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Indian Scenario
Estimated
TB India
Estimated
HIV India
Incidence
2.2 m
Prevalence
Death
Estimated
Reported
120000
110000
44652
2.5 m
2.1 m
150000 (7%)
220000
140000
31000
Indicators
5786
2
100%
400000
350000
69% 70%
300000
58%
51%
250000
60%
77% 78%
85%
30%
33%
35%
39% 40%
90%
80%
70%
60%
52%
47%
200000
150000
57%
72%
74%
80% 82%
50%
43%
40%
30%
100000
20%
50000
10%
0%
1Q16
4Q15
3Q15
2Q15
1q15
4q14
3q14
2q14
1Q14
4Q13
3Q13
2Q13
1Q13
4Q12
3Q12
2Q12
1q12
4q11
3q11
2q11
1q11
4q10
3q10
2q10
1q10
10000
94%
92%
94%
95%
92%
93%
92%
93%
93%
92%
91%
91%
91%
93%
92%
91%
95%
92%
91%
94%
92%
93%
100%
90%
74%
87%
12000
93%
80%
70%
8000
60%
6000
50%
40%
4000
30%
20%
2000
10%
0%
1Q15
4Q14
3Q14
2Q14
1Q14
4Q13
3Q13
2Q13
1Q13
4Q12
3Q12
2q12
1Q12
4q11
3q11
2q11
1q11
4q10
3q10
2q10
1q10
4q09
3q09
2q09
1q09
Number of HIV+TB patients receiving CPT
93%92%91%94%
91%91%
90%90%
90%
85%87%
84%
82%
78%
74%
70%
66%
62%
59%
56%57%
53%
50%
47%
43%
100%
90%
80%
70%
60%
50%
40%
4000
30%
20%
2000
10%
0
0%
1Q15
4Q14
3Q14
2Q14
1Q14
4Q13
3Q13
2Q13
1Q13
4Q12
3Q12
2q12
1Q12
4Q11
3Q11
2Q11
1q11
4q10
3q10
2q10
1q10
4q09
3q09
2q09
1q09
Challenges in TB HIV
60%
50%
0%
43%
47%
56%
110%
Assam
Meghalaya
Bihar
Tripura
Jharkhand
Uttarakhand
Madhya Pradesh
DNH
West Bengal
Uttar Pradesh
Jammu & Kashmir
Mizoram
Arunachal Pradesh
Nagaland
India
Himachal Pradesh
Delhi
Rajasthan
Haryana
Orissa
Andaman
Chhattisgarh
Punjab
Manipur
Maharashtra
Kerala
Karnataka
Chandigarh
Gujarat
Goa
Tamil Nadu
Sikkim
Telangana
Pondicherry
Andhra Pradesh
Daman & Diu
Status: 85% with known status (range 43% - 100%). 21 of 35 states have achieved >85%.
100%
90%
80%
70%
67%
70%
75%
77%
78%
79%
80%
81%
81%
82%
84%
85%
87%
88%
89%
89%
89%
91%
91%
91%
93%
93%
95%
96%
96%
97%
97%
97%
97%
98%
99%
99%
100%
40%
30%
20%
10%
Proportion of registered TB
patients with known HIV
status
2015
<50%
<50%
50-70%
50-85%
>=70%
>=85%
Jammu &
Kashmir
Jammu &
Kashmir
Him ac hal
Pradesh
Punjab
Uttar ak hand
A ru n a ch a l P r a d e sh
Har yana
Delhi
Sikkim
Uttar
Assam Nagaland
Rajasthan
Pradesh
Me g h a la ya
Bihar
Manipur
Tripu ra
Madhya
Mizor am
Jharkhand
Pradesh
Chhattisgarh
W est Bengal
Gujarat
Dam an & Diu
Oriss a
Him ac hal
Pradesh
Punjab
Uttar ak hand
A ru n a ch a l P r a d e sh
Har yana
Delhi
Sikkim
Uttar
Assam Nagaland
Rajasthan
Pradesh
Me g h a la ya
Bihar
Manipur
Tripu ra
Madhya
Mizor am
Jharkhand
Pradesh
Chhattisgarh
W est Bengal
Gujarat
Dam an & Diu
Mahar as htra
Telangana
Telangana
Karnataka
Oriss a
Mahar as htra
Andhr a
Pradesh
Karnataka
Andhr a
Pradesh
Andam an & Nic obar
Kerala
Tamil Nadu
Laksha dwe ep
Kerala
Tamil Nadu
0%
0%
0%
0%
10%
J& K
Arunachal Pradesh
Lakshadweep
Daman & Diu
Sikkim
Manipur
Jharkhand
Assam
Nagaland
Bihar
Uttar Pradesh
Uttarakhand
Haryana
Delhi
Himachal Pradesh
Chandigarh
Chhattisgarh
Kerala
Madhya Pradesh
Mizoram
Meghalaya
India
West Bengal
Rajasthan
Orissa
Tamil Nadu
Maharashtra
Punjab
Andhra Pradesh
Gujarat
Karnataka
Telangana
Andaman
DNH
Goa
Pondicherry
Tripura
40%
33%
33%
110%
100%
90%
80%
70%
60%
50%
48%
49%
57%
58%
60%
61%
67%
74%
76%
79%
80%
81%
82%
84%
88%
89%
94%
94%
94%
95%
97%
97%
97%
98%
98%
99%
100%
100%
100%
100%
100%
100%
30%
20%
0%
0%
0%
10%
Arunachal Pradesh
Lakshadweep
Mizoram
Nagaland
Jharkhand
Manipur
Himachal Pradesh
Bihar
Chhattisgarh
Assam
Chandigarh
J& K
Uttarakhand
Meghalaya
Haryana
Uttar Pradesh
Delhi
West Bengal
India
Odisha
Karnataka
Maharashtra
Madhya Pradesh
Tamil Nadu
Telangana
Andhra Pradesh
Rajasthan
Gujarat
Kerala
Punjab
Andaman
DNH
Daman & Diu
Goa
Pondicherry
Sikkim
Tripura
50%
40%
37%
60%
53%
110%
100%
90%
80%
70%
67%
67%
68%
75%
76%
77%
80%
80%
86%
89%
91%
91%
92%
92%
94%
94%
94%
95%
95%
95%
96%
97%
97%
97%
97%
99%
100%
100%
100%
100%
100%
100%
100%
State wise Status of ART in TB HIV Co-infected patients, 1st q15 , National
Status: 94% ART coverage, Range (37%-100%),
30%
20%
Linkages
ART and ATT irrespective of CD4 count
Way Ahead
12
CBNAAT
MTB Positive
Rif sensitive
Microbiologically
Confirmed MTB
Rif indeterminate
MTB Negative
Rif Resistant
Repeat CBNAAT on
2nd sample
Follow PMDT
guidelines
Evaluate based
on clinical and
radiological
findings
Probable diagnosis
Alternate diagnosis
13
District
ART
centre
CBNAAT
39
yes
No
207
No
Yes
86
No
No
306
Yes
Yes
688
345
601
Nation-wide
quarter
roll-out
in
next
99 DOTS
Embryo
Thank You
20