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

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<strong>2011</strong><br />

1Q<br />

<strong>National</strong> <strong>Scale</strong> <strong>up</strong> <strong>Plan</strong> for Programmatic Management of DR TB <strong>2011</strong> - 20<strong>12</strong><br />

8.5. Enrollment plan of MDR suspects to be tested and patients to be initiated on<br />

treatment by Quarter and State<br />

It is planned to test 132,000 MDR TB suspects and initiate treatment for 24,000 MDR TB cases<br />

cumulatively over a period of 2 years (<strong>2011</strong>-20<strong>12</strong>), with an exponential increase over 8 quarters. The<br />

rapid rate of growth reflects rollout of services and switching of districts in phases by suspects criteria as<br />

well as diagnostic test, and has been consolidated from the state plans (Annexure 7, 9) into the national<br />

figures as depicted in the figure below.<br />

Figure 6: <strong>India</strong> <strong>India</strong>’s : Enrollment <strong>Plan</strong> <strong>Plan</strong> of MDR of MDR TB Suspects TB Suspects and Cases and in <strong>2011</strong> Cases and 20<strong>12</strong><br />

Number<br />

140000<br />

<strong>12</strong>0000<br />

100000<br />

80000<br />

60000<br />

40000<br />

20000<br />

0<br />

Sum of C-MDR Suspects Cum MDR Cases<br />

<strong>2011</strong><br />

2Q<br />

<strong>2011</strong><br />

3Q<br />

26<br />

<strong>2011</strong><br />

4Q<br />

20<strong>12</strong><br />

1Q<br />

20<strong>12</strong><br />

2Q<br />

20<strong>12</strong><br />

3Q<br />

20<strong>12</strong><br />

4Q<br />

Sum of C-MDR Suspects 3917 9144 19953 34525 54157 76152 100858 131516<br />

Cum MDR Cases 1078 2460 4657 7403 10895 14814 19138 24326<br />

8.6. <strong>Scale</strong> <strong>up</strong> plan in terms of geographical expansion and move towards universal access<br />

The scale-<strong>up</strong> of <strong>PMDT</strong> activities with timelines was planned for each state (Annexure -2) by geography<br />

and by criteria to prompt drug susceptibility testing, which is being scaled <strong>up</strong> nationwide in a phased<br />

manner. All States must communicate to CTD prior to switching MDR suspect criteria in any district to<br />

validate programme preparation, lab readiness, and drug-availability. The scale <strong>up</strong> by geography and<br />

suspects criteria is described in the table below:<br />

Table <strong>12</strong>: Summary of <strong>Scale</strong> <strong>up</strong> by Geography and Suspects Criteria<br />

Active 2010 <strong>2011</strong> 20<strong>12</strong><br />

States* (with at least 1 district implementing) <strong>12</strong> 35 35<br />

Total Districts implementing 141 390 605<br />

Under Criteria A 141 246 319<br />

Under Criteria B 0 141 251<br />

Under Criteria C 0 3 35

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