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TUBERCULOSIS SURVEILLENCE KENYA

TUBERCULOSIS SURVEILLENCE KENYA. AFRICAN TB SURVEILENCE WORKSHOP, HARARE:ZIMBABWE Presented by: Amos Kutwa Head National Leprosy &Tuberculosis Program Kenya. Outline of the Presentation:. Introduction Case finding report Case holding Constraints. Introduction.

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TUBERCULOSIS SURVEILLENCE KENYA

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  1. TUBERCULOSIS SURVEILLENCE KENYA AFRICAN TB SURVEILENCE WORKSHOP, HARARE:ZIMBABWE Presented by: Amos Kutwa Head National Leprosy &Tuberculosis Program Kenya

  2. Outline of the Presentation: • Introduction • Case finding report • Case holding • Constraints Kutwa2003

  3. Introduction • Pop: App 32 million people • TB control: MoH/ NGOs/ Private • Central unit within NLTP/ NASCOP Division • 10 Regional control zones/74 District zones manned by Technical officers • TB-ICC since 2002: USAID,CDC,WHO, KNCV, WB,CIDA,KAPTLD Kutwa2003

  4. Health units implementing NLTP activities Kutwa2003

  5. TB Case finding report 2002 • TB case finding: 82,114 all types 34,337 PTB + • 7-fold increase since early nineties • Average annual increase (5 yrs): 16% • 50-55% of estimated incidence • 40 % HIV + in SM+ (1994) Kutwa2003

  6. 2002 Notification rates in Kenya Kutwa2003

  7. Case Notification Rates Smear positive PTB and all Types TB Kenya 1990-2002 Kutwa2003

  8. Trend of case detection rates (WHO reports) Kutwa2003

  9. Distribution of TB cases by type: 2002 Kutwa2003

  10. Age -sex Segregation:2002 Kutwa2003

  11. Trend of Treatment outcomes of New Smear Positive PTB on SCC :1993-2001 Kutwa2003

  12. SCC Treatment results 2001 cohort Sm.+PTB Sm.-PTB EPTBRelapse Rx success rate 80% 74% 74% 77% Failure rate 0.3% - - 1% Death rate 5% 7% 7% 10% Defaulter rate 9% 12% 10% 7% Transfer 7% 7% 8% 6% Kutwa2003

  13. Nomadic Treatment results 2001 cohort Sm.+PTB Sm.-PTB EPTB Relapse Rx success rate 89% 87% 74% 82% Failure rate 1% - - 1% Death rate 4% 6% 6% 12% Defaulter rate 4% 5% 7% 4% Transfer 2% 2% 3% 1% Kutwa2003

  14. Constraints to Surveillance • Manual data entry at facility/district level • Lack of capacity to analyze data at district level • Lack of capacity to determine the TB prevalence Kutwa2003

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