Record based evaluation of revised national tuberculosis control program (in Jamnagar District).

ABSTRACT

Background and Objectives: Tuberculosis will continue to be a major problem in foreseeable future because there is still large pool of infection in the community. Study is carried out to evaluate the impact of RNTCP and to identify the trend of Tuberculosis in Jamnagar district. Methods: A retrospective analysis of the recorded data from 2005 to 2012 obtained from District Tuberculosis centre, Jamnagar was carried out. The indicators used are Annualized case notification, three month sputum conversion rate, success rate, mortality etc. Results: Downward trend of case notification rate is observed after 2009 except annualized new smear positive case which was not reached to 70% after 2008. The district had attained consistently satisfactory sputum conversion rates and success rate. Upward trend of failure cases is observed. Defaulter rate among the Retreatment cases was high. Mortality rate is more than 5% among New Smear Positive cases and around 12% among re treatment cases since 2008. Conclusion and Interpretation: there is still some challenges i.e. downward trend of case detection, Very low new smear negative case detection, high mortality, rising trend of failure cases etc. So, there is need of review of all activities and take sincere efforts to combat these challenges.