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

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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
Page 1 and 2: National Scale up Plan for Programm
Page 3: Acknowledgements National Scale up
Page 11 and 12: 4. RNTCP Vision and Plans for PMDT
Page 13 and 14: 4.2. Second Line Drug Procurement P
Page 21 and 22: # of Patients per Quarter 70000 600
Page 31 and 32: 8.9. Scale-up of DOTS Plus Sites: N
Page 33 and 34: 8.11. Estimate of National PMDT Dis
Page 37 and 38: Figure 13: Tracking of key metrics
Page 39 and 40: Actions from States: National Scale
Page 43 and 44: 43 National Scale up Plan for PMDT
Page 45 and 46: Sheet 4: Action Plan with timelines
Page 49 and 50: 1Q 2012 A (256 Districts) B (184 Di
Page 53 and 54: Monitoring Indicators on PMDT publi
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State Profile: State Population in
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57 National Scale up Plan for PMDT
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Action Plan with timelines of compl
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Ist Phase March-2011 IInd Phase Jun
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Saharanpur Muzaffarnagar Bijnor Mee
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State PMDT Plan DOTS Plus Plan DOTS
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District Name 99 National Scale up
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DOTS Plus Plan State PMDT Plan F Cu
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C & DST Lab and DOTS- Plus site Pha
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Map of Goa State - Phase 1 District
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KAMUR PAS HC HIM CHAMPARAN BUXAR R
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Jharkhand : Enrollment Plan of MDR
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State PMDT Plan Malkangiri DOTS Plu
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Bilaspur Raipur DOTS Plus Plan Chha
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Number 2010 4Q 2011 1Q 2011 2Q Stat
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State Profile: State Arunachal Prad
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Tripura : Enrollment Plan of MDR TB
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National PMDT Scale-up Plan - India - 2011-12 - TBC India

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