GLC) Mar ‘10 Dec ‘10 2/24 82 8 3
Kerala 2 (WB) July ‘08 Sep ‘08 14/14 2199 369 262
Maharashtra 3 (WB) Mar ‘07 Sep ‘07 16/55 1643 604 376
Orissa 1 (GLC) Sep ‘09 Nov ‘09 4/31 134 49 32
Rajasthan 1 (WB) Mar ‘09 May ‘09 15/32 2084 520 322
Tamil Nadu 1 (WB) Sep ‘08 Jan ‘09 25/31 722 145 174
West Bengal 2 (WB) Aug ‘08 Dec ‘08 5/19 1460 452 270
Grand Total 20 (5GLC) 141/658 19178 5365 3605
* Daman & Diu had initiated 1 case of MDR TB in 2008 that was reported under Gujarat.
$ Refers to number of cases whose C-DST results are reported up to 31st Dec ‘10, with many specimens received in 2010 still pending.
# Refers to MDR TB cases initiated on treatment as on 31 st Dec ’10. These numbers reflect different cohorts of patients and should not be
directly compared with the numbers diagnosed.
National level PMDT Trainings are conducted at LRS Institute-New Delhi; STDC Ahmedabad-Gujarat;
STDC Hyderabad-Andhra Pradesh; a 4th training centre was initiated at STDC Trivandrum-Kerala in
December 2010 to meet the national training needs.
In 2010, National level PMDT appraisal system was introduced with the objective to ensure programme
readiness and adequate quality before initiating PMDT services and was undertaken for Maharashtra (7
districts, 2 sites and 3 labs), Himachal Pradesh (2 districts, 2 sites and 2 labs), Jharkhand (2 districts, 1
site and 2 labs) and Madhya Pradesh (2 districts, 2 sites and 3 labs) by external teams of experts
nominated by CTD. PMDT services are permitted to be introduced after successful appraisals and
corrective action against gaps in preparation.

4. RNTCP Vision and Plans for PMDT
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The RNTCP response to MDR TB stresses the importance of prevention of MDR TB through sustained
high-quality DOTS implementation, promoting rational use of anti-TB drugs, and implementation of
infection control measures. The RNTCP response to stop transmission include improving lab capacity for
rapid diagnosis of MDR TB, effective treatment of MDR TB, initiation and rapid scale up of PMDT
services integrated into routine RNTCP services, and evaluation of the extent of second-line drug
resistance and management strategies.
The RNTCP PMDT Vision is as follows:
� By end 2011, basic RNTCP PMDT services will be initially introduced in all states, with complete
geographical coverage by end 2012
� By 2013, access to laboratory based quality assured DST and appropriate treatment for at least
o all smear-positive re-treatment TB cases at diagnosis, and
o all cases who remain smear-positive after first-line drug treatment
� By 2015, access to MDR-TB diagnosis and treatment for all smear-positive TB (new and retreatment)
cases registered under RNTCP early during their treatment
� RNTCP plans to initiate at least 30,000 MDR cases on treatment annually by 2013
To achieve the above vision and in response to the recommendations made by the Beijing Ministerial
meeting “Call for Action” in April 2009 and of the M/XDR-TB related resolution endorsed by the 62 nd
World Health Assembly in May 2009, RNTCP has reviewed and revised the targets for the scale-up of the
services for MDR-TB patients. As a result, the national laboratory scale up plan and second line drug
procurement plan were developed by the Central TB Division.
4.1. National Lab Scale-up plan
The National Laboratory Scale up Plan was developed at the Central TB Division with the objective to
establish and strengthen 43 C-DST laboratories with enhanced sample processing capacity for solid C-
DST and Line Probe Assay in all 43 labs (with liquid culture in 33 laboratories) by 2012-13 with the
following set of activities:
– Enhanced sputum processing capacity (staff, centrifuges, BSC)
– Solid culture and DST capacity in all lab units
– Line Probe Assay (LPA) in all laboratories
– Liquid culture in 33 laboratories
Table 3: Elements and timelines of National Lab Scale up Plan for 43 laboratories
Element 2010-11 2011-12 2012-13 Total
Enhance sputum processing capacity 12 +13 +18 43
Establish LPA 12 +13 +18 43
Establish liquid culture systems 13 +9 +11 33
Expected annual DST capacity 35,000 80,000 144,000 220,000
11

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The table below enlists the laboratories as per the revised National Lab Scale up plan proposed to be
established, strengthened and accredited for solid C-DST and Line Probe Assay.
Table 4: Laboratories for Solid Culture and DST and Line Probe assay
2010-11 2011-12 2012-13
NTI Tamil Nadu (ITM) Karnataka (IRL)
LRS Puducherry Punjab (Patiala)
TRC Chennai Orissa Bihar (Patna)
JALMA (Agra) Jharkhand West Bengal
Gujarat (Ahmedabad) Madhya Pradesh Uttar Pradesh (Agra)
Andhra Pradesh (Hyderabad) Uttar Pradesh Andhra Pradesh (Vizag)
Mahrashtra (Nagpur) Maharashtra (Mumbai) Assam
Kerala Maharashtra (Pune) Rajasthan
Rajasthan (SMS Jaipur) Haryana Karnataka (Hubli)
West Bengal (Kolkata) Chandigarh (PGI) Madhya Pradesh
Delhi (NDTC) Sikkim Maharashtra (Wardha)
Rajasthan (Ajmer) Gujarat (Jamnagar) Manipur
Chattisgarh Himachal
According to the plan, the annual DST capacity is expected to scale-up to examine ~1,44,000 MDR TB
Suspects for diagnosis. Moreover, the programme is engaging with private/medical college/NGO/ICMR
laboratories for purchase of lab services wherever required.
12
Uttarakhand (Dehradun)
Delhi
Himachal Pradesh (Tanda)
IRL Jammu
Arunachal Pradesh (Naharalgun)
12 Labs 13 Labs 18 Labs

4.2. Second Line Drug Procurement Plan
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The plan for patients to be tested and treated for MDR TB from 2010 – 2015 based on RNTCP 2012 goal
of MDR diagnosis for all S+ retreatment patients was developed in response to the Beijing Call for
Action. The plan for the year 2011 and 2012 is to ensure testing of the planned 1,12,000 suspects and
enroll 23,000 planned MDR TB cases on treatment through 120 DOTS Plus sites upgraded to airborne
% S+ retreatment patients for DST
Plan for patients to be tested and treated
Figure 1: Plan for patients to be tested and treated for MDR TB in India
for MDR-TB
180000
160000
140000
120000
100000
80000
60000
40000
20000
0
8000 1,500
Patients tested for MDR-TB MDR-TB detected
2010 achievements
10,025 tested
2,178 initiated treatment
32000
8,000
80000
15,000
infection control standards planned to be made functional across the country (@ 1/10 million
population). This is further complemented by strengthening the human resources capacity through
provisions of additional contractual human resource as follows:
1. At each IRL – 1 Microbiologist and 1 Senior Laboratory Technician
2. At each DOTS Plus Site – 1 Senior Medical Officer and 1 Statistical Assistant
3. At each District – 1 Senior DOTS Plus and TB HIV Supervisor
4.3. Resources Mobilization for PMDT Scale up
To support the rapid scale-up of DOTS Plus services, RNTCP has successfully gathered support to
strengthening laboratory capacity for the diagnosis and follow-up MDR-TB patients from GF (under RCC
and R9 proposals) and UNITAID (for 31 laboratories under the EXPAND-TB Initiative for the introduction
of line probe assay and liquid culture testing). The introduction of all newer diagnostic tools is being
13
144000
25,000
160000
160000
30,000 32,000
2010 2011 2012 2013 2014 2015
*Based on RNTCP 2012 goal of MDR diagnosis for all S+ retreatment patients,

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
supported by the EXPAND TB project (WHO GLI, UNITAID and FIND); Global Fund (RCC & Round 9),
World Bank and USAID through WHO for the National Laboratory Scale up plan for 43 LPA and 33 Liquid
Culture units to provide an incremental capacity by 2014 of approximately > 160000 DSTs and > 220000
follow-up cultures. These 43 labs include the NRLs, all IRLs and selected Medical College Laboratories
from across the country. Liquid Culture DST for first line anti-TB drugs is available to the RNTCP through
some of the private and corporate providers (NGO PP scheme for C and DST) like Hinduja hospital that is
providing services for Mumbai City. In addition, these schemes will be extended to other areas with
additional private laboratories like Quest and Super Religare from 2011-12 onwards.
FIND has also supported in establishing a National Training Centre (International Centre for Excellence in
laboratory training) in the premises of the National Tuberculosis Institute, Bangalore which is one of the
National Reference Laboratories of India. The training center will cater to the recurrent training needs of
the laboratory staff that will man the 43 LPA and 33 liquid culture units to be established by 2014. The
infrastructure up gradation that is required for the introduction of newer tools is also being supported
by PATH which is upgrading 15 labs for LPA and 8 labs for BSL III facility.
RNTCP has also mobilized support for the procurement of second line anti-TB drugs from GF (RCC and
R9 to support the treatment of additional 12,650 and 55,350 MDR-TB patients respectively in 2010-
2015) and UNITAID (under the MDR-TB Scale-up Initiative for the treatment of an additional 9,850 MDR-
TB patients between 2010/11-2011/12). The resources for procurement of second line drugs are
summarized in the table below:
Table 5: Resources for procurement of second line drugs with timelines
Source 2010-11 2011-12 2012-13 2013-14 2014-15
Global Fund –RCC 800 1200 2450 3500 4250
World Bank 2350 3450 4550 9000 13250
UNITAID 4850 5000 - - -
Global Fund Rd 9 - 5350 18000 17500 14500
Total 8000 15000 25000 30000 32000
Procurement through GLC 5650
(70%)
14
11550
(77%)
20450
(82%)
21000
(70%)
18750
(60%)
With the support of Global Drug Facility, the first meeting with Indian Drug Manufacturers was held in
Delhi in Feb 2011 to advocate with them to adopt and adhere to the WHO Pre-Qualification Standards
and GDF Quality Assurance Systems. The national scale up plan and volumes of drug courses planned to
be procured by India were shared with the Indian drug manufacturers and they were encouraged to
enhance their manufacturing capacities and quality standards for production of the Second Line Drugs.
4.4. Engaging with all health care providers and civil society partners
RNTCP has made progress towards establishing successful partnership with private sector, nongovernment
organizations, medical colleges and civil society partners under PMDT in providing services
to MDR TB cases in the implementing states. As on December 2010, 7 Culture and DST laboratories from

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
these other sector institutes accredited and engaged under PMDT for management of MDR TB viz. Blue
Peter Research Centre-Hyderabad, PD Hinduja Hospital-Mumbai, CMC-Vellore, RMRCT (ICMR)-Jabalpur
and DFIT- Nellore and laboratories from 2 premium medical colleges of India viz. SMS Medical College-
Jaipur and Grant Medical College (JJ Hospital)-Mumbai. Moreover, 10 more laboratories from the other
sector viz. PGIMER- Chandigarh, AIIMS-New Delhi, Quest Diagnostics-Gurgaon, 3 Super Religare
Laboratories-Mumbai, Gurgaon & Kolkata, T Choitram – Indore, BMHRC – Bhopal, RMRC Port Blair &
Dibrugarh are at the advanced stage of accreditation under RNTCP and their services are proposed to be
utilized during rapid expansion phase. It is also noteworthy that 14 out of the 20 functional DOTS Plus
Sites are located in Medical Colleges.
Under the Global Fund (Round 9) TB project, a group of NGO’s are engaged under the leadership of 2
principle recipients viz. The Union and World Vision. They would extend support to RNTCP in 744 million
population of the country in 374 selected districts to improve access to quality DOTS services and
prevent emergence of drug resistance. They would also promote the adoption and implementation of
Patient Centered Care for all TB patients including those with MDR-TB and HIV co-infection.
To promote treatment adherence under PMDT, successful interventions of vocational rehabilitation of
MDR TB patients has exhibited by two NGOs viz. Shree Hari Seva Trust, Ahmedabad and Shahyog Kushth
Yagna Trust, Himmatnagar in Gujarat state with support of the Elli Lily Company as part of their
corporate social responsibility with the objective to assist MDR TB cases to uplift their socio-economic
status and regain their self esteem. Various types of earning articles like sewing machines, bicycles,
vegetable carts, Idli stall carts etc. that match the skill set and interest of the patients were distributed
by dignitaries to the MDR Patients of Ahmedabad Municipal Corporation Area.
15

5. National PMDT Scale-Up Plan for 2011-2012
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Previously, state plans and timelines did not necessarily align with the larger national PMDT and
laboratory scale up plan as well as with the available resources in terms of CAT IV drugs, national
trainings, state/district PMDT appraisals and laboratory capacity.
To facilitate alignment of national vision for PMDT scale-up and the state PMDT scale-up plans, a series
of meetings was organized at LRS Institute, New Delhi in November 2010 where the State PMDT Status
and Expansion Plan were discussed and aligned with the National Scale up plan as well as the available
resources. In these meetings, the teams of all 35 states where the key officials of each state (STO, STDC
Director, Chairperson DOTS Plus Site, IRL Microbiologist, State HQ RNTCP Consultant) revised their
respective state PMDT scale up micro-plans (phase wise) in consultation with the CTD team including
CMOs, WHO officials, CTD Consultants, drugs and laboratory teams. These individual state by state
meetings were called for intensive and detailed micro-planning for PMDT scale-up and alignment of
their plans and timelines with the planned resources of the national level including second line anti-TB
drugs procurement, available laboratory capacity for diagnosis and follow up of MDR TB, and national
laboratory scale up plan.
The national PMDT scale-up plan for the year 2011 and 2012 has thus been evolved by consolidating the
state PMDT scale-up micro-plans. This meticulous micro-planning exercise clearly spelt out the demand
and timelines for national trainings, central level PMDT appraisals of states and laboratory capacity
deficits in states where an external backup need to be arranged.
6. Objectives and Outcome of the plan
Objectives:
• To articulate the operational strategy to achieve the RNTCP vision for PMDT scale-up
• To align state plans with the available resources (CAT IV drugs, and lab capacity) as per the
Outcome:
National lab scale-up and SLD procurement plan.
• To develop a comprehensive National PMDT Scale up Plan, matched to drug supply and lab
capacity, with implications for appraisal and training with responsibilities understood by all.
7. Approach to compilation
The approach taken for planning in the series of state wise meetings in November 2010 and
assumptions used for calculation of projections for MDR TB suspects and cases that would be enrolled
by districts and states were standardized for all states using structured tools for planning and
estimation. The agenda for training was also standardized for the meeting with all states (Annexure 1)
16

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The following tasks were undertaken during the planning meetings with each state:
1. Conduct "backfill" drug quantity calculation for the state using monthly drug forecasting sheets
for each patient in different months of treatment with weight band adjustments as per national
averages
2. Determine how many MDR TB patients can be initiated on treatment by states (Drug Envelop)
a. Using assumptions based on current national experience
b. With timelines for all prep activities (Civil works, staffing, training, appraisals)
3. Set out clear timelines (by pending processes) for service initiation by each lab in the states and
at what capacity of Culture & DST
4. District wise rollout plan using standard planning worksheets to
a. match MDR suspects / cases with available lab capacity and drug envelop
b. match each district over time with the right lab and the right suspect criteria
5. Determine national training and appraisal needs to meet the scale-up plan for the state
7.1. Planning & Estimation Tools
The following standardized and structured planning and estimation tools were used for planning in the
series of state wise meetings:
1. Standard Drug Forecasting Calculation Sheet to forecast the backfill quantity of drugs required
by each implementing states to cover for the drug requirement of the next 15 months to ensure
uninterrupted supply to all MDR TB cases registered for treatment up to December 2010. These
backfill quantities of drugs were deducted from the available drugs determined for planning
enrollments of MDR TB cases by states with 15 month of working stock reserved per patient.
2. A standardized planning worksheet to enable estimating number of MDR TB Suspects and Cases
that can be enrolled within the scope of available laboratory capacity and drug envelop. The
calculations were based on using a set of standard assumptions based on the country’s
experience from implementing states applied to the national data for the year 2009 extracted
from RNTCP surveillance data (Annexure 2)
7.2. Assumptions for projection of MDR TB Suspects and Cases enrollment:
The following assumptions were applied to the national data reported in the year 2009 by all districts of
the country. The assumptions were based on the experience of implementing DOT S Plus services in 12
17

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
states. These assumptions on attrition of MDR TB Suspects and cases during diagnosis and initiation of
treatment, the MDR TB rates in different type of cases and the attrition rates with various diagnostic
technologies like Solid C-DST, Liquid C-DST and LPA were used for calculation of expected enrollments of
MDR TB suspects and Cases to be initiated on treatment by quarters over the year 2011 and 2012.
Kerala state was the only exception with variation from the national experience and hence the state
specific assumptions were applied only in case of Kerala state as shown in the table below:
Table 6: Assumptions of MDR TB Rates based on Suspect Criteria and by diagnostic test
Assumptions of MDR Rates based on Suspect Criteria All States Kerala
1. MDR suspects, from whom diagnostic specimen cannot be Collected 20% 7%
2. RT end-IP positive who are positive at 4 month, beyond RT Failures 15% 25%
3. NSP failures with RIF resistance 15% 10%
4. RT non converters with RIF resistance 50% 25%
5. RT failures with RIF resistance 50% 25%
6. NSN failures with RIF resistance 10% 10%
7. Number of s+ Contacts per MDR case 33% 33%
8. S+ve Contacts of MDR cases with RIF resistance 50% 50%
9. RT type Relapse registered with RIF resistance 10% 10%
10. RT type Failure registered with RIF resistance 50% 30%
11. RT type TAD registered with RIF resistance 12% 12%
12. RT type Others S+ve registered with RIF resistance 10% 10%
13. NSP registered with RIF resistance 2.5% 2.5%
Assumptions of Rx dropout rates of diagnosed MDR cases based on Lab test
1. LJ/MGIT Culture Diagnosed MDR cases, not initiated on CAT IV 30% 30%
2. LPA Diagnosed MDR cases, not initiated on CAT IV 10% 10%
7.3. Criteria to Suspect MDR TB
The criteria determined for suspecting MDR TB from various types of TB cases are inspired from the
RNTCP DOTS Plus Visions. The three graded criteria are to enable districts expand from highly selective
suspect criteria towards the goal of universal access to DST for all confirmed TB cases. The criteria set
out for planning scale-up of services in various districts in each state are described in the table below:
Table 7: Expansion by MDR TB Suspect Criteria
Criteria A
(Currently used)
Failures of New TB Cases
Failures and Non-Converters of Smear positive Re-Treatment TB Cases
All Pulmonary TB cases in contact of confirmed MDR TB cases
Criteria B All Smear positive Re-Treatment Pulmonary TB cases at diagnosis
Any new or RT case found Smear positive at any follow up
Criteria C All Smear negative Re-treatment PTB cases at diagnosis & HIV - TB cases
18

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Each state teams were requested to identify the quarter for rolling out services using criteria A in all
districts in phases and also to determine the timeline for switching from criteria A to B to C over time.
These decisions would depend on the projections of MDR TB Suspects and Cases and their matching
with the available lab capacity and drug envelop that could be possible for the states to adjust using the
pre-formulated calculation sheets. (Annexure 2)
7.4. Critical Preparatory Activities:
The timelines for rolling out of services (Annexure 2) in various districts by phases decided by the state
teams and also the timeline for switching from suspect criteria A to B to C as well as from solid / liquid
culture DST to LPA technique had to be carefully worked out depending on the timelines for completing
the critical preparatory activities as follows:
• Civil work up-gradations of Labs, DOTS Plus Sites, State and District Drug Stores
• Appointments and training of staff at Labs, DOTS Plus Sites, State Drug Stores and Districts
• Procurement and plan for sample collection and transport in cold chain
• Re-packing of drugs in 3 monthly patient wise boxes and supply chain management
• National, State and District level trainings of all concerned staff
• State and Central DOTS Plus Appraisals and corrective actions to be undertaken before rolling
out services in any district.
7.5. External Validation of the National PMDT Scale-Up Plan
As a parallel initiative, with support of WHO India, an external validation of the National Scale up Plan
was also undertaken through the assignment of Clinton Health Access Initiative to conduct a ‘Pinchpoint
analysis of the scale up of RNTCP’s MDR TB program with the objective of identifying potential
‘pinch-points’ of the current scale up plan for MDR TB that may cause actual patient enrollment to fall
short of stated targets over the coming years. The analysis brought out that PMDT micro-planning was a
critical first step to align resources and timelines, but there are still key planning and execution
challenges to deal with. If program enrolls fewer than 4,800 patients in 2011, significant drug expiries
will occur. Cs drug expiry will happen in GDF states under current enrollment plan, unless drugs get
relocated to GoI states. The potential mitigation strategy recommended in the analysis includes the
need to ensure feasibility of planning, track key metrics on ongoing basis, and have mitigation
strategies for high-risk aspects. If needed, allow performing states to go over target to compensate for
under-enrollment in lagging states A decision on accepting or not emergency relocations of drugs
between GoI and GDF streams is necessary to optimize stock utilization. The key recommendations are
incorporated in the final version of the National PMDT Scale-Up Plan.
19

8. National PMDT Scale up Plan Outputs
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The key outputs of the National PMDT Scale up Plan that was compiled by stitching together the scale
up micro-plan of all 35 states are as follows:
8.1. National Laboratory Scale up by Technology
It is planned to have 43 C-DST labs established with enhanced capacity including rapid diagnosis through
LPA and liquid culture in 33 labs. Over and above this, there are ~ 23 Private / Medical Collages / ICMR
laboratories identified by the states to engage with for purchase of laboratory services after these have
been accredited under RNTCP. The cumulative national accreditation of plan of all the listed laboratories
by technology viz. Solid C-DST (LJ), Liquid C-DST (MGIT) and LPA are is portrayed in the figure below:
70
60
50
40
30
20
10
0
18
7
5
28
8 8
Current Q1
2011
(TBC – To be confirmed)
Figure 2: National Cumulative Accreditations of Laboratories by
Technology
32
24
Q2
2011
35
28
11 11
Q3
2011
40
31
13
Q4
2011
8.2. MDR TB Suspects to be tested v/s Laboratory Capacity (Jan 2011 – Dec 2012)
52
Although the cumulative laboratory capacity exceeded the enrollment plan of MDR TB suspect’s at the
national level over the next 2 years as seen in figure 3 & 4, there are variations by states (Annexure 9).
20
63
37 38 38
18
Q1
2012
Q2
2012
66 66
40
25 26 26
Q3
2012
Q4
2012
13
7
5
TBC
Solid
LPA
Liquid

# of Patients per Quarter
70000
60000
50000
40000
30000
20000
10000
0
70000
60000
50000
40000
30000
20000
10000
0
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Figure 3: National Lab - Diagnostic Capacity vs. Demand
Deficit Diagnostic Capacity Suspect Load (C&DST)
Current Q1 11 Q2 11 Q3 11 Q4 11 Q1 12 Q2 12 Q3 12 Q4 12
Figure 4: National Lab - Follow Up Capacity vs. Demand
Deficit Follow-up Capacity Follow-up Tests (Culture)
Current Q1 11 Q2 11 Q3 11 Q4 11 Q1 12 Q2 12 Q3 12 Q4 12
The suspect’s enrollment plans of states including Bihar, J&K, Punjab, Chhattisgarh, 8 North Eastern
States, Gujarat and Delhi will exceed their available laboratory capacity (data not shown) and will need
to be linked to another accredited lab or purchase services from private accredited labs under RNTCP C-
DST Schemes as seen in the table below.
21
1
1
1
1
1
1
0
0
0
0
0
Deficit (Demand > Capacity)
1
1
1
1
1
1
0
0
0
0
0
Deficit (Demand > Capacity)

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Table 8: National Lab Capacity v/s Demand – Summary of Variation by States
States Self sufficient for Diagnosis Need Backup for Diagnosis
Self sufficient for Follow Up AP*, HR, JH, KE, MP,MH, PD, RJ*,
UR, CD
Need Backup for Follow Up OR, TN*, WB BI, CG, DL,GA, GU, HP, JK, KA, PB,
UP, 8 NE, 4UTs
* Will face intermittent deficits in lab capacity
We defined “diagnostic deficit” as the total number of DST projected to be required to meet state
expansion plans for each quarter 2011-2012 minus the available DST capacity for the same quarter; this
represents an approximation of the additional laboratory capacity that must be secured by the State to
meet their existing plans. Similar calculations were made for “follow-up deficit”, based on estimated
number of MDR TB patients diagnosed and initiated on treatment. The diagnostic deficit and follow up
capacity deficit for each of the state over the next 2 year to meet their enrollment plans were worked
out and a preliminary attempt was made to identify the backup laboratory in consultation with the
respective state. This is depicted in table 8 and table 9 below:
Table 9: States with Diagnostic Deficit that need back up laboratory support
State Current
Status
(Nov ’10)
Total Diag
Deficit
2011-12
22
Preliminary
Backup Lab
Start End
Bihar prep 233 IRL Ranchi Q2 11 Q1 12
Chhattisgarh prep 100 TRC Q2 11 Q2 11
Goa prep 82 JJ Hosp Mumbai Q1 11 Q1 12
Haryana prep 83 LRS Q4 10 Q4 10
Himachal Pradesh prep 388 JALMA Q1 11 Q4 11
Jammu & Kashmir prep 177 NTI Q2 11 Q4 12+
Karnataka prep 68 NTI Q2 11 Q2 11
Punjab prep 179 LRS Q2 11 Q1 12
Uttar Pradesh prep 75 JALMA Q2 11 Q3 11
North East prep 295 LRS Q2 11 Q4 11
Andhra Pradesh active 483 BPRC/DFIT Q4 12 Q4 12+
Delhi active 619 LRS Q1 11 Q4 11
Gujarat active 2010 Jamnagar Q4 11 Q4 12+
Rajasthan active 1119 IRL Ajmer Q4 11 Q4 11
Tamil Nadu active 474 IRL Puducherry Q1 12 Q1 12
National active 6433 NRLs, IRLs or Private Q4 10 Q4 12+

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Table 10: States with Follow up Deficit that need back up laboratory support:
State
Current
Status
Total FU
Deficit
2011-12
Preliminary Backup Lab Start End
Bihar Prep 318 IRL Ranchi - -
Chhattisgarh Prep 13 TRC/IRL Ranchi Q2 11 Q1 12
Goa Prep 96 IRL Goa Q2 11 Q2 11
Haryana Prep 175 LRS/IRL Karnal Q4 10 Q1 12
Himachal Pradesh Prep 158 JALMA Q1 11 Q1 12
Jammu & Kashmir Prep 436 NTI Q3 11 Q4 12+
Karnataka Prep 26 NTI Q4 10 Q4 10
Punjab Prep 182 LRS Q2 11 Q4 12+
Uttar Pradesh Prep �26 JALMA - -
North East Prep 316 LRS - -
Delhi Active 4472 LRS - -
Gujarat Active 6771 Microcare Surat(Private) Q1 11 Q2 11
Orissa Active 73 SRL Kolkata (Private) Q3 11 Q3 11
Rajasthan Active 1473 SRL Gurgaon (Private) - -
Tamil Nadu Active 796 IRL Puducherry Q2 11 Q3 11
West Bengal Active 307 SRL Kolkata (Private) Q2 11 Q4 11
National Active 15777 NRLs, IRLs or Private Q4 201 Q4 12+
If the entire national level diagnostic deficit is outsourced to private sector laboratories, the cost
implication of purchasing laboratory services for diagnosis of MDR TB at the current rate of Rs. 2,400/per
patient (for 2 samples) under the RNTCP Revised NGO PP Guidelines of GoI (Culture and DST
Scheme) can be worked out to Rs. 15.4 million. Similarly, the cost implication of purchasing laboratory
services for follow up of MDR TB cases at the current rate of Rs 800/- per patient (for 2 samples) can be
worked out to Rs. 12.6 million, or half of that if only 1 sample. Both of these estimates are exclusive of
specimen transportation costs. Hence it is crucial for States to plan links with private sector laboratories
for purchase of laboratory services under the RNTCP NGO PP Guidelines (C-DST Scheme). These states
need to budget the activity under the NGO PP head of the State Annual Action Plan under RNTCP to
meet the cost of purchasing laboratory services. While large-scale contracting by states with private
laboratories will be required, States in need of laboratory services also have the option to partner with
other accredited public sector culture and DST laboratories in the country with surplus capacity that can
be shared.
8.3. Laboratories awaiting accreditation and rollout of services:
As on November 2010, the following laboratories in public and private sectors that have passed their
proficiency testing for Solid C-DST with the concerned NRLs were enlisted:
1. IRL Dehradun, Uttarakhand
2. IRL Lucknow, Uttar Pradesh
23

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
3. IRL Karnal, Haryana
4. JJ Hospital, Mumbai, Maharashtra
5. T Choitram – Indore, Madhya Pradesh ( (under MoU)
6. BMHRC – Bhopal, Madhya Pradesh
7. PGI Chandigarh
8. QUEST Diagnostics- Gurgaon, Haryana ( (under MoU)
9. Super Religare Laboratories (SRL) - Gurgaon, Haryana (under MoU)
10. Super Religare Laboratories (SRL) - Mumbai, Maharashtra (under MoU)
11. DFIT Nellore, Andhra Pradesh (under under MoU)
Laboratory scale-up up is dynamic, and accreditation for additional public/private/NGO/medical college
laboratories is pending; up to date results can be found on www.tbcindia.org.
8.4. Normative Guidance for Switc Switching hing from MDR TB Suspect’s criteria A to criteria B
The normative guidance for switching from MDR TB Suspect’s criteria A to criteria B (all S+ve RT Cases) is
developed to be shared with the states. All state to conduct a one day sensitization of the train ed staff
in these aspects and also send the filled checklist of activities to CTD for intimation before switching
from criteria A to B. These include
1. Flow chart on “Diagnostic Diagnostic Algorithms for MDR TB Suspect’s in criteria B subjected to LPA” and
Figure 5: Flow chart on Diagnostic Algorithm for MDR TB Suspect’s in criteria B subjected to LPA
24

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
B. Checklist of preparatory activities the districts/states need to undertake for switching from
criteria A to B as follows:
Table 11: Checklist for switching over the MDR TB criteria’s from ‘A’ to ‘B’
DOTS-Plus Site � Sensitization of RNTCP Key staff (DOTS Plus site – MO,SA, Nurses)
� Availability of additional beds / adequate number of DOTS Plus Sites
� Availability of loose drugs
� Logistics (Treatment cards, I cards)
IRL � Availability of Accredited Lab for LPA
� Communication to LAB about shifting the criteria
� Workload at C and DST Lab
� Prompt Communication of results to the District (SMS from
� IRL to the District and sub district level)
SDS � Availability of Cat IV drugs
� Availability of PP and loose SM injections
District Level � Sensitization of RNTCP Key staff (DTO, DMC LT & MO, Senior DOTS Plus TB-HIV
Coordinator, STS, STLS)
� Availability of C-DST forms, Falcon tubes, Sputum transportation boxes & packing
materials, courier / speed post agency
� Micro-planning for sputum collection and transportation
� Availability of Cat IV drugs
� Availability of PP and loose SM injections
All the laboratories should be made functional as per the planned timelines and the states should
discuss the major administrative or technical hurdles faced on roll out of laboratories with CTD well in
time. All IRLs microbiologists to be in touch with the concerned NRL microbiologist on weekly basis and
NRLs to be in touch with CTD on monthly basis to sort out and attend to all trouble shooting required for
each lab under accreditation.
It was stressed that while states plan to shift from Criteria A to B and to LPA for diagnosis, the following
activities need to be carefully completed by the states:
� Coordination mechanism to be established between the DMC LTs and MO PHIs
� Transport of fresh sputum specimen in cold chain need to be meticulously planned and
implemented
� Enormous shift in day to day activities for all cadre of staff need to be made well understood.
� States have to fill in the checklist and send it to CTD for approval before shifting from criteria A
to B and to LPA for diagnosis.
25

2011
1Q
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
8.5. Enrollment plan of MDR suspects to be tested and patients to be initiated on
treatment by Quarter and State
It is planned to test 132,000 MDR TB suspects and initiate treatment for 24,000 MDR TB cases
cumulatively over a period of 2 years (2011-2012), with an exponential increase over 8 quarters. The
rapid rate of growth reflects rollout of services and switching of districts in phases by suspects criteria as
well as diagnostic test, and has been consolidated from the state plans (Annexure 7, 9) into the national
figures as depicted in the figure below.
Figure 6: India India’s : Enrollment Plan Plan of MDR of MDR TB Suspects TB Suspects and Cases and in 2011 Cases and 2012
Number
140000
120000
100000
80000
60000
40000
20000
0
Sum of C-MDR Suspects Cum MDR Cases
2011
2Q
2011
3Q
26
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Sum of C-MDR Suspects 3917 9144 19953 34525 54157 76152 100858 131516
Cum MDR Cases 1078 2460 4657 7403 10895 14814 19138 24326
8.6. Scale up plan in terms of geographical expansion and move towards universal access
The scale-up of PMDT activities with timelines was planned for each state (Annexure -2) by geography
and by criteria to prompt drug susceptibility testing, which is being scaled up nationwide in a phased
manner. All States must communicate to CTD prior to switching MDR suspect criteria in any district to
validate programme preparation, lab readiness, and drug-availability. The scale up by geography and
suspects criteria is described in the table below:
Table 12: Summary of Scale up by Geography and Suspects Criteria
Active 2010 2011 2012
States* (with at least 1 district implementing) 12 35 35
Total Districts implementing 141 390 605
Under Criteria A 141 246 319
Under Criteria B 0 141 251
Under Criteria C 0 3 35

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Figure 77:
PMDT Coverage by Geography and
Suspect’s Criteria – As on December 2010
A (139 Districts)
B (0 District)
Planned DOTS Plus Coverage by
Geography & Suspects Criteria -
As on December 2012
Figure 8: Planned PMDT Coverage by Geography
& Suspect’s Criteria – As on December 2012
A (319 Districts)
B (251 Districts)
C (35 Districts)
27
The proposed
change in
coverage by
geography and
suspects criteria
from December
2010 as baseline
to December 2012
can be compared
from the adjoining
figures.
It is planned to
rollout services in
at least one
district in all 35
states in the year
2011. 3).
(Annexure
The geographical
coverage for 44
districts from
states like
Madhya
Pradesh, Punjab
and some North
Eastern states is
planned to be
achieved by
March 2013.
States like
Chhattisgarh and
some UT start
have planned to
initiate services
with Criteria B
due to low
failure rates.
(Annexure 4)

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
8.7. Second Line Drugs Stock Management and procurement adjustment for 2011-12
After deducting the backfill requirement for patients put on treatment till December 2010 to manage
their further treatment till December 2011 (next 15 months) (Annexure 5), immediate transfers required
to cover till next tranche is received by SDS in Dec ’10 & Jan-Mar ’11 (Annexure 6) were undertaken by
the drug management team at Central TB Division. The Drug Courses Envelope (cases that can be
started on treatment with 15 month working stock per case) was then derived from the available stock
of drugs in implementing states and the quantity of drugs expected to be delivered by tranches to each
state as follows:
Table 13: Drug Envelope by States (15 months working stock)
State Name Source 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12 4Q12 Total
Gujarat GOI/GLC 672 1401 1500 1500 5073
Andhra Pradesh GLC 570 336 1350 1000 3256
Rajasthan GOI/GLC 782 392 1000 1000 3174
Maharashtra GOI 699 740 740 762 2941
Tamil Nadu GOI/GLC 201 133 493 494 1321
Delhi GOI 192 370 370 381 1313
West Bengal GOI/GLC 258 90 400 400 1148
Kerala GOI/GLC 258 200 200 658
Karnataka GOI 23 250 250 523
Uttar Pradesh GOI/GLC 45 45 175 200 465
Haryana GLC 93 56 125 125 399
Madhya Pradesh GOI 30 150 150 330
Chhattisgarh GLC 62 84 75 75 296
Orissa GLC 9 84 75 75 243
Jharkhand GLC 58 28 50 75 211
Uttarakhand GLC 47 28 47 28 150
Punjab GOI 23 37 37 38 135
Bihar GLC 28 28 25 50 131
Himachal Pradesh GOI 27 27 27 29 110
Assam Assam 9 25 25 26 85
Puducherry GOI 4 19 19 19 61
Chandigarh GOI 19 19 19 57
Jammu Kashmir GOI 11 11 11 33
Goa GOI 4 9 9 10 32
Arunachal Pradesh Assam 2 3 3 3 11
Manipur Assam 2 3 3 3 11
Meghalaya Assam 2 3 3 3 11
Mizoram Assam 2 3 3 3 11
Nagaland Assam 2 3 3 3 11
Sikkim Assam 2 3 3 3 11
Tripura Assam 2 3 3 3 11
28

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Total 4119 2751 1221 0 7193 1684 5254 0 22222
8.8. MDR Cases v/s Drug Envelop (Jan 2011 – Dec 2012)
As per the consolidated plan evolved from individual state plans (Annexure 7), the enrollment plan of
MDR TB cases for treatment is 24326 over the next 2 years is aligned with the available drug course
envelop of 22222 throughout the 2 years course except in the 4 th quarter 2012, where there is a
possibility of over enrolling by 2104 courses as seen in the figure below:
Figure 9: India’s Enrollment Plan of MDR TB Cases aligned to available Drug Envelop
e
r
b
m
u
N
India : Enrollment Plan of MDR TB Cases V/S Drug
for 2011 and 2012
Envelop
30000
25000
20000
15000
10000
5000
0
2011
1Q
Cum MDR Cases Sum of C-Drug Env
2011
2Q
2011
3Q
This is driven by the fact that most of the states have planned to enroll more cases compared to their
drug envelop with the exception of Gujarat as seen in figure 5 below. The UTs will be supplied drugs in
the form of PWB from the State Drug Store of the adjoining large state.
The delicate balance of enrollments and drug envelope needs to be maintained. The states those are
likely to over enroll or under enroll against their plan need to do so with prior intimation to CTD well in
advance. This needs to be monitored every quarter.
29
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Cases 1078 2460 4657 7403 10895 14814 19138 24326
Sum of C-Drug Env 4119 6870 8091 8091 15284 16968 22222 22222

1000
800
600
400
200
0
-2 00
-4 00
-6 00
100
0
-100
-200
-300
-400
-500
-600
-700
5
-1
a
r
b
o
ic
N
&
a
n
m
a
d
n
A
r
a
la
e
K
5
-4
9
6
-3
s
h
e
r
a
d
P
ra
h
d
n
A
0
p
e
w
a
d
k
s
h
L
a
-6 - 61
sh
e
d
ra
a
lP
a
c
h
n
ru
A
sh
e
r
a
d
P
y
a
h
a
d
M
9
-5
s
a
m
A
5
8
-5
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Figure 10: India’s Enrollment Plan of MDR TB Cases with Deficit/Surplus of Drug
Envelop (15m) for 2011 and 2012
CAT IV Drug E nv ( 15m) -
Deficit / Surplus v/s Enrollm ent plan o f M DR Cases (1)
India : (- 2104 courses)
CAT IV Drug Env (15m ) -
Deficit / Su rplus v /s E nrollm ent plan of M DR Cases (2)
Delic at e Balance of Enro llm ents a nd Drug Envelo ps
7
a
tr
a
r
a
sh
h
a
M
4
-5
r
a
ih
B
r
u
ip
n
a
M
-2
y
a
la
a
g
h
e
M
3
-7
-5 0 - 32
rh
a
ig
d
a
n
h
C
rh
g
a
tis
a
h
C
r
a
m
o
iz
M
-1
d
n
a
la
a
g
N
9
-2
li
e
a
v
H
r
a
g
a
N
&
ra
d
a
D
30
sa
ris
O
3
-2
iu
D
&
a
n
m
a
D
r
ry
e
h
c
u
d
u
P
-8
1
5
-3
i
lh
e
D
b
ja
n
u
P
7
-2
a
n
sth
ja
a
R
3
0
-2
k
im
ik
S
9
-3
u
d
a
N
il
T
a
m
8
-2
ra
u
T
rip
0
-1
sh
e
r
a
d
P
r
ta
U
3
0
-4
2
d
a
n
h
k
ra
ta
U
This Delic at e Bala nce can be mai ntained if…
St at es li kely to under enroll or o ver enroll do so with
prior in tim ation to CTD w ell in advance.
4
-1
a
o
G
4
7
8
t
ra
ja
u
G
1
-2
a
a
r
y
a
n
H
0
4
-3
sh
e
d
ra
P
a
l
c
h
a
im
H
8
-3
ir
m
sh
a
K
&
u
m
m
Ja
1 - 47
d
a
n
h
rk
a
Jh
a
k
a
ta
rn
a
K
g
a
l
n
e
s
t
B
e
W
9
-9

8.9. Scale-up of DOTS Plus Sites:
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
To meet the need for inpatient hospitalization as per RNTCP guidelines, and to have adequate reference
clinical expertise available for case management support, as per RNTCP norms every state need to
establish at least one DOTS Plus Site, and larger states are to establish one DOTS Plus site for each 10
million population. The UTs may be linked up to the neighboring large state. To scale up treatment
services, against the 120 population-based estimated needs for DOTS Plus Sites, 115 sites were
identified across 34 states and timelines for their up gradation for airborne infection control and rolling
out of services were determined. The following table compares the DOTS Plus Sites planned by the
states against their eligibility based on population norm.
Table 14: DOTS Plus Sites planned by the states v/s eligibility based on population norm
State Pop in lakh DP Sites by norm DP Sites Planned Deficit/Surplus
Uttar Pradesh 1973 20 11 -9
Bihar 964 10 2 -8
Tamil Nadu 670 7 3 -4
Andhra Pradesh 840 8 5 -3
Maharashtra 1111 11 8 -3
Karnataka 588 6 4 -2
Rajasthan 668 7 5 -2
Gujarat 582 6 5 -1
Haryana 250 3 2 -1
Orissa 404 4 3 -1
Punjab 274 3 2 -1
West Bengal 887 9 8 -1
Assam 302 3 3 0
Chhattisgarh 239 2 2 0
Jharkhand 310 3 3 0
Kerala 343 3 3 0
Madhya Pradesh 710 7 7 0
Andaman & Nicobar 5 0 1 1
Chandigarh 14 0 1 1
Goa 17 0 1 1
Jammu & Kashmir 116 1 2 1
Mizoram 10 0 1 1
Nagaland 22 0 1 1
Puducherry 13 0 1 1
Sikkim 6 0 1 1
Tripura 36 0 1 1
Uttarakhand 98 1 2 1
Arunachal Pradesh 12 0 2 2
Himachal Pradesh 67 1 3 2
Manipur 24 0 2 2
Meghalaya 26 0 3 3
Delhi 179 2 7 5
India 11767 118 105 -13
31

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The states of Uttar Pradesh, Bihar, Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Rajasthan,
Gujarat, Haryana, Orissa, Punjab and West Bengal have planned DOTS Plus Sites less than their
eligibility based on population norm and hence their plans are expected to evolve over time to meet
this programme guideline.
At the same time, the states of Delhi, Meghalaya, Arunachal Pradesh, Himachal Pradesh, Manipur,
Jammu & Kashmir and Uttarakhand have planned DOTS Plus Sites more than their eligibility based on
population norm; with access difficulties in the North-East and hilly states, additional sites may be
indicated.
8.10. Estimate of National Training needs:
The national scale up plan will pose a huge demand on the national training activities as seen in the
figure below:
Figure 11: Demand for National DOTS Plus Training to meet the scale up plan
CTD has worked out the following strategy to meet these demands:
� Developed 4 th National PMDT Training Centre at Trivandrum, Kerala in Dec ‘10
� Training batches arranged @ 2 per month with batch size ~ 40 (240 trainees / quarter)
� Apart from CTD and National Institutes, trainers from experienced states (DP Site Committee,
STDC, and WHO Consultants) identified as national facilitators.
� Developed annual training calendar and monitor progress
PMDT training has sharply accelerated. From December 2010 – May 2011, 9 national training batches
have been arranged where ~ 360 key staffs were trained. The state teams and phase 1 districts of all
remaining preparatory states were trained up to Feb ’10, giving each state a decent 10 months time to
roll out services in 2011 as per the RNTCP vision.
32

8.11. Estimate of National PMDT District Appraisal needs:
The national scale up plan will also pose a huge demand on the national PMDT apprai sal activities as
seen in figure 7 below.
CTD has worked out the following sstrategy
to meet these demands:
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
� CTD Appraisal format simplified and normative guidelines (like CIE) developed
� Core Group developed to conduct Appraisals – STOs, STDC Directors, DP Site Committee, WHO
Consultants and External Resources from Partners.
� Directives to be sent from CTD to states to ffast-track
track lab accreditations, civil works for DP Sites
(AIC), SDS, DDS and HRD.
� State appraisals of all districts and its compliance before CTD appraisals
� Develop CTD appraisal matrix and calendar
� Arrange Multiple team of Core Group members to conduct simultaneous appraisals
Figure 12: : Demand for National DOTS Plus Appraisals of Districts to meet the scale up
Timely submission of specific appraisal requests by States will permit appraisals to continue as
scheduled; else appraisal isal has been identified as an important potential ‘pinch point’ which may threaten
achievement of scale-up targets.
9. Appraisals, Supervision, Monitoring and Evaluation for PMDT:
The appraisals, supervision, monitoring and evaluation strategy of RNTCP for PMDT services has been
updated and introduced to the states. This strategy is essential element to be implemented to ensure
that the planned set of activities are completed in a timely manner with due attention to quality.
The organization of Appraisals, Supervision, upervision, Monitoring and Evaluation activities and the requisite tools
are classified below:
33

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Table 15: Overview of Appraisals, Supervision, Monitoring and Evaluation Strategy for PMDT
Stage Preparatory States / Districts Implementing States / Districts
Supervision � Supervisory checklists for various levels (DP
Site, District, TU, DMC, and Patient) – NEW
Monitoring � Quarterly status report on Preparatory
activities for PMDT scale-up – State &
District (NEW)
� Monitoring indicators on PMDT
Coverage introduced (NEW)
Evaluation � PMDT Appraisal Protocol – State &
Central level (UPDATED)
� IE formats to include 1 page for
preparatory states / districts
(UPDATED)
34
� DOTS Plus Quarterly Report
� CF, 6m Int, 12m CC, TO
� Quarterly Lab Reports
� Monitoring indicators on DOTS
implementation introduced (NEW)
� Lab Monitoring Indicators
� IE formats to include section for
implementing states / districts with assess
progress on scale up plan, visits to DP Sites,
C-DST Lab, Drug Stores, Patients interview
etc. (UPDATED)
The following Job Aides for PMDT services have also been developed by CTD that will be pilot tested in 4
states in June 2011:
1. Patient Clinical Information Booklet – DOT Plus Site
2. Standard Counseling Tool for MDR TB Patients
3. MDRTB suspect line list – DMC, TU, DTC
4. Flow Charts - Diagnosis, Treatment, Ambulatory DOT, Recording, Reporting
5. Supervisory checklist for MDR TB - DOTS Plus Site, District, TU, DMC, and Patient Interview
6. Monitoring and management of Adverse Drug Reactions
A set of monitoring indicators were introduced in the RNTCP Annual Status Report – TB India 2011
(Annexure 8) and will be regularly published in all quarterly and annual performance report. These
indicators are divided into 5 sub-sets as follows:
1. Coverage indicators on population with access to DOTS Plus services and geographical coverage
2. Case finding activities
3. 6 month interim outcomes
4. 12 month culture conversion and interim outcomes
5. Final treatment outcomes
These indicators will be used for reviewing the status with the states during the RNTCP Bi-annual STO
Consultant’s Meeting to be held in future.

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
10. Summary of Key Risks and Potential Mitigation Strategies for Scale up of
PMDT in India:
The Pinch-point analysis of the scale up of RNTCP’s MDR TB program was undertaken by CHAI (with DFID
and WHO support) sought to validate this plan, and in that process was able to identify potential ‘pinchpoints’
of the current scale up plan for MDR TB that may cause actual patient enrollment to fall short of
stated targets over the coming years. The following table summarizes the key risks and potential
mitigation strategies the emerged from the pinch point analysis:
Overall
Drug Supply
Drug
Procurement
Table 16: Summary of Key Risks and Potential Mitigation Strategies for the scale up of PMDT.
(Mitigation strategies have been in part incorporated into this plan.)
Key risks to MDR TB program scale up Potential mitigation strategies
• PMDT micro-planning was a critical first step to
align resources and timelines, but there are
still key planning and execution challenges to
deal with
• If program enrolls fewer than 4,800 patients in
2011, significant drug expiries will occur
• Cs drug expiry will happen in GDF states under
current enrollment plan, unless drugs get
relocated to GoI states
• Despite supply and demand challenges,
confirmed deliveries can support enrollment
plans until Q1 2012 without nationally stocking
out
• Without state-to-state drug transfers,
enrollments could be limited to 4,400 in 2011,
and stock-outs occur in some states as soon as
Feb 2011
• There is little margin for error in drug supply
management to avoid stock outs or expiries
• Poor storage conditions at periphery put Cs
drug quality at risk
• Inflexible technical specs and sub-optimal
tender design and execution make
procurement error-prone
• Long and unpredictable lead times complicate
supply planning and reduce procurement
reactivity
35
• Overall need to ensure feasibility of
planning, track key metrics on ongoing
basis, and have mitigation strategies for
high-risk aspects
• If needed, allow performing states to go
over target to compensate for underenrollment
in lagging states
• A decision on accepting or not emergency
relocations of drugs between GoI and GDF
streams is necessary to optimize stock
utilization
• 2010/11 orders from GDF and WB need to
arrive by Q4 2011 and account for backfill
• Systematic and urgent reallocations
between states needed to optimize use of
limited drug supply
• Build capacity at center for systematic drug
management (process and tools) to
proactively manage supply and transfers,
e.g., operating on notion of patient
months, transferring models for expiries
and reallocations to SAMS
• Install day-time AC at district level
• Actively manage tender execution, e.g.,
organize pre-tender meeting
• Harmonize RNTCP’s and GDF’s tech specs
where feasible
• Control and reduce lead time jointly with
procurement agent, donors, and suppliers

Laboratory Capacity
Others
• 16 states need private labs/NRL support to
attain lab targets, which will cost ~US$700k
for 2 years
• If state deficits not well managed, patient
enrollment could drop to 6,900 in 2011
• Delayed accreditation of labs will increase
private lab cost and/or reduce enrollment
further, e.g., a 6-month delay would cost
>US$2M over 2 years or limit patient
enrollment in 2011 to 5,200
• Aggressive plans to scale up established labs
and accredit new lab capacity is prone to
implementation delay
• Diagnostic policy changes could have indirect
negative impact on scale up. E.g., moving to
universal testing, levels of false positives may
become unacceptable
• Potential funding gap for GF drugs (US$5.5M)
could reduce GF enrollment by 2,600 by 2013
• Aggressive district appraisals and training
schedule could create implementation delays
• One key delay is the fact that states do not
yet have appropriate drug storage set up
• Bed capacity at some DOTS+ sites is insufficient
to initiate planned number of MDR TB cases
• HR vacancies at WHO, CTD and states limit
management support for MDR TB program
scale up
• Lack of integrated information systems and of
clarity around roles and project timelines
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
36
• Quickly set up effective contracting
relations with private labs (ensure enough
private lab capacity, budget for private
labs, set up MoUs, sample transport, etc)
• Consider use of NRL as fall-back plan
• Prioritize preparation of labs with more
urgent needs (e.g., Delhi, Rajasthan,
Gujarat)
• Revise schedule and resourcing of
accreditation process to reduce risk of
delay
• Analyze system-wide cost-benefit, e.g,
when does it become cost-effective to retest
DST positives and account for
increased lab capacity needs accordingly
• Negotiations with donors and/or
manufacturers
• Revise process and resourcing of plans for
district appraisals and training
• Need to track and ensure states
complete drug storage before appraisals
• Devise plan to increase bed capacity where
needed
• Aggressive hiring for key positions and
taking bandwidth limitations into account
• Communicate clear roles and timelines for
data systems, information sharing and
coordination processes
As part of the potential mitigation strategies, it is essential to have an ongoing tracking of key metrics
for early identification of any gross deviations from the planned course and to enable more effective
and timely corrections as described in the figure below:

Figure 13: Tracking of key metrics in the scale up plan
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Overall, ongoing tracking of key metrics will enable early detection
if/when shocks occur and enable more effective course -correction
Rationale
Key output is ensuring enrollment
of patients is neither above or
under target
Ensure timely execution on highrisk
pre-requisites for achieving
target
• Reallocations
• Appraisals
• DOTS sites set up
• Precise drug ordering
• HR recruiting and training
When numbers are unexpected or
delays experienced ,having person
at Central/State level responsible
for figuring out the cause and
mitigation strategy
WHO/CHAI has shared the findings of pinch point analysis with Central TB Division and have joint
problem solving session on direction and how work can best feed into the RNTCP’s National Strategic
Plan 2012-2017. These findings were also disseminated with key stakeholders to gather broader
feedback and awareness of what is needed from all partners to best achieve joint MDR-TB scale-up goals
11. Specific action points underway or required of Central TB Division and
States to ensure that PMDT scale-up meets national targets
Action points for Central TB Division:
The following action points evolved during the planning process for Central TB Division to address
immediate challenges of scale-up and ensure timely completion of the planned activities:
1. Second Line Anti-TB Drugs:
• Ensure efficient procurements and pro-actively track timeliness of drug delivery
• Plan transition of Drug supply management system from 3m to 1m PWB that would
37
Key metrics
Patient Enrollments
Patients on Treatment (by IP / CP
month)
Planned and historical reallocations
Appraisals that have taken place, #
of accredited labs
DOTS+ Site status and expected
completion /accreditation
Lab status and expected
accreditation date
Procurement orders put out
(including drug type, volume,
pricing, and status)
Central level training needs
Posting vacancies at center and
periphery

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
– Reduce risk of expiry & exposure to poor storage conditions
– Simplify packing, supply and reporting by patient months
– Intensify monitoring of enrollments on monthly basis
– Enable better forecasting of drug transfers and procurements
– Enable standardizing specifications for box design at CTD
• Adjust to identified product supply imbalances; specifically for Cs & Eto for WB states (2350)
• Intensify monitoring of SDS and DDS up-gradation
• CTD and SAMS to develop standard curriculum and organize training of SDS Pharmacists on SLD
Drug Stock Management at Ahmedabad
• Share the technical specifications and guidance to states on local purchase of XDR TB drugs.
2. Laboratory Scale up:
• Support implementation of lab-committee endorsed reforms to the laboratory accreditation
process
• Expedite accreditation visits of Labs awaiting accreditation
• Monitor labs accreditation (Solid/Liquid) and fast-track introduction of LPA rapid diagnostics
with solid culture for follow up
• Support States to take decisions on lab linkage by states, in coordination with NRLs and
partners; Private labs to address C-DST deficits for preparatory states (BI, CG, GA, HP, JK, KA, PB,
UP, 8NE, 4UTs) and implementing states (DL, GU, RJ, TN)
• Accelerate provision of high throughput hybridization and other efficiency-oriented equipments
to existing LPA labs, in advance of switch to MDR Suspect category B in any area covered by the
laboratory, to help lab stay ahead of expected workload increases.
• Revise of C-DST Scheme to be undertaken to include rapid diagnostic techniques like Liquid
Culture and LPA as well as Second Line Drugs like Ofloxacin / Kanamycin.
• Revise of Sample Pick up transport Scheme to include collection and transport of samples in cold
chain within 72 hours to the C-DST laboratory.
• Reiterate the guidance on procurement, installation, AMC of Lab equipments to preparatory
states like Bihar, Jammu & Kashmir, Jharkhand, Madhya Pradesh, Assam, Arunachal Pradesh,
Manipur and Sikkim
• Regularize visits by NRLs with partners to Labs under up-gradation
3. Enrollments of MDR TB Suspects and Cases:
• Re-visit enrollment plans of DL and RJ, who currently plan enrollment of cases in excess of their
planned drug capacity, and arrive at solutions with the States.
• Consider delay in switching between suspect criteria in some large states if drug supply becomes
constrained.
4. DOTS Plus Sites:
• Engage states to fast track civil work up gradation in 2011.
• Installation and maintenance of UVGI to be considered in North and North-East states with cold
climates with support of PATH (USAID)
• Linking up Architects/Engineers trained in “Building Design and Engineering approaches to
Airborne Infection Control” to states for up-gradation of DP Site.
38

Actions from States:
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
The following action points evolved during the planning process for all States to address immediate
challenges of scale-up and ensure timely completion of the planned activities:
• States to take the necessary approval of their State PMDT Scale up plans 2011-2012 both
technical approval from State PMDT Committee and administrative approval on file from the
Principal Secretary (Health), State Health Society and disseminate the plan to the districts
officials through Principal Health Sectary, Director Health Services and MD NRHM.
• Preparatory states to roll out services (at least in 1 district or in phase 1 districts) after CTD
appraisal and approval in 2011 (if required with external lab linkage)
• Take immediate and definitive action against findings from PMDT appraisals, especially to
strengthen weaknesses in basic services. Especially crucial to address are gaps pertaining to
Human Resources, Trainings, supplies of reagents.
• Assess and re-structure if needed basic treatment service delivery by enhancing involvement of
general health system staff in service delivery, especially DOT provision and first-line supervision
of community DOT providers; this is required to relieve the supervisory staff from routine
service delivery and thereby strengthen supervision.
• All states to ensure geographical expansion including switch to LPA for diagnosis and from
criteria A – B as planned under intimation of CTD
• Check resources (lab capacity, drugs available) and intimate CTD before switching suspect
criteria
• All states to fast track critical preparatory activities that are potential reasons for delay. To
address these potential bottlenecks in anticipation, the states need to:
− Identify and establish DOTS Plus Sites (at least 1 site /state and @ 1 site / 10 million
population in larger states). Medical Colleges or other Tertiary Care institutes are preferable
but a District hospital / TB Hospital can work. Formation of the DOTS Plus Site Committee
and civil works can go on early, at any number of sites simultaneously. Engage local
resources that must cover specialist referral, emergency services, ancillary drugs, travel etc:
use RKS/NRHM/DMER/NGOs/Social Welfare Schemes.
− States to Budget for DP Site Up-gradation Funds by population norm in FY 2011-12, or
justify exceptions, and CTD to approve the same
− Upgrade State Drug Store and District Drug Store in all districts well ahead of appraisals
− Appoint and train staffs - DPS Sr. Medical Officer and Statistical Assistant, IRL Microbiologist
and Sr. Lab Technician; State Drug store assistant and DOTS Plus and TB HIV Supervisor in all
districts.
− Complete PMDT training of concerned staff at national, state and district level as per
guidelines.
− Procure Computer sets for DP Sites, IRL and SDS; Falcon tubes and packing material with gel
packs as well as packing material and Patient wise drug boxes
39

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
− Establish sputum transport mechanism - Agencies or local solutions for transport of sputum
samples in cold chain and drugs
− Printing of records and reports well in advance
− The states Plan for appraisals/accreditations early and request CTD for appraisals well in
advance.
12. Summary
The states have developed and own their PMDT Scale up plans. All states need to take the necessary
approval of their State PMDT Scale up plans 2011-2012 both technical approval from State PMDT
Committee and administrative approval on file from the Principal Secretary (Health), State Health
Society and disseminate the plan to the districts officials through Principal Health Sectary, Director
Health Services and MD NRHM.
The states should priorities to fix basic programme gaps pertaining to Human Resources, Trainings,
supplies of reagents, re-structure / re-organize basic service delivery by enhancing involvement of
general health system staff thereby relieving the supervisory staff from routine service delivery and
thereby strengthen supervision.
The Civil works for LPA and basic civil works for solid culture can be undertaken in the labs at the same
time. The necessary human resources including deputing contractual LTs from state pool may be
considered by the states wherever required. Coordination by the state is crucial as many parties need to
be aware of progress or problems faced in up-gradation and accreditation of each laboratory (CTD, NRL,
FIND, PATH, WHO) as ultimately the states own their labs.
The states are expected to budget for transportation of sputum samples, funds for C-DST Schemes
under NGO PP head if services from any other sector laboratory are planned to engaged, additional lab
consumables/articles required. The budget should be put into state annual action plans.
The progress made by each state will be actively monitored by CTD against the plan on a regular basis.
Frequent review of progress made by the states will be undertaken by CTD on quarterly basis.
40

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
Agenda for State Wise PMDT Scale up planning meetings
1. Review or to do the "backfill" drug quantity calculation for the state
41
Annexure 1
2. To determine how many new patients can be initiated on treatment in the states, and by which
time point.
3. Lab team should be clear about when each lab in the states will be online, and at what level of
capacity in terms of specimen processing.
4. Manipulate the district worksheets (attached) to match MDR suspects tested with available lab
and drug capacity, matching each district over time with the right lab and the right suspect
criteria.
5. To determine the needs for appraisals and training to meet that scale-up plan for the state,
including training need for transition from suspect criteria failures to all RT.
Outcome:
By the end of the meeting, to have a viable state scale up micro-plan, matched to drug supply and
lab capacity, with implications for appraisal and training responsibilities understood by all.

42
National Scale up Plan for PMDT 2011­2012
Annexure 2
Standard Planning Worksheet for PMDT Scale up Plan by States (Example of Orissa State) Sheet 1 – Data from Annual Performance Report for the year 2009:
Data source CF ‐ 2009 SC‐2009 CF – 2009 CF ‐ 2009 CF ‐ 2009 CF ‐ 2009 TO ‐ 2008 TO ‐ 2008 SC ‐ 2009 TO ‐ 2008
Districts from Epicentre Data NSP
registered
NSP ‐ (+ at 2
month)
RT ‐
Relapse
RT ‐
Failures
RT ‐ TAD RT ‐ Others
+ve
NSP
Failures
RT Failures RT (+ at
month 3)
NSN
Failures
SUM 23001 1972 2057 378 1687 2536 316 142 271 34
ANUGUL 626 29 105 4 42 48 5 1 6 0
BALANGIR 812 54 32 10 17 136 8 0 3 3
BALESHWAR 903 82 62 21 99 53 19 6 17 3
BARGARH 719 43 40 15 42 69 7 2 7 0
BAUDH 198 62 18 10 15 27 10 3 7 0
BHADRAK 358 22 29 8 32 37 7 2 3 0
BHUBANESHWAR CORP 270 28 28 4 43 38 3 8 8 1
CUTTACK 757 82 78 21 65 83 15 13 12 0
DEBAGARH 150 18 10 5 6 10 5 2 1 0
DHENKANAL 668 57 85 8 59 44 2 3 6 3
GAJAPATI 584 88 47 17 25 29 16 6 6 1
GANJAM 2015 179 271 67 229 372 56 30 49 10
JAGATSINGHAPUR 268 72 30 8 14 17 5 8 5 0
JAJAPUR 690 50 32 8 79 56 8 2 5 1
JHARSUGUDA 419 47 61 13 6 40 10 4 6 2
KALAHANDI 1001 68 50 7 92 151 13 5 8 1
KANDHAMAL 476 59 45 3 11 52 6 4 1 0
KENDRAPARA 495 28 48 6 24 23 4 3 7 0
KENDUJHAR 1405 81 159 20 47 129 13 3 15 3
KHORDHA 492 38 46 4 74 48 5 3 9 1
KORAPUT 975 119 102 17 45 72 19 8 13 0
MALKANGIRI 609 51 94 1 45 26 3 1 2 1
MAYURBHANJ 2809 181 180 17 100 274 13 2 13 2
NABARANGAPUR 585 14 36 10 16 29 5 0 1 0
NAYAGARH 510 76 37 15 137 130 12 5 17 0
NUAPADA 376 22 22 5 30 42 6 1 1 1
PURI 512 68 22 15 102 157 9 4 9 0
RAYAGADA 1026 59 76 15 35 54 9 4 8 0
SAMBALPUR 531 59 55 7 40 61 15 5 11 1
SONAPUR 300 29 24 3 12 22 3 0 2 0
SUNDARGARH 1462 107 133 14 104 207 5 4 13 0

43
National Scale up Plan for PMDT 2011­2012
Sheet 3: Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
P Lab Suspect Criteria Lab Diagnostic Method
Name
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANUGUL 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BALANGIR 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BALESHWAR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BARGARH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BAUDH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BHADRAK 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BHUBANESHWR 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
CUTTACK 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DEBAGARH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DHENKANAL 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
GAJAPATI 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
GANJAM 1 IRL Cut A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JAGATSINGHPUR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
JAJAPUR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
JHARSUGUDA 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KALAHANDI 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KANDHAMAL 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KENDRAPARA 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KENDUJHAR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KHORDHA 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KORAPUT 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
MALKANGIRI 3 IRL Cut A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MAYURBHANJ 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NABARANGAPR 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NAYAGARH 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NUAPADA 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
PURI 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
RAYAGADA 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SAMBALPUR 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SONAPUR 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SUNDARGARH 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA

44
National Scale up Plan for PMDT 2011­2012
District
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANUGUL 2 IRL Cut 1 1 1 1 1 1 1 0 0 0 0 0 0 0
BALANGIR 4 IRL Cut 2 2 2 0 0 0
BALESHWAR 2 IRL Cut 6 6 6 6 6 6 6 2 2 2 2 2 2 2
BARGARH 4 IRL Cut 2 2 2 1 1 1
BAUDH 4 IRL Cut 3 3 3 1 1 1
BHADRAK 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
BHUBANESHWR 1 IRL Cut 3 3 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1
CUTTACK 1 IRL Cut 6 6 6 6 6 6 6 6 6 2 2 2 2 2 2 2 2 2
DEBAGARH 4 IRL Cut 1 1 1 0 0 0
DHENKANAL 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
GAJAPATI 3 IRL Cut 5 5 5 5 5 1 1 1 1 1
GANJAM 1 IRL Cut 21 21 21 21 21 21 21 116 116 7 7 7 7 7 7 7 18 18
JAGATSINGHPUR 2 IRL Cut 3 3 3 3 3 3 3 1 1 1 1 1 1 1
JAJAPUR 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
JHARSUGUDA 4 IRL Cut 3 3 3 1 1 1
KALAHANDI 3 IRL Cut 4 4 4 4 4 1 1 1 1 1
KANDHAMAL 3 IRL Cut 2 2 2 2 2 1 1 1 1 1
KENDRAPARA 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
KENDUJHAR 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
KHORDHA 1 IRL Cut 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1
KORAPUT 3 IRL Cut 6 6 6 6 6 2 2 2 2 2
MALKANGIRI 3 IRL Cut 1 1 1 29 29 0 0 0 4 4
MAYURBHANJ 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
NABARANGAPR 3 IRL Cut 1 1 1 1 1 0 0 0 0 0
NAYAGARH 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
NUAPADA 4 IRL Cut 2 2 2 0 0 0
PURI 2 IRL Cut 3 3 3 3 3 3 3 1 1 1 1 1 1 1
RAYAGADA 3 IRL Cut 3 3 3 3 3 1 1 1 1 1
SAMBALPUR 4 IRL_Cut 5 5 5 1 1 1
SONAPUR 4 IRL_Cut 1 1 1 0 0 0
SUNDARGARH 4 IRL_Cut 2 2 2 1 1 1
Total 31 64 64 86 86 107 230 230 11 11 21 21 27 27 33 48 48
Lab
Drug
capacity 200 200 500 1200 2100 2100 2100 2100
courses
84 75 75

Sheet 4: Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase Number
of
Districts
in Phase
Names of
Districts in the
Phase
Number Number Names
1 4
2 11
3 7
4 9
Cuttack,
Bhubaneswar,
Ganjam, Khurda
Nayagarh,
Balasore,
Mayurbhanj,
Jajpur, Bhadrak,
Puri,
Jagatsinghpur,
Kendrapada,
Anugul,
Dhenkanal,
Kendujhar
Gajapati,
Kalahandi,
Kandhamal,
Koraput,
Malkangiri,
Nabrangpur,
Rayagada
Balangir,
Bargarh, Boudh,
Debagarh,
Jharsuguda,
Nuapada,
Sambalpur,
Sonapur,
Sundergarh
Time of
starting
DOTS Plus
Month/
Year
Suspect
Criteria
Nov‐09 A
Apr‐11 A
Oct‐11 A
Apr‐12 A
Time of switch
from Suspect
Criteria A to B
Month/ Year
Ganjam from Jul‐
12
Malkangiri from
Jul‐12
45
C‐DST
lab
linked
Name of
lab
Time of
starting
C‐DST
services
Month/
Year
National Scale up Plan for PMDT 2011­2012
Time of
starting
LPA
Month/
Year
Purchase of
sample
container,
packaging
material
Month /
Year
Transport
mode options
(within 72 hrs)
Courier / Staff
Cold Chain
Icepacks /
Dry Ice /
Liquid
Nitrogen
IRL_Cut Aug‐09 Apr‐11 Done Staff Icepacks
IRL_Cut Mar‐11 Apr‐11 Jan‐11 Staff Icepacks
IRL_Cut Aug‐11 Apr‐11 Mar‐11 Staff Icepacks
IRL_Cut Feb‐12 Apr‐11 Dec‐11 Staff Icepacks

Sheet 4: Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase Number
of
Districts
in Phase
Names of Districts
in the Phase
Number Number Names
1 4
2 11
3 7
4 9
Cuttack,
Bhubaneswar,
Ganjam, Khurda
Nayagarh,
Balasore,
Mayurbhanj,
Jajpur, Bhadrak,
Puri,
Jagatsinghpur,
Kendrapada,
Anugul,
Dhenkanal,
Kendujhar
Gajapati,
Kalahandi,
Kandhamal,
Koraput,
Malkangiri,
Nabrangpur,
Rayagada
Balangir, Bargarh,
Boudh, Debagarh,
Jharsuguda,
Nuapada,
Sambalpur,
Sonapur,
Sundergarh
Time of
starting
DOTS Plus
Month/
Year
Nov‐09
Apr‐11
Oct‐11
Apr‐12
DOTS Plus
Site
Identified
for the
phase
DOTS Plus
Site
upgraded
including
AIC
measures
by
month/yr
46
National
Level
Training
for Site
Com &
DTOs
required
by
month/yr
Training of
DP Site &
District
staff will
be
completed
by
month/yr
Name Month/Year Month/Ye
SCB
ar
Month/Yea
r
Medical
College,
Cuttack
Done Done Done
SCB
Medical
College,
Cuttack
MKCG
Medical
College,
Berhampur
VSS
Medical
College,
Burla
National Scale up Plan for PMDT 2011­2012
State
Appraisal
planned
in
month/yr
Month/Ye
ar
CTD
Appraisal
expected in
month/yr
State / District
Drug Stores
Upgraded by
month/yr
Material for
preparing
PWBs from
loose drugs
procured by
month/yr
Month/Year Month/Year Month/Year
Done Jan‐11 Jan‐11 Feb‐11 Mar‐11 Feb‐11 Done
Jul‐11 Apr‐11
Apr and
May‐12
May‐11 Jun‐11 Feb‐11 Mar‐11
Feb‐12 Dec‐12 Jan‐12 Feb‐12 Mar‐12 Jan‐12 Feb‐12

47
National Scale up Plan for PMDT 2011­2012
Scale up of DOTS Plus Services by Geographical coverage of all States* over the quarters by 2011
Gu jarat
Daman & Diu
Guj ar at
Daman & Diu
Rajasthan
D&N Haveli
Goa
Lakshad weep
Rajasthan
D&N Havel i
Goa
Laksh adweep
Jammu & Kashmir
Himachal Prad esh
Punjab
C han digar h
Uttaranchal
Haryana
Delh i
Maharashtra
Karnataka
Keral a
Jamm u & Kash mir
Himachal P rad esh
Punjab
C han digar h
Uttaranchal
Haryana
Delhi
Maharashtra
Karnataka
Uttar Pradesh
Bihar
Meghalaya
Jharkhand
Madhya Pr adesh
West Bengal
Tripura
Chhatisg arh
Kerala
Uttar Pradesh
Andhra Pradesh
Tamil Nadu
Andhr a Pradesh
Tamil Nadu
Po nd ich err y
Po ndich erry
Expansion in 1Q 2011
Orissa
Expansion in 3Q 2011
Orissa
Bihar
Si kki m
Megh alaya
Jharkhand
Madhya Pradesh
West Bengal
Trip ura
Chhati sg arh
Implementing (18 States/UTs)
Pre pa ratory (17 States/UTs)
Si kkim
Implementing (33 States/UTs)
Pre paratory (2 States/UTs)
Arunachal Pradesh
Assam
A&N Islands
Arunachal Pradesh
Assam
A&N Island s
Mi zo ram
Mizoram
Nagaland
Manipur
Nagaland
Manip ur
Guj ar at
D aman & Diu
Rajasthan
Laksh adweep
Guj ar at
Daman & Diu
D&N Havel i
Goa
Jammu & Kashmir
Himachal P rad esh
Punjab
C han digar h
Uttaranchal
Haryana
Delhi
Maharashtra
Karnataka
Rajasthan
D&N Havel i
Goa
Laksh adweep
Ut tar Pradesh
Bihar
Annexure 3
Meghalaya
Jharkh and
Madhya Pr adesh
West Ben gal
Tripura
Chhatisg arh
Kerala
Andhr a Pradesh
Tamil Nadu
Jammu & Kashmir
Po ndich erry
H imachal P rad esh
Punjab
Chandigarh
Uttaranchal
Haryana
Delhi
Maharashtra
Karnataka
Po ndich erry
Expansion in 2Q 2011
Orissa
Si kkim
Implementing (30 States/UTs)
Prepa ratory (5 States/UTs)
Si kkim
Arunachal Pradesh
Assam
A&N Islands
Meghalaya
Jharkh and
Madhya Pr adesh
West Ben gal
Tripura
Chhatisg arh
Kerala
Uttar Pradesh
Andhr a Pradesh
Tamil Nadu
A&N Islands
Mizoram
Coverage by States in
4Q 2011
Orissa
Bihar
Implementing (34 States/UTs)
Pre paratory (1 UT)
Nag aland
Manip ur
Arunachal Pradesh
Assam
* States with at least 1 district implementing
Mizoram
Nagaland
Manip ur

48
National Scale up Plan for PMDT 2011­2012
Annexure 4
Scale up of DOTS Plus Services by Geographical coverage and Suspect’s Criteria by Districts over the
quarters in 2011 & 2012
1Q 2011
A (148 Districts)
B (23 Districts)
3Q 2011
A (214 Districts)
B (104 Districts)
C (1 District)
2Q 2011
A (206 Districts)
B (32 Districts)
C (1 District)
4Q 2011
A (246 Districts)
B (141 Districts)
C (3 Districts)

1Q 2012
A (256 Districts)
B (184 Districts)
C (7 Districts)
3Q 2012
A (305 Districts)
B (234 Districts)
C (17 Districts)
49
National Scale up Plan for PMDT 2011­2012
2Q 2012
A (307 Districts)
B (203 Districts)
C (9 Districts)
4Q 2012
A (319 Districts)
B (251 Districts)
C (35 Districts)

Backfill" drug quantity calculation – by States
50
National Scale up Plan for PMDT 2011­2012
Annexure 5
Backfill requirement for patients put on treatment till Dec'10 and for further treatment till Dec'11
State
Km 1000
(Vials)
Km 500
(Vials)
Ofx/Lfx
(200/250)
tabs
Ofx/Lfx
(400/500)
tabs
Cs 250
Tabs
Eto
250 tabs
Rajasthan* 1975 6472 42327 86,458 216,010 203,830
Gujarat 25209 56483 250140 363,679 697,707 724,276
Kerala 3968 ‐17320 ‐37817 40,890 204,049 204,480
West Bengal 2803 12533 23089 50,201 142,750 139,890
Tamil Nadu 2025 2343 3396 3,497 67,484 54
Delhi ‐1645 1489 21947 28,465 204,399 273,419
Maharashtra ‐2213 ‐6923 ‐24118 ‐43,946 102,132 78,142
Assam ‐9400 ‐24600 ‐56530 ‐115,930 0 0
Goa ‐630 ‐1470 ‐2830 ‐5,800 0 0
Himachal Pradesh 0 0 ‐1130 ‐2,320 0 0
Jammu & Kashmir ‐756 ‐1764 ‐3390 ‐6,960 0 0
Karnataka ‐630 ‐1470 ‐2830 ‐5,800 0 0
Madhya Pradesh 0 0 ‐5650 ‐11,590 0 0
Puducherry ‐1260 0 ‐5650 ‐11,590 0 0
Punjab 0 0 ‐1130 ‐2,320 0 0
Uttar Pradesh 0 0 ‐5650 ‐11,590 0 0
Chandigarh ‐2520 0 ‐11310 ‐23,190 0 0
Andhra Pradesh 39084 0 9,643 79,559 166,521 177,681
Haryana 4630 0 ‐10,274 ‐10,065 ‐6,115 ‐11,126
Orissa 14140 0 3,424 12,060 37,634 30,184
Chatttisgarh ‐6200 0 ‐12,960 ‐29,790 ‐68,490 ‐68,490
Jharkhand ‐5400 0 ‐9,720 ‐22,320 ‐51,390 ‐51,390
Uttarakhand ‐3400 0 ‐9,720 ‐22,320 ‐51,390 ‐51,390
Total 59780 25772 153255 339279 1661302 1649561

51
National Scale up Plan for PMDT 2011­2012
Immediate Transfers required to states to cover for the time till next drug tranche is received
Annexure 6
State Km 1000 Km 500 Ofx/Lfx Ofx/Lfx Cs 250 Eto 250
(200/250) (400/500)
Rajasthan 1,975 6,472 42,327 86,458 216,010 203,830
Gujarat 25,209 56,483 250,140 363,679 697,707 724,276
Kerala 3,968 ‐17,320 ‐37,817 40,890 204,049 204,480
West Bengal 2,803 12,533 23,089 50,201 142,750 139,890
Tamil Nadu 2,025 2,343 3,396 3,497 67,484 54
Delhi ‐1,645 1,489 21,947 28,465 204,399 273,419
Maharashtra ‐2,213 ‐6,923 ‐24,118 ‐43,946 102,132 78,142
Assam ‐9,400 ‐24,600 ‐56,530 ‐115,930 ‐ ‐
Goa ‐630 ‐1,470 ‐2,830 ‐5,800 ‐ ‐
Himachal Pradesh ‐ ‐ ‐1,130 ‐2,320 5000 5000
Jammu & Kashmir ‐756 ‐1,764 ‐3,390 ‐6,960 ‐ ‐
Karnataka ‐630 ‐1,470 ‐2,830 ‐5,800 ‐ ‐
Madhya Pradesh ‐ ‐ ‐5,650 ‐11,590 ‐ ‐
Puducherry ‐1,260 ‐ ‐5,650 ‐11,590 ‐ ‐
Punjab ‐ ‐ ‐1,130 ‐2,320 ‐ ‐
Uttar Pradesh ‐ ‐ ‐5,650 ‐11,590 ‐ ‐
Chandigarh ‐2,520 ‐ ‐11,310 ‐23,190 ‐ ‐
Andhra Pradesh 39084 9,643 79,559 166,521 177,681
Haryana 4630 ‐10,274 ‐10,065 ‐6,115 ‐11,126
Orissa 14140 3,424 12,060 37,634 30,184
Chatttisgarh ‐6200 ‐12,960 ‐29,790 ‐68,490 ‐68,490
Jharkhand ‐5400 ‐9,720 ‐22,320 ‐51,390 ‐51,390
Uttarakhand ‐3400 ‐9,720 ‐22,320 ‐51,390 ‐51,390
Total 59780 25772 153255 339279 1661302 1649561
• Quantity transferred is on demand basis in anticipation of drug tranche arrival
Drugs Transferred from 4th Nov‐2010 to 13th Jan‐2011
State Name Km‐500mg
(Vials)
Km‐1G
(Vials/
Amps)
Ofx‐
200mg
(Tabs)
Ofx‐400mg
(Tabs)
Eto‐250mg
(Tabs)
Cs‐250mg
(Caps)
Ahmedabad, Gujarat 10,000 13,000 0 0 71,000 0
Bhubaneswar, Odisha 0 1,200 0 0 0 0
Kolkata, West Bengal 5,880 0 0 0 0 0
Trivandrum, Kerala 0 0 0 0 21,600 25,000
Delhi 0 0 20,900 40,040 25,200 50,400
Chennai, Tamil Nadu 0 3,260 0 0 0 0
Jaipur, Rajasthan 6500 2,000 0 0 0 0
Dharampur‐HP 0 0 0 0 5000 5000
TOTAL Quantity 22,380 19,460 20,900 40,040 122,800 80,400

Enrollment plan of MDR TB Suspects and Cases of the states by quarters over 2011 ‐ 2012
District Name Population District
Number
52
National Scale up Plan for PMDT 2011­2012
MDR TB Suspects MDR TB Cases put on CAT IV
Annexure 7
4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Andaman & Nicobar 5 1 2 2 2 2 19 19 19 19 1 1 1 1 3 3 3 3
Andhra Pradesh 840 24 346 381 710 2053 2053 3246 3246 3246 6483 97 109 188 377 377 528 528 528 990
Arunachal Pradesh 12 13 0 0 4 4 4 8 8 11 11 0 0 1 1 1 3 3 4 4
Assam 302 23 0 0 28 28 49 49 75 75 86 0 0 11 11 18 18 28 28 32
Bihar 964 38 0 0 38 65 65 65 65 87 140 0 0 14 22 22 22 22 31 50
Chandigarh 14 1 0 0 0 62 62 62 62 62 62 0 0 0 10 10 10 10 10 10
Chatttisgarh 239 18 0 0 100 129 273 318 318 318 657 0 0 13 17 38 45 45 45 95
Dadra & Nagar Havli 3 1 0 9 9 9 38 38 38 38 38 0 1 1 1 6 6 6 6 6
Daman & Diu 3 2 0 1 10 10 29 29 29 29 29 0 0 1 1 4 4 4 4 4
Delhi 179 24 274 274 274 1436 1436 1436 1436 1436 1436 106 106 106 242 242 242 242 242 242
Goa 17 2 9 9 9 9 9 45 45 45 45 4 4 4 4 4 8 8 8 8
Gujarat 582 30 416 1038 1099 1154 3133 4369 4369 4369 4369 177 254 281 303 544 704 704 704 704
Haryana 250 21 83 83 83 83 136 136 136 207 207 33 33 33 33 54 54 54 80 80
Himachal Pradesh 67 12 0 17 17 33 69 69 69 842 1452 0 7 7 13 27 27 27 131 212
Jammu & Kashmir 116 14 0 0 13 26 28 28 28 28 28 0 0 5 11 11 11 11 11 11
Jharkhand 310 22 11 11 38 52 68 68 68 68 600 4 4 13 17 22 22 22 22 89
Karnataka 588 31 0 0 68 68 68 193 327 554 554 0 0 26 26 26 72 121 149 149
Kerala 343 14 205 252 293 551 613 912 912 912 912 36 42 47 77 84 113 113 113 113
Lakshadweep 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Madhya Pradesh 710 50 0 0 26 56 56 307 307 362 362 0 0 11 20 20 73 73 95 95
Maharashtra 1111 60 264 980 997 2092 2319 2822 3506 4094 4186 101 202 208 359 406 478 569 646 659
Manipur 24 9 0 0 0 4 4 6 6 6 14 0 0 0 1 1 2 2 2 5
Meghalaya 26 7 0 0 23 23 23 35 35 42 42 0 0 9 9 9 13 13 16 16
Mizoram 10 8 0 0 3 3 5 5 5 5 5 0 0 1 1 2 2 2 2 2
Nagaland 22 11 0 0 11 11 16 16 20 20 20 0 0 4 4 6 6 7 7 7
Orissa 404 31 31 31 64 64 86 86 107 230 230 11 11 21 21 27 27 33 48 48
Puducherry 13 1 0 9 9 38 38 38 38 38 175 0 4 4 7 7 7 7 7 26
Punjab 274 20 0 0 13 30 46 90 90 90 90 0 0 5 11 17 32 32 32 32
Rajasthan 668 33 237 237 655 1954 2964 2964 4199 4199 4755 87 87 139 317 441 441 626 626 701
Sikkim 6 4 0 0 0 17 17 17 17 25 25 0 0 0 7 7 7 7 10 10
Tamil Nadu 670 31 207 256 256 256 256 1194 1194 1770 1770 75 93 93 93 93 209 209 281 281
Tripura 36 4 0 0 6 6 10 10 12 12 12 0 0 2 2 3 3 4 4 4
Uttar Pradesh 1973 71 0 64 104 171 219 289 452 474 576 0 27 42 66 82 108 164 172 206
Uttarakhand 98 13 0 23 23 37 49 49 49 49 324 0 7 7 12 17 17 17 17 51
West Bengal 887 19 240 240 240 277 332 616 709 946 946 86 86 86 100 119 174 203 240 240
Total 11767 663 2324 3917 5226 10810 14572 19633 21994 24707 30658 816 1078 1382 2197 2747 3492 3919 4324 5187

Monitoring Indicators on PMDT published in TB India ‐ 2011
53
National Scale up Plan for PMDT 2011­2012
PMDT Implementation, Diagnosis, 6 months interim, 12 months Culture Conversion and Treatment Outcome of MDR TB Case
Annexure 8
State Indicators on Coverage of MDR TB Services
(Reported by PMDT Sites of Implementing States)
Indicators on MDR TB Case Finding Indicators on 6 months interim report
Total Total Number Populat % Number Number Number Proportion Number Number Number of Out of a, No. Out of a, Out of a,
Populati number of ion of populati of DOTS of S+ Re‐ of MDR of S+ RT of MDR of MDR MDR TB (%) who are No. (%) No. (%)
on (In of districts districts on with Plus treatment TB cases TB Cases TB Cases Case alive, on who died who
lacs) districts implem implem access Sites cases Suspects registered detected detected registered treatment
defaulted
enting enting to MDR function registered subjected in districts in 2010 that were and and culture
PMDT PMDT TB al in the in districts to C‐DST implementi
registered initiated on negative
(in lacs) services state implemen in 2010 ng PMDT
and Cat IV in the
under
ting
who were
initiated 4 cohorts 6‐
RNTCP
PMDT in
tested for
on Cat‐IV 9 months
in 2010
2010
MDR‐TB $
treatment prior (2Q09
in 2010 # ‐ 1Q10) (a)
Andhra Pr 839.6 24 8 336.9 40% 2 6673 791 12% 311 246 154 84 55% 19 12% 14 9%
Delhi 179.4 24 24 179.4 100% 4 6980 2870 41% 610 406 346 246 71% 19 5% 36 10%
Gujarat* 582.3 30 21 338.2 59% 2 10955 2132 19% 714 559 291 164 56% 19 7% 26 9%
Haryana 250.2 21 7 94.5 38% 1 2857 303 11% 77 54 45 28 62% 6 13% 6 13%
Jharkhand 310.4 24 2 53.8 17% 1 578 82 14% 8 3
Kerala 343.2 14 14 343.2 100% 2 2376 878 37% 136 127 155 111 72% 9 6% 12 8%
Mahrstra 1111 55 16 313.2 28% 3 8190 704 9% 288 189 120 75 63% 10 8% 10 8%
Orissa 403.9 31 4 80.9 20% 1 965 94 10% 46 29 4 3 75% 1 25% 0 0%
Rajasthan 667.5 32 15 371.2 56% 1 10717 759 7% 315 215 155 119 77% 7 5% 8 5%
Tamil Nad 670.1 31 25 537.7 80% 1 7195 485 7% 91 120 84 45 54% 4 5% 0 0%
W Bengal 886.7 19 5 232.1 26% 2 4573 927 20% 371 230 78 53 68% 3 4% 4 5%
India 11767 658 141 2881.1 24% 20 62059 10025 16% 2967 2178 1432 928 65% 97 7% 116 8%
* Data from Daman & Diu is included in Gujarat
$ This indicator will be more relevant when S+ve RT cases are considered as MDR TB suspects in all districts in the state
# For 2010, 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

Number of
MDR TB
cases
registered
in the 4
cohorts, 12‐
15 months
prior
(4Q08‐
3Q09) (b)
54
National Scale up Plan for PMDT 2011­2012
PMDT Implementation, Diagnosis, 6 months interim, 12 months Culture Conversion and Treatment Outcome of MDR TB Case
(Reported by PMDT Sites of Implementing States)
Indicators on 12 months Culture Conversion Report Indicators on Treatment Outcome of MDR TB Cases
Out of b, No.
(%) who are
alive, on
treatment
and culture
negative
Out of b, No.
(%) who are
alive, on
treatment
and culture
positive
Out of b,
No. (%)
who are
alive, on
treatment
and culture
not known
Out of b,
No. (%)
who died
Out of b,
No. (%)
who
defaulted
Andhra Pr 101 41 41% 11 11% 25 25% 11 11% 13 13%
Number
of MDR
TB cases
registered
in the 4
cohorts,
31‐33
months
prior
(3Q07‐
2Q08) (c)
Out of c,
No.
reported
as Cured
Out of c, No.
reported as
Treatment
Completed
Out
of c,
Succ
ess
Rate
Out of c,
No. (%)
who died
Out of c,
No. (%)
who
defaulted
Out of c, No.
(%) who
failed
treatment
Delhi 209 128 61% 13 6% 15 7% 23 11% 28 13%
Gujarat* 164 98 60% 33 20% 0 0% 18 11% 15 9% 92 38 1 42% 21 23% 19 21% 13 14%
Haryana 28 13 46% 0 0% 5 18% 7 25% 3 11%
Jharkhand
Kerala 92 66 72% 1 1% 5 5% 11 12% 9 10%
Mahrstra 87 48 55% 10 11% 8 9% 8 9% 13 15% 45 16 4 44% 7 16% 10 22% 8 18%
Orissa
Rajasthan 66 41 62% 6 9% 0 0% 12 18% 7 11%
Tamil Nad 27 7 26% 8 30% 8 30% 4 15% 0 0%
W Bengal 28 19 68% 1 4% 0 0% 3 11% 5 18%
India 802 461 57% 83 10% 66 8% 97 12% 93 12% 137 54 5 43% 28 20% 29 21% 21 15%
* Data from Daman & Diu is included in Gujarat
$ This indicator will be more relevant when S+ve RT cases are considered as MDR TB suspects in all districts in the state

State Profile:
State Population
in lakh
Jammu & Kashmir State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
55
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - JAMMU & KASHMIR STATE
Districts
with
services
State wide
coverage
planned
Jammu & Kashmir 117 14 42 174 2 2 2 14 Jul 2011 0 Dec 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Srinagar Srinagar Gov Upgrading Jan-13 No NA NA No NA NA
2 IRL Jammu Jammu Gov Upgrading Jan-13 No NA NA No NA NA
Note: Laboratory Service Back-up will be provided by NTI Bangalore till IRL Srinagar and Jammu gets accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GMC Jammu Jammu Gov Upgrading Apr-11
2 GMC Srinagar Srinagar Gov Upgrading Apr-11

200
180
160
140
120
100
80
60
40
20
0
2010
4Q
2011
1Q
State PMDT Plan
DOTS Plus Plan
Suspects and Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
2011
4Q
C-DST Laboratory
DOTS Plus Site
Number Jammu & Kashmir : Enrollment Plan of MDR TB
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 0 13 39 66 94 122 150 177
Cum MDR Cases 0 0 5 16 27 38 49 60 71
56
National Scale up Plan for PMDT 2011-2012

57
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANANTANAG 2 NTI/IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
BADGAM 4 NTI/IRL A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
BARAMULA 3 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
DODA 3 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
JAMMU 1 NTI/IRL A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KARGIL 4 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KATHUA 2 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KUPWARA 3 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
LEH 4 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
POONCH 4 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
PULWAMA 2 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
RAJOURI 4 NTI/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SRINAGAR 1 NTI/IRL A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
UDHAMPUR 2 NTI/IRL A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANANTANAG 2 NTI/IRL 2 2 2 2 2 1 1 1 1 1
BADGAM 4 NTI/IRL 1 1 1 1 1 1 1 0 0 0 0 0 0 0
BARAMULA 3 NTI/IRL 0 0 0 0 0 0 0 0 0 0 0 0
DODA 3 NTI/IRL 5 5 5 5 5 5 2 2 2 2 2 2
JAMMU 1 NTI/IRL 9 9 9 9 9 9 9 4 4 4 4 4 4 4
KARGIL 4 NTI/IRL 0 0 0 0 0 0 0 0 0 0 0 0
KATHUA 2 NTI/IRL 3 3 3 3 3 3 1 1 1 1 1 1
KUPWARA 3 NTI/IRL 1 1 1 1 1 1 0 0 0 0 0 0
LEH 4 NTI/IRL 0 0 0 0 0 0 0 0 0 0 0 0
POONCH 4 NTI/IRL 1 1 1 1 1 1 0 0 0 0 0 0
PULWAMA 2 NTI/IRL 0 0 0 0 0 0 0 0 0 0 0 0
RAJOURI 4 NTI/IRL 2 2 2 2 2 2 1 1 1 1 1 1
SRINAGAR 1 NTI/IRL 1 1 1 1 1 1 1 0 0 0 0 0 0 0
UDHAMPUR 2 NTI/IRL 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Total 0 13 26 28 28 28 28 28 0 5 11 11 11 11 11 11
Lab
capacity 600 600 1200 1800 1800 1800 1800
Note: Lab capacity considered is for NTI Bangalore and does not take into consideration the IRL Srinagar and IRL Jammu
Drug
courses
11 11 9 31

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
58
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 2 Jammu Jun-11 A N NTI/IRL Apr-11 Feb 12 Mar-11 Courier Icepacks
1 2 Srinagar Jun-11 A N NTI/IRL Apr-11 Feb 12 Mar-11 Courier Icepacks
2 4 Anantnag Dec-11 A N NTI/IRL Aug-11 Feb 12 Mar-11 Courier Icepacks
2 4 Kathua Dec-11 A N NTI/IRL Aug-11 Feb 12 Mar-11 Courier Icepacks
2 4 Pulwama Dec-11 A N NTI/IRL Aug-11 Feb 12 Mar-11 Courier Icepacks
2 4 Udhampur Dec-11 A N NTI/IRL Aug-11 Feb 12 Mar-11 Courier Icepacks
3 3 Baramulla Jun-12 A N NTI/IRL Apr-12 Feb 12 Mar-11 Courier Icepacks
3 3 Doda Jun-12 A N NTI/IRL Apr-12 Feb 12 Mar-11 Courier Icepacks
3 3 Kupwara Jun-12 A N NTI/IRL Apr-12 Feb 12 Mar-11 Courier Icepacks
4 5 Badgam Dec-12 A N NTI/IRL Aug-12 Feb 12 Mar-11 Courier Icepacks
4 5 Kargil Dec-12 A N NTI/IRL Aug-12 Feb 12 Mar-11 Courier Icepacks
4 5 Leh Dec-12 A N NTI/IRL Aug-12 Feb 12 Mar-11 Courier Icepacks
4 5 Poonch Dec-12 A N NTI/IRL Aug-12 Feb 12 Mar-11 Courier Icepacks
4 5 Rajouri Dec-12 A N NTI/IRL Aug-12 Feb 12 Mar-11 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 2 Jammu Jun-11 GMC,Jam & Sri Apr-11 Dec-10 Mar-11 Mar-11 Apr-11 Mar-11 Mar-11
1 2 Srinagar Jun-11 GMC,Jam & Sri Apr-11 Dec-10 Mar-11 Mar-11 Apr-11 Mar-11 Mar-11
2 4 Anantnag Dec-11 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
2 4 Kathua Dec-11 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
2 4 Pulwama Dec-11 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
2 4 Udhampur Dec-11 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
3 3 Baramulla Jun-12 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
3 3 Doda Jun-12 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
3 3 Kupwara Jun-12 GMC,Jam & Sri Apr-11 Sep-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
4 5 Badgam Dec-12 GMC,Jam & Sri Apr-11 Sep-11 Dec-11 Feb-12 Apr-11 Dec-11 Mar-11
4 5 Kargil Dec-12 GMC,Jam & Sri Apr-11 Sep-11 Dec-11 Mar-11 Apr-11 Dec-11 Mar-11
4 5 Leh Dec-12 GMC,Jam & Sri Apr-11 Sep-11 Dec-11 Mar-11 Apr-11 Dec-11 Mar-11
4 5 Poonch Dec-12 GMC,Jam & Sri Apr-11 Sep-11 Dec-11 Mar-11 Apr-11 Dec-11 Mar-11
4 5 Rajouri Dec-12 GMC,Jam & Sri Apr-11 Sep-11 Dec-11 Mar-11 Apr-11 Dec-11 Mar-11

State Profile:
State Population
in lakh
Punjab State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
59
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - PUNJAB STATE
Districts
with
services
State wide
coverage
planned
Punjab 277 20 57 291 1 3 1 20 Jun 2011 0 Apr 2013
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Patiala Patiala Gov Upgrading Jan-12 Yes Upgrading Jan-12 Yes Upgrading Jan-12
Note: Laboratory Service Back-up will be provided by LRS New Delhi till IRL Patiala gets accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 TB Hospital Patiala Patiala Gov MC Upgrading Feb-11
2 GMC Amritsar Amritsar Gov MC Upgrading Jul-11
3 GMC Firozpur Firozpur Gov MC Upgrading Jan-12

Phase I
Phase II
Phase III
Phase IV
State DOTS PMDT Plus Plan Plan
MHL
PUNJAB
C-DST Laboratory
DOTS Plus Site
Punjab : Enrollment Plan of MDR TB Suspects and
Cases
Number
500
450
400
350
300
250
200
150
100
50
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
Cum MDR Suspects 0 0 13 43 89 179 269 359 449
Cum MDR Cases 0 0 5 16 33 65 97 129 162
2012
4Q
60
National Scale up Plan for PMDT 2011-2012

61
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AMRITSAR 1 LRS/IRL A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
BARNALA 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
BATHINDA 2 LRS/IRL A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
FARIDKOT 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
FATEHGARH SHB 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
FIROZPUR 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
GURDASPUR 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
HOSHIARPUR 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
JALANDHAR 2 LRS/IRL A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KAPURTHALA 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
LUDHIANA 1 LRS/IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MANSA-PU 3 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
MOGA 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
MOHALI 2 LRS/IRL A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MUKTSAR 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
NAWANSHAHR 3 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
PATIALA 1 LRS/IRL A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
RUPNAGAR 2 LRS/IRL A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SANGRUR 2 LRS/IRL A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
TARN TARAN 1 LRS/IRL LJ LJ LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AMRITSAR 1 LRS/IRL 17 17 17 17 17 17 6 6 6 6 6 6
BARNALA 1 LRS/IRL
BATHINDA 2 LRS/IRL 4 4 4 4 2 2 2 2
FARIDKOT 1 LRS/IRL
FATEHGARH SHB 1 LRS/IRL
FIROZPUR 1 LRS/IRL
GURDASPUR 1 LRS/IRL
HOSHIARPUR 1 LRS/IRL
JALANDHAR 2 LRS/IRL 18 18 18 18 6 6 6 6
KAPURTHALA 1 LRS/IRL
LUDHIANA 1 LRS/IRL 16 16 16 16 16 6 6 6 6 6
MANSA-PU 3 LRS/IRL

62
National Scale up Plan for PMDT 2011-2012
MOGA 1 LRS/IRL
MOHALI 2 LRS/IRL 9 9 9 9 3 3 3 3
MUKTSAR 1 LRS/IRL
NAWANSHAHR 3 LRS/IRL
PATIALA 1 LRS/IRL 13 13 13 13 13 13 13 5 5 5 5 5 5 5
RUPNAGAR 2 LRS/IRL 3 3 3 3 1 1 1 1
SANGRUR 2 LRS/IRL 11 11 11 11 4 4 4 4
TARN TARAN 1 LRS/IRL
Total 0 13 30 46 90 90 90 90 0 5 11 17 32 32 32 32
Lab
capacity 600 600 600 600
Drug
courses
Note: Lab capacity considered is for IRL Patiala and does not take into consideration the LRS New Delhi
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
37 37 38
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks /
Liquid
Nitrogen)
1 3 Patiala Jun-11 A Apr-13 LRS/IRL Mar-11 Dec-12 Mar-11 Courier Icepacks
1 3 Ludhiana Jun-11 A Apr-13 LRS/IRL Mar-11 Dec-12 Mar-11 Courier Icepacks
1 3 Amritsar Jun-11 A Apr-13 LRS/IRL Mar-11 Dec-12 Mar-11 Courier Icepacks
2 5 Jalandhar Jan-12 A Apr-13 LRS/IRL Sep-11 Dec-12 Nov-11 Courier Icepacks
2 5 Mohali Jan-12 A Apr-13 LRS/IRL Sep-11 Dec-12 Nov-11 Courier Icepacks
2 5 Ropar Jan-12 A Apr-13 LRS/IRL Sep-11 Dec-12 Nov-11 Courier Icepacks
2 5 Sangrur Jan-12 A Apr-13 LRS/IRL Sep-11 Dec-12 Nov-11 Courier Icepacks
2 5 Bathinda Jan-12 A Apr-13 LRS/IRL Sep-11 Dec-12 Nov-11 Courier Icepacks
3 6 Faridkot Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
3 6 Ferozepur Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
3 6 Kapurthala Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
3 6 Hoshiarpur Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
3 6 Nawanshar Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
3 6 Mansa-PN Jan-13 A Apr-13 IRL Patiala Sep-12 Dec-12 Nov-12 Courier Icepacks
4 6 Tarn Taran Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks
4 6 Fatehgarh Sahib Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks
4 6 Gurdaspur Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks
4 6 Moga Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks
4 6 Barnala Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks
4 6 Muktsar Apr-13 A Apr-13 IRL Patiala Jan-13 Jan-13 Jan-13 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
63
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 3 Patiala Jun-11 TB H,Patiala Mar-11 Jan-11 Mar-11 Apr-11 May-11 Apr-11 Apr-11
1 3 Ludhiana Jun-11 TB H,Patiala Mar-11 Jan-11 Mar-11 Apr-11 May-11 Apr-11 Apr-11
1 3 Amritsar Jun-11 TB H,Patiala Sep-11 Jan-11 Mar-11 Apr-11 May-11 Apr-11 Apr-11
2 5 Jalandhar Jan-12 TB H,Patiala Sep-11 Jun-11 Jun-11 Oct-11 Nov-11 Oct-11 Apr-11
2 5 Mohali Jan-12 TB H,Patiala Sep-11 Jun-11 Jun-11 Oct-11 Nov-11 Oct-11 Apr-11
2 5 Ropar Jan-12 TB H,Patiala Sep-11 Jun-11 Jun-11 Oct-11 Nov-11 Oct-11 Apr-11
2 5 Sangrur Jan-12 TB H,Patiala Sep-11 Jun-11 Jun-11 Oct-11 Nov-11 Oct-11 Apr-11
2 5 Bathinda Jan-12 TB H,Patiala Sep-11 Jun-11 Jun-11 Oct-11 Nov-11 Oct-11 Apr-11
3 6 Faridkot Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
3 6 Ferozepur Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
3 6 Kapurthala Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
3 6 Hoshiarpur Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
3 6 Nawanshar Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
3 6 Mansa-PN Jan-13 GMC ,Amritsar Mar-12 Jan-12 Jun-12 Oct-12 Nov-12 Oct-12 Apr-11
4 6 Tarn Taran Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11
4 6 Fatehgarh Sahib Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11
4 6 Gurdaspur Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11
4 6 Moga Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11
4 6 Barnala Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11
4 6 Muktsar Apr-13 GMC ,Amritsar Mar-12 Jan-13 Nov-12 Dec-12 Jan-13 Dec-12 Apr-11

State Profile:
State Population
in lakh
Himachal Pradesh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
64
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - HIMACHAL PRADESH STATE
Districts
with
services
State wide
coverage
planned
Himachal Pradesh 68 12 41 168 4 1 1 12 Jan 2011 0 Jul 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL-Dharampur Dharampur Gov Upgrading Dec-11 Yes Upgrading Dec-11 No NA NA
2 Tanda MC Tanda Gov MC Upgrading Dec-11 Yes Upgrading Dec-11 No NA NA
3 ICMR Hamirpur Hamirpur ICMR Preliminary TBC No NA NA No NA NA
4 IGMC Shimla Shimla Gov MC Preliminary TBC No NA NA No NA NA
Note: Laboratory Service Back-up will be provided by JALMA Agra till IRL Dharampur gets accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 TBS Dharampur Solan Gov Upgrading Mar-11
2 RPGMC Tanda Kangra Gov MC Upgrading Jun-11
3 IGIMC Shimla Shimla Gov MC Upgrading Sep-11

3000
2500
2000
1500
1000
500
0
2010
4Q
DOTS Plus Plan
State PMDT Plan
Himachal Pradesh
Suspects and Cases
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
C-DST Laboratory
DOTS Plus Site
Number Himachal Pradesh : Enrollment Plan of MDR TB
2012
1Q
2012
2Q
2012
3Q
8
2012
4Q
Cum MDR Suspects 0 17 34 67 136 205 274 1117 2569
Cum MDR Cases 0 7 14 27 54 81 107 238 450
65
National Scale up Plan for PMDT 2011-2012

66
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BILASPUR-HP 2 JLM/IRL A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
CHAMBA 3 JLM/Tanda A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
HAMIRPUR-HP 2 JLM/Tanda A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
KANGRA 1 JLM/Tanda A A A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
KINNAUR 3 JLM/IRL A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
KULLU 3 JLM/Tanda A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
LAHUL & SPITI 3 JLM/IRL A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
MANDI 3 JLM/Tanda A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
SHIMLA 2 JLM/IRL A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
SIRMAUR 3 JLM/IRL A A A A C LJ LJ LJ LJ LPA LPA LPA LPA
SOLAN 1 JLM/IRL A A A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
UNA 2 JLM/Tanda A A A A C C LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BILASPUR-HP 2 JLM/IRL 5 5 5 5 92 92 2 2 2 2 13 13
CHAMBA 3 JLM/Tanda 12 12 12 12 131 4 4 4 4 20
HAMIRPUR-HP 2 JLM/Tanda 4 4 4 4 87 87 2 2 2 2 13 13
KANGRA 1 JLM/Tanda 13 13 13 13 13 13 258 258 6 6 6 6 6 6 38 38
KINNAUR 3 JLM/IRL 1 1 1 1 21 0 0 0 0 3
KULLU 3 JLM/Tanda 9 9 9 9 129 3 3 3 3 19
LAHUL & SPITI 3 JLM/IRL 0 0 0 0 4 0 0 0 0 0
MANDI 3 JLM/Tanda 11 11 11 11 248 4 4 4 4 35
SHIMLA 2 JLM/IRL 4 4 4 4 165 165 2 2 2 2 24 24
SIRMAUR 3 JLM/IRL 3 3 3 3 113 1 1 1 1 16
SOLAN 1 JLM/IRL 4 4 4 4 4 4 119 119 1 1 1 1 1 1 17 17
UNA 2 JLM/Tanda 3 3 3 3 86 86 1 1 1 1 12 12
Total 17 17 33 69 69 69 842 1452 7 7 13 27 27 27 131 212
Lab capacity
250 250 250 250 500 500 2400 2400
Drug
courses 27 27 27 29
Note: Lab capacity considered is for JALMA and IRL Dharampur in the later quarters

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
67
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 2 KANGRA Jan-11 A Jul-12 JLM/Tanda Oct-10 Jan-12 Done Courier Icepacks
1 2 SOLAN Jan-11 A Jul-12 JLM/IRL Oct-10 Jan-12 Done Courier Icepacks
2 4 HAMIRPUR Apr-11 A Jul-12 JLM/Tanda Jan-11 Jan-12 Mar-11 Courier Icepacks
2 4 BILASPUR Apr-11 A Jul-12 JLM/IRL Jan-11 Jan-12 Mar-11 Courier Icepacks
2 4 UNA Apr-11 A Jul-12 JLM/Tanda Jan-11 Jan-12 Mar-11 Courier Icepacks
2 4 SHIMLA Apr-11 A Jul-12 JLM/IRL Jan-11 Jan-12 Mar-11 Courier Icepacks
3 6 CHAMBA Jul-11 A Oct-12 JLM/Tanda Apr-11 Jan-12 Mar-11 Courier Icepacks
3 6 MANDI Jul-11 A Oct-12 JLM/Tanda Apr-11 Jan-12 Mar-11 Courier Icepacks
3 6 KULLU Jul-11 A Oct-12 JLM/Tanda Apr-11 Jan-12 Mar-11 Courier Icepacks
3 6 KINNAUR Jul-11 A Oct-12 JLM/IRL Apr-11 Jan-12 Mar-11 Courier Icepacks
3 6 L&S Jul-11 A Oct-12 JLM/IRL Apr-11 Jan-12 Mar-11 Courier Icepacks
3 6 SIRMAUR Jul-11 A Oct-12 JLM/IRL Apr-11 Jan-12 Mar-11 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 2 KANGRA Jan-11 RPGMC Tanda Jun-11 Dec-10 Jan-11 Done Done Jan-11 Dec-10
1 2 SOLAN Jan-11 TBS, Dharampur. Mar-11 Dec-10 Jan-11 Done Done Jan-11 Dec-10
2 4 HAMIRPUR Apr-11 RPGMC Tanda Jun-11 Jan-11 Mar-11 Mar-11 Apr-11 Mar-11 Dec-10
2 4 BILASPUR Apr-11 TBS, Dharampur. Mar-11 Jan-11 Mar-11 Mar-11 Apr-11 Mar-11 Dec-10
2 4 UNA Apr-11 RPGMC Tanda Jun-11 Jan-11 Mar-11 Mar-11 Apr-11 Mar-11 Dec-10
2 4 SHIMLA Apr-11 TBS, Dharampur. Mar-11 Jan-11 Mar-11 Mar-11 Apr-11 Mar-11 Dec-10
3 6 CHAMBA Jul-11 RPGMC Tanda Jun-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10
3 6 MANDI Jul-11 RPGMC Tanda Jun-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10
3 6 KULLU Jul-11 RPGMC Tanda Jun-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10
3 6 KINNAUR Jul-11 TBS, Dharampur. Mar-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10
3 6 L&S Jul-11 TBS, Dharampur. Mar-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10
3 6 SIRMAUR Jul-11 TBS, Dharampur. Mar-11 Jan-11 Mar-11 Jun-11 Jul-11 Jun-11 Dec-10

State Profile:
State Population
in lakh
Chandigarh Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
68
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - CHANDIGARH UT
Districts
with
services
State wide
coverage
planned
Chandigarh 14 1 3 17 2 1 1 1 Jul 2011 0 Jul 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 PGIMER Chandigarh Gov MC Under Accr Feb-11 Yes Upgrading Jun-11 Yes Upgrading Jun-11
2 GMCH32 Chandigarh Gov Upgrading No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GMCH 32 Chandigarh Gov Upgrading Apr-11

Number
400
350
300
250
200
150
100
50
0
State PMDT Plan
2010
4Q
DOTS Plus Plan
Chandigarh : Enrollment Plan of MDR TB Suspects
and Cases
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
7
2012
4Q
Cum MDR Suspects 0 0 0 62 124 186 248 310 372
Cum MDR Cases 0 0 0 10 21 31 41 52 62
69
National Scale up Plan for PMDT 2011-2012

70
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHANDIGARH 1 PGIMER B B B B B B LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHANDIGARH 1 PGIMER 0 62 62 62 62 62 62 10 10 10 10 10 10
Total 0 62 62 62 62 62 62 10 10 10 10 10 10
Lab
capacity 100 200 200 200 1000 1000
19 19 19
Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 1 Chandigarh Jul-10 B NA PGIMER Mar-11 Jan-12 Mar-11 Courier NA
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 1 Chandigarh Jul-10 Mar-11 Jan-11 Mar-11 Apr-11 Jun-11 Jun-11 Apr-11 Jul-11

State Profile:
State Population
in lakh
Delhi State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
71
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - DELHI STATE
Districts
with
services
State wide
coverage
achieved
Delhi 185 24 43 194 3 2 1 24 Sep 2008 0 Jan 2009
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 LRS Delhi Gov Active Sep 08 Yes Under Accr Jan-11 Yes Active Active
2 NDTB (IRL) Delhi Gov Active Jan 09 Yes Under Accr Jun-11 Yes Upgrading Apr-12
3 AIIMS Delhi Gov MC Under Accr Jul-11 Yes Upgrading Jun-11 Yes Preliminary TBC
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 LRS Institute Delhi Gov Functional Active
2 RBIPMT Institute Delhi Gov Functional Active
3 AIIMS Delhi Gov MC Functional Active
4 LNJP Institute Delhi Gov MC Functional Active

10000
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
State DOTS PMDT Plus Plan
2010
4Q
2011
1Q
2011
2Q
Cases
Cum MDR Suspects
Cum MDR Cases
Number Delhi : Enrollment Plan of MDR TB Suspects and
2011
3Q
2011
4Q
2012
1Q
2012
2Q
C-DST Laboratory
DOTS Plus Site
2012
3Q
2012
4Q
Cum MDR Suspects 274 548 823 2258 3694 5129 6565 8000 9436
Cum MDR Cases 106 212 317 559 802 1044 1286 1528 1770
72
National Scale up Plan for PMDT 2011-2012

73
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BJRM C CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
BSA C CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
CD CHEST CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DDU C CLINIC 1 AIIMS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GTB C CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GULABI BAGH 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
HEDGEWAR C CL 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JHANDEWALAN 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KARAWAL NAGR 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KINGSWAY 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
LN CHEST CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
LRS 1 LRS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MNCH C CLINIC 1 LRS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MOTI NAGAR 1 LRS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
NARELA 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
NDMC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
NEHRU NAGAR 1 AIIMS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PATPARGANJ 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
RK MISSION 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
RTRM C CLINIC 1 LRS A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SGM C CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SHAHADRA 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SPM MARG 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SPMH C CLINIC 1 NDTBC A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA

District
Name
74
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BJRM C CLINIC 1 NDTBC 3 3 3 37 37 37 37 37 37 3 3 1 6 6 6 6 6 6
BSA C CLINIC 1 NDTBC 3 3 3 30 30 30 30 30 30 3 3 1 4 4 4 4 4 4
CD CHEST CLINIC 1 NDTBC 3 3 3 18 18 18 18 18 18 3 3 1 3 3 3 3 3 3
DDU C CLINIC 1 AIIMS 20 20 20 118 118 118 118 118 118 20 20 9 21 21 21 21 21 21
GTB C CLINIC 1 NDTBC 16 16 16 64 64 64 64 64 64 16 16 6 12 12 12 12 12 12
GULABI BAGH 1 NDTBC 13 13 13 49 49 49 49 49 49 13 13 4 8 8 8 8 8 8
HEDGEWAR C CL 1 NDTBC 9 9 9 26 26 26 26 26 26 9 9 3 5 5 5 5 5 5
JHANDEWALAN 1 NDTBC 9 9 9 47 47 47 47 47 47 9 9 3 8 8 8 8 8 8
KARAWAL NAGR 1 NDTBC 16 16 16 67 67 67 67 67 67 16 16 6 12 12 12 12 12 12
KINGSWAY 1 NDTBC 12 12 12 57 57 57 57 57 57 12 12 4 9 9 9 9 9 9
LN CHEST CLINIC 1 NDTBC 6 6 6 35 35 35 35 35 35 6 6 2 5 5 5 5 5 5
LRS 1 LRS 15 15 15 65 65 65 65 65 65 15 15 6 12 12 12 12 12 12
MNCH C CLINIC 1 LRS 22 22 22 114 114 114 114 114 114 22 22 8 19 19 19 19 19 19
MOTI NAGAR 1 LRS 3 3 3 43 43 43 43 43 43 3 3 1 6 6 6 6 6 6
NARELA 1 NDTBC 11 11 11 57 57 57 57 57 57 11 11 4 10 10 10 10 10 10
NDMC 1 NDTBC 7 7 7 43 43 43 43 43 43 7 7 3 7 7 7 7 7 7
NEHRU NAGAR 1 AIIMS 25 25 25 117 117 117 117 117 117 25 25 10 21 21 21 21 21 21
PATPARGANJ 1 NDTBC 19 19 19 88 88 88 88 88 88 19 19 8 15 15 15 15 15 15
RK MISSION 1 NDTBC 12 12 12 51 51 51 51 51 51 12 12 4 9 9 9 9 9 9
RTRM C CLINIC 1 LRS 11 11 11 70 70 70 70 70 70 11 11 4 11 11 11 11 11 11
SGM C CLINIC 1 NDTBC 9 9 9 71 71 71 71 71 71 9 9 4 11 11 11 11 11 11
SHAHADRA 1 NDTBC 15 15 15 62 62 62 62 62 62 15 15 5 11 11 11 11 11 11
SPM MARG 1 NDTBC 7 7 7 38 38 38 38 38 38 7 7 3 6 6 6 6 6 6
SPMH C CLINIC 1 NDTBC 8 8 8 68 68 68 68 68 68 8 8 3 10 10 10 10 10 10
Total 274 274 274 1436 1436 1436 1436 1436 1436 274 274 106 242 242 242 242 242 242
Lab
capacity 900 900 1900 1900 1900 1900 1900 1900
Drug
courses 192 370 370 371

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
75
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 6 DDUH Sep-08 A Jun-11 AIIMS Sep-08 Jan-11 Done NA NA
1 6 Moti Nagar Sep-08 A Jun-11 NDTBC Sep-08 Jan-11 Done NA NA
1 6 RK Mission Sep-08 A Jun-11 NDTBC Sep-08 Jan-11 Done NA NA
1 6 RTRM CC Sep-08 A Jun-11 LRS Sep-08 Jan-11 Done NA NA
1 6 NDMC Sep-08 A Jun-11 NDTBC Sep-08 Jan-11 Done NA NA
1 6 LRS Sep-08 A Jun-11 LRS Sep-08 Jan-11 Done NA NA
2 18 BJRM C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 BSA C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 CD Chest Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 GTB C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Gulabi Bagh Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Hedgewar CC Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Jhandewalan Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Karawal Nagar Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Kingsway Jan-09 A Jun-11 LRS Jan-09 Jun-11 Done NA NA
2 18 LN Chest Clinic Jan-09 A Jun-11 LRS Jan-09 Jun-11 Done NA NA
2 18 MNCH C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Narela Jan-09 A Jun-11 AIIMS Jan-09 Jun-11 Done NA NA
2 18 Nehru Nagar Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Patparganj Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 SGM C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 Shahdra Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 SPM Marg Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
2 18 SPMH C Clinic Jan-09 A Jun-11 NDTBC Jan-09 Jun-11 Done NA NA
Note: Patients will be sent with health education on cough hygiene and a surgical mask, to the concerned laboratory for sample collection due to good metro
rail connectivity of all 3 laboratories.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
76
State
Appraisal
planned
(MM/YY)
National Scale up Plan for PMDT 2011-2012
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 6 DDUH Sep-08 AIIMS Done Done Done NA NA Done Done
1 6 Moti Nagar Sep-08 LRS Done Done Done NA NA Done Done
1 6 RK Mission Sep-08 LNJP Done Done Done NA NA Done Done
1 6 RTRM CC Sep-08 LRS Done Done Done NA NA Done Done
1 6 NDMC Sep-08 LNJP Done Done Done NA NA Done Done
1 6 LRS Sep-08 LRS Done Done Done NA NA Done Done
2 18 BJRM C Clinic Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 BSA C Clinic Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 CD Chest Clinic Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 GTB C Clinic Jan-09 LNJP Done Done Done NA NA Done Done
2 18 Gulabi Bagh Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 Hedgewar CC Jan-09 LNJP Done Done Done NA NA Done Done
2 18 Jhandewalan Jan-09 LNJP Done Done Done NA NA Done Done
2 18 Karawal Nagar Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 Kingsway Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 LN Chest Clinic Jan-09 LNJP Done Done Done NA NA Done Done
2 18 MNCH C Clinic Jan-09 LRS Done Done Done NA NA Done Done
2 18 Narela Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 Nehru Nagar Jan-09 AIIMS Done Done Done NA NA Done Done
2 18 Patparganj Jan-09 LNJP Done Done Done NA NA Done Done
2 18 SGM C Clinic Jan-09 RBIPMT Done Done Done NA NA Done Done
2 18 Shahdra Jan-09 LNJP Done Done Done NA NA Done Done
2 18 SPM Marg Jan-09 LNJP Done Done Done NA NA Done Done
2 18 SPMH C Clinic Jan-09 RBIPMT Done Done Done NA NA Done Done

State Profile:
State Population
in lakh
Haryana State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
77
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - HARYANA STATE
Districts
with
services
State wide
coverage
planned
Haryana 254 21 47 226 4 2 1 21 Dec 2008 7 Jun 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Karnal Karnal Gov Under Accr Jan-11 Yes Upgrading Jun-11 Yes Preliminary TBC
2 Quest Diagnostics Gurgaon Private No NA No NA NA Yes Under Accr Jan-11
3 SRL Religare Gurgaon Private No NA No NA NA Yes Under Accr Jan-11
4 GMC, Rohtak Rohtak Gov MC Preliminary Jun-12 Yes Preliminary Dec-12 No NA NA
Note: Laboratory Service Back-up will be provided by LRS New Delhi till IRL Karnal gets accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 PGIMS Rohtak Rohtak Gov MC Upgrading Functional
2 MMIMC Mulana, Ambala Ambala Gov MC Upgrading Apr-11
Note: Interim linkage has been established with GMCH32, Chandigarh

Haryana : Enrollment Plan of MDR TB Suspects and
Cases
Number
1400
1200
1000
800
600
400
200
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
State DOTS PMDT Plus Plan Plan
2012
1Q
Phase 1
Phase 2
Phase 3
C-DST Laboratory
DOTS Plus Site
State Drug Store
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 83 167 250 333 469 605 740 947 1154
Cum MDR Cases 33 66 100 133 187 240 294 374 453
78
National Scale up Plan for PMDT 2011-2012

79
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AMBALA 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
BHIWANI 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
FARIDABAD 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
FATEHABAD 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
GURGAON 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
HISAR 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
JHAJJAR 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
JIND 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KAITHAL 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KARNAL 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KURUSHETRA 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MAHENDRGR 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MEWAT 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
PALWAL 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
PANCHKULA 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
PANIPAT 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
REWARI 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
ROHTAK 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SIRSA 3 LRS / IRL A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SONIPAT 1 LRS / IRL A A A A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
YAMUNANGR 2 LRS / IRL A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AMBALA 2 LRS / IRL 3 3 3 3 3 1 1 1 1 1
BHIWANI 1 LRS / IRL 12 12 12 12 12 12 12 12 12 5 5 5 5 5 5 5 5 5
FARIDABAD 3 LRS / IRL 8 8 3 3
FATEHABAD 2 LRS / IRL 9 9 9 9 9 4 4 4 4 4
GURGAON 3 LRS / IRL 12 12 4 4
HISAR 3 LRS / IRL 19 19 7 7
JHAJJAR 1 LRS / IRL 16 16 16 16 16 16 16 16 16 6 6 6 6 6 6 6 6 6
JIND 1 LRS / IRL 20 20 20 20 20 20 20 20 20 8 8 8 8 8 8 8 8 8
KAITHAL 2 LRS / IRL 7 7 7 7 7 3 3 3 3 3
KARNAL 1 LRS / IRL 10 10 10 10 10 10 10 10 10 4 4 4 4 4 4 4 4 4
KURUSHETRA 2 LRS / IRL 8 8 8 8 8 3 3 3 3 3

80
National Scale up Plan for PMDT 2011-2012
MAHENDRGR 2 LRS / IRL 6 6 6 6 6 3 3 3 3 3
MEWAT 3 LRS / IRL 10 10 4 4
PALWAL 3 LRS / IRL 0 0 0 0
PANCHKULA 2 LRS / IRL 7 7 7 7 7 3 3 3 3 3
PANIPAT 1 LRS / IRL 9 9 9 9 9 9 9 9 9 3 3 3 3 3 3 3 3 3
REWARI 3 LRS / IRL 9 9 4 4
ROHTAK 1 LRS / IRL 9 9 9 9 9 9 9 9 9 4 4 4 4 4 4 4 4 4
SIRSA 3 LRS / IRL 13 13 5 5
SONIPAT 1 LRS / IRL 8 8 8 8 8 8 8 8 8 3 3 3 3 3 3 3 3 3
YAMUNANGR 2 LRS / IRL 13 13 13 13 13 4 4 4 4 4
Total 83 83 83 83 136 136 136 207 207 33 33 33 33 54 54 54 80 80
Lab
capacity 1100 1100 1200 1200 2100 2100 2900 2900
Note: Lab capacity considered is for LRS and IRL Karnal
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Numbr
No. of
Districts
in Phase
Name of
District
Time of
starting
DOTS Plus
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
C-DST
lab
linked
Time of
starting C-
DST services
Drug
courses 93 56 125 125
Time of
starting
LPA
Purchase of
container,
packing material
Transport
mode options
(in 72 hrs)
Cold Chain
(Icepacks / Dry Ice
/ Liquid Nitrogen)
1 7 Bhiwani Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Jhajjar Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Jind Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Karnal Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Panipat Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Rohtak Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
1 7 Sonepat Dec-08 A Dec-13 LRS/IRL Jan-11 Jun-11 Done Courier Icepacks
2 7 Ambala Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Fatehabad Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Kaithal Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Kurukshetra Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Mahendragarh Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Panchkula Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
2 7 Yamunanagar Sep-11 A Dec-13 LRS/IRL Sep-11 Sep-11 Mar-11 Courier Icepacks
3 7 Faridabad Jun-12 A Dec-13 LRS/IRL Jun-12 Jun-12 Mar-11 Courier Icepacks
3 7 Gurgaon Jun-12 A Dec-13 LRS/IRL Jun-12 Jun-12 Mar-11 Courier Icepacks
3 7 Hisar Jun-12 A Dec-13 LRS/IRL Jun-12 Jun-12 Mar-11 Courier Icepacks
3 7 Mewat Jun-12 A Dec-13 LRS/IRL Jun-12 Jun-12 Mar-11 Courier Icepacks
3 7 Palwal Jun-12 A Dec-13 LRS/IRL Jun-12 Jun-12 Mar-11 Courier Icepacks
3 7 Rewari Jun-12 A Dec-13 LRS/IRL Jun-12 Mar-11 Courier Icepacks
3 7 Sirsa Jun-12 A Dec-13 LRS/IRL Jun-12 Mar-11 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
81
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 7 Bhiwani Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Jhajjar Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Jind Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Karnal Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Panipat Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Rohtak Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
1 7 Sonepat Dec-08 PGIMS Rohtak Done Done Done Done NA Mar-11 Done
2 7 Ambala Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Fatehabad Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Kaithal Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Kurukshetra Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Mahendragarh Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Panchkula Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
2 7 Yamunanagar Sep-11 MMIMC, Ambala Mar-11 Mar-11 Apr-11 May-11 Jun-11 Mar-11 Mar-11
3 7 Faridabad Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Gurgaon Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Hisar Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Mewat Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Palwal Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Rewari Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11
3 7 Sirsa Jun-12 PGIMS Rohtak Mar-11 Mar-11 Apr-11 May-12 Jun-12 Mar-11 Mar-11

State Profile:
State Population
in lakh
Uttarakhand State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
82
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - UTTARAKHAND STATE
Districts
with
services
State wide
coverage
planned
Uttarakhand 99 13 30 143 1 2 1 13 Jan 2011 0 Jun 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Dehradun Dehradun Gov Under Accr Dec-10 Yes Upgrading Jun-11 No NA NA
2 HIHTMC Dehradun Dehradun Gov MC Upgrading Dec-11 No NA NA No NA NA
3 GMC Nainital Nainital Gov MC Upgrading Jun-12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 HIHTMC Dehradun Dehradun Private MC Upgrading Mar-11
2 GMC Haldwani Haldwani Gov MC Upgrading Jun-11

Ist Phase
March-2011
IInd Phase
June -2011
IIIrd Phase
0ct- 2011
D e h r a d u n
H a r d w a r
IRL, DP site, SDS
Number
700
600
500
400
300
200
100
0
2010
4Q
State PMDT Plan
DOTS Plus Plan
Uttarakhand
U t ta r K a s h i
T e h r i G a r h w a l
2011
1Q
Pauri
2011
2Q
2011
3Q
Rudra
Prayag
A l m o r a
C h a m o l i
B a g e s w a r
N a i n it a l
C h a m p a w a t
U d h a m S i n g h N a g a r
2011
4Q
2012
1Q
P i th o r a g a r h
Uttarakhand : Enrollment Plan of MDR TB Suspects
and Cases
Cum MDR Suspects
Cum MDR Cases
2012
2Q
2012
3Q
Cum MDR Suspects 0 23 46 82 131 180 229 278 603
Cum MDR Cases 0 7 15 27 44 62 79 97 148
2012
4Q
83
National Scale up Plan for PMDT 2011-2012

84
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ALMORA 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
BAGESHWAR 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
CHAMOLI 2 IRL Deh A A A A A B LJ LJ LJ LJ LJ LPA LPA LPA LPA
CHAMPAWAT 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
DEHRADUN 1 IRL Deh A A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GARHWAL 2 IRL Deh A A A A A B LJ LJ LJ LJ LJ LPA LPA LPA LPA
HARDWAR 1 IRL Deh A A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
NAINITAL 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
PITHORAGARH 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
RUDRAPRAYAG 2 IRL Deh A A A A A B LJ LJ LJ LJ LJ LPA LPA LPA LPA
TEHRI GARHWAL 2 IRL Deh A A A A A B LJ LJ LJ LJ LJ LPA LPA LPA LPA
UDHAMSINGNA
GAR 3 IRL Deh A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
UTTARKASHI 2 IRL Deh A A A A A B LJ LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ALMORA 3 IRL Deh 1 1 1 1 1 0 0 0 0 0
BAGESHWAR 3 IRL Deh 0 0 0 0 0 0 0 0 0 0
CHAMOLI 2 IRL Deh 2 2 2 2 2 23 1 1 1 1 1 3
CHAMPAWAT 3 IRL Deh 1 1 1 1 1 0 0 0 0 0
DEHRADUN 1 IRL Deh 13 13 13 13 13 13 13 98 4 4 4 4 4 4 4 14
GARHWAL 2 IRL Deh 8 8 8 8 8 36 3 3 3 3 3 6
HARDWAR 1 IRL Deh 10 10 10 10 10 10 10 89 3 3 3 3 3 3 3 13
NAINITAL 3 IRL Deh 2 2 2 2 2 1 1 1 1 1
PITHORAGARH 3 IRL Deh 3 3 3 3 3 1 1 1 1 1
RUDRAPRAYAG 2 IRL Deh 1 1 1 1 1 15 1 1 1 1 1 2
TEHRI GARHWAL
UDHAMSINGNA
2 IRL Deh 1 1 1 1 1 30 0 0 0 0 0 4
GAR 3 IRL Deh 6 6 6 6 6 2 2 2 2 2
UTTARKASHI 2 IRL Deh 1 1 1 1 1 22 0 0 0 0 0 3
Total 23 23 37 49 49 49 49 324 7 7 12 17 17 17 17 51
Lab
capacity 100 100 1200 1200 2300 2300 2500 2500
Drug
courses 47 28 47 28

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
85
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 2 Dehradun Mar-11 A Oct-12 IRL Deh Jan-11 Jul-11 Jan-11 Courier Icepacks
1 2 Hardwar Mar-11 A Oct-12 IRL Deh Jan-11 Jul-11 Jan-11 Courier Icepacks
2 5 Garhwal Jun-11 A Oct-12 IRL Deh Jan-11 Jan-11 Jan-11 Courier Icepacks
2 5 Tehri Jun-11 A Oct-12 IRL Deh Jan-11 Jan-11 Jan-11 Courier Icepacks
2 5 Uttarkashi Jun-11 A Oct-12 IRL Deh Jan-11 Jan-11 Jan-11 Courier Icepacks
2 5 Chamoli Jun-11 A Oct-12 IRL Deh Jan-11 Jan-11 Jan-11 Courier Icepacks
2 5 Rudraprayag Jun-11 A Oct-12 IRL Deh Jan-11 Jan-11 Jan-11 Courier Icepacks
3 6 Nainital Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
3 6 US Nagar Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
3 6 Almora Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
3 6 Champawat Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
3 6 Bageshwar Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
3 6 Pithouragadh Oct-11 A Jan-13 IRL Deh Jan-11 Jan-12 Jun-11 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 2 Dehradun Mar-11 HIHTMC Dehradun Jan-11 Jan-11 Jan-11 Jan-11 Feb-11 Jan-11 Jan-11
1 2 Hardwar Mar-11 HIHT MC Dehradun Jan-11 Jan-11 Jan-11 Jan-11 Feb-11 Jan-11 Jan-11
2 5 Garhwal Jun-11 HIHT MC Dehradun Jan-11 Feb-11 Mar-11 Mar-11 Apr-11 Apr-11 Jan-11
2 5 Tehri Jun-11 HIHT MC Dehradun Jan-11 Feb-11 Mar-11 Mar-11 Apr-11 Apr-11 Jan-11
2 5 Uttarkashi Jun-11 HIHT MC Dehradun Jan-11 Feb-11 Mar-11 Mar-11 Apr-11 Apr-11 Jan-11
2 5 Chamoli Jun-11 HIHT MC Dehradun Jan-11 Feb-11 Mar-11 Mar-11 Apr-11 Apr-11 Jan-11
2 5 Rudraprayag Jun-11 HIHT MC Dehradun Jan-11 Feb-11 Mar-11 Mar-11 Apr-11 Apr-11 Jan-11
3 6 Nainital Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11
3 6 US Nagar Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11
3 6 Almora Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11
3 6 Champawat Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11
3 6 Bageshwar Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11
3 6 Pithouragadh Oct-11 GMC Haldwani Jun-11 Apr-11 May-11 Jun-11 Jul-11 Jun-11 Jun-11

State Profile:
State Population
in lakh
Uttar Pradesh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
86
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
NORTH ZONE - UTTAR PRADESH STATE
Districts
with
services
State wide
coverage
planned
Uttar Pradesh 2008 71 393 1853 8 20 5 71 Mar 2011 0 Dec 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Lucknow Lucknow Gov Under Accr Dec-10 Yes Upgrading Sep-11 No NA NA
2 IRL Agra Agra Gov Upgrading Dec-11 Yes Upgrading Sep-11 No NA NA
3 JNMC Aligarh Aligarh Gov MC Preliminary TBC No NA NA No NA NA
4 MLNMC Allahabad Gov MC Preliminary TBC No NA NA No NA NA
5 Subhrath MC Meerut Pvt MC Preliminary TBC No NA NA No NA NA
6 VIBHA Path Labs Moradabad Pvt Preliminary TBC No NA NA No NA NA
7 IMS BHU Varanasi Pvt Preliminary TBC No NA NA No NA NA
8 JALMA Agra Gov Active Active Yes Active Active Yes Active Active
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 Agra Lucknow Gov MC Upgrading Mar-11
2 KGMU Lucknow Agra Gov MC Upgrading Dec-10
3 Kanpur Kanpur Gov MC Upgrading Mar-12
4 Etawah Etawah Gov MC Upgrading Mar-12
5 Meerut Meerut Gov MC Upgrading Mar-12
6 Aligarh Aligarh Gov MC Upgrading Mar-12
7 Allahabad Allahabad Gov MC Upgrading Mar-12
8 Jhansi Jhansi Gov MC Upgrading Mar-12
9 Varanasi Varanasi Gov MC Upgrading Mar-12
10 Gorakhpur Gorakhpur Gov MC Upgrading Mar-12
11 GB Nagar GB Nagar Pvt MC To be upgraded Dec-12

Saharanpur
Muzaffarnagar Bijnor
Meerut Moradabad
Jyotiba
Ghaziabad Phule
Nagar
Rampur r
Pilibhit
Bareilly
Bulandshahar
Budaun
Aligarh KanshiKSN
Shahjahanpur
Kheri
Bahraich
Mathura
Hathras Etah
Shravasti
Farrukhabad Sitapur
Balrampur
Hardoi
Siddharth
Firozabad Mainpuri
Agra
Gonda
nagar Maharajganj
Kannauj
Kushinagar
Etawah
Lucknow Barabanki Basti
Auraiya Kanpur
Gorakhpur
Dehat Unnao
Faizabad
Ambedkar_Nagar
A bedka Deoria
Rae_Bareli Sultanpur
Jalaun
Azamgarh
Mau
Fatehpur Pratapgarh
Jaunpur Jaunp
Ballia
Hamirpur
Jhansi
Ghazipur
Mahoba Banda
Kaushambi
Varanasi
Chitrakoot Allahabad
Chandauli
Mirzapur
r
Phase 1 – Mar 11
Phase 2 – Jun 11
GB Ngr
Phase 3 - Sep 11
Phase 4 – Dec 11
Phase 5 - Mar 12
Phase 6 - Jun 12
Phase 7 – Sep 12
Phase 8 – Dec 12
SK N agar
Kanpur
_ Nagar
Nagar
Bhadoi
Baghpat
Lalitpur
State DOTS PMDT Plus Plan
Uttar Pradesh
C -DST Laboratory
DOTS Plus Site
Sonbhadra
87
National Scale up Plan for PMDT 2011-2012
Number
Uttar Pradesh : Enrollment Plan of MDR TB
Suspects and Cases
2500
2000
1500
1000
500
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 64 168 339 558 847 1299 1773 2349
Cum MDR Cases 0 27 70 136 218 326 490 662 868

District
Name
88
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AGRA 1 JLM/IRL A A A A A A A A LJ LJ LJ LJ LPA LPA LPA LPA
ALIGARH 4 JLM/IRL A A A A A LJ LJ LJ LPA LPA
ALLAHABAD 5 JLM/IRL A A A A LJ LJ LJ LJ
AMBEDKAR NGR 6 JLM/IRL A A A LPA LPA LPA
AURAIYA 5 JLM/IRL A A A A LJ LPA LPA LPA
AZAMGARH 8 JLM/IRL A LJ
BAGHPAT 6 JLM/IRL A A A LJ LPA LPA
BAHRAICH 4 JLM/IRL A A A A A LPA LPA LPA LPA LPA
BALLIA 8 JLM/IRL A LJ
BALRAMPUR 6 JLM/IRL A A A LPA LPA LPA
BANDA 8 JLM/IRL A LJ
BARABANKI 1 JLM/IRL A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA
BAREILLY 6 JLM/IRL A A A LPA LPA LPA
BASTI 8 JLM/IRL A LPA
BIJNOR 7 JLM/IRL A A LPA LPA
BUDAUN 6 JLM/IRL A A A LJ LPA LPA
BULANDSHAHAR 6 JLM/IRL A A A LJ LPA LPA
CHANDAULI 8 JLM/IRL A LJ
CHITRAKOOT 8 JLM/IRL A LJ
DEORIA 8 JLM/IRL A LJ
ETAH 6 JLM/IRL A A A LJ LPA LPA
ETAWAH 3 JLM/IRL A A A A A A LJ LJ LPA LPA LPA LPA LPA
FAIZABAD 6 JLM/IRL A A LPA LPA
FARRUKHABAD 6 JLM/IRL A A A LPA LPA LPA
FATEHPUR 7 JLM/IRL A A LJ LJ
FIROZABAD 2 JLM/IRL A A A A A A A LJ LJ LJ LJ LJ LPA LPA
GB NAGAR 6 JLM/IRL A A A LJ LPA LPA
GHAZIABAD 6 JLM/IRL A A A LJ LPA LPA
GHAZIPUR 8 JLM/IRL A LJ
GONDA 6 JLM/IRL A A A LPA LPA LPA
GORAKHPUR 5 JLM/IRL A A A A LJ LJ LJ LJ
HAMIRPUR-UP 8 JLM/IRL A LJ
HARDOI 3 JLM/IRL A A A A A A LJ LJ LPA LPA LPA LPA LPA
HATHRAS 4 JLM/IRL A A A A A LJ LJ LJ LJ LPA LPA
JALAUN 8 JLM/IRL A LJ

89
National Scale up Plan for PMDT 2011-2012
JAUNPUR 8 JLM/IRL A LJ
JHANSI 5 JLM/IRL A A A A LJ LJ LJ LJ
JP NAGAR 6 JLM/IRL A A A LJ LPA LPA
KANNAUJ 5 JLM/IRL A A A A LPA LPA LPA LPA
KANPUR DEHAT 5 JLM/IRL A A A A LJ LJ LPA LPA
KANPUR NAGAR 3 JLM/IRL A A A A A A LJ LJ LPA LPA LPA LPA LPA
KANSIRAM NGR 6 JLM/IRL A A A LJ LPA LPA
KAUSHAMBI 7 JLM/IRL A A LJ LJ
KHERI 4 JLM/IRL A A A A A LJ LPA LPA LPA LPA LPA
KUSHINAGAR 8 JLM/IRL A LJ
LALITPUR 8 JLM/IRL A LJ
LUCKNOW 1 JLM/IRL A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA
MAHARAJGANJ 8 JLM/IRL A LJ
MAHOBA 8 JLM/IRL A LJ
MAINPURI 5 JLM/IRL A A A A LJ LJ LPA LPA
MATHURA 3 JLM/IRL A A A A A A LJ LJ LJ LJ LJ LPA LPA
MAU 8 JLM/IRL A LJ
MEERUT 4 JLM/IRL A A A A A LJ LJ LJ LPA LPA
MIRZAPUR 8 JLM/IRL A LPA
MORADABAD 6 JLM/IRL A A A LJ LPA LPA
MUZAFARNAGR 6 JLM/IRL A A A LJ LPA LPA
PILIBHIT 7 JLM/IRL A A LJ LJ
PRATAPGARH 8 JLM/IRL A LJ
RAE BARELI 2 JLM/IRL A A A A A A A LJ LJ LPA LPA LPA LPA LPA
RAMPUR 6 JLM/IRL A A A LJ LPA LPA
SAHARANPUR 6 JLM/IRL A A A LJ LPA LPA
S KABIR NGR 8 JLM/IRL A LPA
S RAVIDAS NGR 7 JLM/IRL A A LJ LJ
SHAHJAHANPUR 6 JLM/IRL A A A LPA LPA LPA
SHRAVASTI 6 JLM/IRL A A A LPA LPA LPA
SIDDHARTHNGR 8 JLM/IRL A LPA
SITAPUR 3 JLM/IRL A A A A A A LJ LJ LPA LPA LPA LPA LPA
SONBHADRA 8 JLM/IRL A LPA
SULTANPUR 6 JLM/IRL A A A LJ LJ LJ
UNNAO 2 JLM/IRL A A A A A A A LJ LJ LPA LPA LPA LPA LPA
VARANASI 5 JLM/IRL A A A A LJ LJ LJ LPA

District
Name
90
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AGRA 1 JLM/IRL 35 35 35 35 35 35 35 35 16 16 16 16 16 16 16 16
ALIGARH 4 JLM/IRL 12 12 12 12 12 4 4 4 4 4
ALLAHABAD 5 JLM/IRL 27 27 27 27 10 10 10 10
AMBEDKAR NGR 6 JLM/IRL 2 2 2 1 1 1
AURAIYA 5 JLM/IRL 7 7 7 7 2 2 2 2
AZAMGARH 8 JLM/IRL 7 2
BAGHPAT 6 JLM/IRL 2 2 2 1 1 1
BAHRAICH 4 JLM/IRL 9 9 9 9 9 3 3 3 3 3
BALLIA 8 JLM/IRL 3 1
BALRAMPUR 6 JLM/IRL 5 5 5 1 1 1
BANDA 8 JLM/IRL 11 5
BARABANKI 1 JLM/IRL 7 7 7 7 7 7 7 7 3 3 3 3 3 3 3 3
BAREILLY 6 JLM/IRL 10 10 10 3 3 3
BASTI 8 JLM/IRL 5 1
BIJNOR 7 JLM/IRL 6 6 2 2
BUDAUN 6 JLM/IRL 7 7 7 3 3 3
BULANDSHAHAR 6 JLM/IRL 15 15 15 5 5 5
CHANDAULI 8 JLM/IRL 4 2
CHITRAKOOT 8 JLM/IRL 7 2
DEORIA 8 JLM/IRL 7 2
ETAH 6 JLM/IRL 6 6 6 2 2 2
ETAWAH 3 JLM/IRL 9 9 9 9 9 9 3 3 3 3 3 3
FAIZABAD 6 JLM/IRL 3 3 1 1
FARRUKHABAD 6 JLM/IRL 9 9 9 3 3 3
FATEHPUR 7 JLM/IRL 3 3 1 1
FIROZABAD 2 JLM/IRL 30 30 30 30 30 30 30 12 12 12 12 12 12 12
GB NAGAR 6 JLM/IRL 8 8 8 3 3 3
GHAZIABAD 6 JLM/IRL 14 14 14 4 4 4
GHAZIPUR 8 JLM/IRL 3 1
GONDA 6 JLM/IRL 12 12 12 3 3 3
GORAKHPUR 5 JLM/IRL 4 4 4 4 1 1 1 1
HAMIRPUR-UP 8 JLM/IRL 3 1
HARDOI 3 JLM/IRL 13 13 13 13 13 13 4 4 4 4 4 4
HATHRAS 4 JLM/IRL 6 6 6 6 6 2 2 2 2 2
JALAUN 8 JLM/IRL 14 6
JAUNPUR 8 JLM/IRL 7 2
JHANSI 5 JLM/IRL 6 6 6 6 3 3 3 3

91
National Scale up Plan for PMDT 2011-2012
JP NAGAR 6 JLM/IRL 5 5 5 2 2 2
KANNAUJ 5 JLM/IRL 2 2 2 2 1 1 1 1
KANPUR DEHAT 5 JLM/IRL 8 8 8 8 3 3 3 3
KANPUR NAGAR 3 JLM/IRL 22 22 22 22 22 22 7 7 7 7 7 7
KANSIRAM NGR 6 JLM/IRL 0 0 0 0 0 0
KAUSHAMBI 7 JLM/IRL 1 1 0 0
KHERI 4 JLM/IRL 15 15 15 15 15 5 5 5 5 5
KUSHINAGAR 8 JLM/IRL 3 1
LALITPUR 8 JLM/IRL 4 2
LUCKNOW 1 JLM/IRL 22 22 22 22 22 22 22 22 9 9 9 9 9 9 9 9
MAHARAJGANJ 8 JLM/IRL 3 1
MAHOBA 8 JLM/IRL 4 2
MAINPURI 5 JLM/IRL 4 4 4 4 1 1 1 1
MATHURA 3 JLM/IRL 8 8 8 8 8 8 3 3 3 3 3 3
MAU 8 JLM/IRL 1 0
MEERUT 4 JLM/IRL 5 5 5 5 5 2 2 2 2 2
MIRZAPUR 8 JLM/IRL 4 1
MORADABAD 6 JLM/IRL 10 10 10 4 4 4
MUZAFARNAGR 6 JLM/IRL 19 19 19 7 7 7
PILIBHIT 7 JLM/IRL 6 6 3 3
PRATAPGARH 8 JLM/IRL 4 1
RAE BARELI 2 JLM/IRL 6 6 6 6 6 6 6 1 1 1 1 1 1 1
RAMPUR 6 JLM/IRL 14 14 14 5 5 5
SAHARANPUR 6 JLM/IRL 12 12 12 5 5 5
S KABIR NGR 8 JLM/IRL 3 1
S RAVIDAS NGR 7 JLM/IRL 2 2 0 0
SHAHJAHANPUR 6 JLM/IRL 4 4 4 2 2 2
SHRAVASTI 6 JLM/IRL 1 1 1 1 1 1
SIDDHARTHNGR 8 JLM/IRL 3 1
SITAPUR 3 JLM/IRL 15 15 15 15 15 15 5 5 5 5 5 5
SONBHADRA 8 JLM/IRL 1 0
SULTANPUR 6 JLM/IRL 7 7 7 2 2 2
UNNAO 2 JLM/IRL 4 4 4 4 4 4 4 1 1 1 1 1 1 1
VARANASI 5 JLM/IRL 15 15 15 15 4 4 4 4
Total 64 104 171 219 289 452 474 576 27 42 66 82 108 164 172 206
Lab
capacity 100 100 100 1200 2400 4200 4200 4200
Drug
courses 45 45 175 200

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
92
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 3 Agra Mar-11 A Dec-13 JLM / IRL Mar-11 Oct-11 Jan-11 Courier Icepacks
1 3 Lucknow Mar-11 A Dec-13 JLM / IRL Mar-11 Oct-11 Jan-11 Courier Icepacks
1 3 Barabanki Mar-11 A Dec-13 JLM / IRL Mar-11 Oct-11 Jan-11 Courier Icepacks
2 3 Firozabad Jun-11 A Dec-13 JLM / IRL Apr-11 Oct-11 Jan-11 Courier Icepacks
2 3 Unnao Jun-11 A Dec-13 JLM / IRL Apr-11 Oct-11 Jan-11 Courier Icepacks
2 3 RaeBareilly Jun-11 A Dec-13 JLM / IRL Apr-11 Oct-11 Jan-11 Courier Icepacks
3 5 Mathura Sep-11 A Dec-13 JLM / IRL Jul-11 Oct-11 Jun-11 Courier Icepacks
3 5 Etawah Sep-11 A Dec-13 JLM / IRL Jul-11 Oct-11 Jun-11 Courier Icepacks
3 5 KanpurNagar, Sep-11 A Dec-13 JLM / IRL Jul-11 Oct-11 Jun-11 Courier Icepacks
3 5 Hardoi Sep-11 A Dec-13 JLM / IRL Jul-11 Oct-11 Jun-11 Courier Icepacks
3 5 Sitapur Sep-11 A Dec-13 JLM / IRL Jul-11 Oct-11 Jun-11 Courier Icepacks
4 5 Meerut Dec-11 A Dec-14 JLM / IRL Dec-11 Dec-11 Sep-11 Courier Icepacks
4 5 Aligarh Dec-11 A Dec-14 JLM / IRL Dec-11 Dec-11 Sep-11 Courier Icepacks
4 5 Hatras Dec-11 A Dec-14 JLM / IRL Dec-11 Dec-11 Sep-11 Courier Icepacks
4 5 Kheri Dec-11 A Dec-14 JLM / IRL Dec-11 Dec-11 Sep-11 Courier Icepacks
4 5 Bahraich Dec-11 A Dec-14 JLM / IRL Dec-11 Dec-11 Sep-11 Courier Icepacks
5 8 Mainpuri Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Kannauj Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Auraiya Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 KanpurDehat Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Jhansi Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Allabahad Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Varanasi Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
5 8 Garakhpur Mar-12 A Dec-14 JLM / IRL Mar-12 May-12 Dec-11 Courier Icepacks
6 21 Saharanpur Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Muzzafarnagar Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Baghpat Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Gaziabad Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 GB Nagar Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 JP Nagar Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Moradabad Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Rampur Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Bareilly Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Budaun Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks

93
National Scale up Plan for PMDT 2011-2012
6 21 BulandShahr Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 KanshiramNagar Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Etah Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Shahjahanpur Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Farrukhabad Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Shrawasti Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Balrampur Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Gonda Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Faizabad Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 AmbedkarNagar Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
6 21 Sultanpur Jun-12 A Dec-14 JLM / IRL Apr-12 Jul-12 Mar-12 Courier Icepacks
7 5 Bijnaur Sep-12 A Dec-14 JLM / IRL Jul-12 Jun-12 Courier Icepacks
7 5 Pilibhit Sep-12 A Dec-14 JLM / IRL Jul-12 Jun-12 Courier Icepacks
7 5 Fatehpur Sep-12 A Dec-14 JLM / IRL Jul-12 Jun-12 Courier Icepacks
7 5 Kaushambhi Sep-12 A Dec-14 JLM / IRL Jul-12 Jun-12 Courier Icepacks
7 5 S Ravidas Nagar Sep-12 A Dec-14 JLM / IRL Jul-12 Jun-12 Courier Icepacks
8 21 SidharthNagar Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Maharajganj Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Basti Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Sknagar Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Khushinagar Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Deoria Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Azamgarh Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Mau Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Ballia Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Ghazipur Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Jaunpur Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Pratapgarh Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Lalitpur Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Jalaun Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Hamirpur Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Mahoba Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Banda Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Chitrakut Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Chandauli Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Mirzapur Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks
8 21 Sonbhadra Dec-12 A Dec-14 JLM / IRL Oct-12 Sep-12 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
94
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 3 Agra Mar-11 SMC Agra Feb-11 Dec-10 Feb-11 Done Feb-11 Mar-11 Mar-11
1 3 Lucknow Mar-11 CSMMU Lucknow Feb-11 Dec-10 Feb-11 Feb-11 Feb-11 Mar-11 Mar-11
1 3 Barabanki Mar-11 CS MMU Lucknow Feb-11 Dec-10 Feb-11 Feb-11 Feb-11 Mar-11 Mar-11
2 3 Firozabad Jun-11 SMC Agra Feb-11 Mar-11 Mar-11 Jun-11 Jun-11 Jun-11 Mar-11
2 3 Unnao Jun-11 CSMMU Lucknow Feb-11 Mar-11 Mar-11 Jun-11 Jun-11 Jun-11 Mar-11
2 3 RaeBareilly Jun-11 CSMMU Lucknow Feb-11 Mar-11 Mar-11 Jun-11 Jun-11 Jun-11 Mar-11
3 5 Mathura Sep-11 SMC Agra Jun-11 Mar-11 Jun-11 Jun-11 Sep-11 Jun-11 Mar-11
3 5 Etawah Sep-11 Saifai MC, Etawah Jun-11 Mar-11 Jun-11 Jun-11 Sep-11 Jun-11 Mar-11
3 5 KanpurNagar, Sep-11 GSVM MC Kanpur Jun-11 Mar-11 Jun-11 Jun-11 Sep-11 Jun-11 Mar-11
3 5 Hardoi Sep-11 CSMMU Lucknow Jun-11 Mar-11 Jun-11 Jun-11 Sep-11 Jun-11 Mar-11
3 5 Sitapur Sep-11 CSMMU Lucknow Jun-11 Mar-11 Jun-11 Jun-11 Sep-11 Jun-11 Mar-11
4 5 Meerut Dec-11 LLRM MC Meerut Sep-11 Jun-11 Sep-11 Sep-11 Sep-11 Sep-11 Jun-11
4 5 Aligarh Dec-11 JN MC Aligarh Sep-11 Jun-11 Sep-11 Sep-11 Sep-11 Sep-11 Jun-11
4 5 Hatras Dec-11 JN MC Aligarh Sep-11 Jun-11 Sep-11 Sep-11 Sep-11 Sep-11 Jun-11
4 5 Kheri Dec-11 CSMMU Lucknow Sep-11 Jun-11 Sep-11 Sep-11 Sep-11 Sep-11 Jun-11
4 5 Bahraich Dec-11 CSMMU Lucknow Sep-11 Jun-11 Sep-11 Sep-11 Sep-11 Sep-11 Jun-11
5 8 Mainpuri Mar-12 Saifai MC Etawah Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Kannauj Mar-12 Saifai MC Etawah Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Auraiya Mar-12 Saifai MC Etawah Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 KanpurDehat Mar-12 GSVM MCKanpur Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Jhansi Mar-12 MLB MCJhansi Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Allabahad Mar-12 MLN MCAllahabad Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Varanasi Mar-12 IMS BHU Varanasi Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
5 8 Garakhpur Mar-12 BRD MC Gorakhpur Dec-11 Sep-11 Dec-11 Dec-11 Dec-11 Dec-11 Jun-11
6 21 Saharanpur Jun-12 LLRM MCMeerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Muzzafarnagar Jun-12 LLRM MCMeerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Baghpat Jun-12 LLRM MCMeerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Gaziabad Jun-12 Sharda MC GB Nagr Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 GB Nagar Jun-12 Sharda MC GB Nagr Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 JP Nagar Jun-12 LLRM MC Meerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Moradabad Jun-12 LLRM MC Meerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Rampur Jun-12 LLRM MC Meerut Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Bareilly Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12

95
National Scale up Plan for PMDT 2011-2012
6 21 Budaun Jun-12 JN MC Aligarh Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 BulandShahr Jun-12 JN MC Aligarh Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 KanshiramNagar Jun-12 JN MC Aligarh Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Etah Jun-12 JN MC Aligarh Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Shahjahanpur Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Farrukhabad Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Shrawasti Jun-12 BRD MC Gorakhpur Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Balrampur Jun-12 BRD MC Gorakhpur Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Gonda Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Faizabad Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 AmbedkarNagar Jun-12 BRD MC Gorakhpur Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
6 21 Sultanpur Jun-12 CSMMU Lucknow Mar-12 Dec-11 Mar-12 Mar-12 Mar-12 Mar-12 Dec-12
7 5 Bijnaur Sep-12 LLRM MC Meerut Dec-11 Mar-12 Jun-12 Jun-12 Jun-12 Mar-12 Dec-11
7 5 Pilibhit Sep-12 CSMMU Lucknow Dec-11 Mar-12 Jun-12 Jun-12 Jun-12 Mar-12 Dec-11
7 5 Fatehpur Sep-12 MLN MC Allahabad Dec-11 Mar-12 Jun-12 Jun-12 Jun-12 Mar-12 Dec-11
7 5 Kaushambhi Sep-12 MLN MC Allahabad Dec-11 Mar-12 Jun-12 Jun-12 Jun-12 Mar-12 Dec-11
7 5 S Ravidas Nagar Sep-12 MLN MC Allahabad Dec-11 Mar-12 Jun-12 Jun-12 Jun-12 Mar-12 Dec-11
8 21 SidharthNagar Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Maharajganj Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Basti Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Sknagar Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Khushinagar Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Deoria Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Azamgarh Dec-12 BRD MC Gorakhpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Mau Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Ballia Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Ghazipur Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Jaunpur Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Pratapgarh Dec-12 MLN MC Allahabad Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Lalitpur Dec-12 MLB MC Jhansi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Jalaun Dec-12 MLB MC Jhansi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Hamirpur Dec-12 GSVM MC Kanpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Mahoba Dec-12 GSVM MC Kanpur Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Banda Dec-12 MLB MC Jhansi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Chitrakut Dec-12 MLN MC Allahabad Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Chandauli Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Mirzapur Dec-12 MLN MC Allahabad Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12
8 21 Sonbhadra Dec-12 IMS BHU Varanasi Mar-12 Jun-12 Sep-12 Sep-12 Sep-12 Jun-12 Sep-12

State Profile:
State Population
in lakh
Gujarat State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
96
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - GUJARAT STATE
Districts
with
services
State wide
coverage
planned
Gujarat 590 30 138 729 4 6 1 30 Aug 2007 21 Jul 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Ahmedabad Ahmedabad Gov Active Mar - 08 Yes Active Mar - 09 Yes Under Accred Apr -11
2 MP Shah MC Jamnagar Gov MC Upgrading Jul-12 Yes Upgrading Jul - 11 Yes Preliminary Mar - 12
3 Govt MC Surat Gov MC Preliminary Dec-12 No Preliminary NA No Preliminary NA
4 Micro Care Lab Surat Private Active Mar - 12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 BJ MC Ahmdebad Ahmedabad Gov MC Functional Active
2 SSGH Vadodara Vadodara Gov MC Functional Active
3 MP Shah MC Jamnagar Jamnagar Gov MC Upgrading Apr-11
4 GMC Bhavnagar Bhavnagar Gov MC Upgrading Jul-11
5 GMC Surat Surat Gov MC Upgrading Jul-11
Note: 1 DOTS Plus Site to be identified

State PMDT Plan
DOTS Plus Plan
DOTS Plus Implementing
Status of Gujarat
Implementing Districts
Central Appraisal Done
No Implementation
KACHCHH
JAMNAGAR
PORBANDAR
Functional DOTS Pl us Site
Pr oposed DOTS Plus Site
30000
25000
20000
15000
10000
5000
0
2010
4Q
JUNAGADH
2011
1Q
RAJKOT
IRL
AMRELI
BANAS KANTHA
PATAN
SURENDRANAGAR
BHAVNAGAR
MAHESANA
AHMEDABAD
Proposed C & DST Lab
2011
2Q
Cases
Cum MDR Suspects
Cum MDR Cases
2011
3Q
2011
4Q
GANDHINAGAR
AMC
ANAND
2012
1Q
SABAR KANTHA
KHEDA
BHARUCH
SURAT
SMC
VADODARA
VMC
NAVSARI
VALSAD
2012
2Q
PANCH
MAHALS
NARMADA
VYARA
CHHOTA
UDEPUR
THE
DANGS
Number Gujarat : Enrollment Plan of MDR TB Suspects and
2012
3Q
DAHOD
2012
4Q
Cum MDR Suspects 416 1453 2552 3706 6839 11208 15577 19946 24315
Cum MDR Cases 177 431 712 1015 1559 2263 2968 3672 4376
97
National Scale up Plan for PMDT 2011-2012

98
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AHMADABAD 3 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
AMC 1 IRL Ahd A B B B B C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
AMRELI 5 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
ANAND 2 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
BANAS KANTHA 3 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
BHARUCH 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
BHAVNAGAR 5 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
CHHOTAUDEPUR 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
DAHOD 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
GANDHINAGAR 2 IRL Ahd A B B B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
JAMNAGAR 6 Jam MC A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
JUNAGADH 6 Jam MC A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
KACHCHH 6 Jam MC A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
KHEDA 2 IRL Ahd A B B B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
MAHESANA 2 IRL Ahd A B B B B C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
NARMADA 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
NAVSARI 7 Sur MC A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA
PANCH MAHALS 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
PATAN 3 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
PORBANDAR 6 Jam MC A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
RAJKOT 5 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
SABAR KANTHA 2 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
SURAT 7 Sur MC A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA
SURAT Mc 7 Sur MC A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA
SURENDRANGAR 3 IRL Ahd A A A A B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
THE DANGS 7 IRL Ahd A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
VADODARA 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
VADODARA MC 4 IRL Ahd A A A A B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
VALSAD 7 Sur MC A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA
VYARA(SURAT) 7 Sur MC A A B B B B LPA LPA LPA LPA LPA LPA LPA LPA

District
Name
99
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AHMADABAD 3 IRL Ahd 25 25 25 25 97 97 97 97 97 9 10 10 10 18 18 18 18 18
AMC 1 IRL Ahd 90 405 405 405 405 1000 1000 1000 1000 39 78 78 78 78 157 157 157 157
AMRELI 5 IRL Ahd 10 10 10 10 77 77 77 77 77 5 5 5 5 13 13 13 13 13
ANAND 2 IRL Ahd 25 25 25 25 161 161 161 161 161 10 10 10 10 27 27 27 27 27
BANAS KANTHA 3 IRL Ahd 29 29 29 29 220 220 220 220 220 12 12 12 12 35 35 35 35 35
BHARUCH 4 IRL Ahd 9 9 9 9 77 77 77 77 77 3 3 3 3 11 11 11 11 11
BHAVNAGAR 5 IRL Ahd 17 17 17 17 138 138 138 138 138 7 7 7 7 22 22 22 22 22
CHHOTAUDEPUR 4 IRL Ahd 2 2 2 2 60 60 60 60 60 1 1 1 1 8 8 8 8 8
DAHOD 4 IRL Ahd 31 31 31 31 204 204 204 204 204 13 13 13 13 35 35 35 35 35
GANDHINAGAR 2 IRL Ahd 9 83 83 83 83 83 83 83 83 4 13 13 13 13 13 13 13 13
JAMNAGAR 6 Jam MC 0 0 16 16 114 114 114 114 114 7 7 19 19 19 19 19
JUNAGADH 6 Jam MC 0 0 22 22 114 114 114 114 114 9 9 20 20 20 20 20
KACHCHH 6 Jam MC 0 0 22 22 86 86 86 86 86 10 10 18 18 18 18 18
KHEDA 2 IRL Ahd 27 163 163 163 163 163 163 163 163 11 28 28 28 28 28 28 28 28
MAHESANA 2 IRL Ahd 10 107 107 107 107 353 353 353 353 4 16 16 16 16 50 50 50 50
NARMADA 4 IRL Ahd 0 0 0 0 25 25 25 25 25 0 0 0 0 3 3 3 3 3
NAVSARI 7 Sur MC 0 0 0 6 6 64 64 64 64 3 3 9 9 9 9
PANCH MAHALS 4 IRL Ahd 47 47 47 47 258 258 258 258 258 22 22 22 22 47 47 47 47 47
PATAN 3 IRL Ahd 9 9 9 9 79 79 79 79 79 4 4 4 4 12 12 12 12 12
PORBANDAR 6 Jam MC 0 0 2 2 18 18 18 18 18 1 1 3 3 3 3 3
RAJKOT 5 IRL Ahd 26 26 26 26 143 143 143 143 143 11 11 11 11 25 25 25 25 25
SABAR KANTHA 2 IRL Ahd 23 23 23 23 176 176 176 176 176 9 9 9 9 28 28 28 28 28
SURAT 7 Sur MC 0 0 0 13 13 96 96 96 96 5 5 15 15 15 15
SURAT Mc 7 Sur MC 0 0 0 21 21 186 186 186 186 9 9 30 30 30 30
SURENDRANGAR 3 IRL Ahd 11 11 11 11 94 94 94 94 94 5 5 5 5 15 15 15 15 15
THE DANGS 7 IRL Ahd 0 0 0 0 0 9 9 9 9 0 0 1 1 1 1
VADODARA 4 IRL Ahd 7 7 7 7 99 99 99 99 99 3 3 3 3 14 14 14 14 14
VADODARA MC 4 IRL Ahd 9 9 9 9 83 83 83 83 83 4 4 4 4 13 13 13 13 13
VALSAD 7 Sur MC 0 0 0 5 5 46 46 46 46 2 2 7 7 7 7
VYARA(SURAT) 7 Sur MC 0 0 0 9 9 49 49 49 49 3 3 8 8 8 8
Total 416 1038 1099 1154 3133 4369 4369 4369 4369 176 254 281 303 544 704 704 704 704
Lab
capacity 2100 2100 2100 2700 3300 4200 4200 4200 Drug
courses
672 1401 1500 1500
Note: Cumulative Lab Capacity includes capacity of IRL Ahmedabad and MP Shah MC Jamnagar and does not include the 2 labs at Surat.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
100
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 1 AMC Aug-07 A Jan-11 IRL Ahd Mar-07 Aug-09 Dec-10 Courier Icepacks
2 5 Anand Feb-09 A Oct-11 IRL Ahd Oct-08 Aug-09 Dec-10 Courier Icepacks
2 5 Gandhinagar Feb-09 A Jan-11 IRL Ahd Oct-08 Aug-09 Dec-10 Courier Icepacks
2 5 Kheda Feb-09 A Jan-11 IRL Ahd Oct-08 Aug-09 Dec-10 Courier Icepacks
2 5 Mehsana Feb-09 A Jan-11 IRL Ahd Oct-08 Aug-09 Dec-10 Courier Icepacks
2 5 Sabarkantha Feb-09 A Oct-11 IRL Ahd Oct-08 Aug-09 Dec-10 Courier Icepacks
3 4 Ahmedabad R Aug-09 A Oct-11 IRL Ahd Mar-09 Aug-09 Dec-10 Courier Icepacks
3 4 Banaskantha Aug-09 A Oct-11 IRL Ahd Mar-09 Aug-09 Dec-10 Courier Icepacks
3 4 Patan Aug-09 A Oct-11 IRL Ahd Mar-09 Aug-09 Dec-10 Courier Icepacks
3 4 Surendranagar Aug-09 A Oct-11 IRL Ahd Mar-09 Aug-09 Dec-10 Courier Icepacks
4 7 Bharuch Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 ChhotaUdepur Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 Dahod Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 Narmada Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 Panchmahals Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 Vadodara R Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
4 7 VMC Jan-10 A Oct-11 IRL Ahd Aug-09 Jan-11 Dec-10 Courier Icepacks
5 3 Amreli Apr-10 A Oct-11 IRL Ahd Jan-10 Jan-11 Dec-10 Courier Icepacks
5 3 Bhavnagar Apr-10 A Oct-11 IRL Ahd Jan-10 Jan-11 Dec-10 Courier Icepacks
5 3 Rajkot Apr-10 A Oct-11 IRL Ahd Jan-10 Jan-11 Dec-10 Courier Icepacks
6 4 Kachchh Apr-11 A Oct-11 Jam MC Jan-10 Apr-11 Dec-10 Courier Icepacks
6 4 Jamnagar Apr-11 A Oct-11 Jam MC Apr-11 Apr-11 Dec-10 Courier Icepacks
6 4 Junagadh Apr-11 A Oct-11 Jam MC Apr-11 Apr-11 Dec-10 Courier Icepacks
6 4 Porbandar Apr-11 A Oct-11 Jam MC Apr-11 Apr-11 Dec-10 Courier Icepacks
7 6 Navsari Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks
7 6 SMC Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks
7 6 Surat R Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks
7 6 The Dangs Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks
7 6 Valsad Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks
7 6 Vyara Jul-11 A Jan-12 Sur MC Jul-11 Jul-11 Apr-11 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
101
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing
PWBs from
loose drugs
procured
(MM/YY)
1 1 AMC Aug-07 BJMC Ahd Aug-07 Jan-07 Feb-07 NA NA Dec-10 Jan-11
2 5 Anand Feb-09 BJMC Ahd Aug-07 Jun-08 Aug-08 NA NA Dec-10 Jan-11
2 5 Gandhinagar Feb-09 BJMC Ahd Aug-07 Jun-08 Aug-08 NA NA Dec-10 Jan-11
2 5 Kheda Feb-09 BJMC Ahd Aug-07 Jun-08 Aug-08 NA NA Dec-10 Jan-11
2 5 Mehsana Feb-09 BJMC Ahd Aug-07 Jun-08 Aug-08 NA NA Dec-10 Jan-11
2 5 Sabarkantha Feb-09 BJMC Ahd Aug-07 Jun-08 Aug-08 NA NA Dec-10 Jan-11
3 4 Ahmedabad R Aug-09 BJMC Ahd Aug-07 Jan-09 Feb-09 NA NA Dec-10 Jan-11
3 4 Banaskantha Aug-09 BJMC Ahd Aug-07 Jan-09 Feb-09 NA NA Dec-10 Jan-11
3 4 Patan Aug-09 BJMC Ahd Aug-07 Jan-09 Feb-09 NA NA Dec-10 Jan-11
3 4 Surendranagar Aug-09 BJMC Ahd Aug-07 Jan-09 Feb-09 NA NA Dec-10 Jan-11
4 7 Bharuch Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 ChhotaUdepur Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 Dahod Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 Narmada Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 Panchmahals Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 Vadodara R Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
4 7 VMC Jan-10 SSGH Vadodara Jan-10 Jul-09 Sep-09 NA NA Dec-10 Jan-11
5 3 Amreli Apr-10 GMC Bhavnagar Apr-11 Nov-09 Dec-09 NA NA Dec-10 Jan-11
5 3 Bhavnagar Apr-10 GMC Bhavnagar Apr-11 Nov-09 Dec-09 NA NA Dec-10 Jan-11
5 3 Rajkot Apr-10 GMC Jamanagar Apr-11 Nov-09 Dec-09 NA NA Dec-10 Jan-11
6 4 Kachchh Apr-11 GMC Jamanagar Apr-11 Jan-11 Feb-11 Mar-11 Mar-11 Dec-10 Feb-11
6 4 Jamnagar Apr-11 GMC Jamanagar Apr-11 Jan-11 Feb-11 Mar-11 Mar-11 Dec-10 Feb-11
6 4 Junagadh Apr-11 GMC Jamanagar Apr-11 Jan-11 Feb-11 Mar-11 Mar-11 Dec-10 Feb-11
6 4 Porbandar Apr-11 GMC Jamanagar Apr-11 Jan-11 Feb-11 Mar-11 Mar-11 Dec-10 Feb-11
7 6 Navsari Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11
7 6 SMC Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11
7 6 Surat R Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11
7 6 The Dangs Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11
7 6 Valsad Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11
7 6 Vyara Jul-11 GMC Surat Jun-11 Mar-11 Apr-11 May-11 Jun-11 Dec-10 Apr-11

State Profile:
State Population
in lakh
Maharashtra State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - MAHARASHTRA STATE
Districts
with
services
State wide
coverage
planned
Maharashtra 1127 55 270 1314 8 11 1 55 Sep 2007 15 Mar 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid Culture
planned
Liquid
Status
Liquid Date
Active
1 IRL Nagpur Nagpur Gov Active Active Yes Active Active Yes Upgrading Dec -11
2 PD Hinduja Mumbai Private Yes Upgrading Dec - 11 Yes Active Active
3 IRL Pune Pune Gov Upgrading Jun-12 Yes Upgrading Apr-11 Yes Upgrading Jun-12
4 JJ Hosp. Mumbai Mumbai Gov MC Under Accr Dec-10 Yes Upgrading Apr-11 No NA NA
5 SRL Religare Mumbai Private No NA NA Yes Under Accr Jan – 11
6 Aurangabad Aurangabad Gov MC Preliminary Jun-12 Yes Preliminary Jun-12 No NA NA
7 BJ MC Pune Pune Gov MC Upgrading Jun-12 No NA NA No NA NA
8 Wardha MC Wardha NGO Under Accr Jun-12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GMC Nagpur Nagpur Gov MC Functional Active
2 GMC Akola Akola Gov MC Functional Active
3 Sewri TB Hospital Mumbai Gov Functional Active
4 GMC Aurangabad Aurangabad Gov MC Upgrading Dec-10
5 GMC Dhule Dhule Gov MC Upgrading Jan-11
6 Aundh Chest Hospital Pune Gov Upgrading Mar-11
7 GMC Latur Latur Gov MC Upgrading Jul-11
8 GMC Kolhapur Kolhapur Gov MC Upgrading Oct-11
Note: 3 DOTS Plus Site to be identified
102

DOTS Plus Plan
State PMDT Plan
F Culture DST Facility –Functional
Jalgoan Corp
Dhule Corp
Amravati Corp
Culture DST Facility- prep ar ation
A’bad Corp
Ahmednagar Corp
Akola Corp
Nagpur C orp
Nandurbar
Nashik Corp
Nagpur F
Gondiya
Dhule
Amravati
Bhiwandi
Jalgaon
Bhandara
Akola
F
NMMC
Wardha
Buldana
MBMC
Nashik
F
Washim
Chandrapur
Yavatmal
UMC
Thane
Aur angabad F
KD MC
Jalna Hingoli
F
Ahmadnagar
Parbhani
Gadchiroli
TMC
Mumbai F
Bid
Nanded Nanded Corp
Pune
Pha
PCMC
se
Raigarh
Osmanabad
I 2007-08 Nagp ur d ivision
Pune Rural
Latur
Ratnagiri
Sindhudurg
25000
20000
15000
10000
5000
Satara
Kolhapur
0
Sangli
Solapur
Sangli Corp
K’pur Corp
2010
4Q
2011
1Q
S’pur Corp
and Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
F
DOTS Plus Site functional
DOTS Plus Site –under up gradation
Year STDC N agpu r (I) STDC Pune (II)
II 2008-09 Akola circle
III 2010-11
IV
2011-12 A
2011-12 A
Aura ngab ad
ci rcle
2011-12 B Nasik cir cl e
2011-12 C
Nan ded , B id,
Nan ded Co rp,
V 2011-12B La tur , O sm anab ad
Number Maharashtra : Enrollment Plan of MDR TB Suspects
2011
4Q
2012
1Q
2012
2Q
•M umbai (Zone 1,2,3) an d
NMMC is i mpleme nted
•M umbai (Zone 4,5,6), -
wait ing for CT D appraisa l
KDMC ,M BM C U MC , B hiwand i
MC ; Tha ne MC - waiti ng for
CT D appraisal
•Thane , Pu ne, P MC , P CM C,-
Ra tnagiri -prep aring
Solapu r, Solap ur MC , Satar a,
Ra igad -pr epar in g
Sangli, Sangli Cor p, K olhapur,
Ko lh apur C or p, Sindh udu rg
2012
3Q
2012
4Q
Cum MDR Suspects 264 1244 2241 4333 6652 9474 12980 17074 21260
Cum MDR Cases 101 303 511 870 1276 1754 2322 2968 3627
103
National Scale up Plan for PMDT 2011-2012

104
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Ahmadnagar 4 IRLPune A A B B B LJ LJ LPA LPA LPA
Ahmadnagar MC 4 IRLPune A A B B B LJ LJ LPA LPA LPA
Akola 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Akola MC 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Amravati MC 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Amravati Rural 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Aurangabad MC 3 IRL Nag A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA
Aurangabad-MH 3 IRL Nag A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA
Bhandara 1 IRL Nag A B B B B B B B C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Bhiwandi-N MC 3 Hinduja A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Bid 4 IRL Nag B B B B B LJ LJ LJ LJ LJ
Buldana 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Chandrapur 1 IRL Nag A B B B B B B C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Dhule 4 IRL Nag A A B B B B B LJ LJ LPA LPA LPA LPA LPA
Dhule MC 4 IRL Nag A A B B B B B LJ LJ LPA LPA LPA LPA LPA
Gadchiroli 1 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Gondiya 1 IRL Nag A B B B B B C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Hingoli 3 IRL Nag A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA
Jalgaon 4 IRL Nag A A B B B LJ LJ LPA LPA LPA
Jalgaon MC 4 IRL Nag A A B B B LJ LJ LPA LPA LPA
Jalna 3 IRL Nag A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA
Kalyan Dom MC 3 Hinduja A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Kolhapur 4 IRLPune A A B B LJ LJ LPA LPA
Kolhapur MC 4 IRLPune A A B B LJ LJ LPA LPA
Latur 4 IRL Nag A A B B LJ LJ LPA LPA
Malegaon 4 IRL Nag A A B B B B B LJ LJ LPA LPA LPA LPA LPA
Meera Bhyn MC 3 Hinduja A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Mumbai 3 Hinduja A A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Nagpur MC 1 IRL Nag A B B B B C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Nagpur Rural 1 IRL Nag A B B B B B C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Nanded 4 IRL Nag A A B B LJ LJ LPA LPA
Nanded W MC 4 IRL Nag A B B B LJ LJ LPA LPA
Nandurbar 4 IRL Nag A A B B B LJ LJ LPA LPA LPA
Nashik 4 IRL Nag A A B B B B B LJ LJ LPA LPA LPA LPA LPA
Nashik MC 4 IRL Nag A A B B B B B LJ LJ LPA LPA LPA LPA LPA
Navi Mumbai 3 Hinduja A B B B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT

105
National Scale up Plan for PMDT 2011-2012
Osmanabad 4 IRL Nag A A B B LJ LJ LPA LPA
Parbhani 4 IRL Nag A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA
Pimpri Chinc MC 4 IRLPune A A A B B B LJ LJ LJ LJ LJ LJ
Pune 4 IRLPune A A A B B B LJ LJ LJ LJ LJ LJ
Pune Rural 4 IRLPune A A A B B B LJ LJ LJ LJ LJ LJ
Raigarh-MH 4 JJ Mum A B B B B LJ LJ LPA LPA LPA
Ratnagiri 4 JJ Mum A A B B B B LJ LJ LPA LPA LPA LPA
Sangli 4 IRLPune A A A B B LJ LJ LJ LJ LJ
Sangli MC 4 IRLPune A A A B B LJ LJ LJ LJ LJ
Satara 4 IRLPune A A A B B LJ LJ LJ LJ LJ
Sindhudurg 4 JJ Mum A A B B B B LJ LJ LPA LPA LPA LPA
Solapur 4 IRLPune A A A B B LJ LJ LJ LJ LJ
Solapur MC 4 IRLPune A A A B B LJ LJ LJ LJ LJ
Thane 4 JJ Mum A A B B B B LJ LJ LPA LPA LPA LPA
Thane MC 3 Hinduja A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Ulhasnagar MC 3 Hinduja A A B B B B B B MGIT MGIT MGIT MGIT MGIT MGIT MGIT MGIT
Wardha 1 IRL Nag A B B B B B B C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
Washim 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA
Yavatmal 2 IRL Nag A B B B B B B B B LJ LPA LPA LPA LPA LPA LPA LPA LPA

District
Name
106
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Ahmadnagar 4 IRLPune 0 0 0 0 10 10 48 48 48 3 3 8 8 8
Ahmadnagar MC 4 IRLPune 0 0 0 0 0 0 5 5 5 0 0 1 1 1
Akola 2 IRL Nag 14 56 56 56 56 56 56 56 56 5 10 10 10 10 10 10 10 10
Akola MC 2 IRL Nag 0 8 8 8 8 8 8 8 8 0 1 1 1 1 1 1 1 1
Amravati MC 2 IRL Nag 6 26 26 26 26 26 26 26 26 2 5 5 5 5 5 5 5 5
Amravati Rural 2 IRL Nag 11 74 74 74 74 74 74 74 74 4 12 12 12 12 12 12 12 12
Aurangabad MC 3 IRL Nag 0 2 2 29 29 29 29 29 29 1 1 4 4 4 4 4 4
Aurangabad-MH 3 IRL Nag 0 2 2 40 40 40 40 40 40 1 1 5 5 5 5 5 5
Bhandara 1 IRL Nag 11 42 42 42 42 42 42 42 134 5 9 9 9 9 9 9 9 21
Bhiwandi-N MC 3 Hinduja 0 0 0 7 7 7 7 7 7 0 0 1 1 1 1 1 1
Bid 4 IRL Nag 0 0 0 0 33 33 33 33 33 6 6 6 6 6
Buldana 2 IRL Nag 16 94 94 94 94 94 94 94 94 6 15 15 15 15 15 15 15 15
Chandrapur 1 IRL Nag 10 62 62 62 62 62 62 262 262 4 10 10 10 10 10 10 39 39
Dhule 4 IRL Nag 0 0 6 6 50 50 50 50 50 2 2 7 7 7 7 7
Dhule MC 4 IRL Nag 0 0 0 0 2 2 2 2 2 0 0 0 0 0 0 0
Gadchiroli 1 IRL Nag 2 24 24 24 24 24 24 24 24 1 3 3 3 3 3 3 3 3
Gondiya 1 IRL Nag 8 37 37 37 37 37 158 158 158 4 7 7 7 7 7 24 24 24
Hingoli 3 IRL Nag 0 8 8 30 30 30 30 30 30 3 3 5 5 5 5 5 5
Jalgaon 4 IRL Nag 0 0 0 0 10 10 79 79 79 3 3 11 11 11
Jalgaon MC 4 IRL Nag 0 0 0 0 0 0 2 2 2 0 0 0 0 0
Jalna 3 IRL Nag 0 9 9 58 58 58 58 58 58 3 3 8 8 8 8 8 8
Kalyan Dom MC 3 Hinduja 0 9 9 26 26 26 26 26 26 3 3 5 5 5 5 5 5
Kolhapur 4 IRLPune 0 0 0 0 0 9 9 52 52 3 3 8 8
Kolhapur MC 4 IRLPune 0 0 0 0 0 3 3 13 13 1 1 2 2
Latur 4 IRL Nag 0 0 0 0 0 11 11 43 43 4 4 7 7
Malegaon 4 IRL Nag 0 0 0 0 3 3 3 3 3 0 0 0 0 0 0 0
Meera Bhyn MC 3 Hinduja 0 0 0 6 6 6 6 6 6 0 0 1 1 1 1 1 1
Mumbai 3 Hinduja 124 124 124 865 865 865 865 865 865 46 46 46 139 139 139 139 139 139
Nagpur MC 1 IRL Nag 11 97 97 97 97 307 307 307 307 5 15 15 15 15 45 45 45 45
Nagpur Rural 1 IRL Nag 7 64 64 64 64 64 308 308 308 3 10 10 10 10 10 45 45 45
Nanded 4 IRL Nag 0 0 0 0 0 7 7 46 46 2 2 7 7
Nanded W MC 4 IRL Nag 0 0 0 0 0 2 14 14 14 1 2 2 2
Nandurbar 4 IRL Nag 0 0 0 0 5 5 34 34 34 1 1 5 5 5
Nashik 4 IRL Nag 0 0 8 8 57 57 57 57 57 2 2 8 8 8 8 8
Nashik MC 4 IRL Nag 0 0 3 3 21 21 21 21 21 1 1 3 3 3 3 3
Navi Mumbai 3 Hinduja 14 53 53 53 53 53 53 53 53 6 10 10 10 10 10 10 10 10
Osmanabad 4 IRL Nag 0 0 0 0 0 3 3 21 21 1 1 3 3

107
National Scale up Plan for PMDT 2011-2012
Parbhani 4 IRL Nag 0 4 4 36 36 36 36 36 36 1 1 5 5 5 5 5 5
Pimpri Chinc MC 4 IRLPune 0 0 0 10 10 10 42 42 42 4 4 4 8 8 8
Pune 4 IRLPune 0 0 0 12 12 12 66 66 66 4 4 4 11 11 11
Pune Rural 4 IRLPune 0 0 0 10 10 10 87 87 87 3 3 3 12 12 12
Raigarh-MH 4 JJ Mum 0 0 0 0 17 97 97 97 97 6 16 16 16 16
Ratnagiri 4 JJ Mum 0 0 0 11 11 57 57 57 57 4 4 9 9 9 9
Sangli 4 IRLPune 0 0 0 0 7 7 7 35 35 2 2 2 6 6
Sangli MC 4 IRLPune 0 0 0 0 4 4 4 10 10 2 2 2 2 2
Satara 4 IRLPune 0 0 0 0 17 17 17 59 59 6 6 6 11 11
Sindhudurg 4 JJ Mum 0 0 0 6 6 25 25 25 25 3 3 5 5 5 5
Solapur 4 IRLPune 0 0 0 0 7 7 7 39 39 3 3 3 6 6
Solapur MC 4 IRLPune 0 0 0 0 4 4 4 33 33 1 1 1 5 5
Thane 4 JJ Mum 0 0 0 21 21 135 135 135 135 6 6 20 20 20 20
Thane MC 3 Hinduja 0 24 24 89 89 89 89 89 89 9 9 17 17 17 17 17 17
Ulhasnagar MC 3 Hinduja 0 7 7 29 29 29 29 29 29 3 3 5 5 5 5 5 5
Wardha 1 IRL Nag 12 43 43 43 43 43 43 151 151 5 9 9 9 9 9 9 24 24
Washim 2 IRL Nag 5 34 34 34 34 34 34 34 34 2 5 5 5 5 5 5 5 5
Yavatmal 2 IRL Nag 13 77 77 77 77 77 77 77 77 4 12 12 12 12 12 12 12 12
Total 264 980 997 2092 2319 2822 3506 4094 4186 101 202 208 359 406 478 569 646 659
Lab
capacity 1200 1800 3600 5400 6300 6300 6300 6300 Drug
courses
410 764 1047 1305
Note: Cumulative Lab Capacity includes capacity of IRL Nagpur, Pune and JJ Hospital, Mumbai and does not include the 3 Private labs and the
labs proposed at BJMC Pune and GMC Aurangabad.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
108
C-DST
lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 7 Nagpur Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Nagpur MC Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Bhandara Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Chandrapur Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Gondia Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Gadchiroli Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
1 7 Wardha Aug-07 A Jan-11 IRL Nag Aug-07 Jan-11 Procured Courier Icepacks
2 7 Akola Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Akola MC Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Amravati Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Amravati MC Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Buldhana Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Washim Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
2 7 Yeotmal Mar-09 A Jan-11 IRL Nag Mar-09 Nov-11 Procured Courier Icepacks
3 4 Mumbai Zone I Jun-10 A Jan-11 Hinduja Jun-10 Jun-11 By Hinduja Courier Icepacks
3 4 Mumbai Zone II Jun-10 A Jan-11 Hinduja Jun-10 Jun-11 By Hinduja Courier Icepacks
3 4 Mumbai Zone III Jun-10 A Jan-11 Hinduja Jun-10 Jun-11 By Hinduja Courier Icepacks
3 4 NMMC Jun-10 A Jan-11 Hinduja Jun-10 Jun-11 By Hinduja Courier Icepacks
4 5 Aurangabad Mar-11 A Sep-11 IRL Nag Jan-11 Jun-11 Procured Courier Icepacks
4 5 Aurangabad MC Mar-11 A Sep-11 IRL Nag Jan-11 Jun-11 Procured Courier Icepacks
4 5 Jalna Mar-11 A Sep-11 IRL Nag Jan-11 Jun-11 Procured Courier Icepacks
4 5 Parbhani Mar-11 A Sep-11 IRL Nag Jan-11 Jun-11 Procured Courier Icepacks
4 5 Hingoli Mar-11 A Sep-11 IRL Nag Jan-11 Jun-11 Procured Courier Icepacks
5 5 Thane MC Apr-11 A Sep-11 Hinduja Mar-11 Sep-11 By Hinduja Courier Icepacks
5 5 Kalyan Dombi MC Apr-11 A Sep-11 Hinduja Mar-11 Sep-11 By Hinduja Courier Icepacks
5 5 Ulhasnagar MC Apr-11 A Sep-11 Hinduja Mar-11 Sep-11 By Hinduja Courier Icepacks
5 5 Bhiwandi N MC Apr-11 A Sep-11 Hinduja Mar-11 Sep-11 By Hinduja Courier Icepacks
5 5 Mira Bhayn MC Apr-11 A Sep-11 Hinduja Mar-11 Sep-11 By Hinduja Courier Icepacks
6 3 Mumbai zone IV Apr-11 A Sep-11 Hinduja Mar-11 Jun-11 By Hinduja Courier Icepacks
6 3 Mumbai zone V Apr-11 A Sep-11 Hinduja Mar-11 Jun-11 By Hinduja Courier Icepacks
6 3 Mumbai zone VI Apr-11 A Sep-11 Hinduja Mar-11 Jun-11 By Hinduja Courier Icepacks
7 5 Nasik Jul-11 A Dec-11 IRL Nag Apr-11 Dec-11 Dec-10 Courier Icepacks
7 5 Nasik MC Jul-11 A Dec-11 IRL Nag Apr-11 Dec-11 Dec-10 Courier Icepacks

109
National Scale up Plan for PMDT 2011-2012
7 5 Dhule Jul-11 A Dec-11 IRL Nag Apr-11 Dec-11 Dec-10 Courier Icepacks
7 5 Dhule MC Jul-11 A Dec-11 IRL Nag Apr-11 Dec-11 Dec-10 Courier Icepacks
7 5 Malegoan MC Jul-11 A Dec-11 IRL Nag Apr-11 Dec-11 Dec-10 Courier Icepacks
8 2 Ahmednagar Jan-12 A Jul-12 IRL Pune Oct-11 Jul-12 Apr-11 Courier Icepacks
8 2 Ahmednagar MC Jan-12 A Jul-12 IRL Pune Oct-11 Jul-12 Apr-11 Courier Icepacks
9 2 Jalgaon Jan-12 A Jul-12 IRL Pune Oct-11 Jul-12 Apr-11 Courier Icepacks
9 2 Jalgaon MC Jan-12 A Jul-12 IRL Pune Oct-11 Jul-12 Apr-11 Courier Icepacks
10 1 Nandurbar Mar-12 A Jun-12 IRL Nag Dec-11 Jun-12 Apr-11 Courier Icepacks
11 3 Pune Rural Jul-11 A Oct-11 IRL Nag Apr-11 Oct-11 Dec-10 Courier Icepacks
11 3 Pune MC Jul-11 A Oct-11 IRL Nag Apr-11 Oct-11 Dec-10 Courier Icepacks
11 3 Pimpri Chinc MC Jul-11 A Oct-11 IRL Nag Apr-11 Oct-11 Dec-10 Courier Icepacks
12 3 Thane Rural Jan-12 A Jun-12 JJ Mum Sep-11 Jun-12 Apr-11 Courier Icepacks
12 3 Ratnagiri Jan-12 A Jun-12 JJ Mum Sep-11 Jun-12 Apr-11 Courier Icepacks
12 3 Singhudurg Jan-12 A Jun-12 JJ Mum Sep-11 Jun-12 Apr-11 Courier Icepacks
13 5 Latur Nov-11 A Apr-12 IRL Nag Sep-11 Apr-12 Apr-11 Courier Icepacks
13 5 Bid Nov-11 A Apr-12 IRL Nag Sep-11 Apr-12 Apr-11 Courier Icepacks
13 5 Osmanabad Nov-11 A Apr-12 IRL Nag Sep-11 Apr-12 Apr-11 Courier Icepacks
13 5 Nanded Nov-11 A Apr-12 IRL Nag Sep-11 Apr-12 Apr-11 Courier Icepacks
13 5 Nanded MC Nov-11 A Apr-12 IRL Nag Sep-11 Apr-12 Apr-11 Courier Icepacks
14 4 Kolhapur Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
14 4 Kolhapur MC Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
14 4 Sangli Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
14 4 Sangli MC Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
15 3 Solapur Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
15 3 Solapur MC Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
15 3 Satara Dec-11 A Jun-12 IRL Pune Sep-11 Jun-12 Apr-11 Courier Icepacks
16 1 Raigad Nov-11 A Apr-12 JJ Mum Sep-11 Apr-12 Apr-11 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS
Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
110
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 7 Nagpur Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Nagpur MC Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Bhandara Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Chandrapur Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Gondia Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Gadchiroli Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
1 7 Wardha Aug-07 GMC Nagpur Dec-07 Done Done Done Done Mar-11 Done
2 7 Akola Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Akola MC Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Amravati Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Amravati MC Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Buldhana Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Washim Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
2 7 Yeotmal Mar-09 GMC Akola Dec-09 Done Done Done Done Mar-11 Done
3 4 Mumbai Zone I Jun-10 Sewri TBH Mumbai Dec-10 Done Done Done Done Mar-11 Done
3 4 Mumbai Zone II Jun-10 Sewri TBH Mumbai Dec-10 Done Done Done Done Mar-11 Done
3 4 Mumbai Zone III Jun-10 Sewri TBH Mumbai Dec-10 Done Done Done Done Mar-11 Done
3 4 NMMC Jun-10 Sewri TBH Mumbai Dec-10 Done Done Done Done Mar-11 Done
4 5 Aurangabad Mar-11 GMC Aurangabad Dec-10 Done Done Oct-10 Nov-10 Mar-11 Done
4 5 Aurangabad MC Mar-11 GMC Aurangabad Dec-10 Done Done Oct-10 Nov-10 Mar-11 Done
4 5 Jalna Mar-11 GMC Aurangabad Dec-10 Done Done Oct-10 Nov-10 Mar-11 Done
4 5 Parbhani Mar-11 GMC Aurangabad Dec-10 Done Done Oct-10 Nov-10 Mar-11 Done
4 5 Hingoli Mar-11 GMC Aurangabad Dec-10 Done Done Oct-10 Nov-10 Mar-11 Done
5 5 Thane MC
Kalyan Dombi
Apr-11 Sewri TBH Mumbai Dec-10 Done Dec-10 Dec-10 Jan-11 Mar-11 Dec-10
5 5 MC Apr-11 Sewri TBH Mumbai Dec-10 Done Dec-10 Dec-10 Jan-11 Mar-11 Dec-10
5 5 Ulhasnagar MC Apr-11 Sewri TBH Mumbai Dec-10 Done Dec-10 Dec-10 Jan-11 Mar-11 Dec-10
5 5 Bhiwandi N MC Apr-11 Sewri TBH Mumbai Dec-10 Done Dec-10 Dec-10 Jan-11 Mar-11 Dec-10
5 5 Mira Bhayn MC Apr-11 Sewri TBH Mumbai Dec-10 Done Dec-10 Dec-10 Jan-11 Mar-11 Dec-10
6 3 Mumbai zone IV Apr-11 Sewri TBH Mumbai Dec-10 Dec-10 Jan-11 Dec-11 Jan-11 Mar-11 Dec-10
6 3 Mumbai zone V Apr-11 Sewri TBH Mumbai Dec-10 Dec-10 Jan-11 Dec-11 Jan-11 Mar-11 Dec-10
6 3 Mumbai zone VI Apr-11 Sewri TBH Mumbai Dec-10 Dec-10 Jan-11 Dec-11 Jan-11 Mar-11 Dec-10
7 5 Nasik Jul-11 GMC Dhule Jan-11 Dec-10 Jan-11 Feb-11 Mar-11 Mar-11 Mar-11

111
National Scale up Plan for PMDT 2011-2012
7 5 Nasik MC Jul-11 GMC Dhule Jan-11 Dec-10 Jan-11 Feb-11 Mar-11 Mar-11 Mar-11
7 5 Dhule Jul-11 GMC Dhule Jan-11 Dec-10 Jan-11 Feb-11 Mar-11 Mar-11 Mar-11
7 5 Dhule MC Jul-11 GMC Dhule Jan-11 Dec-10 Jan-11 Feb-11 Mar-11 Mar-11 Mar-11
7 5 Malegoan MC Jul-11 GMC Dhule Jan-11 Dec-10 Jan-11 Feb-11 Mar-11 Mar-11 Mar-11
8 2 Ahmednagar Jan-12 Aundh Chest H Pune Mar-11 Feb-11 Jul-11 Aug-11 Sep-11 Mar-11 Jun-11
8 2 Ahmednagar MC Jan-12 Aundh Chest H Pune Mar-11 Feb-11 Jul-11 Aug-11 Sep-11 Mar-11 Jun-11
9 2 Jalgaon Jan-12 GMC Dhule Jan-11 Feb-11 Jul-11 Aug-11 Sep-11 Mar-11 Jun-11
9 2 Jalgaon MC Jan-12 GMC Dhule Jan-11 Feb-11 Jul-11 Aug-11 Sep-11 Mar-11 Jun-11
10 1 Nandurbar Mar-12 GMC Dhule Jan-11 Feb-11 Sep-11 Oct-11 Nov-11 Mar-11 Jun-11
11 3 Pune Rural Jul-11 Aundh Chest H Pune Mar-11 Dec-10 Feb-11 Feb-11 Mar-11 Mar-11 Mar-11
11 3 Pune MC Jul-11 Aundh Chest H Pune Mar-11 Dec-10 Feb-11 Feb-11 Mar-11 Mar-11 Mar-11
11 3 Pimpri Chinc MC Jul-11 Aundh Chest H Pune Mar-11 Dec-10 Feb-11 Feb-11 Mar-11 Mar-11 Mar-11
12 3 Thane Rural Jan-12 Sewri TBH Mumbai Dec-10 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
12 3 Ratnagiri Jan-12 Sewri TBH Mumbai Dec-10 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
12 3 Singhudurg Jan-12 Sewri TBH Mumbai Dec-10 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
13 5 Latur Nov-11 GMC Latur Jul-11 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
13 5 Bid Nov-11 GMC Latur Jul-11 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
13 5 Osmanabad Nov-11 GMC Latur Jul-11 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
13 5 Nanded Nov-11 GMC Latur Jul-11 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
13 5 Nanded MC Nov-11 GMC Latur Jul-11 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
14 4 Kolhapur Dec-11 GMC Kolhapur Oct-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
14 4 Kolhapur MC Dec-11 GMC Kolhapur Oct-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
14 4 Sangli Dec-11 GMC Kolhapur Oct-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
14 4 Sangli MC Dec-11 GMC Kolhapur Oct-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
15 3 Solapur Dec-11 Aundh Chest H Pune Mar-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
15 3 Solapur MC Dec-11 Aundh Chest H Pune Mar-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
15 3 Satara Dec-11 Aundh Chest H Pune Mar-11 Mar-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11
16 1 Raigad Nov-11 Sewri TBH Mumbai Dec-10 Jan-11 Jun-11 Jul-11 Aug-11 Mar-11 Jun-11

State Profile:
State Population
in lakh
Rajasthan State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
112
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - RAJASTHAN STATE
Districts
with
services
State wide
coverage
planned
Rajasthan 678 33 150 825 4 6 1 33 May 2009 15 Apr 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 SMS Jaipur Jaipur Gov MC Active Active Yes Active Active Yes Under Accred Oct -11
2 IRL Ajmer Ajmer Gov Active Active Yes Upgrading Apr - 11 Yes Preliminary Sep - 12
3 DMRC Jodhpur Jodhpur ICMR Upgrading Jul – 12 No NA NA No NA NA
4 RNT MC Udaipur Udaipur Gov MC Preliminary Sep - 12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 SMS MC Jaipur Jaipur Gov MC Functional Active
2 SN MC Jodhpur Jodhpur Gov MC Upgrading Mar-11
3 RNT MC Udaipur Udaipur Gov MC Upgrading Apr-11
4 SP MC Bikaner Bikaner Gov MC Upgrading Sep-11
5 Kota MC, Kota Kota Gov MC Upgrading Jul-12
Note: 1 DOTS Plus Site to be identified

C & DST Lab and DOTS-
Plus site
Phase 1
Phase 2
Phase 3
Phase 4
25000
20000
15000
10000
Jaisalmer
5000
0
State DOTS PMDT Plus Plan
Proposed DOTS-
Plus site
Barmer
2010
4Q
Bikaner
Jodhpur
Jalore
Sirohi
2011
1Q
Ganganagar
Pali
Udaipur
Churu
Nagaur
Rajsamand
Hanumangarh
Ajm er
Bhilwara
Sikar
Chittaurgarh
Dungarpur
Banswara
and Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
Jhunjhunun
2011
4Q
Jaipur
Tonk
Bundi
Alwar
Dausa
Kota Baran
Jhalawar
Existing C & DST Lab
and DOTS-Plus site
Sawai
Madhopur
Bharatpur
Dhaulpur
DOTS-Plus site
Number Rajasthan : Enrollment Plan of MDR TB Suspects
2012
1Q
Existing C & DST Lab
2012
2Q
Proposed DOTS-
Plus site
2012
3Q
2012
4Q
Cum MDR Suspects 237 474 1129 3083 6047 9012 13211 17410 22165
Cum MDR Cases 87 175 313 630 1071 1512 2137 2763 3464
113
National Scale up Plan for PMDT 2011-2012

114
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AJMER 1 IRL Ajm A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
ALWAR 1 IRL Ajm A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
BANSWARA 3 IRL Ajm B B B B B B LPA LPA LPA LPA LPA LPA
BARAN 4 SMS Jpr B B B LPA LPA LPA
BARMER 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
BHARATPUR 4 SMS Jpr B B B LPA LPA LPA
BHILWARA 1 IRL Ajm A A B B B B B B C LJ LJ LPA LPA LPA LPA LPA LPA LPA
BIKANER 4 IRL Ajm B B B LPA LPA LPA
BUNDI 4 SMS Jpr B B B LPA LPA LPA
CHITTAURGARH 3 IRL Ajm B B B B B B LPA LPA LPA LPA LPA LPA
CHURU 4 IRL Ajm B B B LPA LPA LPA
DAUSA 1 IRL Ajm A A A A B B B B C LJ LJ LPA LPA LPA LPA LPA LPA LPA
DHAULPUR 4 SMS Jpr B B B LPA LPA LPA
DUNGARPUR 3 IRL Ajm B B B B B B LPA LPA LPA LPA LPA LPA
GANGANAGAR 4 IRL Ajm B B B LPA LPA LPA
HANUMANGAR 4 IRL Ajm B B B LPA LPA LPA
JAIPUR 1 SMS Jpr A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
JAISALMER 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JALORE 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JHALAWAR 4 SMS Jpr B B B LPA LPA LPA
JHUNJHUNUN 2 IRL Ajm A A A A B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JODHPUR 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KARAULI 4 SMS Jpr B B B LPA LPA LPA
KOTA 4 SMS Jpr B B B LPA LPA LPA
NAGAUR 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PALI 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
RAJSAMAND 3 IRL Ajm B B B B B B LPA LPA LPA LPA LPA LPA
SAWAI
MADHOPUR
4 SMS Jpr B B B LPA LPA LPA
SIKAR 1 IRL Ajm A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
SIROHI 2 IRL Ajm A A A B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
TONK 1 IRL Ajm A A B B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
UDAIPUR 3 IRL Ajm B B B B B B LPA LPA LPA LPA LPA LPA

District
Name
115
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AJMER 1 IRL Ajm 27 27 27 27 221 221 221 221 221 7 9 9 9 33 33 33 33 33
ALWAR 1 SMS Jpr 19 19 19 19 161 161 161 161 161 6 6 6 6 23 23 23 23 23
BANSWARA 3 IRL Ajm 154 154 154 154 154 154 23 23 23 23 23 23
BARAN 4 SMS Jpr 82 82 82 12 12 12
BARMER 2 IRL Ajm 9 9 9 88 88 88 88 88 88 3 3 3 12 12 12 12 12 12
BHARATPUR 4 SMS Jpr 116 116 116 17 17 17
BHILWARA 1 IRL Ajm 22 22 283 283 283 283 283 283 667 9 9 41 41 41 41 41 41 92
BIKANER 4 IRL Ajm 101 101 101 14 14 14
BUNDI 4 SMS Jpr 76 76 76 12 12 12
CHITTAURGARH 3 IRL Ajm 156 156 156 156 156 156 22 22 22 22 22 22
CHURU 4 IRL Ajm 111 111 111 16 16 16
DAUSA 1 SMS Jpr 7 7 7 7 85 85 85 85 257 2 2 2 2 12 12 12 12 36
DHAULPUR 4 SMS Jpr 94 94 94 15 15 15
DUNGARPUR 3 IRL Ajm 107 107 107 107 107 107 17 17 17 17 17 17
GANGANAGAR 4 IRL Ajm 99 99 99 14 14 14
HANUMANGAR 4 IRL Ajm 145 145 145 22 22 22
JAIPUR 1 SMS Jpr 51 51 51 51 443 443 443 443 443 19 19 19 19 67 67 67 67 67
JAISALMER 2 IRL Ajm 4 4 4 24 24 24 24 24 24 1 1 1 4 4 4 4 4 4
JALORE 2 IRL Ajm 11 11 11 74 74 74 74 74 74 4 4 4 12 12 12 12 12 12
JHALAWAR 4 SMS Jpr 98 98 98 16 16 16
JHUNJHUNUN 2 SMS Jpr 14 14 14 14 113 113 113 113 113 5 5 5 5 17 17 17 17 17
JODHPUR 2 IRL Ajm 10 10 10 127 127 127 127 127 127 5 5 5 19 19 19 19 19 19
KARAULI 4 SMS Jpr 108 108 108 15 15 15
KOTA 4 SMS Jpr 110 110 110 16 16 16
NAGAUR 2 IRL Ajm 13 13 13 130 130 130 130 130 130 4 4 4 18 18 18 18 18 18
PALI 2 IRL Ajm 9 9 9 113 113 113 113 113 113 3 3 3 16 16 16 16 16 16
RAJSAMAND 3 IRL Ajm 73 73 73 73 73 73 10 10 10 10 10 10
SAWAI
MADHOPUR
4 SMS Jpr 97 97 97 15 15 15
SIKAR 1 SMS Jpr 8 8 8 8 112 112 112 112 112 3 3 3 3 16 16 16 16 16
SIROHI 2 IRL Ajm 8 8 8 79 79 79 79 79 79 3 3 3 12 12 12 12 12 12
TONK 1 SMS Jpr 27 27 184 184 184 184 184 184 184 11 11 31 31 31 31 31 31 31
UDAIPUR 3 IRL Ajm 240 240 240 240 240 240 35 35 35 35 35 35
Total 237 237 655 1954 2964 2964 4199 4199 4755 84 87 139 317 441 441 626 626 701
Lab
capacity 800 1000 2400 2400 4200 4200 4200 4200 Drug
courses
782 392 1000 1000
Note: Cumulative Lab Capacity includes capacity of IRL Ajmer and SMS Jaipur and does not include the labs proposed at Jodhpur and Udaipur.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
116
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 7 Ajmer May-09 A Oct-11 IRL Ajmr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Alwar May-09 A Oct-11 SMS Jpr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Bhilwara May-09 A Apr-11 IRL Ajmr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Dausa May-09 A Oct-11 SMS Jpr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Jaipur May-09 A Oct-11 SMS Jpr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Sikar May-09 A Oct-11 SMS Jpr Apr-09 Apr-11 Procured Courier Icepacks
1 7 Tonk May-09 A Apr-11 SMS Jpr Apr-09 Apr-11 Procured Courier Icepacks
2 8 Barmer Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Jalore Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Jaisalmer Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Jodhpur Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Jhunjhunu Jan-10 A Jul-11 SMS Jpr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Nagaur Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Pali Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
2 8 Sirohi Jan-10 A Jul-11 IRL Ajmr Nov-09 Jul-11 Procured Courier Icepacks
3 6 Banswara Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
3 6 Chittorgarh Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
3 6 Dungarpur Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
3 6 Pratapgarh Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
3 6 Rajsamand Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
3 6 Udaipur Jul-11 B NA IRL Ajmr Jul-11 Jul-11 Apr-11 Courier Icepacks
4 12 Bikaner Apr-12 B NA IRL Ajmr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Churu Apr-12 B NA IRL Ajmr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Ganganagar Apr-12 B NA IRL Ajmr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Hanumangarh Apr-12 B NA IRL Ajmr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Bharatpur Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Dholpur Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Karauli Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 S Madhopur Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Baran Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Bundi Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Jhalawar Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks
4 12 Kota Apr-12 B NA SMS Jpr Apr-12 Apr-12 Jan-12 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
117
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 7 Ajmer May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Alwar May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Bhilwara May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Dausa May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Jaipur May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Sikar May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
1 7 Tonk May-09 SMS MC Jaipur Upgraded Done Done NA NA Jan-11 Procured
2 8 Barmer Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Jalore Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Jaisalmer Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Jodhpur Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Jhunjhunu Jan-10 SMS MC Jaipur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Nagaur Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Pali Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
2 8 Sirohi Jan-10 SNMC, Jodhpur Apr-11 Done Done NA NA Jan-11 Procured
3 6 Banswara Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
3 6 Chittorgarh Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
3 6 Dungarpur Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
3 6 Pratapgarh Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
3 6 Rajsamand Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
3 6 Udaipur Jul-11 RNT MC, Udaipur Jun-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Jan-11
4 12 Bikaner Apr-12 SP MC, Bikaner Jan-12 Nov-11 Jan-12 Feb-12 Mar-12 Jan-12 Jan-12
4 12 Churu Apr-12 SP MC, Bikaner Jan-12 Nov-11 Jan-12 Feb-12 Mar-12 Jan-12 Jan-12
4 12 Ganganagar Apr-12 SP MC, Bikaner Jan-12 Nov-11 Jan-12 Feb-12 Mar-12 Jan-12 Jan-12
4 12 Hanumangarh Apr-12 SP MC, Bikaner Jan-12 Nov-11 Jan-12 Feb-12 Mar-12 Jan-12 Jan-12
4 12 Bharatpur Apr-12 SMS MC Jaipur Oct-11 Nov-11 Jan-12 Feb-12 Mar-12 Oct-11 Jan-12
4 12 Dholpur Apr-12 SMS MC Jaipur Oct-11 Nov-11 Jan-12 Feb-12 Mar-12 Oct-11 Jan-12
4 12 Karauli Apr-12 SMS MC Jaipur Oct-11 Nov-11 Jan-12 Feb-12 Mar-12 Oct-11 Jan-12
4 12 S Madhopur Apr-12 SMS MC Jaipur Oct-11 Nov-11 Jan-12 Feb-12 Mar-12 Oct-11 Jan-12
4 12 Baran Apr-12 Kota MC Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Oct-11 Jan-12
4 12 Bundi Apr-12 Kota MC Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Oct-11 Jan-12
4 12 Jhalawar Apr-12 Kota MC Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Oct-11 Jan-12
4 12 Kota Apr-12 Kota MC Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Oct-11 Jan-12

State Profile:
State Population
in lakh
Madhya Pradesh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
118
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - MADHYA PRADESH STATE
Districts
with
services
State wide
coverage
planned
Madhya Pradesh 722 50 145 738 4 7 1 50 Jun 2011 0 Sep 2013
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
1 T.Choitram Indore NGO Under Accr Jan-11 No NA NA No NA NA
2 RMRCT Jabalpur ICMR Active Active Yes Preliminary Jan-12 Yes Preliminary Jan - 12
3 BMHRC Bhopal Gov Under Accr Jan-11 Yes Upgrading Jan-12 Yes Preliminary Jun-12
4 IRL Indore Indore Gov Upgrading Jan-12 Yes Upgrading Jan-12 Yes Upgrading Apr-12
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 MR TB Hospital Indore Gov Upgrading Dec-10
2 GMC Bhopal Bhopal Gov Upgrading Apr-11
3 NSCB MC/ District Hospital, Jabalpur Jabalpur Gov MC Upgrading Aug-11
4 RD Gardi MC Ujjain Ujjain Gov MC Upgrading Aug-11
5 GR MC, Gwalior Gwalior Gov MC Upgrading Feb-12
6 S. S. MC, Rewa Rewa Gov MC Upgrading Aug-12
7 BMC, Sagar Sagar Gov MC Upgrading Nov-12
Liquid
Status
Liquid
Date
Active

1600
1400
1200
1000
800
600
400
200
0
State PMDT Plan
Madhya Pradesh : Enrollment Plan of MDR TB
Suspects and Cases
2010
4Q
Cum MDR Suspects
Cum MDR Cases
Number Madhya Pradesh : Enrollment Plan of MDR TB
2011
1Q
2011
2Q
2011
3Q
2011
4Q
Cum MDR Suspects 0 0 26 82 138 446
Cum MDR Cases 0 0 11 31 51 125
2012 2012
1Q 2Q
2012
3Q
2012
4Q
753 1115 1476
198 293 389
119
National Scale up Plan for PMDT 2011-2012

120
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BALAGHAT 6 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
BARWANI 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
BETUL 7 BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
BHIND 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
BHOPAL 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
CHHATARPUR BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
CHHINDWARA 6 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
DAMOH 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
DATIA 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
DEWAS 1 Indore A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
DHAR 1 Indore A A A B B B B LJ LJ LJ LJ LJ LJ LJ LJ LJ
DINDORI 6 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
GUNA 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
GWALIOR 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
HARDA 7 BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
HOSHANGABAD 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
INDORE 1 Indore A A A B B B B LJ LJ LJ LJ LJ LJ LJ LJ LJ
JABALPUR 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
JHABUA 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
KATNI 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KHANDWA 1 Indore A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
KHARGONE 1 Indore A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MANDLA 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
MANDSAUR 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
MORENA 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
NARSINGHPUR 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
NEEMUCH 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
PANNA BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
RAISEN 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
RAJGARH 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
RATLAM 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
REWA 8 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
SAGAR BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
SATNA 8 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
SEHORE 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ

121
National Scale up Plan for PMDT 2011-2012
SEONI 3 RMRC J A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SHAHDOL 8 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
SHAJAPUR 7 BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
SHEOPUR 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SHIVPURI 5 BMHRC A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SIDHI 8 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
TIKAMGARH BMHRC LJ LJ LJ LJ LJ LJ LJ LJ LJ
UJJAIN 4 Indore A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
UMARIA 6 RMRC J LJ LJ LJ LJ LJ LJ LJ LJ LJ
VIDISHA 2 BMHRC A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BALAGHAT 6 RMRC J
BARWANI 4 Indore 2 2 2 2 1 1 1 1
BETUL 7 BMHRC
BHIND 5 BMHRC 6 6 2 2
BHOPAL 2 BMHRC 7 7 7 7 7 7 3 3 3 3 3 3
CHHATARPUR BMHRC
CHHINDWARA 6 RMRC J
DAMOH 3 RMRC J 6 6 6 6 2 2 2 2
DATIA 5 BMHRC 8 8 3 3
DEWAS 1 Indore 3 3 3 3 3 3 1 1 1 1 1 1
DHAR 1 Indore 8 8 8 50 50 50 50 3 3 3 8 8 8 8
DINDORI 6 RMRC J
GUNA 5 BMHRC 6 6 2 2
GWALIOR 5 BMHRC 17 17 8 8
HARDA 7 BMHRC
HOSHANGABAD 2 BMHRC 3 3 3 3 3 3 1 1 1 1 1 1
INDORE 1 Indore 18 18 18 137 137 137 137 8 8 8 23 23 23 23
JABALPUR 3 RMRC J 24 24 24 24 8 8 8 8
JHABUA 4 Indore 8 8 8 8 2 2 2 2
KATNI 3 RMRC J 7 7 7 7 3 3 3 3
KHANDWA 1 Indore 4 4 4 4 4 4 2 2 2 2 2 2
KHARGONE 1 Indore 3 3 3 3 3 3 1 1 1 1 1 1
MANDLA 3 RMRC J 2 2 2 2 1 1 1 1
MANDSAUR 4 Indore 6 6 6 6 3 3 3 3
MORENA 5 BMHRC 13 13 6 6

122
National Scale up Plan for PMDT 2011-2012
NARSINGHPUR 3 RMRC J 4 4 4 4 1 1 1 1
NEEMUCH 4 Indore 4 4 4 4 2 2 2 2
PANNA BMHRC
RAISEN 2 BMHRC 4 4 4 4 4 4 1 1 1 1 1 1
RAJGARH 2 BMHRC 3 3 3 3 3 3 1 1 1 1 1 1
RATLAM 4 Indore 7 7 7 7 3 3 3 3
REWA 8 RMRC J
SAGAR BMHRC
SATNA 8 RMRC J
SEHORE 2 BMHRC 1 1 1 1 1 1 0 0 0 0 0 0
SEONI 3 RMRC J 5 5 5 5 2 2 2 2
SHAHDOL 8 RMRC J
SHAJAPUR 7 BMHRC
SHEOPUR 5 BMHRC 4 4 1 1
SHIVPURI 5 BMHRC 0 0 0 0
SIDHI 8 RMRC J
TIKAMGARH BMHRC
UJJAIN 4 Indore 14 14 14 14 6 6 6 6
UMARIA 6 RMRC J
VIDISHA 2 BMHRC 2 2 2 2 2 2 1 1 1 1 1 1
Total 0 0 26 56 56 307 307 362 362 0 0 11 20 20 73 73 95 95
Lab
capacity 1150 1150 1150 1150 3250 3250 3250 3250
Drug
courses 30 150 150

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
123
C-DST
lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing
material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 2 Indore Jun-11 A Mar-12 Indore Jan-11 Mar-12 Dec10 Courier /Staff Icepacks
1 2 Dhar Jun-11 A Mar-12 Indore Jan-11 Mar-12 Dec10 Courier /Staff Icepacks
2 3 Dewas Sep-11 A Mar-12 Indore May-11 Mar-12 Mar-11 Courier /Staff Icepacks
2 3 Khandwa Sep-11 A Mar-12 Indore May-11 Mar-12 Mar-11 Courier /Staff Icepacks
2 3 Khargon Sep-11 A Mar-12 Indore May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Bhopal Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Hoshangabad Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Raisen Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Rajgarh Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Sehore Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
3 6 Vidisha Sep-11 A Mar-12 BMHRC May-11 Mar-12 Mar-11 Courier /Staff Icepacks
4 6 Damoh Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
4 6 Jabalpur Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
4 6 Katni Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
4 6 Mandla Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
4 6 Narsingpur Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
4 6 Sheoni Mar-12 A Mar-12 RMRC J Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Alirajpur Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Barwani Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Burhanpur Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Jhabua Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Mandsour Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Neemach Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Ratlam Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
5 8 Ujjain Mar-12 A Mar-12 Indore Nov-11 Mar-12 Jun-11 Courier /Staff Icepacks
6 7 Bhid Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Datia Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Guna Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Gwalior Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Murnea Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Sheopur Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
6 7 Shivpuri Sep-12 A Sep-12 BMHRC May-12 Sep-12 Dec-11 Courier /Staff Icepacks
7 4 Balaghat Mar-13 A Mar-13 RMRC J Nov-12 Mar-13 Jun-12 Courier /Staff Icepacks

124
National Scale up Plan for PMDT 2011-2012
7 4 Chhindwara Mar-13 A Mar-13 RMRC J Nov-12 Mar-13 Jun-12 Courier /Staff Icepacks
7 4 Dindori Mar-13 A Mar-13 RMRC J Nov-12 Mar-13 Jun-12 Courier /Staff Icepacks
7 4 Umaria Mar-13 A Mar-13 RMRC J Nov-12 Mar-13 Jun-12 Courier /Staff Icepacks
8 3 Betul Jun-13 A Jun-13 BMHRC Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
8 3 Harda Jun-13 A Jun-13 BMHRC Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
8 3 Shajapur Jun-13 A Jun-13 BMHRC Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Anuppur Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Rewa Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Satna Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Shahdol Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Sidhi Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
9 6 Singrauli Jun-13 A Jun-13 RMRC J Feb-13 Jun-13 Sep-12 Courier /Staff Icepacks
10 5 Ashok Nagar Sep-13 A Sep-13 BMHRC May-13 Sep-13 Dec-12 Courier /Staff Icepacks
10 5 Chhatarpur Sep-13 A Sep-13 BMHRC May-13 Sep-13 Dec-12 Courier /Staff Icepacks
10 5 Panna Sep-13 A Sep-13 BMHRC May-13 Sep-13 Dec-12 Courier /Staff Icepacks
10 5 Sagar Sep-13 A Sep-13 BMHRC May-13 Sep-13 Dec-12 Courier /Staff Icepacks
10 5 Tikamgarh Sep-13 A Sep-13 BMHRC May-13 Sep-13 Dec-12 Courier /Staff Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS
Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 Indore Jun-11 MR TBH, Indore Nov-10 Done Dec-10 Nov-10 Dec-10 Jan-11 Jan-11
1 2 Dhar Jun-11 MR TBH, Indore Nov-10 Done Dec-10 Nov-10 Dec-10 Jan-11 Jan-11
2 3 Dewas Sep-11 MR TBH, Indore Nov-10 Dec-10 Feb-11 Feb-11 Mar-11 Feb-11 Mar-11
2 3 Khandwa Sep-11 MR TBH, Indore Nov-10 Dec-10 Feb-11 Feb-11 Mar-11 Feb-11 Mar-11
2 3 Khargon Sep-11 MR TBH, Indore Nov-10 Dec-10 Feb-11 Feb-11 Mar-11 Feb-11 Mar-11
3 6 Bhopal Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
3 6 Hoshangabad Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
3 6 Raisen Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
3 6 Rajgarh Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
3 6 Sehore Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
3 6 Vidisha Sep-11 GMC Bhopal Mar-11 Dec-10 Mar-11 Apr-11 Apr-11 Mar-11 Mar-11
4 6 Damoh Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11
4 6 Jabalpur Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11

125
National Scale up Plan for PMDT 2011-2012
4 6 Katni Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11
4 6 Mandla Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11
4 6 Narsingpur Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11
4 6 Sheoni Mar-12 NSCBMC / DH Jabal Jun-11 Mar-11 Jun-11 Aug-11 Sep-11 Jun-11 Jun-11
5 8 Alirajpur Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Barwani Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Burhanpur Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Jhabua Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Mandsour Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Neemach Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Ratlam Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
5 8 Ujjain Mar-12 RD Gardi MC Ujjain Jun-11 Mar-11 Jun-11 Aug-11 Oct-11 Jun-11 Jun-11
6 7 Bhid Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Datia Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Guna Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Gwalior Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Murnea Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Sheopur Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
6 7 Shivpuri Sep-12 GR MCGwalior Dec-11 Sep-11 Dec-11 Feb-12 Apr-12 Dec-11 Dec-11
7 4 Balaghat Mar-13 NSCBMC / DH Jabal Jun-11 Mar-12 Jun-12 Aug-12 Oct-12 Jun-12 Jun-12
7 4 Chhindwara Mar-13 NSCBMC / DH Jabal Jun-11 Mar-12 Jun-12 Aug-12 Oct-12 Jun-12 Jun-12
7 4 Dindori Mar-13 NSCBMC / DH Jabal Jun-11 Mar-12 Jun-12 Aug-12 Oct-12 Jun-12 Jun-12
7 4 Umaria Mar-13 NSCBMC / DH Jabal Jun-11 Mar-12 Jun-12 Aug-12 Oct-12 Jun-12 Jun-12
8 3 Betul Jun-13 GMC Bhopal Mar-11 Jun-12 Sep-12 Oct-12 Nov-12 Sep-12 Sep-12
8 3 Harda Jun-13 GMC Bhopal Mar-11 Jun-12 Sep-12 Oct-12 Nov-12 Sep-12 Sep-12
8 3 Shajapur Jun-13 GMC Bhopal Mar-11 Jun-12 Sep-12 Oct-12 Nov-12 Sep-12 Sep-12
9 6 Anuppur Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
9 6 Rewa Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
9 6 Satna Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
9 6 Shahdol Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
9 6 Sidhi Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
9 6 Singrauli Jun-13 SSMC, Rewa Aug-12 Jun-12 Sep-12 Nov-12 Jan-13 Sep-12 Sep-12
10 5 Ashok Nagar Sep-13 BMC, Sagar Nov-12 Sep-12 Dec-12 Feb-13 Apr-13 Dec-12 Dec-12
10 5 Chhatarpur Sep-13 BMC, Sagar Nov-12 Sep-12 Dec-12 Feb-13 Apr-13 Dec-12 Dec-12
10 5 Panna Sep-13 BMC, Sagar Nov-12 Sep-12 Dec-12 Feb-13 Apr-13 Dec-12 Dec-12
10 5 Sagar Sep-13 BMC, Sagar Nov-12 Sep-12 Dec-12 Feb-13 Apr-13 Dec-12 Dec-12
10 5 Tikamgarh Sep-13 BMC, Sagar Nov-12 Sep-12 Dec-12 Feb-13 Apr-13 Dec-12 Dec-12

State Profile:
State Population
in lakh
Districts TB Units DMCs Labs
planned
Goa State PMDT Scale up Plan – 2011-2012
DOTS Plus
Site Eligible
126
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - GOA STATE
Districts
with
services
State wide
coverage
planned
Goa 18 2 4 20 1 1 1 2 Mar 2011 0 Mar 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Goa Bambolim Gov Active Mar - 08 Yes Active Mar - 09 Yes Under Accred Apr -11
Note: Laboratory service backup linked to JJ Hospital, Mumbai till IRL Goa achieves accredited.
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 St. Inez TB & Chest Hospital Panjim Gov MC Upgrading Mar 11

Map of Goa State – Phase 1 Districts (North & South Goa)
DTC Panaji & DTC Margao
TB & Chest Hosp – DOTS PLUS Site
GMC Bambolim – IRL
State Drug Store
250
200
150
100
50
0
State DOTS PMDT Plus Plan
2010
4Q
2011
1Q
2011
2Q
Cases
Cum MDR Suspects
Cum MDR Cases
Number Goa : Enrollment Plan of MDR TB Suspects and
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 9 19 28 37 82 126 171 215
Cum MDR Cases 0 4 7 11 14 22 30 38 46
127
National Scale up Plan for PMDT 2011-2012

128
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
NORTH GOA 1 JJ Mum A A A A B B B B LJ LJ LJ LJ LPA LPA LPA LPA
SOUTH GOA 1 JJ Mum A A A A B B B B LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
NORTH GOA 1 JJ Mum 5 5 5 5 23 23 23 23 1 2 2 2 2 4 4 4 4
SOUTH GOA 1 JJ Mum 5 5 5 5 22 22 22 22 2 2 2 2 2 4 4 4 4
Total 10 10 10 10 45 45 45 45 3 4 4 4 4 8 8 8 8
Lab
capacity 600 600 600 600 600 600 600 600 Drug
courses
4 9 9 10
Note: Cumulative Lab Capacity includes capacity of JJ Hospital Mumbai and does not include IRL Goa.
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging
material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 2 North Goa Feb-11 A Jan-12 JJ Mumbai Feb-11 Apr-12 Dec-10 Courier Icepacks
1 2 South Goa Feb-11 A Jan-12 JJ Mumbai Feb-11 Apr-12 Dec-10 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 North Goa Feb-11 St Inez TBCH Panjim Mar-11 Jan-11 Mar-11 Feb-11 Mar-11 Mar-11 Mar-11
1 2 South Goa Feb-11 St Inez TBCH Panjim Mar-11 Jan-11 Mar-11 Feb-11 Mar-11 Mar-11 Mar-11

State Profile:
State Population
in lakh
Daman Diu Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
129
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - DAMAN DIU UT
Districts
with
services
State wide
coverage
planned
Daman Diu UT 3 2 2 4 0 0 1 2 Aug 2009 1 Mar 2011
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DAMAN 1 IRL Ahd B B C C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
DIU 2 IRL Ahd A B C C C C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
District P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DAMAN 1 IRL Ahd 6 6 25 25 25 25 25 1 1 3 3 3 3 3
DIU 2 IRL Ahd 0 1 4 4 4 4 4 4 4 0 0 1 1 1 1 1 1 1
Total 1 10 10 29 29 29 29 29 0 1 1 4 4 4 4 4
Lab
capacity
Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name
of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST
lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 1 Diu Feb-08 A Mar-11 IRL Ahd As Gujarat As Gujarat Jan-11 Courier Icepacks
2 1 Daman Mar-11 B Oct-11 IRL Ahd As Gujarat As Gujarat Jan-11 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name
of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site
upgraded
including AIC
(MM/YY)
National
Training for DP
Site Com &
DTOs (MM/YY)
Training of
DP Site &
District staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 1 Diu Feb-08 MPS MC Jam As Gujarat Dec-11 Jan-11 NA NA Jan-11 As Gujarat
2 1 Daman Mar-11 Surat GMC As Gujarat Dec-11 Jan-11 Feb-11 Mar-11 Jan-11 As Gujarat

Jamnagar
Services for MDR TB
Diagnosis and Treatment
linked to Gujarat
C-DST Laboratory
DOTS Plus Site
Number
State DOTS PMDT Plus Plan
Ahmedabad
Daman & Diu : Enrollment Plan of MDR TB
Suspects and Cases
180
160
140
120
100
80
60
40
20
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
Surat
2012
3Q
Cum MDR Suspects 0 1 11 21 50 79 108 137 167
Cum MDR Cases 0 0 1 3 7 11 15 19 23
2012
4Q
130
National Scale up Plan for PMDT 2011-2012
M-TB Culture and DST Laboratory Backup Linkage services will be
linked with IRL Ahmedabad, Gujarat
PMDT services will be linked to DOTS Plus Site, Jamnagar for Diu and
Surat for Daman
2 nd Line Anti-TB Drugs will be provided as PWB from SDS Ahmedabad

State Profile:
State Population
in lakh
Dadra Nagar Haveli Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
131
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
WEST ZONE - DADRA NAGAR HAVELI UT
Districts
with
services
State wide
coverage
planned
Dadra Nagar Haveli 4 1 1 5 0 0 1 1 Jul-11 0 Jul 2011
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DNH 1 IRL Ahd B B B C C C C C LPA LPA LPA LPA LPA LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DNH 1 IRL Ahd 9 9 9 38 38 38 38 38 1 1 1 6 6 6 6 6
Total 9 9 9 38 38 38 38 38 1 1 1 6 6 6 6 6
Lab
capacity 2100 2100 2100 2700 3300 4200 4200 4200 Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name
of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST
lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 1 DNH Jul-11 B NA IRL Ahd Mar-11 As Gujarat Jan-11 Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name
of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site
upgraded
including AIC
(MM/YY)
National
Training for DP
Site Com &
DTOs (MM/YY)
Training of
DP Site &
District staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 1 DNH Jul-11 Surat GMC As Gujarat Dec-10 Jan-11 Feb-11 Mar-11 Jan-11 As Gujarat

Services for MDR TB
Diagnosis and Treatment
linked to Gujarat
C-DST Laboratory
DOTS Plus Site
State DOTS PMDT Plus Plan
Plan
Surat
Ahmedabad
Dadra & Nagar Haveli : Enrollment Plan of MDR TB
Suspects and Cases
Number
250
200
150
100
50
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 9 19 28 66 105 143 181 219
Cum MDR Cases 0 1 3 4 10 15 21 26 32
132
National Scale up Plan for PMDT 2011-2012
M-TB Culture and DST Laboratory Backup Linkage services will be
linked with IRL Ahmedabad, Gujarat
PMDT services will be linked to DOTS Plus Site, Surat
2 nd Line Anti-TB Drugs will be provided as PWB from SDS Ahmedabad

State Profile:
State Population
in lakh
West Bengal State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
EAST ZONE - WEST BENGAL STATE
Districts
with
services
State wide
coverage
planned
West Bengal 895 19 189 841 4 9 1 19 Dec 2008 5 Sep 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Kolkata Kolkata Gov Active Dec - 08 Yes Upgrading Jun-11 Yes Preliminary TBC
2 North Bengal MC Siliguri Gov MC Upgrading Jan-12 Yes Preliminary TBC No NA NA
3 CBCI West Midnapur NGO Upgrading Jan-12 No NA NA No NA NA
4 SRL Kolkata Kolkata Private Active Not Accred No NA NA Yes Under Accred Jan 12
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 KS Roy TB Hospital Kolkata Gov Functional Dec 2009
2 RA TB Hospital Jalpaiguri Gov Functional Jul 2010
3 RG Kar Medical College Kolkata Gov MC Upgrading Mar-11
4 NSS TB Sanatorium Nadia Gov Upgrading Dec-11
5 Bankura Medical College Bankura Gov MC Upgrading Sep-11
6 Malda Medical College Malda Gov MC Upgrading Mar-12
7 Mednipur Medical College Mednipur Gov MC Upgrading May-12
8 Haora District Hospital Haora Gov Upgrading Sep-11
Note: 1 DOTS Plus Site to be identified
133

Number
Implementing
Phase 2
Phase 3
Phase4
Phase 5
Phase 6
5000
4500
4000
3500
3000
2500
2000
1500
1000
500
0
DOTS Plus Plan
State PMDT Plan
2010
4Q
Puruliya
2011
1Q
Bankura
2011
2Q
Birbhum
Medinip ur
Maldah
Murshidabad
Nadia
Barddhaman
Hugli
Haora
Darjiling
Uttar Dinajpur
2011
3Q
Dakshin
Dinajpur
Jalpaiguri
North
24Parganas
Kolkata
South
24Parganas
2011
4Q
Koch_Bihar
2012
1Q
June,2012
March,2012
Dec,2011
July,2011
Sept,2012
West Bengal : Enrollment Plan of MDR TB Suspects
and Cases
Cum MDR Suspects
Cum MDR Cases
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 240 480 719 997 1328 1945 2654 3600 4546
Cum MDR Cases 86 171 257 357 475 649 853 1093 1333
134
National Scale up Plan for PMDT 2011-2012

135
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BANKURA 3 IRL Kol A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BARDDHAMAN 5 IRL Kol A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BIRBHUM 5 IRL Kol A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DAKS DINAJPUR 6 IRL Kol A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DARJILING 2 IRL Kol A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
HAORA 4 IRL Kol A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
HUGLI 5 IRL Kol A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
JALPAIGURI 2 IRL Kol A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KOCH BIHAR 2 IRL Kol A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KOLKATA 1 IRL Kol A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MALDAH 6 IRL Kol A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
MEDINIPUR E 7 IRL Kol B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MEDINIPUR W 7 IRL Kol B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MURSHIDABAD 6 IRL Kol A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NADIA 5 IRL Kol A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
N 24 PARGANAS 2 IRL Kol A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
PURULIYA 7 IRL Kol B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
S 24 PARGANAS 3 IRL Kol A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
UTTR DINAJPUR 6 IRL Kol A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
District P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BANKURA 3 IRL Kol 8 8 8 8 8 #VAL
UE!
3 3 3 3 3
BARDDHAMAN 5 IRL Kol 37 37 37 37 12 12 12 12
BIRBHUM 5 IRL Kol 18 18 18 18 6 6 6 6
DAKS DINAJPUR 6 IRL Kol 15 15 15 4 4 4
DARJILING 2 IRL Kol 36 36 36 36 36 36 36 36 36 13 13 13 13 13 13 13 13 13
HAORA 4 IRL Kol 46 46 46 46 46 16 16 16 16 16
HUGLI 5 IRL Kol 24 24 24 24 9 9 9 9
JALPAIGURI 2 IRL Kol 67 67 67 67 67 67 67 67 67 23 23 23 23 23 23 23 23 23
KOCH BIHAR 2 IRL Kol 14 14 14 14 14 14 14 14 14 5 5 5 5 5 5 5 5 5
KOLKATA 1 IRL Kol 69 69 69 69 69 255 255 255 255 25 25 25 25 25 46 46 46 46
MALDAH 6 IRL Kol 29 29 29 10 10 10

136
National Scale up Plan for PMDT 2011-2012
MEDINIPUR E 7 IRL Kol 57 57 10 10
MEDINIPUR W 7 IRL Kol 116 116 19 19
MURSHIDABAD 6 IRL Kol 38 38 38 11 11 11
NADIA 5 IRL Kol 20 20 20 20 8 8 8 8
N 24 PARGANAS 2 IRL Kol 54 54 54 54 54 54 54 54 54 19 19 19 19 19 19 19 19 19
PURULIYA 7 IRL Kol 64 64 8 8
S 24 PARGANAS 3 IRL Kol 37 37 37 37 37 37 14 14 14 14 14 14
UTTR DINAJPUR 6 IRL Kol 11 11 11 4 4 4
Total 240 240 240 277 332 616 709 946 946 86 86 86 100 119 174 203 240 240
Lab
capacity 600 600 600 1200 2100 2100 2100 2100 Drug
courses
258 90 400 400
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 1 Kolkata Dec-08 A Mar-12 IRL,Kolkata Aug-09 Jul-11 May-11 Courier/Staff Icepacks
2 4 Darjiling Jan-10 A Mar-13 IRL,Kolkata Aug-09 Jul-11 May-11 Courier/Staff Icepacks
2 4 Jalpaiguri Jan-10 A Mar-13 IRL,Kolkata Aug-09 Jul-11 May-11 Courier/Staff Icepacks
2 4 Kochbihar Jan-10 A Mar-13 IRL,Kolkata Aug-09 Jul-11 May-11 Courier/Staff Icepacks
2 4 North 24pgs Jan-10 A Mar-13 IRL,Kolkata Aug-09 Jul-11 May-11 Courier/Staff Icepacks
3 1 South 24pgs Jul-11 A Jun-13 IRL,Kolkata Aug-09 Jul-11 Mar-11 Courier/Staff Icepacks
4 2 Bankura Dec-11 A Jun-13 IRL,Kolkata Aug-10 Jul-11 Jul-11 Courier/Staff Icepacks
4 2 Haora Dec-11 A Jun-13 IRL,Kolkata Aug-10 Jul-11 Jul-11 Courier/Staff Icepacks
5 4 Bardhaman Mar-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Oct-11 Courier/Staff Icepacks
5 4 Birbhum Mar-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Oct-11 Courier/Staff Icepacks
5 4 Hugli Mar-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Oct-11 Courier/Staff Icepacks
5 4 Nadia Mar-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Oct-11 Courier/Staff Icepacks
6 4 Uttar Dinajpur Jun-12 A Mar-13 IRL,Kolkata Aug-09 Jul-11 Jan-12 Courier/Staff Icepacks
6 4 Dakshin
Dinajpur
Jun-12 A Mar-13 IRL,Kolkata Aug-09 Jul-11 Jan-12 Courier/Staff Icepacks
6 4 Malda Jun-12 A Mar-13 IRL,Kolkata Aug-09 Jul-11 Jan-12 Courier/Staff Icepacks
6 4 Murshidabad Jun-12 A Mar-13 IRL,Kolkata Aug-09 Jul-11 Jan-12 Courier/Staff Icepacks
7 3 Puruliya Sep-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Mar-12 Courier/Staff Icepacks
7 3 West Midnapur Sep-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Mar-12 Courier/Staff Icepacks
7 3 East Midnapur Sep-12 A Sep-13 IRL,Kolkata Aug-09 Jul-11 Mar-12 Courier/Staff Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
137
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing
PWBs from
loose drugs
procured
(MM/YY)
1 1 Kolkata Dec-08 KS Roy TBH,Kol Dec-09 Sep-08 Done NA NA Jun-11 Done
2 4 Darjiling Jan-10 RATBH, Jalpaiguri Jul 10 Oct-09 Done NA NA Jun-11 Done
2 4 Jalpaiguri Jan-10 RATBH, Jalpaiguri Jul 10 Oct-09 Done NA NA Jun-11 Done
2 4 Kochbihar Jan-10 K.S.Roy TBH, Kol Dec-09 Oct-09 Done NA NA Jun-11 Done
2 4 North 24pgs Jan-10 K.S.Roy TBH, Kol Dec-09 Oct-09 Done NA NA Jun-11 Done
3 1 South 24pgs Jul-11 KS Roy TBH,Kol Dec-09 Oct-09 May-11 May-11 Jun-11 May-11 Mar-11
4 2 Bankura Dec-11 Bankura MC Sep-11 Sep-11 Oct-11 Oct-11 Nov-11 Oct-11 Jul-11
4 2 Haora Dec-11 Haora DH Sep-11 Sep-11 Oct-11 Oct-11 Nov-11 Oct-11 Jul-11
5 4 Bardhaman Mar-12 Bankura MC Sep-11 Sep-11 Jan-12 Feb-12 Feb-12 Dec-11 Oct-11
5 4 Birbhum Mar-12 Bankura MC Sep-11 Sep-11 Jan-12 Feb-12 Feb-12 Dec-11 Oct-11
5 4 Hugli Mar-12 NSS Nadia Dec 11 Sep-11 Jan-12 Feb-12 Feb-12 Dec-11 Oct-11
5 4 Nadia Mar-12 NSS Nadia Dec 11 Sep-11 Jan-12 Feb-12 Feb-12 Dec-11 Oct-11
6 4 Uttar Dinajpur Jun-12 Malda MC Mar-12 Jan-12 Mar-12 Apr-12 May-12 Mar-12 Jan-12
6 4 Dakshin
Dinajpur
Jun-12 Malda MC Mar-12 Jan-12 Mar-12 Apr-12 May-12 Mar-12 Jan-12
6 4 Malda Jun-12 Malda MC Mar-12 Jan-12 Mar-12 Apr-12 May-12 Mar-12 Jan-12
6 4 Murshidabad Jun-12 Malda MC Mar-12 Jan-12 Mar-12 Apr-12 May-12 Mar-12 Jan-12
7 3 Puruliya Sep-12 Medinipur MC May-12 Mar-12 Jul-12 Aug-12 Sep-12 Jul-12 Mar-12
7 3 West Midnapur Sep-12 Medinipur MC May-12 Mar-12 Jul-12 Aug-12 Sep-12 Jul-12 Mar-12
7 3 East Midnapur Sep-12 Medinipur MC May-12 Mar-12 Jul-12 Aug-12 Sep-12 Jul-12 Mar-12

State Profile:
State Population
in lakh
Bihar State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
138
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
EAST ZONE - BIHAR STATE
Districts
with
services
State wide
coverage
planned
Bihar 977 38 174 714 2 10 1 38 Apr 2011 0 Oct 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
1 IRL Bihar Patna Gov Upgrading Mar 12 Yes Upgrading Jun-12 Yes Preliminary TBC
2 RMRI (ICMR) Patna ICMR Upgrading Mar-12 No NA NA No NA NA
Note: Backup Laboratory support from IRL Ranchi till IRL Patna is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
Liquid
Status
1 Patna Medical College (STDC) Patna Gov Upgrading Apr 2011
2 Jawaharlal Nehru Medical College Bhagalpur Gov Upgrading July 2011
Note: 8 DOTS Plus Sites to be identified
Liquid
Date
Active

KAMUR
PAS HC HIM CHAMPARAN
BUXAR
R O HT AS
GO PALG ANJ
SIWAN
B HOJ P UR
AUR ANGABAD-BI
P URB A C HAMP ARAN
SITAMARHI
S HEO HAR
ARWAL
S AR AN
State DOTS PMDT Plus Plan Plan
P ATNA
GAY A
MUZAF FAR PUR
VAISH AL I
NAWADA
DARB HANGA
SAMAS TIPUR
MAD HUB ANI
B EG USAR AI
NALANDA
LAKHISAR AI
J E HANABAD S HEIKHPURA
J AMUI
SAHARS A
KHAGAR IA
MUNGE R
S UPAUL
MADHE PU RA
B ANK A
B HAGALP UR
AR ARIA
PUR NIA
Bihar : Enrollment Plan of MDR TB Suspects and
Cases
Number
600
500
400
300
200
100
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
DOTS Plus Sites
C-DST Laboratory
K ATIHAR
KIS HANGAN J
Phase –I: April 11
Phase II: Sep 11
Phase- III: July 12
Phase-IV: Oc t 12
Last Phase
2012
3Q
2012
4Q
Cum MDR Suspects 0 0 38 103 168 233 298 386 525
Cum MDR Cases 0 0 14 36 58 81 103 134 185
139
National Scale up Plan for PMDT 2011-2012

140
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ARARIA 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
ARWAL 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
AURANGABAD 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
BANKA 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
BEGUSARAI 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
BHAGALPUR 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
BHOJPUR 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
BUXAR 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
DARBHANGA 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
GAYA 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
GOPALGANJ 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
JAMUI 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
JEHANABAD 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
KAIMUR 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
KATIHAR 2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
KHAGARIA 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
KISHANGANJ 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
LAKHISARAI 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
MADHEPURA 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
MADHUBANI 2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
MUNGER 2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
MUZAFFARPUR 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
NALANDA 2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
NAWADA 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
PASHCHIM
CHAMPARAN
2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
PATNA 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
PURBA
CHAMPARAN
5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
PURNIA 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
ROHTAS 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SAHARSA 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA

141
National Scale up Plan for PMDT 2011-2012
SAMASTIPUR 1 IRL Pat A A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SARAN 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SHEIKHPURA 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SHEOHAR 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SITAMARHI 2 IRL Pat A A A A A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SIWAN 3 IRL Pat A A LJ LJ LJ LJ LJ LJ LJ LPA LPA
SUPAUL 5 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
VAISHALI 4 IRL Pat A LJ LJ LJ LJ LJ LJ LJ LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ARARIA 3 IRL Pat 2 2 1 1
ARWAL 4 IRL Pat 1 1
AURANGABAD 5 IRL Pat 7 3
BANKA 4 IRL Pat 1 0
BEGUSARAI 1 IRL Pat 4 4 4 4 4 4 4 2 2 2 2 2 2 2
BHAGALPUR 1 IRL Pat 5 5 5 5 5 5 5 2 2 2 2 2 2 2
BHOJPUR 5 IRL Pat 4 1
BUXAR 5 IRL Pat 1 0
DARBHANGA 1 IRL Pat 12 12 12 12 12 12 12 4 4 4 4 4 4 4
GAYA 5 IRL Pat 2 1
GOPALGANJ 3 IRL Pat 1 1 1 1
JAMUI 5 IRL Pat 1 0
JEHANABAD 4 IRL Pat 5 2
KAIMUR 4 IRL Pat 3 1
KATIHAR 2 IRL Pat 6 6 6 6 6 6 3 3 3 3 3 3
KHAGARIA 4 IRL Pat 2 1
KISHANGANJ 3 IRL Pat 2 2 1 1
LAKHISARAI 5 IRL Pat 0 0
MADHEPURA 4 IRL Pat 1 0
MADHUBANI 2 IRL Pat 2 2 2 2 2 2 1 1 1 1 1 1
MUNGER 2 IRL Pat 1 1 1 1 1 1 0 0 0 0 0 0
MUZAFFARPUR 3 IRL Pat 7 7 3 3
NALANDA 2 IRL Pat 4 4 4 4 4 4 1 1 1 1 1 1
NAWADA 4 IRL Pat 4 1

142
National Scale up Plan for PMDT 2011-2012
PASHCHIM
CHAMPARAN
2 IRL Pat 4 4 4 4 4 4 1 1 1 1 1 1
PATNA 1 IRL Pat 10 10 10 10 10 10 10 4 4 4 4 4 4 4
PURBA
CHAMPARAN
5 IRL Pat 4 1
PURNIA 1 IRL Pat 1 1 1 1 1 1 1 0 0 0 0 0 0 0
ROHTAS 3 IRL Pat 4 4 1 1
SAHARSA 5 IRL Pat 1 0
SAMASTIPUR 1 IRL Pat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARAN 5 IRL Pat 0 0
SHEIKHPURA 5 IRL Pat 0 0
SHEOHAR 5 IRL Pat 0 0
SITAMARHI 2 IRL Pat 0 0 0 0 0 0 0 0 0 0 0 0
SIWAN 3 IRL Pat 0 0 0 0
SUPAUL 5 IRL Pat 0 0
VAISHALI 4 IRL Pat 0 0
Total 0 33 50 50 50 50 67 104 0 0 12 18 18 18 18 25 38
Lab
capacity 200 1200 1200 Drug
courses
28 28 25 50
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 6 Begusarai Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
1 6 Bhagalpur Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
1 6 Darbhanga Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
1 6 Patna Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
1 6 Purnia Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
1 6 Samastipur Apr-11 A Sep-12 IRL Ranchi Jan-11 Sep-12 Jan-11 Courier/Staff Icepacks
2 6 Katihar Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks
2 6 Madhubani Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks
2 6 Munger Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks
2 6 Nalanda Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks

143
National Scale up Plan for PMDT 2011-2012
2 6 Paschim
Champaran
Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks
2 6 Sitamarhi Sep-11 A Sep-12 IRL Ranchi May-11 Sep-12 Mar-11 Courier/Staff Icepacks
3 6 Gopalganj Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
3 6 Siwan Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
3 6 Kishanganj Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
3 6 Muzzafarpur Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
3 6 Rohtas Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
3 6 Araria Jul-12 A Sep-12 IRL Patna Mar-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Arwal Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Banka Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Jehanabad Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Kaimur Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Khagaria Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Madhepura Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Nawada Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
4 8 Vaishali Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Aurangabad Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Bhojpur Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Buxar Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Gaya Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Jamui Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Lakhisarai Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Purba
Champaran
Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Saharsa Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Saran Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Sheikhpura Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Sheohar Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks
5 12 Supaul Oct-12 A Oct-12 IRL Patna Jun-12 Sep-12 Jan-12 Courier/Staff Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS
Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
144
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 6 Begusarai Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Mar-11 Feb-11 Feb-11
1 6 Bhagalpur Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Apr-11 Feb-11 Feb-11
1 6 Darbhanga Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Mar-11 Feb-11 Feb-11
1 6 Patna Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Mar-11 Feb-11 Feb-11
1 6 Purnia Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Apr-11 Feb-11 Feb-11
1 6 Samastipur Apr-11 STDC Patna Mar-10 Jan-11 Jan-11 Mar-11 Apr-11 Feb-11 Feb-11
2 6 Katihar Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
2 6 Madhubani Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
2 6 Munger Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
2 6 Nalanda Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
2 6 Paschim
Champaran
Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
2 6 Sitamarhi Sep-11 Patna/ Bhagalpur Jul-11 May-11 Jun-11 Jul-11 Aug-11 Jul-11 May-11
3 6 Gopalganj Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
3 6 Siwan Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
3 6 Kishanganj Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
3 6 Muzzafarpur Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
3 6 Rohtas Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
3 6 Araria Jul-12 Patna/ Bhagalpur Jul-11 Mar-12 Apr-12 May-12 Jul-12 Jul-11 Feb-12
4 8 Arwal Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Banka Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Jehanabad Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Kaimur Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Khagaria Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Madhepura Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Nawada Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
4 8 Vaishali Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Aurangabad Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Bhojpur Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Buxar Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12

145
National Scale up Plan for PMDT 2011-2012
5 12 Gaya Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Jamui Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Lakhisarai Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Purba
Champaran
Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Saharsa Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Saran Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Sheikhpura Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Sheohar Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12
5 12 Supaul Oct-12 Patna/ Bhagalpur Jul-11 Apr-12 Jun-12 Jul-12 Aug-12 Jul-11 Feb-12

State Profile:
State Population
in lakh
Jharkhand State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
146
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
EAST ZONE - JHARKHAND STATE
Districts
with
services
State wide
coverage
planned
Jharkhand 315 24 70 293 2 3 1 24 Dec 2010 2 Dec 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Ranchi Ranchi Gov Active Apr - 10 Yes Upgrading Apr-11 Yes Upgrading Jan - 12
2 Namkum Military
Hospital
Ranchi Gov Preliminary Jun-11 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 Itki TB Sanatorium Ranchi Gov Functional Dec 2010
2 Patliputra Medical College Dhanbad Gov MC Upgrading Mar 2011
3 MG Medical College Jamshedpur Gov MC Upgrading Jul 2011

Jharkhand : Enrollment Plan of MDR TB Suspects
and Cases
1200
1000
800
600
400
200
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
Number Jharkhand : Enrollment Plan of MDR TB Suspects
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
Cum MDR Suspects 11 21 60 112 180 248
Cum MDR Cases 4 8 20 38 59 81
2012
2Q
2012
3Q
2012
4Q
316 384 984
103 125 214
147
State PMDT Plan
National Scale up Plan for PMDT 2011-2012

148
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BOKARO 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
CHATRA 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DEOGHAR 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DHANBAD 1 IRL_Ran A A A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DUMKA 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GARHWA 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GIRIDIH 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GODDA 4 IRL_Ran A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
GUMLA 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
HAZARIBAGH 4 IRL_Ran A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JAMTARA 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KODARMA 4 IRL_Ran A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
LATHEHAR 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
LOHARDAGA 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PAKAUR 3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PALAMU 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PASHCHIMI
SINGHBHUM
4 IRL_Ran A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PURBI
SINGHBHUM
2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
RANCHI 1 IRL_Ran A A A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SAHIBGANJ 4 IRL_Ran A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SARAIKELA-
KHARSAWAN
3 IRL_Ran A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SIMDEGA 2 IRL_Ran A A A A A A B LJ LJ LJ LPA LPA LPA LPA LPA LPA

District
Name
149
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BOKARO 2 IRL_Ran 10 10 10 10 10 10 50 3 3 3 3 3 3 8
CHATRA 3 IRL_Ran 3 3 3 3 3 8 1 1 1 1 1 1
DEOGHAR 3 IRL_Ran 2 2 2 2 2 25 1 1 1 1 1 4
DHANBAD 1 IRL_Ran 3 3 3 3 3 3 3 3 54 1 1 1 1 1 1 1 1 8
DUMKA 3 IRL_Ran 1 1 1 1 1 27 0 0 0 0 0 4
GARHWA 3 IRL_Ran 1 1 1 1 1 17 0 0 0 0 0 3
GIRIDIH 3 IRL_Ran 5 5 5 5 5 57 2 2 2 2 2 9
GODDA 4 IRL_Ran 1 1 1 1 14 0 0 0 0 2
GUMLA 2 IRL_Ran 2 2 2 2 2 2 11 1 1 1 1 1 1 2
HAZARIBAGH 4 IRL_Ran 7 7 7 7 41 2 2 2 2 6
JAMTARA 3 IRL_Ran 0 0 0 0 0 20 0 0 0 0 0 3
KODARMA 4 IRL_Ran 1 1 1 1 7 0 0 0 0 1
LATHEHAR 2 IRL_Ran 0 0 0 0 0 0 17 0 0 0 0 0 0 2
LOHARDAGA 2 IRL_Ran 2 2 2 2 2 2 8 1 1 1 1 1 1 1
PAKAUR 3 IRL_Ran 1 1 1 1 1 20 0 0 0 0 0 3
PALAMU 2 IRL_Ran 4 4 4 4 4 4 43 1 1 1 1 1 1 6
PASHCHIMI
SINGHBHUM
4 IRL_Ran 5 5 5 5 24 1 1 1 1 4
PURBI
SINGHBHUM
2 IRL_Ran 7 7 7 7 7 7 61 3 3 3 3 3 3 9
RANCHI 1 IRL_Ran 8 8 8 8 8 8 8 8 57 3 3 3 3 3 3 3 3 9
SAHIBGANJ 4 IRL_Ran 2 2 2 2 18 1 1 1 1 3
SARAIKELA-
KHARSAWAN
3 IRL_Ran 1 1 1 1 1 10 0 0 0 0 0 1
SIMDEGA 2 IRL_Ran 3 3 3 3 3 3 15 1 1 1 1 1 1 2
Total 11 11 38 52 68 68 68 68 600 4 4 13 17 22 22 22 22 89
Lab
capacity 250 250 500 1200 1800 2700 2700 2700 Drug
courses
58 28 50 75

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
150
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 2 Dhanbad Dec-10 A Nov-12 IRL_Ranchi Apr-10 Jul-11 Mar-11 Courier/Staff Icepacks
1 2 Ranchi Dec-10 A Nov-12 IRL_Ranchi Apr-10 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Bokaro Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Gumla Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Simdega Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Lohardaga Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Latehar Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 Palamau Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
2 7 East Singhbhum Jul-11 A Nov-12 IRL_Ranchi Jan-11 Jul-11 Mar-11 Courier/Staff Icepacks
3 7 Garhwa Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Jamtara Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Saraikela Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Giridih Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Deoghar Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Dumka Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
3 7 Pakur Sep-11 A Nov-12 IRL_Ranchi Jul-11 Aug-11 Mar-11 Courier/Staff Icepacks
4 8 Hazaribag Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Ramgarh Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 West
Singhbhum
Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Koderma Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Godda Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Chatra Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Khunti Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks
4 8 Sahebganj Dec-11 A Nov-12 IRL_Ranchi Oct-11 Oct-11 Mar-11 Courier/Staff Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
151
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing
PWBs from
loose drugs
procured
(MM/YY)
1 2 Dhanbad Dec-10 Itki TBS / PMCH Nov-10/ Mar-
11
Jan-11 Dec-10 Done Done Jan-11 Done
1 2 Ranchi Dec-10 Itki TBS Nov-10 Jan-11 Dec-10 Done Done Jan-11 Done
2 7 Bokaro Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 Gumla Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 Simdega Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 Lohardaga Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 Latehar Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 Palamau Jul-11 Itki TBS Nov-10 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
2 7 East Singhbhum Jul-11 MGM Jamshedpur Jul-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Done
3 7 Garhwa Sep-11 Itki TBS Nov-10 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Jamtara Sep-11 PMCH Dhanbad Mar-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Saraikela Sep-11 MGM Jamshedpur Jul-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Giridih Sep-11 PMCH Dhanbad Mar-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Deoghar Sep-11 PMCH Dhanbad Mar-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Dumka Sep-11 PMCH Dhanbad Mar-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
3 7 Pakur Sep-11 PMCH Dhanbad Mar-11 Mar-11 May-11 Jun-11 Jul-11 May-11 Mar-11
4 8 Hazaribag Dec-11 Itki TBS Nov-10 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Ramgarh Dec-11 Itki TBS Nov-10 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 West
Singhbhum
Dec-11 MGM Jamshedpur Jul-11 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Koderma Dec-11 PMCH Dhanbad Mar-11 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Godda Dec-11 PMCH Dhanbad Mar-11 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Chatra Dec-11 Itki TBS Nov-10 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Khunti Dec-11 Itki TBS Nov-10 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11
4 8 Sahebganj Dec-11 PMCH Dhanbad Mar-11 May-11 Jun-11 Aug-11 Oct-11 Sep-11 Mar-11

State Profile:
State Population
in lakh
Orissa State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
152
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
EAST ZONE - ORISSA STATE
Districts
with
services
State wide
coverage
planned
Orissa 404 31 108 546 2 4 1 31 Nov 2009 4 Dec 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
1 IRL Orissa Cuttack Gov Accredited Completed Yes Upgrading Jun-11 Yes Preliminary TBC
2 ICMR Bhubhaneswar Gov Upgrading Jun-12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 SCB Medical College Cuttack Gov Functional
Liquid
Status
2 MKCG Medical College, Berhampur Ganjam Gov Upgrading July 2011
3 VSS Medical College, Burla Burla Gov Upgrading Feb 2011
4 To be Decided
Liquid
Date
Active

State PMDT
Plan
Malkangiri
DOTS Plus Plan
Nuapada
Nabarangapur
1000
900
800
700
600
500
400
300
200
100
0
Koraput
Balangir
Kalahandi
2010
4Q
Bargarh
Rayagada
2011
1Q
Jharsuguda
Sonapur
Sundargarh
Sambalpur
Baudh
Kandhamal
Gajapati
2011
2Q
Cases
Debagarh
Anugul
Ganjam
Cum MDR Suspects
Cum MDR Cases
2011
3Q
Nayagarh
2011
4Q
Khordha
Kendujhar
Dhenkanal
Cuttack
2012
1Q
BMC
Puri
Jajapur
Mayurbhanj
Baleshwar
Bhadrak
Kendrapara
Jagatsinghapur
To be initiated in the third phase
DOTS Plus to be initiated in the
second phase
Implementing DOTS Plus (first
phase)
Existing DOTS Plus Site
Planned DOTS Plus Site
Number Orissa : Enrollment Plan of MDR TB Suspects and
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 31 63 127 191 276 362 468 698 928
Cum MDR Cases 11 21 42 63 90 117 150 199 247
153
National Scale up Plan for PMDT 2011-2012

154
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANUGUL 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BALANGIR 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BALESHWAR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BARGARH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BAUDH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BHADRAK 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
BHUBANESHWR 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
CUTTACK 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DEBAGARH 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
DHENKANAL 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
GAJAPATI 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
GANJAM 1 IRL Cut A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
JAGATSINGHPUR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
JAJAPUR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
JHARSUGUDA 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KALAHANDI 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KANDHAMAL 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KENDRAPARA 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KENDUJHAR 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KHORDHA 1 IRL Cut A A A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
KORAPUT 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
MALKANGIRI 3 IRL Cut A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MAYURBHANJ 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NABARANGAPR 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NAYAGARH 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
NUAPADA 4 IRL Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
PURI 2 IRL Cut A A A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
RAYAGADA 3 IRL Cut A A A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SAMBALPUR 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SONAPUR 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA
SUNDARGARH 4 IRL_Cut A A A LJ LJ LJ LPA LPA LPA LPA LPA LPA

District
Name
155
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ANUGUL 2 IRL Cut 1 1 1 1 1 1 1 0 0 0 0 0 0 0
BALANGIR 4 IRL Cut 2 2 2 0 0 0
BALESHWAR 2 IRL Cut 6 6 6 6 6 6 6 2 2 2 2 2 2 2
BARGARH 4 IRL Cut 2 2 2 1 1 1
BAUDH 4 IRL Cut 3 3 3 1 1 1
BHADRAK 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
BHUBANESHWR 1 IRL Cut 3 3 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1
CUTTACK 1 IRL Cut 6 6 6 6 6 6 6 6 6 2 2 2 2 2 2 2 2 2
DEBAGARH 4 IRL Cut 1 1 1 0 0 0
DHENKANAL 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
GAJAPATI 3 IRL Cut 5 5 5 5 5 1 1 1 1 1
GANJAM 1 IRL Cut 21 21 21 21 21 21 21 116 116 7 7 7 7 7 7 7 18 18
JAGATSINGHPUR 2 IRL Cut 3 3 3 3 3 3 3 1 1 1 1 1 1 1
JAJAPUR 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
JHARSUGUDA 4 IRL Cut 3 3 3 1 1 1
KALAHANDI 3 IRL Cut 4 4 4 4 4 1 1 1 1 1
KANDHAMAL 3 IRL Cut 2 2 2 2 2 1 1 1 1 1
KENDRAPARA 2 IRL Cut 2 2 2 2 2 2 2 1 1 1 1 1 1 1
KENDUJHAR 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
KHORDHA 1 IRL Cut 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1
KORAPUT 3 IRL Cut 6 6 6 6 6 2 2 2 2 2
MALKANGIRI 3 IRL Cut 1 1 1 29 29 0 0 0 4 4
MAYURBHANJ 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
NABARANGAPR 3 IRL Cut 1 1 1 1 1 0 0 0 0 0
NAYAGARH 2 IRL Cut 4 4 4 4 4 4 4 1 1 1 1 1 1 1
NUAPADA 4 IRL Cut 2 2 2 0 0 0
PURI 2 IRL Cut 3 3 3 3 3 3 3 1 1 1 1 1 1 1
RAYAGADA 3 IRL Cut 3 3 3 3 3 1 1 1 1 1
SAMBALPUR 4 IRL Cut 5 5 5 1 1 1
SONAPUR 4 IRL Cut 1 1 1 0 0 0
SUNDARGARH 4 IRL Cut 2 2 2 1 1 1
Total 31 64 64 86 86 107 230 230 11 11 21 21 27 27 33 48 48
Lab
Drug
capacity 200 200 500 1200 2100 2100 2100 2100
courses
84 75 75

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
156
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packaging
material
(MM/YY)
Transport
mode
options
(within 72
hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 4 Bhubaneswar Nov-09 A IRL_Cut Aug-09 Apr-11 Done Staff Icepacks
1 4 Cuttack Nov-09 A IRL_Cut Aug-09 Apr-11 Done Staff Icepacks
1 4 Ganjam Nov-09 A Jul-12 IRL_Cut Aug-09 Apr-11 Done Staff Icepacks
1 4 Khurda Nov-09 A IRL_Cut Aug-09 Apr-11 Done Staff Icepacks
2 11 Nayagarh Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Baleshwar Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Mayurbhanj Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Jajapur Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Bhadrak Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Puri Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Jagatsinghpur Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Kendrapara Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Anugul Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Dhenkanal Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
2 11 Kendujhar Apr-11 A IRL_Cut Mar-11 Apr-11 Jan-11 Staff Icepacks
3 7 Gajapati Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Kalahandi Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Kandhamal Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Koraput Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Malkangiri Oct-11 A Jul-12 IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Nabrangpur Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
3 7 Rayagada Oct-11 A IRL_Cut Aug-11 Apr-11 Mar-11 Staff Icepacks
4 9 Balangir Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Bargarh Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Boudh Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Debagarh Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Jharsuguda Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Nuapada Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Sambalpur Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Sonapur Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks
4 9 Sundargarh Apr-12 A IRL_Cut Feb-12 Apr-11 Dec-11 Staff Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS
Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
157
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 4 Bhubaneswar Nov-09 SCB MC, Cuttack Done Done Done NA NA Done Done
1 4 Cuttack Nov-09 SCB MC, Cuttack Done Done Done NA NA Done Done
1 4 Ganjam Nov-09 SCB MC, Cuttack Done Done Done NA NA Done Done
1 4 Khurda Nov-09 SCB MC, Cuttack Done Done Done NA NA Done Done
2 11 Nayagarh Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Baleshwar Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Mayurbhanj Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Jajapur Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Bhadrak Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Puri Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Jagatsinghpur Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Kendrapara Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Anugul Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Dhenkanal Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
2 11 Kendujhar Apr-11 SCB MC, Cuttack Done Jan-11 Jan-11 Feb-11 Mar-11 Feb-11 Done
3 7 Gajapati Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Kalahandi Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Kandhamal Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Koraput Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Malkangiri Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Nabrangpur Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
3 7 Rayagada Oct-11 MKCG MC, B’pur Jul-11 Apr-11 May-12 May-11 Jun-11 Feb-11 Mar-11
4 9 Balangir Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Bargarh Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Boudh Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Debagarh Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Jharsuguda Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Nuapada Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Sambalpur Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Sonapur Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12
4 9 Sundargarh Apr-12 VSS MC, Burla Feb-12 Dec-12 Jan-12 Feb-12 Mar-12 Jan-12 Feb-12

State Profile:
State Population
in lakh
Chhattisgarh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
158
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
EAST ZONE - CHHATTISGARH STATE
Districts
with
services
State wide
coverage
planned
Chhattisgarh 243 16 63 302 1 2 1 16 Jun-11 0 Mar-12
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Raipur Raipur Gov Under Accr Jun-11 Yes Upgrading Jun-11 Yes Preliminary Jan - 12
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 CIMS Medical College Bilaspur Gov MC Upgrading Mar 2011
2 PJNM Medical College Raipur Gov MC Upgrading Sep 2011

Bilaspur
Raipur
DOTS Plus Plan
Chhattisgarh
IRL
DOTS Plus Site
Phase I districts
Phase II districts
Phase III districts
Phase IV districts
Chatttisgarh : Enrollment Plan of MDR TB Suspects
and Cases
Number
2500
2000
1500
1000
500
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
State PMDT Plan
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 0 100 230 502 820 1137 1455 2112
Cum MDR Cases 0 0 13 30 67 112 157 202 296
159
National Scale up Plan for PMDT 2011-2012

160
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BASTAR 4 IRL_Rpr B B B B LJ LJ LJ LPA LPA LPA LPA LPA
BILASPUR-CG 1 IRL_Rpr B B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA
DANTEWADA 4 IRL_Rpr B B B B LJ LJ LJ LPA LPA LPA LPA LPA
DHAMTARI 3 IRL_Rpr B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
DURG 3 IRL_Rpr B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
JANJGIR 2 IRL_Rpr B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
JASHPUR 2 IRL_Rpr B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
KANKER 4 IRL_Rpr B B B B LJ LJ LJ LPA LPA LPA LPA LPA
KAWARDHA 2 IRL_Rpr B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
KORBA 1 IRL_Rpr B B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA
KORIYA 2 IRL_Rpr B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
MAHASAMUND 3 IRL_Rpr B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
RAIGARH-CG 1 IRL_Rpr B B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
RAIPUR 3 IRL_Rpr B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
RAJNANDGAON 3 IRL_Rpr B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
SURGUJA 1 IRL_Rpr B B B B B B B LJ LJ LJ LPA LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BASTAR 4 IRL_Rpr 21 21 21 21 4 4 4 4
BILASPUR-CG 1 IRL_Rpr 45 45 45 45 45 45 243 6 6 6 6 6 6 35
DANTEWADA 4 IRL_Rpr 12 12 12 12 2 2 2 2
DHAMTARI 3 IRL_Rpr 11 11 11 11 11 2 2 2 2 2
DURG 3 IRL_Rpr 35 35 35 35 35 5 5 5 5 5
JANJGIR 2 IRL_Rpr 13 13 13 13 13 13 2 2 2 2 2 2
JASHPUR 2 IRL_Rpr 4 4 4 4 4 4 1 1 1 1 1 1
KANKER 4 IRL_Rpr 12 12 12 12 2 2 2 2
KAWARDHA 2 IRL_Rpr 4 4 4 4 4 4 1 1 1 1 1 1
KORBA 1 IRL_Rpr 14 14 14 14 14 14 156 2 2 2 2 2 2 23
KORIYA 2 IRL_Rpr 8 8 8 8 8 8 1 1 1 1 1 1
MAHASAMUND 3 IRL_Rpr 5 5 5 5 5 1 1 1 1 1
RAIGARH-CG 1 IRL_Rpr 18 18 18 18 18 18 18 2 2 2 2 2 2 2
RAIPUR 3 IRL_Rpr 64 64 64 64 64 9 9 9 9 9
RAJNANDGAON 3 IRL_Rpr 28 28 28 28 28 4 4 4 4 4

161
National Scale up Plan for PMDT 2011-2012
SURGUJA 1 IRL_Rpr 23 23 23 23 23 23 23 3 3 3 3 3 3 3
Total 100 129 273 318 318 318 657 0 13 17 38 45 45 45 95
Lab
capacity 500 1200 2100 2100 2100 2100
Drug
courses 62 84 75 75
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria B to C
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 4 Bilaspur Jun-11 B Mar-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
1 4 Korba Jun-11 B Mar-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
1 4 Raigarh CG Jun-11 B Mar-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
1 4 Surguja Jun-11 B Mar-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
2 4 Janjgir Sep-11 B Jun-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
2 4 Jashpur Sep-11 B Jun-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
2 4 Kawardha Sep-11 B Jun-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
2 4 Koriya Sep-11 B Jun-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
3 5 Raipur Dec-11 B Sep-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
3 5 Rajnandgaon Dec-11 B Sep-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
3 5 Mahasamund Dec-11 B Sep-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
3 5 Dhamtari Dec-11 B Sep-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
3 5 Durg Dec-11 B Sep-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
4 5 Bastar Mar-12 B Dec-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
4 5 Bijapur Mar-12 B Dec-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
4 5 Dantewada Mar-12 B Dec-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
4 5 Kanker Mar-12 B Dec-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks
4 5 Narayanpur Mar-12 B Dec-13 IRL Raipur Sep-11 Dec-11 Feb-11 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
162
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 4 Bilaspur Jun-11 CIMS, Bilaspur Mar-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Mar-11
1 4 Korba Jun-11 CIMS, Bilaspur Mar-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Mar-11
1 4 Raigarh CG Jun-11 CIMS, Bilaspur Mar-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Mar-11
1 4 Surguja Jun-11 CIMS, Bilaspur Mar-11 Jan-11 Mar-11 Apr-11 May-11 Mar-11 Mar-11
2 4 Janjgir Sep-11 CIMS, Bilaspur Mar-11 Apr-11 May-11 Jun-11 Jun-11 May-11 Mar-11
2 4 Jashpur Sep-11 CIMS, Bilaspur Mar-11 Apr-11 May-11 Jun-11 Jun-11 May-11 Mar-11
2 4 Kawardha Sep-11 CIMS, Bilaspur Mar-11 Apr-11 May-11 Jun-11 Jun-11 May-11 Mar-11
2 4 Koriya Sep-11 CIMS, Bilaspur Mar-11 Apr-11 May-11 Jun-11 Jun-11 May-11 Mar-11
3 5 Raipur Dec-11 JNMMC, Raipur Aug-11 May-11 Aug-11 Sep-11 Sep-11 Aug-11 Mar-11
3 5 Rajnandgaon Dec-11 JNMMC, Raipur Aug-11 May-11 Aug-11 Sep-11 Sep-11 Aug-11 Mar-11
3 5 Mahasamund Dec-11 JNMMC, Raipur Aug-11 May-11 Aug-11 Sep-11 Sep-11 Aug-11 Mar-11
3 5 Dhamtari Dec-11 JNMMC, Raipur Aug-11 May-11 Aug-11 Sep-11 Sep-11 Aug-11 Mar-11
3 5 Durg Dec-11 JNMMC, Raipur Aug-11 May-11 Aug-11 Sep-11 Sep-11 Aug-11 Mar-11
4 5 Bastar Mar-12 JNMMC, Raipur Aug-11 Jun-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
4 5 Bijapur Mar-12 JNMMC, Raipur Aug-11 Jun-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
4 5 Dantewada Mar-12 JNMMC, Raipur Aug-11 Jun-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
4 5 Kanker Mar-12 JNMMC, Raipur Aug-11 Jun-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11
4 5 Narayanpur Mar-12 JNMMC, Raipur Aug-11 Jun-11 Nov-11 Dec-11 Dec-11 Nov-11 Mar-11

State Profile:
State Population
in lakh
Andhra Pradesh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
163
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - ANDHRA PRADESH STATE
Districts
with
services
State wide
coverage
planned
Andhra Pradesh 847 24 178 920 5 8 1 24 Oct 2011 8 Jul 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Hyderabad Hyderabad Gov Active Active Yes Active Active Yes Accreditation Apr-11
2 BPRC Lepra Hyderabad NGO Active Active No NA NA No NA NA
3 Andhra MC Vizag Gov MC Upgrading Apr-12 Yes Upgrading Apr-11 Yes Preliminary Mar-12
4 DFIT Nellore NGO Under Accre Apr-11 No NA NA No NA NA
5 SVIMS Tirupathi Gov MC Under Accre Sep-11 Yes Preliminary TBC No NA NA
6 Kurnool MC Kurnool Gov MC Under Accre Oct-11 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 AP Chest Hospital Hyderabad Gov MC Functional Functional
2 IDH Hospital Guntur Guntur Gov MC Functional Functional
3 AMC Vishakhapatnam Vizag Gov MC Upgrading Feb-11
4 DFIT Nellore Nellore NGO Upgrading Jun-11
5 TBCH Warangal Warangal Gov MC Upgrading Jul-11
Note: 3 DOTS Plus Site to be identified

Number
APR
25000
20000
15000
10000
5000
NZD
MDK
RGY
HYD
0
MBR
KRL
ADB
KMR
CDP NLR
CHT
NGD
PKM
DOTS Plus Plan
State PMDT Plan
2010
4Q
WRL
GTR
2011
1Q
BCL
KMM
KRN
2011
2Q
WGV
2011
3Q
EGV
VSM
C&DST Lab
VZM SKM
DOTS Plus Site
Phase – I, Implemented
Phase – II, Implemented
Phase – III Implemented
Phase – IV , August 2011
Phase – V , November 2011
Andhra Pradesh : Enrollment Plan of MDR TB
Suspects and Cases
Cum MDR Suspects
Cum MDR Cases
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 346 727 1437 3490 5543 8789 12034 15280 21763
Cum MDR Cases 97 206 394 771 1147 1675 2203 2731 3722
164
National Scale up Plan for PMDT 2011-2012

165
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ADILABAD 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
ANANTAPUR 4 DFIT A A A B B B B LPA LPA LPA LPA LPA LPA LPA
BHADRACHALAM 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
CHITTOOR 4 DFIT A A A B B B B LPA LPA LPA LPA LPA LPA LPA
CUDDAPAH 4 DFIT A A A B B B B LPA LPA LPA LPA LPA LPA LPA
EAST_GODAVARI 2 BPRC A A A B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA LPA
GUNTUR 2 BPRC A A A B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA LPA
HYDERABAD 1 IRL HYD B B B B B B B B C LPA LPA LPA LPA LPA LPA LPA LPA LPA
KARIMNAGAR 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
KHAMMAM 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
KRISHNA 2 BPRC A A A B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA LPA
KURNOOL 4 DFIT A B B B B B B LPA LPA LPA LPA LPA LPA LPA
MAHBUBNAGAR 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA LPA
MEDAK 1 IRL HYD A A A B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
NALGONDA 1 IRL HYD A A A B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA LPA
NELLORE 4 DFIT A A A B B B B LPA LPA LPA LPA LPA LPA LPA
NIZAMABAD 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
PRAKASAM 4 DFIT A A A B B B B LPA LPA LPA LPA LPA LPA LPA
RANGAREDDI 1 IRL HYD A A B B B B B B C LPA LPA LPA LPA LPA LPA LPA LPA LPA
SRIKAKULAM 3 IRL HYD A A B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
VISAKHAPATNAM 3 IRL HYD A A B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
VIZIANAGARAM 3 IRL HYD A A B B B B B B LPA LPA LPA LPA LPA LPA LPA LPA
WARANGAL 5 IRL HYD A A B B B B LPA LPA LPA LPA LPA LPA
WEST_GODAVARI 2 BPRC A A A B B B B B C LJ LJ LJ LPA LPA LPA LPA LPA LPA

District
Name
166
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
ADILABAD 5 IRL HYD 14 14 86 86 86 86 5 5 14 14 14 14
ANANTAPUR 4 DFIT 33 33 33 165 165 165 165 10 10 10 27 27 27 27
BHADRACHALAM 5 IRL HYD 7 7 47 47 47 47 2 2 7 7 7 7
CHITTOOR 4 DFIT 25 25 25 145 145 145 145 9 9 9 24 24 24 24
CUDDAPAH 4 DFIT 16 16 16 112 112 112 112 5 5 5 17 17 17 17
EAST_GODAVARI 2 BPRC 16 16 16 145 145 145 145 145 786 6 6 6 21 21 21 21 21 114
GUNTUR 2 BPRC 30 30 30 226 226 226 226 226 901 12 12 12 35 35 35 35 35 132
HYDERABAD 1 IRL HYD 170 170 170 170 170 170 170 170 622 27 27 27 27 27 27 27 27 91
KARIMNAGAR 5 IRL HYD 19 19 143 143 143 143 7 7 23 23 23 23
KHAMMAM 5 IRL HYD 11 11 104 104 104 104 3 3 15 15 15 15
KRISHNA 2 BPRC 35 35 35 177 177 177 177 177 692 14 14 14 31 31 31 31 31 104
KURNOOL 4 DFIT 49 146 146 146 146 146 146 18 30 30 30 30 30 30
MAHBUBNAGAR 5 IRL HYD 28 28 130 130 130 130 9 9 22 22 22 22
MEDAK 1 IRL HYD 20 20 20 103 103 103 103 103 103 9 9 9 19 19 19 19 19 19
NALGONDA 1 IRL HYD 40 40 40 219 219 219 219 219 219 15 15 15 38 38 38 38 38 38
NELLORE 4 DFIT 26 26 26 144 144 144 144 11 11 11 26 26 26 26
NIZAMABAD 5 IRL HYD 7 7 56 56 56 56 3 3 9 9 9 9
PRAKASAM 4 DFIT 20 20 20 114 114 114 114 6 6 6 18 18 18 18
RANGAREDDI 1 IRL HYD 26 26 186 186 186 186 186 186 632 10 10 30 30 30 30 30 30 93
SRIKAKULAM 3 IRL HYD 8 8 72 72 72 72 72 72 3 3 10 10 10 10 10 10
VISAKHAPATNAM 3 IRL HYD 12 12 129 129 129 129 129 129 4 4 18 18 18 18 18 18
VIZIANAGARAM 3 IRL HYD 14 14 105 105 105 105 105 105 5 5 17 17 17 17 17 17
WARANGAL 5 IRL HYD 28 28 182 182 182 182 10 10 30 30 30 30
WEST_GODAVARI 2 BPRC 9 9 9 142 142 142 142 142 652 4 4 4 20 20 20 20 20 93
Total 346 381 710 2053 2053 3246 3246 3246 6483 97 109 188 377 377 528 528 528 990
Lab
capacity 2700 2700 3300 3900 3900 3900 3900 3900
Drug
courses
906 2750
Note: Cumulative Lab Capacity includes capacity of IRL Hyderabad and AMC Vizag and does not include the remaining labs proposed.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
167
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 1 Hyderabad Oct-08 B Dec-10 IRL, HYD Jul-08 Jun-10 Jun-10 Courier Icepacks
1 1 Rangareddi Oct-08 A Apr-11 IRL, HYD Jul-08 Jun-10 Jun-10 Courier Icepacks
1 2 Medak Oct-08 A Jul-11 IRL, HYD Jul-08 Jun-10 Jun-10 Courier Icepacks
1 2 Nalgonda Oct-08 A Jul-11 IRL, HYD Jul-08 Jun-10 Jun-10 Courier Icepacks
2 4 East Goavari Sep-09 A May-11 BPRC Jan-09 Mar-11 Mar-11 Courier Icepacks
2 4 Guntur Sep-09 A May-11 BPRC Jan-09 Mar-11 Mar-11 Courier Icepacks
2 4 Krishna Sep-09 A May-11 BPRC Jan-09 Mar-11 Mar-11 Courier Icepacks
2 4 West Godavari Sep-09 A May-11 BPRC Jan-09 Mar-11 Mar-11 Courier Icepacks
3 3 Srikakulam Jan-11 A Jul-11 AMC/IRL Mar-11 Apr-11 Apr-11 Courier Icepacks
3 3 Vizianagaram Jan-11 A Jul-11 AMC/IRL Mar-11 Apr-11 Apr-11 Courier Icepacks
3 3 Visakhapatnam Jan-11 A Jul-11 AMC/IRL Mar-11 Apr-11 Apr-11 Courier Icepacks
4 6 Anantapur Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
4 6 Chittoor Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
4 6 Cuddapah Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
4 6 Kurnool Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
4 6 Nellore Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
4 6 Prakasam Apr-11 A Jan-12 DFIT/ IRL Jan-11 Jun-11 Jun-11 Courier Icepacks
5 7 Adilabad Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Bhadrachalam Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Karimnagar Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Khammam Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Mahabubnagar Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Nizamabad Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks
5 7 Warangal Jul-11 A Jan-12 IRL, HYD Apr-11 Jan-12 Jan-12 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
168
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 1 Hyderabad Oct-08 APCH, Hyd Jun-10 Mar-08 May-08 NA NA Oct-10 Aug-08
1 1 Rangareddi Oct-08 APCH, Hyd Jun-10 Mar-08 May-08 NA NA Oct-10 Aug-08
1 2 Medak Oct-08 APCH, Hyd Jun-10 Mar-08 May-08 NA NA Oct-10 Aug-08
1 2 Nalgonda Oct-08 APCH, Hyd Jun-10 Mar-08 May-08 NA NA Oct-10 Aug-08
2 4 East Goavari Sep-09 IDH, Guntur Jan-10 May-09 Jul-09 NA NA Oct-10 Jun-09
2 4 Guntur Sep-09 IDH, Guntur Jan-10 May-09 Jul-09 NA NA Oct-10 Jun-09
2 4 Krishna Sep-09 IDH, Guntur Jan-10 May-09 Jul-09 NA NA Oct-10 Jun-09
2 4 West Godavari Sep-09 IDH, Guntur Jan-10 May-09 Jul-09 NA NA Oct-10 Jun-09
3 3 Srikakulam Jan-11 AMC, Vizag Dec-10 Jul-10 Nov-10 Dec-10 Dec-10 Oct-10 Mar-11
3 3 Vizianagaram Jan-11 AMC, Vizag Dec-10 Jul-10 Nov-10 Dec-10 Dec-10 Oct-10 Mar-11
3 3 Visakhapatnam Jan-11 AMC, Vizag Dec-10 Jul-10 Nov-10 Dec-10 Dec-10 Oct-10 Mar-11
4 6 Anantapur Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
4 6 Chittoor Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
4 6 Cuddapah Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
4 6 Kurnool Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
4 6 Nellore Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
4 6 Prakasam Apr-11 DFIT/SVIMS Jan-11 Dec-10 Feb-11 Feb-11 Mar-11 Oct-10 Feb-11
5 7 Adilabad Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Bhadrachalam Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Karimnagar Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Khammam Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Mahabubnagar Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Nizamabad Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11
5 7 Warangal Jul-11 TBCH WARANGAL Jul-11 Dec-10 May-11 Jun-11 Jun-11 Oct-10 Mar-11

State Profile:
State Population
in lakh
Karnataka State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
169
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - KARNATAKA STATE
Districts
with
services
State wide
coverage
planned
Karnataka 594 31 125 645 5 6 1 31 Apr 2011 0 Apr 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 SDSTB & RGICD (IRL) Bangalore Gov Upgrading Jun-12 Yes Upgrading Jun – 11 Yes Preliminary Jun-12
2 KIMS Medical College Hubli Gov MC Upgrading Sep-11 Yes Preliminary TBC No Preliminary Sep – 12
3 KIMS Medical College Bangalore Pvt MC Preliminary TBC No NA NA No NA NA
4 KMC Medical College Manipal Pvt MC Preliminary TBC No NA NA No NA NA
5 NTI Bangalore Gov Active Active Yes Under Accr Jun-11 Yes Active Active
Note: Laboratory back up services provided by NTI Bangalore till IRL Bangalore gets accredited.
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 SDS TB & RGICD Bangalore Gov MC Functional Dec-10
2 KIMS Hubli Hubli Gov MC Upgrading Nov-11
3 Bellary Bellary Gov MC Upgrading Nov-11
4 PKTB, Mysore Mysore Gov MC Upgrading Dec-11
Note: 2 DOTS Plus Site to be identified

Phase 2
Phase 3
2000
1800
1600
1400
1200
1000
800
600
400
200
0
State DOTS PMDT Plus Plan
2010
4Q
2011
1Q
Bangalore
Ramanagar
Kolar
and Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
Chikkaball apura
2011
4Q
Phase 4
1 st Phase (Aug11)
3 rd Phase (4q12)
2 nd Phase (1q12)
4 th Phase (4q12)
Phase 1
2012
1Q
2012
2Q
C-DST Lab
DOTS Plus Site
SDS
Number Karnataka : Enrollment Plan of MDR TB Suspects
2012
3Q
2012
4Q
Cum MDR Suspects 0 0 68 135 203 396 723 1277 1830
Cum MDR Cases 0 0 26 51 77 149 271 420 570
170
National Scale up Plan for PMDT 2011-2012

171
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BAGALKOT 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
BANGALORE - C 1 IRL Blr A A A A A A A LPA LPA LPA LPA LPA LPA LPA
BANGALORE - R 1 IRL Blr A A A A A A A LPA LPA LPA LPA LPA LPA LPA
BANGALORE - U 1 IRL Blr A A A A A B B LPA LPA LPA LPA LPA LPA LPA
BELGAUM 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
BELLARY 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
BIDAR 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
BIJAPUR 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
CHAMARAJANA
GAR 4 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
CHIKKABALAPUR 4 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
CHIKMAGALUR 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
CHITRADURGA 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
DAKSHINA_KND 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
DAVANAGERE 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
DHARWAD 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
GADAG 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
GULBARGA 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
HASSAN 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
HAVERI 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
KODAGU 4 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
KOLAR 1 IRL Blr A A A A A A A LPA LPA LPA LPA LPA LPA LPA
KOPPAL 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
MANDYA 4 IRL Blr A B B LPA LPA LPA LPA LPA LPA LPA
MYSORE 4 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
RAICHUR 2 IRL Blr A A A A LPA LPA LPA LPA LPA LPA LPA
RAMANAGARA 4 IRL Blr A B B LPA LPA LPA LPA LPA LPA LPA
SHIMOGA 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
TUMKUR 1 IRL Blr A A A A A B B LPA LPA LPA LPA LPA LPA LPA
UDUPI 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA
UTTARA_KND 3 IRL Blr A A A LPA LPA LPA LPA LPA LPA LPA

District
Name
172
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BAGALKOT 2 IRL Blr 6 6 6 6 2 2 2 2
BANGALORE - C 1 IRL Blr 17 17 17 17 17 17 17 7 7 7 7 7 7 7
BANGALORE - R 1 IRL Blr 6 6 6 6 6 6 6 2 2 2 2 2 2 2
BANGALORE - U 1 IRL Blr 15 15 15 15 15 118 118 6 6 6 6 6 19 19
BELGAUM 3 IRL Blr 3 3 3 1 1 1
BELLARY 2 IRL Blr 9 9 9 9 3 3 3 3
BIDAR 2 IRL Blr 11 11 11 11 4 4 4 4
BIJAPUR
CHAMARAJANA
2 IRL Blr 11 11 11 11 4 4 4 4
GAR 4 IRL Blr 11 11 11 4 4 4
CHIKKABALAPUR 4 IRL Blr 4 4 4 1 1 1
CHIKMAGALUR 3 IRL Blr 6 6 6 2 2 2
CHITRADURGA 2 IRL Blr 12 12 12 12 3 3 3 3
DAKSHINA_KND 3 IRL Blr 17 17 17 7 7 7
DAVANAGERE 3 IRL Blr 11 11 11 4 4 4
DHARWAD 2 IRL Blr 9 9 9 9 3 3 3 3
GADAG 2 IRL Blr 7 7 7 7 3 3 3 3
GULBARGA 2 IRL Blr 21 21 21 21 8 8 8 8
HASSAN 3 IRL Blr 7 7 7 3 3 3
HAVERI 2 IRL Blr 7 7 7 7 3 3 3 3
KODAGU 4 IRL Blr 1 1 1 0 0 0
KOLAR 1 IRL Blr 6 6 6 6 6 6 6 2 2 2 2 2 2 2
KOPPAL 2 IRL Blr 16 16 16 16 7 7 7 7
MANDYA 4 IRL Blr 18 68 68 7 13 13
MYSORE 4 IRL Blr 19 19 19 7 7 7
RAICHUR 2 IRL Blr 15 15 15 15 6 6 6 6
RAMANAGARA 4 IRL Blr 9 36 36 4 7 7
SHIMOGA 3 IRL Blr 6 6 6 2 2 2
TUMKUR 1 IRL Blr 24 24 24 24 24 70 70 9 9 9 9 9 14 14
UDUPI 3 IRL Blr 12 12 12 4 4 4
UTTARA_KND 3 IRL Blr 10 10 10 3 3 3
Total 0 68 68 68 193 327 554 554 0 0 26 26 26 72 121 149 149
Lab
capacity 300 600 1200 2700 2700 2700 2700
Drug
courses
77 493
Note: Cumulative Lab Capacity includes capacity of NTI, IRL Bangalore and KIMS Hubli and does not include the private labs proposed.

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
173
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 5 Bangalore C Apr-11 A Jul 12 NTI / IRL Dec-10 Mar-11 Dec-10 Courier Icepacks
1 5 Bangalore R Apr-11 A Jul 12 NTI / IRL Dec-10 Mar-11 Dec-10 Courier Icepacks
1 5 Bangalore U Apr-11 A Jul 12 NTI / IRL Dec-10 Mar-11 Dec-10 Courier Icepacks
1 5 Kolar Apr-11 A NTI / IRL Dec-10 Mar-11 Dec-10 Courier Icepacks
1 5 Tumkur Apr-11 A Jul 12 NTI / IRL Dec-10 Mar-11 Dec-10 Courier Icepacks
2 14 Bagalkot Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Bijapur Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Bidar Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Gulbarga Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Yadagiri Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Raichur Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Belgaum Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Dharwad Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Koppal Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Haveri Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Davangere Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Bellary Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
2 14 Chitradurga Jan-12 A Jul 12 NTI / IRL Sep-11 Dec-11 Mar-11 Courier Icepacks
3 12 Uttarakannada Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Shimoga Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Udupi Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Dakshina Knd Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Chikkamagalur Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Hassan Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Mysore Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Mandya Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Kodagu Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Chamarajnagara Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Ramanagara Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks
3 12 Chikkaballapura Apr-12 A Jul 12 NTI / IRL Dec-11 Mar-12 Mar-11 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
174
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 5 Bangalore C Apr-11 SDS TB & RGICD Dec-10 Jun-10 Jan-11 Jan-11 Mar-11 Feb-11 Dec-10
1 5 Bangalore R Apr-11 SDS TB & RGICD Dec-10 Jun-10 Jan-11 Jan-11 Mar-11 Feb-11 Dec-10
1 5 Bangalore U Apr-11 SDS TB & RGICD Dec-10 Jun-10 Jan-11 Jan-11 Mar-11 Feb-11 Dec-10
1 5 Kolar Apr-11 SDS TB & RGICD Dec-10 Jun-10 Jan-11 Jan-11 Mar-11 Feb-11 Dec-10
1 5 Tumkur Apr-11 SDS TB & RGICD Dec-10 Jun-10 Jan-11 Jan-11 Mar-11 Feb-11 Dec-10
2 14 Bagalkot Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Bijapur Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Bidar Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Gulbarga Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Yadagiri Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Raichur Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Belgaum Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Dharwad Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Koppal Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Haveri Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Davangere Jan-12 KIMS Hubli Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Bellary Jan-12 Bellary Nov-11 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
2 14 Chitradurga Jan-12 SDS TB & RGICD Dec-10 Jun-11 Oct-11 Nov-11 Jan-12 Jun-11 Jun-11
3 12 Uttarakannada Apr-12 KIMS Hubli Nov-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Shimoga Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Udupi Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Dakshina Knd Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Chikkamagalur Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Hassan Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Mysore Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Mandya Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Kodagu Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Chamarajnagar Apr-12 PKTB, Mysore Dec-11 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Ramanagara Apr-12 SDS TB & RGICD Dec-10 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11
3 12 Chikkaballapura Apr-12 SDS TB & RGICD Dec-10 Oct-11 Dec-11 Jan-12 Mar-12 Jun-11 Jun-11

State Profile:
State Population
in lakh
Kerala State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
175
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - KERALA STATE
Districts
with
services
State wide
coverage
achieved
Kerala 346 14 73 482 2 3 1 14 Dec 2008 14 Dec 2008
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Trivandrum Trivandrum Gov Active Active Yes Under Accr Apr – 11 Yes Upgrading Jun-12
2 Kollengery MC Ernaculum Gov MC Upgrading Jan-12 No NA NA No NA NA
3 Calilcut MC Calicut Gov MC Upgrading Jan-12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 Trivandrum Trivandrum Gov MC Functional Dec-08
2 Kozhikkode Kozhikkode Gov MC Functional Feb-09
3 Thrissur Thrissur Gov MC Upgrading Jul-11

DP site Kozhikkode
DOTS Plus services started on
December 27th 2008 , entire state
covered
Kozhikkode started in February -2009
DP site Thiruvananthapuram
6000
5000
4000
3000
2000
1000
0
State DOTS Plus PMDT Coverage Plan
2010
4Q
2011
1Q
2011
2Q
Cases
Cum MDR Suspects
Cum MDR Cases
2011
3Q
Name of site Population
covered
Proportion of
Kerala
population
Trivandrum 16529391 48% (7
districts)
Kozhikkode 17787609 52% (7
districts)
Total 34317000
STDC/IRL Thiruvananthapuram
Number Kerala : Enrollment Plan of MDR TB Suspects and
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 205 457 750 1301 1914 2826 3737 4649 5561
Cum MDR Cases 36 78 125 203 287 400 513 626 739
176
National Scale up Plan for PMDT 2011-2012

177
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Alappuzha 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Ernakulam 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Idukki 1 IRL_TRV A A B B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Kannur 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Kasaragod 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Kollam 1 IRL_TRV A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Kottayam 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Kozhikode 1 IRL_TRV A A B B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Malappuram 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Palakkad 1 IRL_TRV A A A A B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Pathanamthitta 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Thiruvnanthprm 1 IRL_TRV A B B B B C C C C LJ LJ LPA LPA LPA LPA LPA LPA LPA
Thrissur 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
Wayanad 1 IRL_TRV A A A B B B B B B LJ LJ LPA LPA LPA LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Alappuzha 1 IRL_TRV 15 15 15 45 45 45 45 45 45 2 3 3 6 6 6 6 6 6
Ernakulam 1 IRL_TRV 22 22 22 81 81 81 81 81 81 4 4 4 11 11 11 11 11 11
Idukki 1 IRL_TRV 7 7 17 17 17 17 17 17 17 1 1 2 2 2 2 2 2 2
Kannur 1 IRL_TRV 11 11 11 43 43 43 43 43 43 2 2 2 6 6 6 6 6 6
Kasaragod 1 IRL_TRV 9 9 9 32 32 32 32 32 32 2 2 2 4 4 4 4 4 4
Kollam 1 IRL_TRV 18 18 18 18 43 43 43 43 43 3 3 3 3 6 6 6 6 6
Kottayam 1 IRL_TRV 14 14 14 40 40 40 40 40 40 3 3 3 6 6 6 6 6 6
Kozhikode 1 IRL_TRV 16 16 48 48 48 48 48 48 48 3 3 6 6 6 6 6 6 6
Malappuram 1 IRL_TRV 16 16 16 47 47 47 47 47 47 3 3 3 6 6 6 6 6 6
Palakkad 1 IRL_TRV 20 20 20 20 57 57 57 57 57 4 4 4 4 8 8 8 8 8
Pathanamthitta 1 IRL_TRV 9 9 9 18 18 18 18 18 18 2 2 2 3 3 3 3 3 3
Thiruvnanthprm 1 IRL_TRV 25 72 72 72 72 371 371 371 371 4 10 10 10 10 38 38 38 38
Thrissur 1 IRL_TRV 21 21 21 60 60 60 60 60 60 4 4 4 8 8 8 8 8 8
Wayanad 1 IRL_TRV 3 3 3 9 9 9 9 9 9 1 1 1 1 1 1 1 1 1
Total 205 252 293 551 613 912 912 912 912 36 42 47 77 84 113 113 113 113
Lab
capacity 600 600 1200 2100 2100 2100 2100 2100
Drug
courses
251 452

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
N0
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
178
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 14 Alappuzha Dec-08 A Jul-11 IRL -Trv Dec-08 Jan-11 Jan-08 Courier Icepacks
1 14 Ernakulam Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Idukki Dec-08 A Apr-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Kannur Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Kasaragod Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Kollam Dec-08 A Oct-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Kottayam Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Kozhikode Dec-08 A Apr-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Malappuram Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Palakkad Dec-08 A Oct-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Pathanamthitta Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Thiruvnanthprm Dec-08 B Jan-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Thrissur Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
1 14 Wayanad Dec-08 A Jul-11 IRL –Trv Dec-08 Jan-11 Ongoing Courier Icepacks
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 14 Alappuzha Dec-08 Trivandrum Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Ernakulam Dec-08 Kozhikkode Feb-09 Done Done NA NA Dec-11 Feb 11
1 14 Idukki Dec-08 Thrissur Jul-11 Done Done NA NA Dec-11 Feb 11
1 14 Kannur Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Kasaragod Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Kollam Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Kottayam Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Kozhikode Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Malappuram Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Palakkad Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Pathanamthitta Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Thiruvnanthprm Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Thrissur Dec-08 Done Done NA NA Dec-11 Feb 11
1 14 Wayanad Dec-08 Done Done NA NA Dec-11 Feb 11

State Profile:
State Population
in lakh
Tamil Nadu State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
179
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - TAMIL NADU STATE
Districts
with
services
State wide
coverage
planned
Tamil Nadu 674 31 146 790 4 6 1 31 Mar 2009 25 Mar 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST Status
Solid Date
Active
LPA
planned
LPA Status LPA Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Chennai Chennai Gov Active Active Yes Upgrading Sep-11 Yes Preliminary Mar-12
2 CMC Vellore Vellore NGO Active Active No NA NA No NA NA
3 TRC Chennai Gov Active Active Yes Upgrading Apr-11 Yes Active Active
4 Madurai MC Madurai Gov MC Upgrading Dec -12 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GHTM Tambaram Tambaram Gov Functional Functional
2 Coimbatore MC Coimbatore Gov MC Upgrading Jan-11
3 Madurai MC Madurai Gov MC Upgrading Mar-11
Note: 3 DOTS Plus Site to be identified

State PMDT Plan
DOTS Plus Plan
Tamil Nadu : Enrollment Plan of MDR TB Suspects
and Cases
Number
8000
7000
6000
5000
4000
3000
2000
1000
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 207 463 719 974 1230 2424 3619 5388 7158
Cum MDR Cases 75 167 260 352 445 653 862 1143 1424
180
National Scale up Plan for PMDT 2011-2012

181
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHENNAI 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
COIMBATORE 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
CUDDALORE 1 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DHARMAPURI 2 CMC Vlr A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
DINDIGUL 4 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
ERODE 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KANCHEPURAM 1 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KANIYAKUMARI 5 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KARUR 5 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
KRISHNAGIRI 2 CMC Vlr A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
MADURAI 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
NAGAPATTINAM 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
NAMAKKAL 2 CMC Vlr A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PERAMBALUR 5 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
PUDUKKOTTAI 5 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
RAMNATHPURM 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
SALEM 2 CMC Vlr A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
SIVAGANGA 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
THANJAVUR 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
THE_NILGIRIS 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
THENI 4 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
THIRUVALLUR 4 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
THIRUVARUR 5 IRL Chn A A A A A A A B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
TIRUCHIRAPALLI 6 IRL Chn A A A A A A B B LJ LJ LPA LPA LPA LPA LPA LPA
TIRUNELVELI 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
TIRUVANMALAI 1 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
TOOTHUKUDI 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
VELLORE 2 CMC Vlr A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
VILUPPURAM 1 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA
VIRUDHUNAGAR 3 IRL Chn A A A A A B B B B LJ LJ LJ LPA LPA LPA LPA LPA LPA

District
Name
182
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHENNAI 6 IRL Chn 20 20 20 20 20 20 135 135 7 7 7 7 7 7 22 22
COIMBATORE 3 IRL Chn 16 16 16 16 16 87 87 87 87 6 6 6 6 6 15 15 15 15
CUDDALORE 1 IRL Chn 2 2 2 2 2 69 69 69 69 1 1 1 1 1 9 9 9 9
DHARMAPURI 2 CMC Vlr 4 4 4 4 4 30 30 30 30 1 1 1 1 1 5 5 5 5
DINDIGUL 4 IRL Chn 4 4 4 4 4 4 4 39 39 1 1 1 1 1 1 1 6 6
ERODE 3 IRL Chn 14 14 14 14 14 57 57 57 57 5 5 5 5 5 10 10 10 10
KANCHEPURAM 1 IRL Chn 8 8 8 8 8 97 97 97 97 3 3 3 3 3 15 15 15 15
KANIYAKUMARI 5 IRL Chn 3 3 3 3 3 3 3 23 23 1 1 1 1 1 1 1 4 4
KARUR 5 IRL Chn 3 3 3 3 3 3 3 21 21 1 1 1 1 1 1 1 3 3
KRISHNAGIRI 2 CMC Vlr 4 4 4 4 4 31 31 31 31 1 1 1 1 1 4 4 4 4
MADURAI 6 IRL Chn 9 9 9 9 9 9 83 83 3 3 3 3 3 3 12 12
NAGAPATTINAM 3 IRL Chn 8 8 8 8 8 30 30 30 30 3 3 3 3 3 6 6 6 6
NAMAKKAL 2 CMC Vlr 4 4 4 4 4 40 40 40 40 2 2 2 2 2 6 6 6 6
PERAMBALUR 5 IRL Chn 4 4 4 4 4 4 4 21 21 2 2 2 2 2 2 2 4 4
PUDUKKOTTAI 5 IRL Chn 5 5 5 5 5 5 5 25 25 2 2 2 2 2 2 2 4 4
RAMNATHPURM 6 IRL Chn 5 5 5 5 5 5 24 24 2 2 2 2 2 2 4 4
SALEM 2 CMC Vlr 14 14 14 14 14 72 72 72 72 5 5 5 5 5 13 13 13 13
SIVAGANGA 6 IRL Chn 2 2 2 2 2 2 20 20 1 1 1 1 1 1 3 3
THANJAVUR 3 IRL Chn 12 12 12 12 12 47 47 47 47 4 4 4 4 4 8 8 8 8
THE_NILGIRIS 6 IRL Chn 1 1 1 1 1 1 2 2 0 0 0 0 0 0 0 0
THENI 4 IRL Chn 6 6 6 6 6 6 6 28 28 2 2 2 2 2 2 2 5 5
THIRUVALLUR 4 IRL Chn 14 14 14 14 14 14 14 90 90 5 5 5 5 5 5 5 15 15
THIRUVARUR 5 IRL Chn 4 4 4 4 4 4 4 17 17 1 1 1 1 1 1 1 3 3
TIRUCHIRAPALLI 6 IRL Chn 5 5 5 5 5 5 39 39 2 2 2 2 2 2 6 6
TIRUNELVELI 3 IRL Chn 11 11 11 11 11 66 66 66 66 4 4 4 4 4 11 11 11 11
TIRUVANMALAI 1 IRL Chn 8 8 8 8 8 61 61 61 61 3 3 3 3 3 10 10 10 10
TOOTHUKUDI 3 IRL Chn 10 10 10 10 10 39 39 39 39 4 4 4 4 4 7 7 7 7
VELLORE 2 CMC Vlr 4 4 4 4 4 68 68 68 68 2 2 2 2 2 9 9 9 9
VILUPPURAM 1 IRL Chn 2 2 2 2 2 85 85 85 85 1 1 1 1 1 11 11 11 11
VIRUDHUNAGAR 3 IRL Chn 7 7 7 7 7 38 38 38 38 2 2 2 2 2 6 6 6 6
Total 174 214 214 214 214 1000 1000 1482 1482 63 77 77 77 77 175 175 235 235
Lab
capacity 820 820 1020 1020 1920 1920 1920 1920
Drug
courses 372 349 471

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
183
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 4 Kancheepuram Mar-09 A Mar-12 IRL Chn Mar-09 Sep-11 Dec-10 Courier Icepacks
1 4 Cuddalore Mar-09 A Mar-12 IRL Chn Mar-09 Sep-11 Dec-10 Courier Icepacks
1 4 Tiruvannamalai Mar-09 A Mar-12 IRL Chn Mar-09 Sep-11 Dec-10 Courier Icepacks
1 4 Villupuram Mar-09 A Mar-12 IRL Chn Mar-09 Sep-11 Dec-10 Courier Icepacks
2 5 Vellore Jun-09 A Mar-13 CMC, Vlr Mar-09 Sep-12 Dec-10 Courier Icepacks
2 5 Krishnagiri Jun-09 A Mar-13 CMC, Vlr Mar-09 Sep-12 Dec-10 Courier Icepacks
2 5 Dharmapuri Jun-09 A Mar-13 CMC, Vlr Mar-09 Sep-12 Dec-10 Courier Icepacks
2 5 Namakkal Jun-09 A Mar-13 CMC, Vlr Mar-09 Sep-12 Dec-10 Courier Icepacks
2 5 Salem Jun-09 A Mar-13 CMC, Vlr Mar-09 Sep-12 Dec-10 Courier Icepacks
3 7 Erode Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Nagapattinam Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Tanjavur Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Toothukudi Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Tirunelveli Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Virudnagar Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
3 7 Coimbatore Sep-09 A Mar-14 IRL Chn Sep-09 Sep-13 Dec-10 Courier Icepacks
4 4 Tiruvallur Dec-09 A Sep-12 IRL Chn Mar-10 Sep-14 Dec-10 Courier Icepacks
4 4 Theni Dec-09 A Sep-12 IRL Chn Mar-10 Sep-14 Dec-10 Courier Icepacks
4 4 Dindigul Dec-09 A Sep-12 IRL Chn Mar-10 Sep-14 Dec-10 Courier Icepacks
4 4 Tiruppur Dec-09 A Sep-12 IRL Chn Mar-10 Sep-14 Dec-10 Courier Icepacks
5 5 Karur Mar-10 A Sep-13 IRL Chn Jun-10 Sep-15 Dec-10 Courier Icepacks
5 5 Perambalur Mar-10 A Sep-13 IRL Chn Jun-10 Sep-15 Dec-10 Courier Icepacks
5 5 Pudukkottai Mar-10 A Sep-13 IRL Chn Jun-10 Sep-15 Dec-10 Courier Icepacks
5 5 Thiruvarur Mar-10 A Sep-13 IRL Chn Jun-10 Sep-15 Dec-10 Courier Icepacks
5 5 Kanyakumari Mar-10 A Sep-13 IRL Chn Jun-10 Sep-15 Dec-10 Courier Icepacks
6 6 Madurai Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks
6 6 Sivaganga Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks
6 6 Ramnathpuram Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks
6 6 Nilgiris Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks
6 6 Chennai Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks
6 6 Trichi Mar-11 A Sep-14 IRL Chn Dec-10 Sep-16 Dec-10 Courier Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
184
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing
PWBs from
loose drugs
procured
(MM/YY)
1 4 Kancheepuram Mar-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
1 4 Cuddalore Mar-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
1 4 Tiruvannamalai Mar-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
1 4 Villupuram Mar-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
2 5 Vellore Jun-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
2 5 Krishnagiri Jun-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
2 5 Dharmapuri Jun-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
2 5 Namakkal Jun-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
2 5 Salem Jun-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
3 7 Erode Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Nagapattinam Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Tanjavur Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Toothukudi Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Tirunelveli Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Virudnagar Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
3 7 Coimbatore Sep-09 Coimbatore Mar-09 Done Done NA NA Mar-11 Done
4 4 Tiruvallur Dec-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
4 4 Theni Dec-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
4 4 Dindigul Dec-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
4 4 Tiruppur Dec-09 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
5 5 Karur Mar-10 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
5 5 Perambalur Mar-10 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
5 5 Pudukkottai Mar-10 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
5 5 Thiruvarur Mar-10 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
5 5 Kanyakumari Mar-10 GHTM, Tambaram Mar-09 Done Done NA NA Mar-11 Done
6 6 Madurai Mar-11 MMC Madurai Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done
6 6 Sivaganga Mar-11 MMC Madurai Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done
6 6 Ramnathpuram Mar-11 MMC Madurai Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done
6 6 Nilgiris Mar-11 GHTM, Tambaram Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done
6 6 Chennai Mar-11 GHTM, Tambaram Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done
6 6 Trichi Mar-11 GHTM, Tambaram Mar-09 Dec-10 Feb-11 Apr-11 Jun-11 Mar-11 Done

State Profile:
State Population
in lakh
Puducherry Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
185
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - PUDUCHERRY UT
Districts
with
services
State wide
coverage
planned
Puducherry 14 1 4 23 1 1 1 1 Mar 2011 0 Mar 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 IRL Puducherry Puducherry Gov Under Accr Jan-11 Yes Upgrading Jun – 11 Yes Preliminary TBC
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GHCD, Gorimedu Puducherry Gov Upgrading Feb-11

State DOTS PMDT Plus Plan
C-DST Laboratory
DOTS Plus Site
IRL –C&DST lab
Puducherry : Enrollment Plan of MDR TB Suspects
and Cases
Number
450
400
350
300
250
200
150
100
50
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 9 19 57 94 132 170 208 382
Cum MDR Cases 0 4 7 14 21 28 35 42 69
186
National Scale up Plan for PMDT 2011-2012

187
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
PONDICHERRY 1 IRL_Pud A A B B B B B C LPA LPA LPA LPA LPA LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
PONDICHERRY 1 IRL_Pud 9 9 38 38 38 38 38 175 4 4 7 7 7 7 7 26
Total 9 9 38 38 38 38 38 175 4 4 7 7 7 7 7 26
Lab
capacity 600 600 1200 1200 1200 2100 2100 2100
4 19 19 19
Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 1 Puducherry UT Feb-11 A Jul-11 IRL_Pud Jan-11 April, 2011 Feb-11 Courier Ice packs
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
1 1 Puducherry UT Feb-11
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
GHCD,
Puducherry Feb-11 Dec-10 Feb-11 Dec-10 Apr-11 Jan-11 Feb-11

State Profile:
State Population
in lakh
Andaman & Nicobar Islands Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
188
National Scale up Plan for PMDT 2011-2012
Annexure 9
SOUTH ZONE - ANDAMAN & NICOBAR ISLANDS UT
SDS DDS PMDT
services
initiated
Districts
with
services
State wide
coverage
planned
Andaman &
Nicobar Islands
5 1 3 13 1 1 1 1 Mar 2011 0 Mar 2011
Note: Second Line Anti-TB Drugs will be prepared and supplied as PWB from SDS Chennai, Tamil Nadu
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status LPA
Date
Active
Liquid
Culture
planned
Liquid Status Liquid
Date
Active
1 RMRC Port Blair Port Blair ICMR Under Accr Jun-11 No NA NA No NA NA
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 IGGH Port Blair Port Blair Gov Upgrading Mar-11

Number
2010
4Q
2011
1Q
2011
2Q
State DOTS PMDT Plus Plan
2011
3Q
C-DST Laboratory
DOTS Plus Site
Andaman & Nicobar : Enrollment Plan of MDR TB
Suspects and Cases
90
80
70
60
50
40
30
20
10
0
Cum MDR Suspects
Cum MDR Cases
2011
4Q
2012
1Q
2012
2Q
2012
3Q
Cum MDR Suspects 0 2 4 6 8 27 45 64 83
Cum MDR Cases 0 1 2 3 4 7 9 12 15
2012
4Q
189
National Scale up Plan for PMDT 2011-2012

190
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
A&N ISLANDs 1 RMRC PB A A A A B B B B LJ LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
A&N ISLANDs 1 RMRC PB 2 2 2 2 19 19 19 19 1 1 1 1 3 3 3 3
Total 2 2 2 2 19 19 19 19 1 1 1 1 3 3 3 3
Lab
capacity 600 600 600 600 600 600 600 600
4 12
Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
Purchase of
container,
packing material
(MM/YY)
Transport
mode
options (in
72 hrs)
Cold Chain
(Icepacks / Dry
Ice / Liquid
Nitrogen)
1 1 A & N Islands UT Mar-11 A Jan-12 RMRC PB Jun-11 July-11 Dec-10 Courier Ice packs
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 1 A & N Islands UT Feb-11 GH Port Blair Mar-11 Dec-10 Oct-10 Jan-11 Feb-11 Jan-11 Jan-11

State Profile:
State Population
in lakh
Lakshadweep Union Territory PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs Labs
planned
DOTS Plus
Site Eligible
191
National Scale up Plan for PMDT 2011-2012
SDS DDS PMDT
services
initiated
Annexure 9
SOUTH ZONE - LAKSHADWEEP UT
Districts
with
services
State wide
coverage
planned
Lakshadweep 1 1 1 9 0 0 1 1 Dec 2011 0 Dec 2011
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Lakshadweep 1 IRL_Trv C C C C C LPA LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
Lakshadweep 1 IRL_Trv 2 2 2 2 2 0 0 0 0 0
Total 2 2 2 2 2 0 0 0 0 0
Lab
capacity 600 600 1200 2100 2100 2100 2100 2100
Drug
courses
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No
No. of
Districts
in Phase
Name of District Time of
starting DOTS
Plus (MM/YY)
Suspect
Criteria
(A/B/C)
C-DST
lab
linked
Time of starting
C-DST services
(MM/YY)
Time of
starting LPA
(MM/YY)
Purchase of
container, packing
material (MM/YY)
Transport mode
options (in 72
hrs)
Cold Chain
(Icepacks / Dry Ice
/ Liquid Nitrogen)
1 1 Lakshadweep Dec-11 C IRL_Tvr Dec-11 Dec-11 From Kerala Courier/Chopper Ice packs
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus Site National Training of
upgraded Training for DP DP Site &
including AIC Site Com & District staff
(MM/YY) DTOs (MM/YY) (MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State / District
Drug Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured (MM/YY)
1 1 Lakshadweep Dec-11 Trivandrum Dec-08 Jun-08 Mar-09 Nov-11 Dec-11 Dec-11 From Kerala

6000
5000
4000
3000
2000
1000
0
State PMDT Plan
Kerala : Enrollment Plan of MDR TB Suspects and
Cases
Number Kerala : Enrollment Plan of MDR TB Suspects and
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
Cum MDR Suspects 205 457 750 1301 1914 2826
Cum MDR Cases 36 78 125 203 287 400
2012
2Q
2012
3Q
2012
4Q
3737 4649 5561
513 626 739
192
National Scale up Plan for PMDT 2011-2012
M-TB Culture ulture and DST Laboratory Backup Linkage services will be
linked with IRL Trivandrum, Kerala
PMDT services will be linked to DOTS Plus Site, Trivandrum, Kerala
2 nd Line Anti-TB Drugs will be provided as PWB from SDS Trivandrum

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Assam State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
193
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - ASSAM STATE
PMDT
services
initiated
Districts
with
services
State wide
coverage
planned
Assam 306 23 68 342 2 3 1 23 Jun 2011 0 Mar 2013
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
LPA Date
Active
Liquid
Culture
planned
Liquid Status
1 IRL Guwahati Guwahati Gov Upgrading Feb - 12 Yes Upgrading Feb - 12 Yes Upgrading Feb - 12
2 RMRC Dibrugarh Dibrugarh ICMR
Under
Accred
Dec - 11 No NA NA No NA NA
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Guwahati is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 GMC Guwahati Guwahati Gov MC Upgrading Apr-11
2 Assam Medical College Dibrugarh Gov MC Upgrading Sep-11
3 Silchar Medical College Silchar Gov MC Upgrading Mar-12
Liquid
Date
Active

DHUBRI
KOKRAJHAR
BONGAIGAON
GOALPARA
Number
NALBARI
BARPETA
450
400
350
300
250
200
150
100
50
0
KAMRUP
2010
4Q
State PMDT Plan
DOTS Plus Plan
DARRANG
2011
1Q
MARIGAON
KARIMGANJ
Assam : Enrollment Plan of MDR TB Suspects and
Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
NAGAON
HAILAKANDI
SONITPUR
NORTH
CACHAR
HILLS
CACHAR
KARBI_ANGLONG
2011
3Q
2011
4Q
GOLAGHAT
LAKHIMPUR
2012
1Q
2012
2Q
2012
3Q
TINSUKIA
Cum MDR Suspects 0 0 28 56 105 154 229 304 391
Cum MDR Cases 0 0 11 22 40 59 86 114 146
JORHAT
DHEMAJI
SIBSAGAR
DIBRUGARH
1 st phase districts
2 nd phase districts
3 rd phase districts
DOTS Plus sites
C&DST Lab
SDS
2012
4Q
194
National Scale up Plan for PMDT 2011-2012

195
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BARPETA 4 IRL Gw A LJ LJ LJ LJ LJ LJ LPA LPA LPA
BONGAIGAON 6 IRL Gw LJ LJ LJ LJ LJ LJ LPA LPA LPA
CACHAR 3 IRL Gw A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
DARRANG 2 IRL Gw A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
DHEMAJI 5 Dibrug LJ LJ LJ LJ LJ LJ LPA LPA LPA
DHUBRI 3 IRL Gw A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
DIBRUGARH 2 Dibrug A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
GOALPARA 6 IRL Gw LJ LJ LJ LJ LJ LJ LPA LPA LPA
GOLAGHAT 5 Dibrug LJ LJ LJ LJ LJ LJ LPA LPA LPA
HAILAKANDI 4 A LJ LJ LJ LJ LJ LJ LPA LPA LPA
JORHAT 2 Dibrug A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
KAMRUP 1 IRL Gw A A A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
KARBI
ANGLONG 5 LJ LJ LJ LJ LJ LJ LPA LPA LPA
KARIMGANJ 5 LJ LJ LJ LJ LJ LJ LPA LPA LPA
KOKRAJHAR 3 IRL Gw A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
LAKHIMPUR 6 Dibrug LJ LJ LJ LJ LJ LJ LPA LPA LPA
MARIGAON 5 IRL Gw LJ LJ LJ LJ LJ LJ LPA LPA LPA
NAGAON 4 IRL Gw A LJ LJ LJ LJ LJ LJ LPA LPA LPA
NALBARI 2 IRL Gw A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
NORTH
CACHAR HILLS 5 LJ LJ LJ LJ LJ LJ LPA LPA LPA
SIBSAGAR 3 Dibrug A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
SONITPUR 1 IRL Gw A A A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
TINSUKIA 3 Dibrug A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA

District
Name
196
National Scale up Plan for PMDT 2011-2012
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BARPETA 4 IRL Gw 6 3
BONGAIGAON 6 IRL Gw
CACHAR 3 IRL Gw 3 3 3 1 1 1
DARRANG 2 IRL Gw 3 3 3 3 3 1 1 1 1 1
DHEMAJI 5 Dibrug
DHUBRI 3 IRL Gw 7 7 7 3 3 3
DIBRUGARH 2 Dibrug 10 10 10 10 10 3 3 3 3 3
GOALPARA 6 IRL Gw
GOLAGHAT 5 Dibrug
HAILAKANDI 4 1 0
JORHAT 2 Dibrug 2 2 2 2 2 1 1 1 1 1
KAMRUP
KARBI
1 IRL Gw 16 16 16 16 16 16 16 7 7 7 7 7 7 7
ANGLONG 5
KARIMGANJ 5
KOKRAJHAR 3 IRL Gw 3 3 3 1 1 1
LAKHIMPUR 6 Dibrug
MARIGAON 5 IRL Gw
NAGAON 4 IRL Gw 3 1
NALBARI
NORTH
2 IRL Gw 6 6 6 6 6 2 2 2 2 2
CACHAR HILLS 5
SIBSAGAR 3 Dibrug 3 3 3 1 1 1
SONITPUR 1 IRL Gw 12 12 12 12 12 12 12 4 4 4 4 4 4 4
TINSUKIA 3 Dibrug 10 10 10 3 3 3
Total 0 0 28 28 49 49 75 75 86 0 0 11 11 18 18 28 28 32
Lab
capacity 1400 2000 2000
Drug
courses 9 25 25 26

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
No. of
Districts
in Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of
switch from
Suspect
Criteria A to
B (MM/YY)
C-DST lab
linked
197
Time of
starting C-
DST
services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
packaging
material
(MM/YY)
Transport mode
options (within
72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid
Nitrogen)
1 2 Kamrup Jun-11 A Dec-13 NRL / IRL Feb-11 Feb-12 Jan-11 Courier/Staff Icepacks
1 2 Sonitpur Jun-11 A Dec-13 NRL / IRL Feb-11 Feb-12 Jan-11 Courier/Staff Icepacks
2 4 Darrang Nov-11 A Dec-13 NRL / IRL Aug-11 Feb-12 Jan-11 Courier/Staff Icepacks
2 4 Dibrugarh Nov-11 A Dec-13 NRL / IRL Aug-11 Feb-12 Jan-11 Courier/Staff Icepacks
2 4 Jorhat Nov-11 A Dec-13 NRL / IRL Aug-11 Feb-12 Jan-11 Courier/Staff Icepacks
2 4 Nalbari Nov-11 A Dec-13 NRL / IRL Aug-11 Feb-12 Jan-11 Courier/Staff Icepacks
3 5 Cachar Apr-12 A Dec-13 IRL Guwa Jan-12 Feb-12 Jul-11 Courier/Staff Icepacks
3 5 Dhubri Apr-12 A Dec-13 IRL Guwa Jan-12 Feb-12 Jul-11 Courier/Staff Icepacks
3 5 Kokrajhar Apr-12 A Dec-13 IRL Guwa Jan-12 Feb-12 Jul-11 Courier/Staff Icepacks
3 5 Sibsagar Apr-12 A Dec-13 IRL Guwa Jan-12 Feb-12 Jul-11 Courier/Staff Icepacks
3 5 Tinsukia Apr-12 A Dec-13 IRL Guwa Jan-12 Feb-12 Jul-11 Courier/Staff Icepacks
4 3 Barpeta Nov-12 A Dec-13 IRL Guwa Aug-12 Feb-12 Jul-11 Courier/Staff Icepacks
4 3 Hailakandi Nov-12 A Dec-13 IRL Guwa Aug-12 Feb-12 Jul-11 Courier/Staff Icepacks
4 3 Nagaon Nov-12 A Dec-13 IRL Guwa Aug-12 Feb-12 Jul-11 Courier/Staff Icepacks
5 6 Dhemaji Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
5 6 Golaghat
Karbi
Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
5 6 anglong Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
5 6 Karimganj Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
5 6 Marigaon Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
5 6 N C Hills Jan-13 A Dec-13 IRL Guwa Jan-13 Jan-13 Dec-11 Courier/Staff Icepacks
6 3 Bongaigaon Mar-13 A Dec-13 IRL Guwa Mar-13 Mar-13 Dec-11 Courier/Staff Icepacks
6 3 Goalpara Mar-13 A Dec-13 IRL Guwa Mar-13 Mar-13 Dec-11 Courier/Staff Icepacks
6 3 Lakhimpur Mar-13 A Dec-13 IRL Guwa Mar-13 Mar-13 Dec-11 Courier/Staff Icepacks

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases. (Contd…)
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS
Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
198
Training
of DP Site
& District
staff
(MM/YY)
National Scale up Plan for PMDT 2011-2012
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 Kamrup Jun-11 Gauhati MC Apr-11 Mar-11 Apr-11 Apr-11 May-11 Feb-11 Apr-11
1 2 Sonitpur Jun-11 Gauhati MC Apr-11 Mar-11 Apr-11 Apr-11 May-11 Feb-11 Apr-11
2 4 Darrang Nov-11 Gauhati MC Apr-11 Mar-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
2 4 Dibrugarh Nov-11 AMC, Dibrugarh Sep-11 Jun-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
2 4 Jorhat Nov-11 AMC, Dibrugarh Sep-11 Jun-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
2 4 Nalbari Nov-11 Gauhati MC Apr-11 Mar-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
3 5 Cachar Apr-12 SMC, Cachar Mar-12 Jan-12 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
3 5 Dhubri Apr-12 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
3 5 Kokrajhar Apr-12 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
3 5 Sibsagar Apr-12 AMC, Dibrugarh Sep-11 Jun-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
3 5 Tinsukia Apr-12 AMC, Dibrugarh Sep-11 Jun-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 3 Barpeta Nov-12 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 3 Hailakandi Nov-12 SMC, Cachar Mar-12 Jan-12 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 3 Nagaon Nov-12 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
5 6 Dhemaji Jan-13 AMC, Dibrugarh Sep-11 Jun-11 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
5 6 Golaghat Jan-13 AMC, Dibrugarh Sep-11 Jun-11 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
5 6 Karbi anglong Jan-13 SMC, Cachar Mar-12 Jan-12 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
5 6 Karimganj Jan-13 SMC, Cachar Mar-12 Jan-12 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
5 6 Marigaon Jan-13 Gauhati MC Apr-11 Mar-11 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
5 6 N C Hills Jan-13 SMC, Cachar Mar-12 Jan-12 Sep -12 Sep -12 Dec-12 Sep -12 Sep-12
6 3 Bongaigaon Mar-13 Gauhati MC Apr-11 Mar-11 Dec -12 Jan -13 Feb-13 Sep -12 Sep-12
6 3 Goalpara Mar-13 Gauhati MC Apr-11 Mar-11 Dec -12 Jan -13 Feb-13 Sep -12 Sep-12
6 3 Lakhimpur Mar-13 AMC, Dibrugarh Sep-11 Jun-11 Dec -12 Jan -13 Feb-13 Sep -12 Sep-12

State Profile:
State
Arunachal
Pradesh
Population
in lakh
Arunachal Pradesh State PMDT Scale up Plan – 2011-2012
Districts TB Units DMCs
Labs
planned
DOTS Plus
Site Eligible
199
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - ARUNACHAL PRADESH STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
12 13 13 33 1 1 1 13 Mar 2011 0 Mar 2013
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
LPA Date
Active
Liquid
Culture
planned
Liquid Status
1 IRL Naharlgun Itanagar Gov Upgrading Feb - 12 No NA NA No NA NA
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Naharlgun is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 General Hospital, Naharlgun Itanagar Gov Upgrading Jun-11
2 General Hospital, Pasighat Pasighat Gov Upgrading Dec-11
Liquid
Date
Active

BHUTAN
Number
Tawang
TAWANG
SDS
DTC
CHINA
Bomdila
WEST
KAMENG
EAST
KAMENG
KURUNG
KUMEY
Seppa
DOTS-Plus Site
(proposed in Phase-II)
60
50
40
30
20
10
0
IRL
2010
4Q
State PMDT Plan
UPPER
SUBANSIRI
Ziro
PAPUM PARE
DOTS Plus Plan
LOWER
SUBANSIRI
GH Naharlagun
ASSAM
(India)
2011
1Q
WEST
SIANG
Daporijo
Along
UPPER
SIANG
Yinkiong
EAST
SIANG
Pasighat
TIRAP
DIBANG
VALLEY
Anini
LOWER
DIBANG
VALLEY
Deomali
Khonsa
Roing
Tezu
LOHIT
CHANGLANG
BURMA
DOTS-Plus Site-Identified in Phase-I
Arunachal Pradesh : Enrollment Plan of MDR TB
Suspects and Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
CHINA
Cum MDR Suspects 0 0 4 7 11 19 28 39 50
Cum MDR Cases 0 0 1 3 4 7 10 13 17
ANJAW
2012
4Q
200
National Scale up Plan for PMDT 2011-2012

201
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHANGLANG 2 IRL Ar A A A A LJ LJ LJ LJ LJ LJ LJ
DIBANG VALLEY IRL Ar LJ LJ LJ LJ LJ LJ LJ
EAST KAMENG IRL Ar LJ LJ LJ LJ LJ LJ LJ
EAST SIANG 2 IRL Ar A A A A LJ LJ LJ LJ LJ LJ LJ
LOHIT 2 IRL Ar A A A A LJ LJ LJ LJ LJ LJ LJ
L SUBANSIRI 3 IRL Ar A A LJ LJ LJ LJ LJ LJ LJ
PAPUM PARE 1 IRL Ar A A A A A A A LJ LJ LJ LJ LJ LJ LJ
TAWANG 3 IRL Ar A A LJ LJ LJ LJ LJ LJ LJ
TIRAP 4 IRL Ar LJ LJ LJ LJ LJ LJ LJ
UPPER SIANG IRL Ar LJ LJ LJ LJ LJ LJ LJ
U SUBANSIRI IRL Ar LJ LJ LJ LJ LJ LJ LJ
WEST KAMENG IRL Ar LJ LJ LJ LJ LJ LJ LJ
WEST SIANG IRL Ar LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
CHANGLANG 2 IRL Ar 2 2 2 2 0 0 0 0 0
DIBANG VALLEY IRL Ar
EAST KAMENG IRL Ar
EAST SIANG 2 IRL Ar 2 2 2 2 1 1 1 1
LOHIT 2 IRL Ar 1 1 1 1 0 0 0 0
L SUBANSIRI 3 IRL Ar 2 2 1 1
PAPUM PARE 1 IRL Ar 4 4 4 4 4 4 4 1 1 1 1 1 1 1
TAWANG 3 IRL Ar 0 0 0 0
TIRAP 4 IRL Ar
UPPER SIANG IRL Ar
U SUBANSIRI IRL Ar
WEST KAMENG IRL Ar
WEST SIANG IRL Ar
Total 0 0 4 4 4 8 8 11 11 0 0 1 1 1 3 3 4 4
Lab
capacity 500 500 500
Drug
courses 2 3 3 3

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
Phase
No.
No. of
Districts
in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
202
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 1 Papumpare Jun-11 A Dec 11 NRL Apr-11 Dec-11 In place Courier / Staff Icepacks
2 3 Changlang Jan-12 A Jan 12 NRL Sep-11 Jan 12 In place Courier / Staff Icepacks
2 3 East Siang Jan-12 A Jan 12 NRL Sep-11 Jan 12 In place Courier / Staff Icepacks
2 3 Lohit Jan-12 A Jan 12 NRL Sep-11 Jan 12 In place Courier / Staff Icepacks
3 2 Lower Subansiri Jul-11 A Dec 11 NRL Mar-12 Dec-11 In place Courier / Staff Icepacks
3 2 Tawang Jul-12 A Jan 12 NRL Jan 12 Jan 12 In place Courier / Staff Icepacks
4 7 DIBANG VALLEY Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 EAST KAMENG Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 TIRAP Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 UPPER SIANG Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 U SUBANSIRI Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 WEST KAMENG Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
4 7 WEST SIANG Jan-13 B Jan-13 IRL Arp Jan-13 Jan-13 In place Courier/Staff Ice packs
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 1 Papumpare Jun-11 Gauhati MC Apr-11 Mar-11 Apr-11 Apr-11 May-11 Feb-11 Apr-11
2 3 Changlang Jan-12 Gauhati MC Apr-11 Mar-11 Apr-11 Apr-11 May-11 Feb-11 Apr-11
2 3 East Siang Jan-12 Gauhati MC Apr-11 Mar-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
2 3 Lohit Jan-12 AMC, Dibrugarh Sep-11 Jun-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
3 2 Lower Subansiri Jul-11 AMC, Dibrugarh Sep-11 Jun-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
3 2 Tawang Jul-12 Gauhati MC Apr-11 Mar-11 Aug-11 Jul-11 Sep-11 May-11 Apr-11
4 7 DIBANG VALLEY Jan-13 SMC, Cachar Mar-12 Jan-12 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 EAST KAMENG Jan-13 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 TIRAP Jan-13 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 UPPER SIANG Jan-13 AMC, Dibrugarh Sep-11 Jun-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 U SUBANSIRI Jan-13 AMC, Dibrugarh Sep-11 Jun-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 WEST KAMENG Jan-13 Gauhati MC Apr-11 Mar-11 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11
4 7 WEST SIANG Jan-13 SMC, Cachar Mar-12 Jan-12 Dec-11 Jan-12 Feb-12 Jun-11 Sep-11

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Manipur State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
203
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - MANIPUR STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Manipur 24 9 13 51 1 2 1 9 Jul 2011 0 Oct 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
LPA Date
Active
Liquid
Culture
planned
Liquid Status
1 IRL Imphal Imphal Gov Upgrading Feb - 12 Yes Preliminary Feb - 12 No NA NA
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Imphal is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1
Jawaharlal Nehru Institute of Medical
Science, Imphal
Imphal Gov MC Upgrading Mar-11
2 Churachandpur District Hospital Churachandpur Gov Upgrading Oct-11
Liquid
Date
Active

Number
45
40
35
30
25
20
15
10
5
0
State DOTS PMDT Plus Plan
2010
4Q
2011
1Q
IRL
S
D
S
Manipur : Enrollment Plan of MDR TB Suspects and
Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
2011
4Q
2012
1Q
Phase I - Imphal East,
Imphal West)
Phase II – Bishnupur,
Churachandpur
Phase III - Ukhrul,
Chandel, Tamenglong,
Senapati, Thoubal
2012
2Q
2012
3Q
Cum MDR Suspects 0 0 0 4 7 13 19 25 39
Cum MDR Cases 0 0 0 1 2 4 6 8 13
7
2012
4Q
204
National Scale up Plan for PMDT 2011-2012

205
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BISHNUPUR 2 IRL Imp A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
CHANDEL 3 IRL Imp A LJ LJ LJ LJ LJ LJ LJ LJ LJ
CHURACHAND 2 IRL Imp A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
IMPHAL EAST 1 IRL Imp A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
IMPHAL WEST 1 IRL Imp A A A A A A LJ LJ LJ LJ LJ LJ LJ LJ LJ
SENAPATI 3 IRL Imp A LJ LJ LJ LJ LJ LJ LJ LJ LJ
TAMENGLONG 3 IRL Imp A LJ LJ LJ LJ LJ LJ LJ LJ LJ
THOUBAL 3 IRL Imp A LJ LJ LJ LJ LJ LJ LJ LJ LJ
UKHRUL 3 IRL Imp A LJ LJ LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
BISHNUPUR 2 IRL Imp 1 1 1 1 1 1 1 1
CHANDEL 3 IRL Imp 0 0
CHURACHAND 2 IRL Imp 1 1 1 1 0 0 0 0
IMPHAL EAST 1 IRL Imp 2 2 2 2 2 2 1 1 1 1 1 1
IMPHAL WEST 1 IRL Imp 1 1 1 1 1 1 0 0 0 0 0 0
SENAPATI 3 IRL Imp 1 1
TAMENGLONG 3 IRL Imp 0 0
THOUBAL 3 IRL Imp 2 1
UKHRUL 3 IRL Imp 4 1
Total 0 0 4 4 4 8 8 11 11 0 0 1 1 1 3 3 4 4
Lab
capacity 500 500 500
Drug
courses 2 3 3 3 2

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
Phase
No.
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
206
Time of
starting C-
DST services
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Time of
starting
LPA
(MM/YY)
Purchase of
container,
package
material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 2 Imphal East Jul-11 A Apr-13 LRS Feb-11 Dec 11 Jan-11 Courier / Staff Icepacks
1 2 Imphal West Jul-11 A Apr-13 LRS Feb-11 Dec 11 Jan-11 Courier / Staff Icepacks
2 2 Bishnupur Jan-12 A Jul-13 LRS Oct-11 Dec 11 Oct-11 Courier / Staff Icepacks
2 2 Churnchandpure Jan-12 A Jul-13 LRS Oct-11 Dec 11 Oct-11 Courier / Staff Icepacks
3 5 Thoubal Oct-12 A Nov-13 LRS Jul-12 Dec 11 Jun-12 Courier / Staff Icepacks
3 5 Senapati Oct-12 A Nov-13 LRS Jul-12 Dec 11 Jun-12 Courier / Staff Icepacks
3 5 Ukhrul Oct-12 A Nov-13 LRS Jul-12 Dec 11 Jun-12 Courier/Staff Ice packs
3 5 Tamenglong Oct-12 A Nov-13 LRS Jul-12 Dec 11 Jun-12 Courier/Staff Ice packs
3 5 Chandel Oct-12 A Nov-13 LRS Jul-12 Dec 11 Jun-12 Courier/Staff Ice packs
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for
the phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 Imphal East Jul-11 JNIMS Mar-11 Feb-11 Feb-11 May-11 Jun-11 Apr-11 Jun-11
1 2 Imphal West Jul-11 JNIMS Mar-11 Feb-11 Feb-11 May-11 Jun-11 Apr-11 Jun-11
2 2 Bishnupur Jan-12 CDH Oct-11 Nov-11 Dec-11 Oct-11 Nov-11 Apr-11 Dec-11
2 2 Churnchandpure Jan-12 CDH Oct-11 Nov-11 Dec-11 Oct-11 Nov-11 Apr-11 Dec-11
3 5 Thoubal Oct-12 JNIMS Mar-11 Jul-12 Sep-12 Aug-12 Sep-12 Apr-11 Oct-12
3 5 Senapati Oct-12 JNIMS Mar-11 Jul-12 Sep-12 Aug-12 Sep-12 Apr-11 Oct-12
3 5 Ukhrul Oct-12 JNIMS Mar-11 Jul-12 Sep-12 Aug-12 Sep-12 Apr-11 Oct-12
3 5 Tamenglong Oct-12 JNIMS Mar-11 Jul-12 Sep-12 Aug-12 Sep-12 Apr-11 Oct-12
3 5 Chandel Oct-12 JNIMS Mar-11 Jul-12 Sep-12 Aug-12 Sep-12 Apr-11 Oct-12

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Meghalaya State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
207
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - MEGHALAYA STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Meghalaya 26 7 12 56 1 2 1 7 Mar 2011 0 Sep 2011
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
LPA Date
Active
Liquid
Culture
planned
Liquid Status
1 NEGRIIMS Shilong Gov MC Upgrading Jun - 12 No NA NA No NA NA
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Guwahati is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 RPCH Hospital East Khasi Hills Gov Upgrading Mar-11
2 Civil hospital, Jaintia Hills Jaintia Hills Gov Upgrading Jun-11
3 TB Hospital Tura, West Garo Gov Upgrading Sep-11
Liquid
Date
Active

Number
250
200
150
100
50
0
2010
4Q
DOTS Plus Plan
Phase I :- West Garo Hills, East Garo Hills, South Garo Hills
Phase II :- East Khasi Hills, Jaintia Hills, Ribhoi District, West Khasi Hills
:- DOTS Plus Sites
State PMDT Plan
Meghalaya : Enrollment Plan of MDR TB Suspects
and Cases
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
2012
4Q
Cum MDR Suspects 0 0 23 46 68 103 138 180 221
Cum MDR Cases 0 0 9 18 27 40 53 68 84
208
National Scale up Plan for PMDT 2011-2012

209
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
E KHASI HILLS 1 IRL Gw A A A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
E GARO HILLS 3 IRL Gw A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
JAINTIA HILLS 2 IRL Gw A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
RI BHOI 2 IRL Gw A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
S GARO HILLS 3 IRL Gw A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
W GARO
HILLS 2 IRL Gw A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
WEST KHASI
HILLS 3 IRL Gw A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
E KHASI HILLS 1 IRL Gw 23 23 23 23 23 23 23 9 9 9 9 9 9 9
E GARO HILLS 3 IRL Gw 2 2 1 1
JAINTIA HILLS 2 IRL Gw 2 2 2 2 1 1 1 1
RI BHOI 2 IRL Gw 7 7 7 7 2 2 2 2
S GARO HILLS
W GARO
3 IRL Gw 1 1 0 0
HILLS
WEST KHASI
2 IRL Gw 3 3 3 3 1 1 1 1
HILLS 3 IRL Gw 5 5 2 2
Total 0 23 23 23 35 35 42 42 0 0 9 9 9 13 13 16 16
Lab
capacity 500 500 500
Drug
courses 2 3 3 3

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
210
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 1 East Khasi Hills Apr 11 A Dec 11 LRS Apr 11 Dec 11 Jan-11 Courier / Staff Icepacks
2 3 West Garo Hills Jan 12 A Jan 12 LRS Jan 12 Jan 12 Jan-11 Courier / Staff Icepacks
2 3 South Garo Hills Jan 12 A Jan 12 LRS Jan 12 Jan 12 Oct-11 Courier / Staff Icepacks
2 3 Ri Bhoi Jan 12 A Jan 12 LRS Jan 12 Jan 12 Oct-11 Courier / Staff Icepacks
3 3 East Garo Hills Jul-12 A Jul-12 LRS Jul-12 Jul-12 Jun-12 Courier / Staff Icepacks
3 3 Jaintia Hills Jul-12 A Jul-12 LRS Jul-12 Jul-12 Jun-12 Courier / Staff Icepacks
3 3 West Khasi Hils Jul-12 A Jul-12 LRS Jul-12 Jul-12 Jun-12 Courier/Staff Ice packs
Phase
No.
No. of
Distric
ts in
Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus
Site
Identified for
the phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 1 East Khasi Hills Apr 11 RPCH Shilong Mar-11 Feb-11 Mar-11 Feb-11 Mar-11 May-11 Dec-11
2 3 West Garo Hills Jan 12 TBH Tura Jun-11 Feb-11 May-11 May-11 Jun-11 Nov-11 Mar-11
2 3 South Garo Hills Jan 12 TBH Tura Jun-11 Feb-11 May-11 May-11 Jun-11 Nov-11 Mar-11
2 3 Ri Bhoi Jan 12 TBH Tura Jun-11 Feb-11 May-11 May-11 Jun-11 Nov-11 Mar-11
3 3 East Garo Hills Jul-12 CH Jaintia Sep-11 Feb-11 Jul-11 Jul-11 Aug-11 Nov-11 Jun-11
3 3 Jaintia Hills Jul-12 CH Jaintia Sep-11 Feb-11 Jul-11 Jul-11 Aug-11 Nov-11 Jun-11
3 3 West Khasi Hils Jul-12 CH Jaintia Sep-11 Feb-11 Jul-11 Jul-11 Aug-11 Nov-11 Jun-11

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Mizoram State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
211
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - MIZORAM STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Mizoram 10 8 9 30 0 1 1 10 Jun 2011 0 Jun 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Manipur is accredited
DOTS Plus Sites Planned:
LPA Date
Active
Liquid
Culture
planned
Liquid Status
Sr No Institute Location Type Status Planned Date Active
1 Kulikawn Hospital Aizawl Gov Upgrading Feb-11
Liquid
Date
Active

Number
35
30
25
20
15
10
5
0
2010
4Q
2011
1Q
State PMDT Plan
Mizoram : Enrollment Plan of MDR TB Suspects and
Cases
Cum MDR Suspects
Cum MDR Cases
2011
2Q
2011
3Q
DOTS Plus Plan
2011
4Q
2012
1Q
Phase I Districts
(October 11)
Phase II Districts
(January 12)
Phase III Districts
(June 12)
DOTS Plus Site
2012
2Q
2012
3Q
Cum MDR Suspects 0 0 3 6 10 15 20 26 31
Cum MDR Cases 0 0 1 2 4 6 8 10 12
7
2012
4Q
212
National Scale up Plan for PMDT 2011-2012

213
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AIZAWL 1 IRL Imp A A A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
CHAMPHAI 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
KOLASIB 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
LAWNGTLAI 3 IRL Imp A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
LUNGLEI 3 IRL Imp A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
MAMIT 1 IRL Imp A A A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
SAIHA 3 IRL Imp A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
SERCHHIP 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LPA LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
AIZAWL 1 IRL Imp 3 3 3 3 3 3 3 1 1 1 1 1 1 1
CHAMPHAI 2 IRL Imp 1 1 1 1 1 0 0 0 0 0
KOLASIB 2 IRL Imp 1 1 1 1 1 0 0 0 0 0
LAWNGTLAI 3 IRL Imp 0 0 0 0 0 0
LUNGLEI 3 IRL Imp 0 0 0 0 0 0
MAMIT 1 IRL Imp 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAIHA 3 IRL Imp 0 0 0 0 0 0
SERCHHIP 2 IRL Imp 0 0 0 0 0 0 0 0 0 0
Total 0 3 3 5 5 5 5 5 0 0 1 1 2 2 2 2 2
Lab
capacity 500 500 500
Drug
courses 2 3 3 3

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
Phase
No.
No. of
Districts
in Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
214
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 2 Aizawl Jun-11 A Jan-13 IRL Imp Mar-11 Dec 11 Feb-11 Courier / Staff Icepacks
1 2 Mamit Jun-11 A Jan-13 IRL Imp Mar-11 Dec 11 Feb-11 Courier / Staff Icepacks
2 3 Serchhip Jan-12 A Jan-13 IRL Imp Sep-11 Jan 12 Oct-11 Courier / Staff Icepacks
2 3 Kolasib Jan-12 A Jan-13 IRL Imp Sep-11 Jan 12 Oct-11 Courier / Staff Icepacks
2 3 Champhai Jan-12 A Jan-13 IRL Imp Sep-11 Jan 12 Oct-11 Courier / Staff Icepacks
3 3 Lunglei Jun-12 A Jan-13 IRL Imp Mar-12 Jun 12 Apr-12 Courier / Staff Icepacks
3 3 Lawntlai Jun-12 A Jan-13 IRL Imp Mar-12 Jun 12 Apr-12 Courier/Staff Ice packs
3 3 Saiha Jun-12 A Jan-13 IRL Imp Mar-12 Jun 12 Apr-12 Courier/Staff Ice packs
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 Aizawl Jun-11 Kulikawn Hosp Feb-11 Feb-11 Mar-11 Apr-11 May-11 Apr-11 May-11
1 2 Mamit Jun-11 Kulikawn Hosp Feb-11 Feb-11 Mar-11 Apr-11 May-11 Apr-11 May-11
2 3 Serchhip Jan-12 Kulikawn Hosp Feb-11 Jul-11 Aug-11 Sep-11 Oct-11 Aug-11 Oct-11
2 3 Kolasib Jan-12 Kulikawn Hosp Feb-11 Jul-11 Aug-11 Sep-11 Oct-11 Aug-11 Oct-11
2 3 Champhai Jan-12 Kulikawn Hosp Feb-11 Jul-11 Aug-11 Sep-11 Oct-11 Aug-11 Oct-11
3 3 Lunglei Jun-12 Kulikawn Hosp Feb-11 Feb-12 Mar-12 Apr-12 May-12 Mar-12 Apr-12
3 3 Lawntlai Jun-12 Kulikawn Hosp Feb-11 Feb-12 Mar-12 Apr-12 May-12 Mar-12 Apr-12
3 3 Saiha Jun-12 Kulikawn Hosp Feb-11 Feb-12 Mar-12 Apr-12 May-12 Mar-12 Apr-12

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Nagaland State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
215
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - NAGALAND STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Nagaland 22 11 13 42 0 2 1 11 Jun 2011 0 Jul 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Manipur is accredited
DOTS Plus Sites Planned:
LPA Date
Active
Liquid
Culture
planned
Liquid Status
Sr No Institute Location Type Status Planned Date Active
1 TB Hospital, Khuzama Kohima Gov Upgrading Mar-11
Liquid
Date
Active

Number
State DOTS PMDT Plus Plan
Nagaland : Enrollment Plan of MDR TB Suspects
and Cases
120
100
80
60
40
20
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
DOTS Plus Site
2012
2Q
2012
3Q
Cum MDR Suspects 0 0 11 21 38 54 74 94 113
Cum MDR Cases 0 0 4 8 13 19 26 33 40
7
2012
4Q
216
National Scale up Plan for PMDT 2011-2012

217
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DIMAPUR 1 IRL Imp A A A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
KIPHIRE 3 IRL Imp A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
KOHIMA 1 IRL Imp A A A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
LONGLENG 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
MOKOKCHU
NG 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
MON 3 IRL Imp A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
PEREN 3 IRL Imp A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
PHEK 3 IRL Imp A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
TUENSANG 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
WOKHA 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
ZUNHEBOTO 2 IRL Imp A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DIMAPUR 1 IRL Imp 9 9 9 9 9 9 9 3 3 3 3 3 3 3
KIPHIRE 3 IRL Imp 0 0 0 0 0 0
KOHIMA 1 IRL Imp 2 2 2 2 2 2 2 1 1 1 1 1 1 1
LONGLENG
MOKOKCHU
2 IRL Imp 0 0 0 0 0 0 0 0 0 0
NG 2 IRL Imp 3 3 3 3 3 1 1 1 1 1
MON 3 IRL Imp 0 0 0 0 0 0
PEREN 3 IRL Imp 1 1 1 1 1 1
PHEK 3 IRL Imp 1 1 1 0 0 0
TUENSANG 2 IRL Imp 2 2 2 2 2 1 1 1 1 1
WOKHA 2 IRL Imp 0 0 0 0 0 0 0 0 0 0
ZUNHEBOTO 2 IRL Imp 0 0 0 0 0 0 0 0 0 0
Total 0 11 11 16 16 20 20 20 0 0 4 4 6 6 7 7 7
Lab
capacity 500 500 500
Drug
courses 2 3 3 3

Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in Phase
Name of District Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
218
Time of
starting C-
DST services
(MM/YY)
Time of
starting
LPA
(MM/YY)
National Scale up Plan for PMDT 2011-2012
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 2 Dimapur Jun-11 A Jan-13 IRL Imp Mar-11 Apr-12 Feb-11 Courier / Staff Icepacks
1 2 Kohima Jun-11 A Jan-13 IRL Imp Mar-11 Apr-12 Feb-11 Courier / Staff Icepacks
2 5 Mokokchung Jan-12 A Jan-13 IRL Imp Oct-11 Apr-12 Sep-11 Courier / Staff Icepacks
2 5 Longleng Jan-12 A Jan-13 IRL Imp Oct-11 Apr-12 Sep-11 Courier / Staff Icepacks
2 5 Tuensang Jan-12 A Jan-13 IRL Imp Oct-11 Apr-12 Sep-11 Courier / Staff Icepacks
2 5 Wokha Jan-12 A Jan-13 IRL Imp Oct-11 Apr-12 Sep-11 Courier / Staff Icepacks
2 5 Zunheboto Jan-12 A Jan-13 IRL Imp Oct-11 Apr-12 Sep-11 Courier/Staff Ice packs
3 4 Mon Jul-12 A Jan-13 IRL Imp Mar-12 Apr-12 Feb-12 Courier/Staff Ice packs
3 4 Phek Jul-12 A Jan-13 IRL Imp Mar-12 Apr-12 Feb-12 Courier/Staff Ice packs
3 4 Kiphire Jul-12 A Jan-13 IRL Imp Mar-12 Apr-12 Feb-12 Courier/Staff Ice packs
3 4 Peren Jul-12 A Jan-13 IRL Imp Mar-12 Apr-12 Feb-12 Courier/Staff Ice packs
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 2 Dimapur Jun-11 TBH Khuzama Mar-11 Feb-11 Mar-11 Apr-11 May-11 Mar-11 May-11
1 2 Kohima Jun-11 TBH Khuzama Mar-11 Feb-11 Mar-11 Apr-11 May-11 Mar-11 May-11
2 5 Mokokchung Jan-12 TBH Khuzama Apr-11 Feb-11 Aug-11 Sep-11 Oct-11 Aug-11 Nov-11
2 5 Longleng Jan-12 TBH Khuzama Apr-11 Feb-11 Aug-11 Sep-11 Oct-11 Aug-11 Nov-11
2 5 Tuensang Jan-12 TBH Khuzama Apr-11 Feb-11 Aug-11 Sep-11 Oct-11 Aug-11 Nov-11
2 5 Wokha Jan-12 TBH Khuzama Apr-11 Feb-11 Aug-11 Sep-11 Oct-11 Aug-11 Nov-11
2 5 Zunheboto Jan-12 TBH Khuzama Apr-11 Feb-11 Aug-11 Sep-11 Oct-11 Aug-11 Nov-11
3 4 Mon Jul-12 TBH Khuzama May-11 Feb-11 Mar-12 Apr-12 May-12 Mar-12 May-12
3 4 Phek Jul-12 TBH Khuzama May-11 Feb-11 Mar-12 Apr-12 May-12 Mar-12 May-12
3 4 Kiphire Jul-12 TBH Khuzama May-11 Feb-11 Mar-12 Apr-12 May-12 Mar-12 May-12
3 4 Peren Jul-12 TBH Khuzama May-11 Feb-11 Mar-12 Apr-12 May-12 Mar-12 May-12

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Sikkim State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
219
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - SIKKIM STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Sikkim 6 4 5 21 1 1 1 4 Jun 2011 0 Jun 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
LPA Date
Active
Liquid
Culture
planned
Liquid Status
1 IRL Gangtok Gangtok Gov Upgrading May 2012 Yes Preliminary Feb 12 No NA NA
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Gangtok is accredited
DOTS Plus Sites Planned:
Sr No Institute Location Type Status Planned Date Active
1 STNM Hospital Gangtok Gov Upgrading Jun-11
Liquid
Date
Active

Number
140
120
100
80
60
40
20
State DOTS PMDT Plus Plan
Phase 1 – East
Phase 2 – North, West, South
DOTS Plus Site
IRL Gangtok
Sikkim : Enrollment Plan of MDR TB Suspects and
Cases
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
2012
1Q
2012
2Q
2012
3Q
Cum MDR Suspects 0 0 0 17 34 51 68 93 119
Cum MDR Cases 0 0 0 7 15 22 29 40 50
2012
4Q
220
National Scale up Plan for PMDT 2011-2012

221
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
EAST 1 IRL Gang A A A A A A LJ LJ LJ LJ LJ LJ LJ
NORTH 2 IRL Gang A A LJ LJ LJ LJ LJ LJ LJ
SOUTH 2 IRL Gang A A LJ LJ LJ LJ LJ LJ LJ
WEST 2 IRL Gang A A LJ LJ LJ LJ LJ LJ LJ
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
EAST 1 IRL Gang 17 17 17 17 17 17 7 7 7 7 7 7
NORTH 2 IRL Gang 3 3 1 1
SOUTH 2 IRL Gang 3 3 1 1
WEST 2 IRL Gang 2 2 1 1
Total 0 0 17 17 17 17 25 25 0 0 0 7 7 7 7 10 10
Lab
capacity 1400 2100 2100
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
Number
Phase
No.
No. of
Districts
in Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Drug
courses 2 3 3 3
Time of
starting
LPA
(MM/YY)
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 1 East Jun-11 A Dec 11 IRL Gang May-11 Dec 11 Apr-11 Courier / Staff Icepacks
2 3 West Jun-12 A Jun-12 IRL Gang May-12 Jun-12 Apr-12 Courier / Staff Icepacks
2 3 North Jun-12 A Jun-12 IRL Gang May-12 Jun-12 Apr-12 Courier / Staff Icepacks
2 3 South Jun-12 A Jun-12 IRL Gang May-12 Jun-12 Apr-12 Courier / Staff Icepacks
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 1 East Jun-11 STNM Hopsital Jun-11 Feb-11 Jun-11 Jun-11 Aug 11 Jul 11 Jul 11
2 3 West Jun-12 STNM Hopsital Jun-11 Nov-11 Feb-11 Nov-11 Mar 12 Dec 11 Jul 11
2 3 North Jun-12 STNM Hopsital Jun-11 Nov-11 Feb-11 Nov-11 Mar 12 Dec 11 Jul 11
2 3 South Jun-12 STNM Hopsital Jun-11 Nov-11 Feb-11 Nov-11 Mar 12 Dec 11 Jul 11

State Profile:
State
Population
in lakh
Districts TB Units DMCs
Tripura State PMDT Scale up Plan – 2011-2012
Labs
planned
DOTS Plus
Site Eligible
222
SDS DDS
National Scale up Plan for PMDT 2011-2012
Annexure 9
NORTH EAST ZONE - TRIPURA STATE
PMDT
services
initiation
Districts
with
services
State wide
coverage
planned
Tripura 36 4 10 53 0 1 1 4 Jul 2011 0 Jun 2012
M-TB Culture and DST Laboratories Planned:
Sr
No
Institute Location Type
Solid
C-DST
Status
Solid Date
Active
LPA
planned
LPA Status
Note: Backup laboratory support from LRS Institute, New Delhi till IRL Guwahati is accredited
DOTS Plus Sites Planned:
LPA Date
Active
Liquid
Culture
planned
Liquid Status
Sr No Institute Location Type Status Planned Date Active
1 Agartala Govt Medical College Agartala Gov MC Upgrading Apr-11
Liquid
Date
Active

Tripura : Enrollment Plan of MDR TB Suspects and
Cases
Number
80
70
60
50
40
30
20
10
0
2010
4Q
Cum MDR Suspects
Cum MDR Cases
2011
1Q
2011
2Q
2011
3Q
2011
4Q
Cum MDR Suspects 0 0 6 12 21 31
Cum MDR Cases 0 0 2 3 6 9
2012 2012
1Q 2Q
2012
3Q
2012
4Q
43 56 68
13 17 21
223
State PMDT Plan
National Scale up Plan for PMDT 2011-2012

224
National Scale up Plan for PMDT 2011-2012
Calculations of MDR TB Suspects & Cases (Decisions of the state team) P = Phase
District
Name
P Lab Suspect Criteria Lab Diagnostic Method
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DHALAI 2 IRL Guw A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
NORTH TRI 2 IRL Guw A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
SOUTH TRI 2 IRL Guw A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
WEST TRI 1 IRL Guw A A A A A A A LJ LJ LJ LJ LJ LJ LPA LPA LPA
District
Name
P Lab MDR TB Suspects MDR TB Cases put on CAT IV
Name 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12 4q10 1q11 2q11 3q11 4q11 1q12 2q12 3q12 4q12
DHALAI 2 IRL Guw 1 1 1 1 1 0 0 0 0 0
NORTH TRI 2 IRL Guw 3 3 3 1 1 1
SOUTH TRI 2 IRL Guw 3 3 3 3 3 1 1 1 1 1
WEST TRI 1 IRL Guw 6 6 6 6 6 6 6 2 2 2 2 2 2 2
Total 0 6 6 10 10 12 12 12 0 0 2 2 3 3 4 4 4
Lab
capacity 1400 2100 2100
Action Plan with timelines of completion of various critical preparatory activities and rollout by phases.
Phase
No.
No. of
Districts
in Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
Suspect
Criteria
(A/B/C)
Time of switch
from Suspect
Criteria A to B
(MM/YY)
C-DST lab
linked
Time of
starting C-
DST services
(MM/YY)
Drug
courses 2 3 3 3
Time of
starting
LPA
(MM/YY)
Purchase of
container,
package material
(MM/YY)
Transport
mode options
(within 72 hrs)
Cold Chain
(Icepacks /
Dry Ice /
Liquid Nitro)
1 1 West Tripura Jul-11 A Jul-13 IRL Guw Apr-11 Mar-12 Mar-11 Courier / Staff Icepacks
2 2 South Tripura Dec-11 A Oct-13 IRL Guw Sep-11 Apr-12 Jul-11 Courier / Staff Icepacks
2 2 Dhalai Dec-11 A Oct-13 IRL Guw Sep-11 Apr-12 Jul-11 Courier / Staff Icepacks
3 1 North Tripura Jun-12 A Oct-13 IRL Guw Mar-12 May-12 Sep-11 Courier / Staff Icepacks
Phase
No.
No. of
Distric
ts in
Phase
Name of
District
Time of
starting
DOTS Plus
(MM/YY)
DOTS Plus Site
Identified for the
phase
DOTS Plus
Site
upgraded
including AIC
(MM/YY)
National
Training for
DP Site Com
& DTOs
(MM/YY)
Training
of DP Site
& District
staff
(MM/YY)
State
Appraisal
planned
(MM/YY)
CTD
Appraisal
expected
(MM/YY)
State /
District Drug
Stores
Upgraded
(MM/YY)
Material for
preparing PWBs
from loose drugs
procured
(MM/YY)
1 1 West Tripura Jul-11 Agartala GMC Apr-11 Feb-11 Apr-11 Apr-11 May-11 May-11 May-11
2 2 South Tripura Dec-11 Agartala GMC Apr-11 Feb-11 Apr-11 Apr-11 May-11 May-11 May-11
2 2 Dhalai Dec-11 Agartala GMC Apr-11 Feb-11 Apr-11 Apr-11 May-11 May-11 May-11
3 1 North Tripura Jun-12 Agartala GMC Apr-11 Feb-11 Apr-11 Apr-11 May-11 May-11 May-11