NATIONAL TUBERCULOSIS PROGRAMME MYANMAR
ANNUAL REPORT 2013
2014
Annual Report 2013
CONTENTS Page List of abbreviations
i-iv
1
Introduction
1
2
Objectives of National Tuberculosis Programme
2
3
Human Resources of National TB Programme in Myanmar
3
4
Progress of Stop TB Strategy
3
5
Special occasions
85
6
BCG Immunization
93
7
Budget in 2013
94
8
Constraints
97
9
Progress towards MDGs
98
10
Case Finding and Case Holding (2013)
98
11
Evaluation of Regional and State level TB control achievement
120
12
Possible action for solving the problems
142
13
Recommendations
145
14
Conclusion
146
15
Annexes
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Annual Report 2013
Abbreviations ACSM
Advocacy, Communication and Social Mobilization
AD
Assistant Director
AFB
Acid-Fast Bacilli
AIDS
Acquired Immunodeficiency Syndrome
ARTI
Annual Risk of Tuberculosis Infection
BCG
Bacille Calmette Guerin
BHS
Basic Health Staff
CDR
Case Detection Rate
CNR
Case Notification Rate
DD
Deputy Director
DOH
Department of Health
DOT
Directly Observed Treatment
DOTS
Directly Observed Treatment, Short Course
DRS
Drug Resistant Survey
DST
Drug Sensitivity Testing
ELISA
Enzyme-Linked Immuno-solvent Assay
EPI
Expanded Programme of Immunization
ETB
Ethambutol
EQA
External Quality Assessment
FDC
Fixed-dose combination
FLD
First Line Anti -TB Drug
FHI360 GDF
Family Health International 360 Global Drug Facility
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Annual Report 2013
GF
Global Fund
GLC
Green Light Committee
GPs
General Practitioners
HIV
Human Immunodeficiency Virus
HA
Health Assistant
HFN
High False Negative
HFP
High False Positive
IEC
Information, Education, Communication
IHC
Integrated HIV Care
INH
Isoniazid
IOM
International Organization for Migration
IPT
Isoniazid Preventive Therapy
IUALTD
International Union Against Tuberculosis and Lung Diseases
JATA
Japan Anti-Tuberculosis Association
JICA
Japan International Cooperation Agency
KAP
Knowledge, Attitude and Practice
LHV
Lady Health Visitor
LQAS
Lot Quality Assurance Sampling
LFN
Low False Negative
LFP
Low False Positive
MDM
Medecins du Monde
MDR-TB
Multi-Drug Resistant Tuberculosis
MDGs
Millennium Development Goals
MGIT
Mycobacterium Growth Indicator Tube
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Annual Report 2013
MMA
Myanmar Medical Association
MMCWA
Myanmar Maternal and Child Welfare Association
MO
Medical Officer
MOH
Ministry of Health
MWAF
Myanmar Women's Affairs Federation
MRCS
Myanmar Red Cross Society
MRTV
Myanmar Radio and Television
MS
Medical Superintendent
MSF
Medecins Sans Frontieres
MWs
Midwives
NAP
National AIDS Programme
NGOs
Non- Governmental Organization
NHL
National Health Laboratory
NTM
Non-Tuberculous Mycobacterium
NTP
National Tuberculosis Programme
NTRL
National Tuberculosis Reference Laboratory
OI
Opportunistic infection
PHS II
Public Health Supervisor II
PSI
Population Services International
QC
Quality Control
RHC
Rural Health Centre
RIT
Research Institute of Tuberculosis
RMP
Rifampicin
SCC
Short Course Chemotherapy
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Annual Report 2013
SOP
Standard Operational Procedure
STI
Sexually Transmitted Infection
STLS
Senior Tuberculosis Laboratory Supervisor
TB
Tuberculosis
TL
Team leader
TOT
Training of Trainers
TSG
Technical Strategic Group
TSR
Treatment Success Rate
TMOs
Township Medical Officers
TV
Television
UTI
Union Tuberculosis Institute
VCCT
Voluntary Confidential Counseling and HIV Testing
WHO
World Health Organization
XDR-TB
Extensively Drug Resistant Tuberculosis
3MDG
Three Millennium Development Goal Fund
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Annual Report 2013
NATIONAL TUBERCULOSIS PROGRAMME ANNUAL REPORT (2013) 1. Introduction Tuberculosis (TB) is one of the diseases of National Concern and still a major public health problem in Myanmar. Myanmar is one of the 22 TB high burden countries, also 27 MDR-TB high burden and 44 TB/HIV high burden countries. A nationwide TB prevalence survey conducted in Myanmar during 2009-2010 revealed that smear positive TB prevalence as 172 (132 - 225) per 100, 000 population and bacteriologically confirmed TB prevalence as 437 (358-533) per 100, 000 population. Based on that, World Health Organization (WHO) estimated in Global TB report 2014 that TB incidence in Myanmar was 373 per 100,000 population and TB prevalence was 473 per 100,000 population in 2013. The mortality was described as 49/100,000 population. Myanmar National Tuberculosis Programme (NTP) has implemented WHO recommended Stop TB Strategy since 2007. NTP is now running with 14 Regional and State TB centres and 101 TB teams at district and township levels. In 2011, NTP expanded TB control activities to additional 5 townships in Naypyitaw Council Area, covering all 330 townships. TB patients have been treated with WHO recommended regimens using Fixed Dose Combination of first line anti-TB drugs (FDC) since 2004. NTP started using of patient kits in April, 2010 and treatment units in all townships are now using patient kits under close supervision of Basic Health Staff (BHS). The External Quality Assurance System (EQAS) has been introduced since 2006 and currently, 486 public and private laboratories are under EQAS for laboratory performance. For Drug Resistant Tuberculosis, National Drug-Resistant TB Committee was established in September 2006. DOTS-Plus pilot project was launched in 10 selected townships in Yangon and Mandalay Regions in July, 2009 with approval of Green Light Committee (GLC) and in close collaboration with WHO and Medecins Sans FrontieresHolland (MSF-H). Total 309 patients were enrolled in this pilot project with the support of UNITAID. Then, MDR-TB management was expanded up to 22 townships in Yangon and Mandalay Regions in 2011 with Global Fund (GF) support. Total number of townships for MDR-TB diagnosis, treatment and care services were scaled up to 38 townships in 2012 and 53 townships in 2013 not only in Yangon and Mandalay regions, but also in Sagaing and Magway Regions as well as Shan (Lashio) and Shan (Taunggyi) States.
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Annual Report 2013
Regarding TB/HIV collaborative activity, National TB/HIV coordinating body was organized in 2005 and it was reformed in 2012. TB/HIV collaborative activities were initiated in 7 townships in 2005 and expanded gradually up to 28 townships in 2013. NTP received Global Fund Round 9 Grant phase I (2011 -2012), covering 289 out of 330 townships and New Funding Model started since July 2013, covering 319 out of 330 townships. Global Fund (GF) mainly supported procurement of drugs, laboratory supplies and reagents as well as health equipment and non-health products. NTP secures first line and second line anti-TB drugs up to 2016 with the support of Government, Global Fund (GF), 3 MDG, UNITAID through GDF and MSF-H. Anti-TB drugs for children were supported by UNITAID through GDF in 2013. TB control activities were carried out in line with 5-year National TB Strategic Plan and „Stop TB Strategy‟ in order to achieve the global targets and Millennium Development Goals (MDGs). In 2013, NTP achieved Case Detection Rate (CDR) of 78.7% and Treatment Success Rate (TSR) of 85.4%.
2. Objectives of NTP General objectives
To reduce the mortality, morbidity and transmission of TB, until it is no longer a public health problem
To prevent the development of drug resistant TB
To have halted by 2015 and begun to reverse incidence of TB
Specific Objectives The objectives are set towards achieving the MDGs, 2015.
To reach the interim targets of halving TB deaths and prevalence by 2015 from the 1990 situation. (MDGs, Goal 6, Target 6.c, Indicator 6.9)
To reach and thereafter sustain the targets - achieving at least 70% case detection and successfully treat at least 85% of detected TB cases under DOTS (MDGs, Goal 6, Target 6.c, Indicator 6.10)
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Annual Report 2013
3. Human Resources of National TB Programme in Myanmar NTP is composed of 14 Region/State TB centres with 101 vertical TB teams, 47 District TB teams (40 led by Team Leader medical doctors and 7 led by Health Assistants) and 54 Township TB teams (led by Health Assistants). In 2013, one Senior Consultant Microbiologist, 2 State TB Officers {Kayah and Shan (Kengtong) states}, 10 TB team leaders (medical officers), 5 TB team leaders (Health Assistants), and 58 Grade II Lab. technicians were vacant. Figure: 1 Organization set up of NTP UNION MINISTER DEPUTY HEALTH MINISTER
DEPUTY HEALTH MINISTER
DIRECTOR GENERAL DY. DG
DY. DG
DY. DG
(Medical Care)
(Disease Control)
(Public Health)
Director (Med. Care)
Director (Lab.)
Director (Nursing)
Director (Occupational Health)
Director (Admin)
Director (Disease Control)
Director (CEU)
Director (Public Health)
Director (Planning)
Deputy Director (TB)
Senior Consultant Microbiologist (NTRL)
Upper Myanmar Microbiologist ( Mdy)
Lower Myanmar Microbiologist (Ygn)
Upper Myanmar TB Officer ( Mdy)
Lower Myanmar TB Officer ( Ygn) 4 Assistant Directors (TB Control)
(7) Regional TB Officers (7) State TB Officers
(7) Regional TB labs and (7) State TB labs District
District/township TB labs
Township
Station hospital/ RHC
Subcentre
4. Progress of the Stop TB Strategy In order to achieve Millennium Development Goals (MDGs) by 2015, NTP has adopted Stop TB Strategy since 2007. National Strategic Plan (2011-2015) was reviewed and revised in line with the National Health Plan and the Stop TB Strategy and it was approved in 2011. NTP applied the 5-year Strategic Plan (2011-2015) with the support of the government as well as the funding from WHO, Global Drug Facility (GDF), International facility for the purchase of drugs and laboratory commodities for HIV/AIDS, Malaria and Tuberculosis (UNITAID), Global Fund (GF), Japan International Cooperation Agency (JICA),
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Annual Report 2013
United States Agency for International Development (USAID) and the UNION. This report includes the evaluation of the activities under Stop TB Strategy. There are 6 components in the Stop TB strategy: 1. Pursue high quality DOTS expansion and enhancement 2. Address TB/HIV, MDR-TB and the needs of poor and vulnerable populations 3. Contribute to health system strengthening based on primary health care 4. Engage all care providers 5. Empower people with TB and communities through partnership 6. Enable and promote research 4.1 4.1.1
Pursue high quality DOTS expansion and enhancement Political commitment with increased and sustained financing There was high level of political commitment for TB Control Programme at all levels.
Myanmar government is increasing the budget for TB control gradually, especially for antiTB drugs procurement of both first line and second line anti-TB drugs.
4.1.2
Early case detection through quality-assured bacteriology According to the Nationwide TB Prevalence Survey (2009-2010), TB burden was
higher than WHO estimate, indicating to improve case finding with innovative ways. NTP primarily carried out diagnosis of pulmonary TB by sputum smear microscopy. Previously, 3 sputum specimens including one early morning specimen were examined for diagnosis, however, in 2013, only two sputum specimens including one early morning specimen were examined. Binocular microscopes using Ziehl-Neelsen stain were used by NTP in most of TB laboratories countrywide, however, starting from 2012, Fluorescence Microscopes using Auramine stain were used in some high workload areas. For the quality assurance of sputum smear microscopy, NTP has covered External Quality Assurance System (EQAS) in almost all TB laboratories over the country. Sputum culture is available at National TB Reference Laboratory (NTRL) in Yangon and Upper Myanmar TB Laboratory in Mandalay. Drug Susceptibility Testing (DST) has been available at NTRL since 2001. Upper Myanmar TB Laboratory, Mandalay was upgraded to do culture and DST in 2008- 2009. After that, rapid TB, MDR TB diagnostic methods of line probe assay and liquid culture, DST using MGIT machine were introduced to Myanmar at both laboratories in 2010. In addition, Solid culture laboratory was established in Taunggyi, Shan State (South) in 2013. NTRL, Yangon and Upper Myanmar TB Laboratory, Mandalay are now performing rapid tests for the diagnosis of MDR-TB cases. But these were confirmed by using liquid
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Annual Report 2013
culture, DST and molecular testing. GeneXpert system for rapid diagnostic testing of MDRTB was started introduced in 2011 at Upper Myanmar TB Laboratory, Mandalay. Then, GeneXpert machines were installed in the remaining Region/State TB centres and District TB centres.
Laboratory performance
including maintenance of
quality for sputum
AFB
microscopy Routinely two sputum specimens are collected and examined for both diagnosis and follow-up at all laboratories performing sputum AFB microscopy using Binocular Microscopes as well as Fluorescence Microscopes. Township laboratory performances are closely monitored by Township Medical Officer (TMO) and TB Team Leader. In each Region or State, 1 Senior TB Laboratory Supervisor (STLS) is assigned for supervision, monitoring and quality control of Township TB laboratories and private TB laboratories within the respective Region/State. The microbiologists are mainly responsible for supervision and monitoring of Region/State TB laboratories and also for some township laboratories and private laboratories with major error. Panel testing is conducted for STLS by National Health Laboratory (NHL) twice a year. In 1999, NTP developed the framework for the implementation of External Quality Assessment activities using conventional method in which all positive slides and 10% of the negative slides examined were checked. This method increased the workload of NTRL and Regional and State TB Laboratories. The National Guidelines on EQA-LQAS for AFB Microcopy were developed in October 2007 and Orientation training was given in February, 2008 to Regional/State TB Officers, Pathologists/Laboratory Officers from Regional and State Hospitals and STLSs. The training focused on random selection of slides per month to be sent to Regional and State TB centres for blinded re-checking, timely feedback to peripheral laboratories and supervisory visits for corrective actions were also important components of this new EQA system. In 2007, Regional and State TB Laboratories became stand-alone quality control centres. Feed-back together with comments was sent back from Regional /State level to township level. Quarterly reports of EQA from all Regional and State TB centres were submitted to central NTP and copied to Consultant Microbiologist of National EQA Management Unit, National TB Reference Laboratory. The INGOs (PSI, MSF-Holland, MDM, Malteser, AHRN, MSF-CH and IOM) and NGO (MMA) laboratories performing AFB Microscopy also sent Quality Control slides to either Lower or Upper Myanmar TB Laboratories.
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Annual Report 2013
Training for newly recruited STLS (5 days) and refresher training for existing STLSs (3 days) were provided. For quality performance of sputum AFB microscopy, 5 days trainings were given to laboratory technicians when they started their job, and for sputum AFB microscopy, 3 days refresher trainings were given to technicians once in 3 year service. TB laboratory annual evaluation meeting was also conducted once a year. EQA system was successfully established with technical and financial support from JICA (MIDCP). EQA-LQAS was introduced in 2007 at 53 townships, 2 hospitals, 1 diagnostic and referral centre of Yangon and at TB laboratories of Mandalay, Magway, Bago Region (Bago), Ayeyarwaddy, Shan State (Taunggyi) and Mon/Kayin State. EQA methodology coverage was expanded to 325 townships in 2010 after orientation training, using the National Guidelines on EQA-LQAS for AFB Microscopy. Technicians from Regional and State TB centres or Medical Technologists or Laboratory Officers from the Regional and State General Hospital laboratories were responsible for quality control (QC). For convenience, Pyapon, Kyaiklatt, Daydaye, Nyaungdone and Bokalay townships of Ayeyarwaddy Region sent QC slides directly to NTRL, Yangon. Thandaung township of Kayin state sent QC slides to EQA centre of Bago region, Paletwa township of Chin state to EQA center of Rakhine state, and Mindat, Kanpetlet and Matupi townships to EQA centre of Magway region. Besides, Township laboratories that utilized FM staining method from regions and states of lower Myanmar sent QC slides to National EQA unit, Yangon and those from Upper Myanmar sent to Upper Myanmar TB Laboratory, Mandalay. The first EQA Annual report (2012) could be developed in 2013. Figure: 2 Flow Chart of EQA System in Myanmar
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Annual Report 2013
Table 1. Laboratories under EQA (2008-2013) Year
Tsp.
2008
325
Township Lab. 294
Decentralized Lab. 51
Private Lab. 60*
Total
Remark
405 25 expanded labs of Sagaing Region & 10 township labs
2009
325
276
31
60*
367
of Shan State (Kengtong) were dropped due to several reasons
2010
325
298
60
59#
417
$
458
2011
325
303
77
78
2012
330
301
85
78ø
464
2013
330
302
97
87@
486
Private labs: * 43 (PSI), 5 (IOM), 12 (MSF-H) for the whole country in 2009 (60 labs in total) #
37 (PSI), 4 (IOM), 10 (MSF-H), 3 (MDM) 4 (MMA) and 1 Private Lab (Myodaw) for the
whole country in 2010 (59 labs in total) $
49 (PSI), 4 (IOM), 13 (MSF-H), 1(MSF-CH), 4 (MDM), 1 (Malteser), and 6 (MMA) for the
whole country in 2011 (78 labs in total) ø
44 (PSI), 6 (IOM), 13 (MSF-H), 4 (MDM), , 9 (MMA), 1 (AHRN) and 1(Parami private
Lab)for the whole country in 2012 (78 labs in total) @
47 (PSI), 5 (IOM), 14 (MSF-H), 4 (MDM), 13 (MMA), 2 (AHRN) and 1(Parami private Lab)
and 1 (MSF-CH ) for the whole country in 2013 (87 labs in total)
Decentralized Labs: #
41 station hospitals, 16 PPM hospitals, 3 Diagnostic Centers for the whole country in 2010
(60 labs in total) $
57 station hospitals, 16 PPM hospitals, 4 Diagnostic Centers for the whole country in 2011
(77 labs in total) ø
62 station hospitals, 19 PPM hospitals, 4 Diagnostic Centers for the whole country in 2012
(85 labs in total) @
74 station hospitals, 19 PPM hospitals, 4 Diagnostic Centers for the whole country in 2013
(97 labs in total)
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Annual Report 2013
Table 2. EQA Finding in 2013 Public Labs EQA Labs Actively participated EQA Labs
Private Labs
Total Labs
399
87
486
386 (96.7%)
86
472
Total laboratories put under EQA were 486 in 2013, increasing from 405 in 2008 (Township labs: 300, Decentralized Labs: 86, Private laboratories: 78). Actively participated laboratories were 472/486 (97.1%).
Table 3. Major and Minor errors of Public and Private Laboratories in 2013
Sr
Region/State
MCs within R/S
Annual slides for EQA
Major Error
Minor Error
HFP
HFN
LFP
LFN
FP
FN
Conco rdance Rate%
QE
1
Yangon
66
6484
3
27
2
16
6
5
43
99.26
2
Mandalay
61
5796
8
31
5
26
13
13
57
98.79
3
Bago
35
3054
0
17
0
2
22
0
19
99.38
4
Ayeyarwaddy
41
3020
0
13
0
25
5
0
38
98.74
5
Rakhine
23
2016
8
13
1
5
10
9
18
98.66
6
Mon
22
2057
0
0
0
0
4
0
0
100
7
Kayin
11
861
2
2
11
0
11
13
2
98.26
8
Tanintharyi
13
1160
1
12
1
9
2
2
21
98.02
9
Kachin
26
2534
1
37
16
54
24
17
91
95.74
10
Sagaing
67
6828
40
58
32
43
59
72
101
97.47
11
Chin
10
1130
0
4
0
1
3
0
5
99.56
12
Shan
58
5247
5
31
7
16
19
12
47
98.88
13
Magway
32
3466
4
13
4
8
2
8
21
99.16
14
Kayah
7
714
1
1
0
2
0
1
3
99.44
472
44367
73
259
79
207
180
152
466
98.61
Total
FP= False Positive (HFP= High False Positive or LFP= Low False Positive) FN= False Negative (HFN= High False Negative or LFN= Low False Negative) QE= Quantification Error
The concordance of quality control result of the whole country was 98.6% in 2013. Among 618 errors (False Positive (FP) and False Negative (FN)) of all laboratories, false positive 152 (24.6%) was less common than false negative 466 (75.4%) in 2013. Discordance rate went down to 1.39% (2013) from 1.70% (2012). Mon State achieved 100%
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Annual Report 2013
concordance rate without major error (ME). However, the highest numbers of ME were found in Sagaing Region (29.5%), Mandalay Region (11.7%), and Kachin State (11.4%). Table 4. Quality control results for Public and Private Laboratories (2010-2013)
2010
Annual slides for EQA 32,515
2011
Year
FP (HFP+LFP)
FN (HFN+LFN)
Discordance rate
229
457
2.10%
35,418
113
485
1.70%
2012
36,707
131
494
1.70%
2013
44,367
152
466
1.39%
Table 5. Major errors and Minor errors of Public Laboratories in 2013
No.
Category
1.
Township Labs Station Hospital Labs PPM Hospital Labs TB Diagnosti c Centres
2.
3.
4.
Total
MCs
Annual slides for EQA
299
31214
64
Major Error HFP
Minor Error FP
FN
Concorda nce Rate %
HFN
LFP
LFN
QE
45
199
60
148
131
105
347
98.6
4382
14
21
15
38
30
29
59
97.6
19
1881
0
5
0
5
3
0
10
99.5
4
324
0
0
0
0
0
0
0
100
386
37801
59
225
75
191
164
134
416
98.5
Total laboratories under public sector were 399 in 2013 (302 township laboratories, 74 station hospital laboratories, 19 PPM hospital laboratories and 4 TB Diagnostic Centres). Central Jail Hospital, Mandalay and Central Jail Hospital, Yangon were also PPM hospitals participating EQA. Laboratories participated in EQA activity were 386 (96.7%). Slides received from public laboratories were 37801 and their concordance rate was 98.5%.
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Annual Report 2013
Table 6. Major errors and Minor errors of Private Laboratories in 2013
No.
Category
1.
PSI
2.
MCs
Annual slides for EQA
Major Error
Minor Error
HFP
LFP
LFN
QE
HFN
FP
FN
Concordan ce Rate %
47
3023
11
26
0
10
4
11
36
98.45
MDM
3
432
0
3
4
3
1
4
6
97.69
3.
Parami
1
72
0
0
0
0
0
0
0
100.00
4.
MSFHolland
14
1586
3
1
0
0
4
3
1
99.75
5.
MMA
13
885
0
4
0
1
4
0
5
99.44
6.
IOM
5
364
0
0
0
0
0
0
0
100.00
7.
AHRN
2
108
0
0
0
0
2
0
0
100.00
8.
MSF-CH
1
96
0
0
0
2
1
0
2
97.92
86
6566
14
34
4
16
16
18
50
98.6
Total
NTP received the slides for EQA from 86 out of 87 private laboratories in 2013. Their slide concordance rate is 98.6%. Among 68 errors of private laboratories, false positive was 18 (26.5%) and false negative was 50 (73.5%). There was no ME in private laboratories of Parami, IOM, AHRN, and MSF-CH. Highest number of ME was found in PSI 11% (37/332), followed by MSF-H and MMA (1.2%) each. Figure: 3 Major and minor errors of Fluorescent and Ziehl-Neelsen Micorscopy
5
% and Number
4
3
2
1
301 (0.8%)
32 (0.5%)
416 (1.1%)
49 (0.7%)
0 ME
mE
Fluorsecent Microscopy
10
Z- N Microscopy
Annual Report 2013
There were 62 Fluorescent microscopy sites sent for EQA. A total of 6,534 slides were examined in 2013 and, of which, only 32 slides (0.5%) had major error. From 410 Z-N microscopy sites, 37,827 slides were sent. Among them, 301(0.8%) were found to have major error. The major error with Z-N microscopy was a little bit more than that with Fluorescent microscopy.
Figure: 4 False Positives, False Negatives and Quantification Errors of Fluorescent Microscopy and Ziehl-Neelsen Microscopy
5
% and Number
4 3 2 1
24 128 (0.4%)(0.3%)
432 35 (1.1%) (0.5%)
22 157 (0.3%)(0.4%)
0
FP
FN Fluorsecent Microscopy
QE Z- N Microscopy
Compared to major errors (false positive and false negative) by Fluorescent microscopy and Z-N microscopy, it was noted that the proportions for false positives were more or less the same (0.4% and 0.3% respectively). However, the proportion for false negatives was 2 times higher in Z-N microscopy (1.1%) compared to Fluorescent microscopy (0.5%). Therefore, it was found that Z-N microscopy can miss TB cases when the laboratory technicians cannot examine all fields of the slide very carefully. Whatever, NTP achieves the improvement of microscopy performance at the moment by covering almost all TB laboratories by EQAS. It might also be due to improved skills of TB laboratory technicians by receiving regular trainings, close monitoring and regular supervision by TMOs, TB team leaders, Region/State TB officers, STLSs and microbiologists together with international experts from JICA. Besides these, EQA feedback from STLSs and microbiologists as well as their follow-up supervisory visits and immediate
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Annual Report 2013
actions taken on the findings and recommendations of the laboratory supervisors from NTP also improve the laboratory performances. The performances of private MCs were also improved by joint corrective measure of National EQA centre, Yangon and UMTBL. In 2013, new recruit training for sputum smear microscopy with Ziehl-Neelsen statining method (5 days course) was conducted 1 time each in Yangon region and Mandalay region. Fluorescent microscopy trainings for newly recruited lab technicians (5 days) were also conducted 3 times in Yangon and 1 time in Mandalay. One time training on STLSs for sputum AFB microscopy was also done in Yangon in 2013.
Manpower situation of TB Laboratories, 2013 Manpower situation of TB Laboratories can be seen as shown in the following table. The vacant posts will be filled accordingly by priority. Table 7. Manpower situation of TB laboratories, 2013 Posts
Sanction
Appointed
Vacant
Remark
Sr.Consultant Microbiologist
1
0
1
NTRL, Yangon
Jr. Consultant Microbiologist
2
2
0
0
2
0
1
1
0
11
11 +6*
0
6 – attached from other posts
200
158
42
Grade II technicians are still vacant
MO Microbiologists
Medical technologists Grade I technicians Grade II technicians
One at NTRL One at National EQA centre Attached from other posts One at NTRL One at UMTBC NTRL
Bio-safety level 3 (BSL 3) laboratories and Rapid TB diagnostic tests The NTRL Yangon and UMTBL Mandalay were upgraded and strengthened to BioSafety Level 3 (BSL-3) laboratories with negative air pressure system to introduce newer and faster diagnostic tests for the detection of multidrug resistant TB (MDR-TB) in July, 2010, with the support of UNITAID. Solid culture TB Laboratory established in Shan State (Taunggyi) in 2013 is planned to upgrade BSL- 3 Laboratory in 2014. Expand TB Project was initiated in a joint collaborative effort between UNITAID, Global Laboratory Initiative (GLI), Global Drug Facility (GDF) and Foundation for Innovative New Diagnostics (FIND).
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Annual Report 2013
Routine solid culture and DST takes about 10-12 weeks to have diagnosis of MDRTB. However, Liquid culture takes about 3 weeks and molecular testing such as Line Probe Assay (LPA) about 3 days only. Therefore, Liquid culture and LPA techniques have been used in NTRL and UMTBL to detect MDR-TB early. However, solid culture is the gold standard. Thus, in some cases which need confirmation, solid culture is still used. The early detection of MDR-TB cases can provide treatment early and can reduce the spread of disease. Liquid culture and Drug susceptibility testing (Mycobacterium Growth Indicator Tube-MGIT system) MGIT-960 This system uses liquid medium which has better recovery and faster growth of mycobacteria. Growth supplement and combination of anti-microbial agents PANTA has to be added to suppress the growth of contaminants. The MGIT tube contains an oxygenquenched flourochrome embedded in silicone at the bottom of the tube. During bacterial growth, the free oxygen in the media was used up for the fluorescence of the flouchrome. The positive tubes are shown by flashing of red indicator lamp on the screen of the machine drawer. Tubes flagged positive were removed after 24 hours and further test for contamination of M. tuberculosis. The fluorescence can also be visualized manually under ultra violet light or can be read with MGIT Tube Reader. Liquid Culture is done for both AFB smear positive and negative specimens. Growth can be detected as early as 4 to 12 days. Negative tubes are discarded on the 42nd day. Identification of M. tuberculosis The growth from either solid or liquid media is tested for confirmation of M. tuberculosis with the lateral flow assay test strip or device in safety hood. The assay is based on the detection of the presence of the M. tuberculosis Complex-specific protein MPT64 in culture isolates. The products used are either Capilla TB rapid diagnostic test (Tauns Laboratories Inc., South Korea) or TB Antigen MPT64 test (SD Bioline, South Korea). The results are available within 2 hours. Drug susceptibility testing (MGIT DST) The drug susceptibility testing is performed in the same MGIT machine. The drugs tested are isoniazid, streptomycin, rifampicin and ethambutol. Results can be available within 3 weeks form the start of culture.
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Annual Report 2013
Molecular Testing Genotype MTBDR plus Test (Hain Life sciences) is used. This test determined Mycobacterium tuberculosis positivity and rifampicin/isoniazid resistance by Molecular Genetic Assay for identification of resistance to Rifampicin and or isoniazid of the Mycobacterium tuberculosis Complex. The Genotype MTBDR plus assay is based on LPA technology involving polymerase chain reaction (PCR) amplification and binding of amplicons to specific oligonucleotide probes immobilized on a membrane strip. Testing may be performed on DNA isolated from cultures as well as smear positive direct patient material. GeneXpert GeneXpert system is intended for rapid detection of TB and rifampicin resistance in sputum samples. It can be used on both smear positive and smear negative samples. Instrument is available in 1, 2, 4 or 16 module configuration and is a semi-quantitative nested real – time PCR all within one catridge. It integrates and automates sample processing, nucleic acid amplification, detection of target sequences using real – time and reverse transcriptase PCR. Primers amplify portion of the rop B gene containing the 81 base pair core region. Probes are able to differentiate sequences associated with Rifampicin resistance. Two GeneXpert machines were installed at UMTBL (Mandalay) and MGH (Mandalay General Hospital) in late 2011 with the support of PICT project (UNION). In 2012, altogether 8 GeneXpert machines were received: 6 by GF and 2 by Canadian International Development Agency (CIDA). Two GeneXpert machines (CIDA) were set up at Latha TB Diagnostic Centre and NTRL (Aung San) which was later moved to Mingalardon Specialist Hospital. Six GeneXpert machines (GF) were set up at Latha, Union Tuberculosis Institute (UTI) Aung San, Bago, Mawlamyaing, Pathein and Monywa TB centres in 2013. Altogether additional 13 GeneXpert machines were received in 2013 from USAID, GF and UNITAID. One GeneXpert machine supported by USAID was set up in UTI (Aung San), 4 machines from UNITAID were installed at North Okkalapa District TB centre, Shan State (Taunggyi), Shan State (Lashio) and Magway Regional TB centre in 2013. The remaining 8 machines provided by GF is planned to set up in Thanlyin, Myingyan, Myaungmya, Hinthada, Shwebo, Kalay, Pakokku and Myeik in 2014. One GeneXpert machine was set up in Dawei by MSF-CH, two machines of MSF-H were established in Kachine State and Yangon Region. Therefore, a total of 27 GeneXpert machines could be installed in Myanmar (24 by NTP, 2 by MSF-H and 1 by MSF-CH) in 2013.
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Annual Report 2013
Figure: 5 GeneXpert machines for rapid diagnosis of MTB and Rif-resistant
Table 8. Performance of liquid culture, liquid DST & LPA (2010-2013) Tests
2010
2011
2012
2013
No. of liquid culture
482
1,048
1,920
3,974
No. of liquid DST
146
370
519
443
No. of LPA
155
812
1,103
2,633
90
482
778
881
128
162
442
667
MDR cases detected MDR TB treated cases
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Annual Report 2013
Figure: 6 Performance of liquid culture, liquid DST & LPA (2010-2013)
4500 3974
4000 3500
3000
2633
2500 1920
2000 1500
1103
1048
1000
812 482
500
126 64
146
155
519
482
370
881
778
667 442
443
162
90 128
0 2009
2010
2011
2012
No. of liquid culture
No. of liquid DST
MDR cases detected
MDR cases treated(NTP)
2013
No. of LPA
2009- MDR diagnosed (from PMDT sites) by conventional culture
The figure shows Culture and DST tests which are carried out increasingly years by years. In 2013, 3,974 liquid culture tests, 443 liquid DST and 2,633 LPA tests were done in NTRL (Yangon) and UMTBL (Mandalay). From these tests, total 881 MDR cases could be notified in 2013, and, of which 667 MDR-TB cases received second-line anti-TB treatment during 2013.
Table 9. Results of liquid culture (MGIT) in 2013
1st Q
137
533
No. of Contaminated 121
2nd Q
240
708
127
1,075
3rd Q
240
697
121
1,058
4th Q
204
761
85
1,050
Total
821
2,699
454
3,974
Quarter
No. of Culture(+)
No. of Culture(-)
16
Total 791
Annual Report 2013
Table 10. Among Liquid Culture (+)ve; Results of Liquid DST, 2013 All sensitive 24
Monoresistant 8
Poly-resistant but not MDR-TB 11
MDRTB 60
2nd Q
22
7
10
51
90
3rd Q
59
18
11
77
165
4th Q
22
10
7
46
85
Total
127
43
39
234
443
Quarter 1st Q
Total 103
Table 11. Line Probe Assay, 2013
Quarter
All sensitive
Resistant IR R
NTM (TUB(-)ve)
I
Total
1st Q
97
341
33
17
30
518
2nd Q
120
417
65
41
23
666
3rd Q
185
451
69
60
39
804
4th Q
100
390
62
63
30
645
Total
502
1,599
229
181
122
2,633
Table 12. Conventional Culture and DST Results, 2013
Quarter
All sensitive
Monoresistant
Poly-resistant but not MDRTB
MDR-TB
Total
1st Q
143
11
9
121
284
2nd Q
32
4
5
124
165
3rd Q
29
11
4
74
118
4th Q
6
1
3
75
85
Total
210
27
21
394
652
GeneXPert MTB/RIF Testing Result (2013) Age & Sex Distribution of tested patients Male < 15 years 329
Female > 15 years 8,948
< 15 years 264
17
> 15 years 4,705
Total 14,246
Annual Report 2013
Test Results with previous history of TB New Sputum Microscopy
XPert MTB/RIF
Retreatment
Unknown
Total
AFB (+)
649
2,262
32
2,943
AFB (-)
4,854
6,260
136
11,250
Not done
24
29
0
53
Negative
3,923
4,863
109
8,895
TB with NO Rifresistance TB with Rifresistance TB with RifIndeterminate
1,330
2,067
38
3,435
196
1,473
20
1,689
78
148
1
227
Test results with HIV status HIV (+) Sputum Microscopy
MTB/RIF
Unknown
Total
AFB (+)
300
497
2,146
2,943
AFB (-)
2,356
1,320
7,574
11,250
Not done
6
7
40
53
Negative
1,910
948
6,037
8,895
595
566
2,274
3,435
107
283
1,299
1,689
50
27
150
227
TB with NO RifXPert
HIV (-)
resistance TB with Rifresistance TB with RifIndeterminate
GeneXPert versus Sputum Microscopy GeneXPert (+)
GeneXPert (-)
Total
Microscopy AFB (+)
2,838
105
2,943
Microscopy AFB (-)
2,483
8,767
11,250
30
23
53
Microscopy AFB (Not done)
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Annual Report 2013
Figure: 7 GeneXPert MTB/RIF Testing Result (2013) 2% 12%
24%
62%
MTB Negative
TB with NO Rif-resistance
TB with Rif-resistance
TB with Rif-Indeterminate
Total 14,246 presumptive TB cases were tested with GeneXpert in 2013. Of them, 38% (5,351/14,246) were MTB detected cases and 24% (3,435/ 14,246) were MTB with No Rifampicin Resistance and 12% (1689/14,246) were Rifampicin Resistance cases. Among MTB detected cases (5351), 32% (1689/5351) were MTB with Rif-resistant cases.
Case detection NTP routinely conducts passive case finding at all townships but introduces several accelerated case finding activities these years to improve TB case detection. And, new TB definitions of World Health Organization were adopted in Myanmar in late 2013. The word “TB suspect” was replaced with “presumptive TB”. WHO describes presumptive TB as “: a patient who presents with symptoms or signs suggestive of TB”. Most of the TB laboratories (public and private) used Z-N microscopy; however, Fluorescent microscopy was used in Region/State/District/high workload township TB laboratories. TB case detection was done not only by sputum microscopy but also by Chest X-ray (CXR). CXR facility is available in all Region/State TB centres except Chin and Kayah States. Portable Digital Xray machines were available at Yangon, Mandalay and Sagaing Regions as well as Rakhine and Shan (Taunggyi) States for mobile team activities. TB case finding was promoted by Accelerated Case Finding (ACF) activities such as mobile teams, sputum collection points in hard to reach areas and contact tracing. The mobile teams were led by region/state TB officers or District TB team leaders and the team also included X-ray technicians, Laboratory technicians and respective Basic Health Staffs
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Annual Report 2013
(BHS) led by Township Medical Officer (TMO). The local authorities, community members as well as local NGOs such as MMCWA and MWAF members also aided in these mobile team activities. Each mobile team visit lasts for 3-5 days. Since 2011, these activities were mainly supported by the GF. In Yangon and Mandalay regions, JICA (MIDCP) also supported for such activities. At each mobile team visit, the people were firstly screened clinically, then by Chest X-ray (CXR) and sputum microscopy. The people with TB symptoms mainly cough more than 2 weeks and those who had TB contact history were primarily examined. However, other illnesses were also examined, provided treatment and referred to secondary or tertiary hospitals if necessary. The following table shows mobile team activities conducted over the whole country during 2013. Fourty-five missions in 33 townships and 22 missions in 20 prisons were carried out with GF and 1 mission each in Yangon and Mandalay region by JICA (MIDCP). Altogether 1,568 TB cases (all forms) including 428 smear positive TB cases could be detected and provided anti-TB treatment. The contribution of mobile team activities to nationwide case finding was 1.1% (1,568/142,162). Table 13. Mobiles Team Activities in 2013 No. of
No. of TB
No. of mobile
No. of smear
team missions
positive cases
33 townships
45
358
1,162
GF
20 prisons
22
61
369
GF
2
9
37
JICA
69
428
1,568
Townships/ prisons
2 townships Total
cases
Funding source
(All forms)
To improve TB case finding, not only the mobile team activities, but also contact tracing, Sputum Collection Centre (SCC) activities and Community Based TB Care (CBTC) activities could also be carried out in 2013 with the support of GF. The sputum collection centres were kept through rotatory system among existing rural health cetres (RHCs) in each selected township. In 2013, 60 townships were selected for this activity. The BHSs from each RHC conducted sputum collection from potential TB patients, sending specimens to township TB laboratory through messenger, providing antiTB treatment prescribed by TMO to respective patient if TB is detected. They are also responsible for recording and reporting. This activity lasts for 2-3 weeks in each RHC, then, moved to another RHC. The GF supported advocacy and training for this activity as well as
20
Annual Report 2013
transportation cost for sputum specimens and recording/reporting forms. In 2013, 277 TB patients could be detected from these sputum collection centres. Contact tracing activity was also conducted by BHSs in each township. This activity was done in 319 townships and GF provided transportation cost for BHS and recording/reporting forms. The contacts/family members of smear positive TB patients and childhood TB cases are traced primarily. Approximately 850 TB patients including 309 smear positive TB cases could be detected and treated through contact tracing activity in 2013. Community Based TB Care activity (CBTC) was carried out by both INGOs and local NGOs. Local NGOs conducting this activity were MMCWA, MWAF, MRCS and MHAA. (MMCWA- Myanmar Maternal and Child Welfare Association, MWAF- Myanmar Women Affairs Federation, MRCS- Myanmar Red Cross Society and MHAA- Myanmar Health Assistant Association). The advocacy and training for this CBTC activity; recording/reporting forms; monitoring and supervision as well as evaluation activities were supported by GF. Through the efforts of volunteers from these 4 local NGOs, about 1600 TB cases could be detected in 2013. The detail results of CBTC activity by INGOs and above local NGOs will be described under the topic of “Empower people with TB and communities through partnership”. By using these innovative methods, approximately 45,000 people were screened for TB. Among them, nearly 4,300 TB cases (all forms) including 899 sputum smear positive TB cases could be detected early and provided anti-TB treatment all over the country. Contribution of TB case detection by these methods was 3% (4298/142162) in 2013. Figure: 8 Accelerated case finding activities in 2013
14559
16000 14000
Number
12000 10000 8000
8692
8435
7513
4875
6000 4000 2000
277 162
1199
367
369 61
848
1605 309
0 SCC
Mobile team (35 tsp.)
Mobile team (20 prisons)
No. of Presumptive TB Cases
Contact Tracing
CBTC (4 Local NGOs )
No. of Total TB Patients detected
21
Annual Report 2013
Figure: 9 Proportion of TB case detection (Accelerated Case Finding and Passive Case Finding) (2013)
4,298, 3%
Total TB Patients detected through ACF activities Total TB patients detected (Routine Passive Case Finding) 137,864, 97%
4.1.3
Provide standardized treatment with supervision, and patient support NTP has utilized FDC to improve compliance of TB patients in Myanmar since 2004
and patient kits to promote drug management since 2010. Guideline for Management of Childhood TB was revised and updated as Rapid Advice from WHO and altogether 17 refresher trainings on childhood TB management were conducted at State and Regional levels. Directly Observed Treatment (DOT) was provided in a patient-friendly manner by a variety of treatment providers suitable to local conditions. Decentralization of Anti-TB drugs was also strengthened. Township Medical Officers (TMO) and TB coordinators of DOTS townships took all the responsibilities of TB control activities. For each and every patient, there was a DOT provider. DOT providers were selected either from local BHS or trained Voluntary Health Workers or members of Non-Governmental Organization (NGOs), especially MMCWA, MWAF, MRCS or family members of TB patients. NGOs also supported NTP with provision of appropriate patient education, including information regarding the regimen, duration and treatment adherence as well as patient support in some townships.
22
Annual Report 2013
4.1.4 Effective drug supply and management Provision of quality assured uninterrupted supply of Anti-TB drugs to every registered TB patients is essential to achieve treatment success rate targets of at least 85%. Delay supply for both first-line and second-line Anti-TB drugs would cause unfavorable outcome such as spread of MDR-TB, XDR-TB and resulting in increased death due to TB. However, it can be prevented by effective drug supply and management. Drugs, laboratory supplies and equipment for National Tuberculosis Programme are mainly supplied by Government, GDF, GF, UNITAID and WHO. Government‟s contribution to anti-TB drug budget is increasing and it was 40% in 2013. NTP supplies drugs and laboratory supplies and equipment in quarterly manner. Central medical store in Yangon distributes Anti-TB drugs to Upper and Lower Myanmar stores based on consumption of drugs and requirement for buffer stocks. Upper Myanmar Store distributes to nine Regions and States TB Centres (Mandalay, Magway, Shan(S), Shan(N), Shan(E), Kayah, Chin, Kachin and Sagaing). Lower Myanmar Store distributes to seven Region and State TB centres (Yangon, Ayeyarwaddy, Bago, Mon, Kayin, Rakhine and Taninthayi). Then, Regional and States TB Centres distribute drugs to townships level quarterly according to their case load of previous quarter and buffer stock. At township level, TMO distribute monthly to RHC level. Drugs transportation cost was provided by GF in 2013. Laboratory supplies, reagents and equipment were also distributed from Regional and State TB Centres to DOTS townships in this way. NTP also supplies drugs to partners on quarterly by receiving their quarterly reports. PSI collects drugs from Lower Myanmar Store and distributes to their PPM clinics. MSFHolland collects drugs either from Regional and State level or township level where they are implementing. SOP for drug and supplies management was already distributed up to township level and refresher trainings were also given once a year. The drugs received from all sources are kept at the central TB store to be distributed to Regions and States through lower and upper Myanmar TB store.
4.1.5 Monitoring, Supervision and Evaluation Monitoring and Evaluation system was strengthened as it is important to measure both progress with programme implementation and impact of intervention, to reach the MDGs goal.
23
Annual Report 2013
Recording and Reporting NTP used standardized recording and reporting format at all levels. In late 2013, NTP developed new TB definitions according to WHO guideline and revised existing recording and reporting forms of NTP. Trainings were given at all Regions and States for revised recording and reporting framework to utilize new recording and reporting forms in 2014. The reports from basic DOTS units were sent to Townships, then to Region/State level. At Region/State level, these reports were checked, verified and finally put on excel worksheet, compiled and sent to central NTP. All the implementing partners also provided required reports to NTP central and respective region/state TB centres. At central level, all the reports received were verified, computerized, and after evaluation of these data, appropriate clarification and feedbacks were given to respective region or state. The performance and impact were also assessed at central using long term trends on case finding by notified age and sex distribution of patients. The capacity and skill for proper data management and information management system was improved by providing trainings at all level every year. The NTP provided adequate standardized recording and reporting forms to ensure timely reporting of all care providers delivering TB care according to the Stop TB Strategy.
4.1.5.1 Supervision Supervision and monitoring was carried out regularly at all level of the Programme. All regions and states were supervised at least once a year by national level staff. Regional and State level TB officers as well as team leaders and National Technical Officers did supervisory visits to district/township level health facilities. Laboratory consultants supervised Region and State TB laboratories at least once a year. Senior TB Laboratory Supervisors (STLS) also went to township laboratories for supervision once a year, but if indication such as major error at the township, supervision was done again to these townships. Supervisory visits by NTP staff to townships implementing TB/HIV collaborative activities were done once a year and to MDR TB townships were done every quarter. NTP also went supervision visits townships implementing PPM activities as well as to PPM hospitals. The detail supervision visits at all levels are as shown in table.
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Annual Report 2013
Table 14. Supervisory visits down to grass root level in 2013 Level of supervision
No. of townships visited
Region/State/District TB Centres and TB/HIV, MDR-TB townships Central to
33
TB/HIV townships
6
Border townships
3
PPM hospitals
17
Region and State to townships
235
Microbiologists supervision
6
NTOs supervision
235
STLS supervision
126
CBTBC supervision
71
4.1.5.2 Evaluation Annual evaluation meetings with stakeholders are carried out at national level, followed by regular planning and budgeting meetings. Inter-departmental coordination and collaboration meeting for programme management was conducted every year. Biannual evaluation meetings at regional and state levels and quarterly evaluation meetings at township level with all implementing partners provide information and support for programme management. Quarterly cohort review meetings are also held at low performance townships to assess the TB control activities, to find out the problems and to give possible solutions. National Annual TB Evaluation Meeting, 2013 National annual TB evaluation meeting was held at Mingalar Thiri Hotel, Naypyitaw th
on 8 to 9th May 2014. This meeting was funded by Ministry of Health, Myanmar and Global Fund to fight against AIDS, TB and Malaria. The objectives of conducting annual evaluation meeting were i)
To evaluate fulfillment of recommendations of previous annual evaluation (2012)
ii)
To evaluate strength and weakness of TB control activities in Region/State and townships during 2013
iii)
To know the situation of TB control activities by implementing partner (NGOs, INGOs)
iv)
To set future plan for TB control
25
Annual Report 2013
Figure:10 The Deputy Director-General (Public Health) delivering the opening speech in National Annual TB Evaluation Meeting (2013) The opening speech was delivered by Dr. Win Htay Aung, Deputy Director-General, (Public Health). He mentioned about the history of NTP and achievement/trend in Myanmar. He pointed out that TB incidence and mortality rate were reduced in Myanmar with the effort of NTP and implementing partners. To achieve the MDG targets, active case finding activities would be needed to find out missing cases about 100,000. And collaborative and cooperative activities of all implementing partners are to be continued for the success of TB control program. He also mentioned the increasing budget allocation by the government for health as well as for NTP. Finally, all participants were welcomed to discuss, to suggest and to provide opinions to be able to strengthen the programme performance. Dr. Si Thu Aung, Deputy Director, National Tuberculosis Programme, presented the accomplishment of recommendations of 2012 annual evaluation meeting, objectives of NTP, targets, strategies and activities, human resource situation, NTP‟s achievement including partners‟ contribution in 2013, challenges and future plan of NTP. Firstly, he presented accomplishment of recommendations of 2012 annual evaluation meeting. Regarding the integrated township health plan, 3MDG supported Coordinated Township Health Plan (CTHP) meeting on 5-6 May 2014, to include TB/Disease control activities in CTHP. For establishment of the electronic database & monitoring system on PMDT linking with laboratory data, 2 Data Assistants were assigned by WHO in Yangon and Mandalay starting computerized case based recording for MDR TB. However, there was human resource limitation especially for monitoring and evaluation of TB control activities. To improve the Data Quality Assurance of the reports on CBTC, the supervisory visits and evaluation meetings were added in the GF (NFM) activities to improve CBTC activities. Much attention is needed to be provided by Region and State supervisors to get the CBTC reports in time. Regarding childhood TB management recommendation, the workshop on childhood TB management was conducted with the technical assistance of WHO on 19th-20th August, 2013. Professors of Chest Medicine, Professors of Pediatrics
26
Annual Report 2013
Medicine and Sr. Consultant Pediatricians attended the workshop and shared their experiences, contributed their opinions and suggestions for childhood TB management in Myanmar. Relating to infection control measures, proposals for renovation and new infrastructures construction are needed to be put up to Department of Health (DOH) through NTP by Region/State Health Directors and TB Officers. However, NTP did not receive any proposal from regional or state health departments. To fill up the vacant posts and to upgrade the TB teams in border areas such as (Tachileik, Muse, Kawthaung, Myawaddy, Tamu & Maungdaw), NTP has already put up the proposal to DOH for 2 times. Therefore, DOH appointed, Dr. Kan Oo Aung for Tachileaik TB Team Leader post, replaced HA Team Leader for Kawthaung, and transferred back TB coordinator Doctor to Myawaddy.
NTP also
requested to assign one TB specialist in Kalay especially for PMDT project. Regarding patient support and BHS support for MDR-TB management, it will be increased in 2014 for both patient support and BHS support, and also nutrition support may be provided by World Food Programme in 2014. The revision of TB/HIV guideline was done in December 2013 together with NAP, NTP and WHO. However, it is needed to finalize because of some changes occurred in TB case definitions due to introduction of GeneXpert. The last recommendation from 2012 annual evaluation was to develop laboratory strengthening plan and mobilize necessary resources which was accomplished with the 5% France Initiative support of France Government. Five year Laboratory expansion plan could also be developed and presented to TSG. The Program Manager also stressed the important vacancies in NTP and achievement in 2013. Then, he presented about TB/HIV collaborative activities, TB/HIV sentinel surveillance result, and MDR-TB management and 2011 MDR-TB cohort report. After that he described about EQA report, Budget, Global Fund activities in regions and states. Finally he presented challenges of NTP. After that, region/state TB officers and representatives from implementing partners presented their TB control activities, achievements, challenges and future plan. Participants were invited for discussion after the presentations. Based on the presentation facts and discussion points, the recommendations for the coming year were established as follows: 1.
Fill up vacant posts at all levels and particularly:
Kayah and Shan (Kengtong) State TB Officers
3 microbiologists
10 Medical Officer team leaders
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Annual Report 2013
Full team led by Medical Officer at 5 border townships (Muse, Kalay, Kawthaung, Tachileik and Myawady )
5 Health Assistant team leaders
58 grade II laboratory technicians
2. Conduct a comprehensive TB epidemiological analysis prior to the joint review to take place in December 2014 3. Ensure regular stakeholder meetings at State/Regional and district/township levels 4. Ensure implementation of the new TB recording and reporting system by all partners and nationwide (M & E subcommittee –NTP focal persons + R/S TB officers + WHO + partners) 5. Promote analysis of reports and action taking at local level before sending to higher level 6. Ensure reports are sent timely by all implementing partners (including active casefinding activities and TB/HIV activities) 7. Strengthen TB control activities in special populations including urban poor, migrants, displaced people, mine workers, prisoners, diabetics and in border areas 8. Promote special attention to TB control in Chin State and Northern Sagaing Region, Special Regions, Kayah State and other areas with low TB case detection 9. Ensure comprehensive diagnosis of childhood TB through bacteriological, clinical, pathological and radiological examination to reduce over-diagnosis 10. Increase to number of private GPs involved in PPM (MMA and PSI) 11. Promote operational research:
Develop a prioritized operational research agenda
Document experiences in active case-finding, MDR-TB and community-based TB care activities and expand the most successful models
12. Maximize the use of Xpert MTB/RIF and ensure wide dissemination of new diagnostic algorithms 13. Ensure maximum enrolment of MDR-TB patients and initiate second-line drug procurement timely 14. Expand community involvement in MDR-TB care 15. Promote universal PICT of TB patients and among presumptive TB individuals that belong to high HIV risk groups and ensure CPT and ART accessibility for TB/HIV patients 16. Strengthen integration between TB and other programmes in particular HIV, malaria, MCH, HSS, targeting cross cutting interventions (training, supplies, human resources etc.)
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Annual Report 2013
Regional and State TB evaluation meetings Annual Regional and State level TB evaluation meetings were carried out at all Regions and States. The activities were conducted with the support of Global Fund, and biannual Regional TB evaluation meetings in Yangon and Mandalay Regions as well as township quarterly evaluation meetings at 10 low performance townships of Yangon and Mandalay Regions were carried out with the support of JICA (MIDCP). Some townships conducted township quarterly TB evaluation meetings unfunded. Cohort review meetings were also conducted at 30 low performance townships with the support of Global Fund. Conducting quarterly evaluation meetings at the township level was also a kind of productive activity. Health Assistants had to present about their RHCs concerning TB control achievement in that quarter and TMOs reset up the guidelines according to their needs. After one year when improvement was observed, NTP changed giving the resources to other low performance townships. However, previous townships would continue the meeting unfunded. Table 15. TB Annual Evaluation meetings at Regional/State level (2013) Regional/State level
Date
No. of participants
Kachin State
31.10.2013
29
Kayah State
26.12.2013
21
Shan State (Taunggyi)
20.12.2013
40
Shan State (Kengtong)
30.6.2013
23
11.12.2013
36
Mon State
24.4.2013
24
Kayin State
28.4.2013
17
Chin State
10.12.2013
24
12.5.2014
44
27-28.12.2013
60
3-4.7.2013
150
3-5.2.2014
150
Sagaing Region
18.11.2013
38
Magway Region
27.12.2013
34
Bago Region
23.12.2013
60
Ayeyarwaddy Region
27.12.2013
53
28.4.2014
28
Shan State (Lashio)
Rakhine State Mandalay Region Yangon Region
Taninthayi Region
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Annual Report 2013
4.2 4.2.1
Addressing TB/HIV, MDR-TB and other challenges TB/HIV collaborative activities National TB-HIV coordinating body was built up in 2005 and reformed in 2012.
Current activities were planned for 2011-2015. TB/HIV collaborative activities were initiated in 7 townships since 2005. The project gradually expanded every year and there were 28 townships in 2013. Therefore, all 330 townships are planned to implement TB/HIV collaborative activities in 2016. In 2013, including data from implementing partners, out of 39,016 registered TB patients, 43% (16,882/39,016) had their HIV status recorded. Of which 32% (5,413/ 16,882) were HIV positive. Total 13.6% (2,296/5,413) of HIV positive TB cases received cotrimoxazole prophylaxis therapy and 23.6% (3,987/5,413) received ART in 2013.
30
Table 16. TB/HIV collaborative activities (2013)
Sr No
Region/State
Township
Registered TB patients < 15 ≥ 15 years years 133 474
HIV test recorded < 15 ≥ 15 years years 0 440
HIV Positive
CPT received
ART received
< 15 years 2
≥ 15 years 81
< 15 years 2
≥ 15 years 74
< 15 years 0
≥ 15 years 15
31
Aungmyaetharzan
2 Mandalay
Chanayetharzan
83
293
1
265
2
44
2
44
1
9
3 Mandalay
Maharaungmyae
95
443
2
420
2
78
2
78
1
16
4 Mandalay
Chanmyatharzi
110
470
1
469
1
86
1
86
0
5
5 Mandalay
Pyigyitagon
112
344
0
326
0
60
0
60
0
9
6 Mandalay
Patheingyi
114
280
0
276
0
49
0
49
0
14
7 Mandalay
Amarapura
27
293
6
288
1
56
1
56
1
16
8 Kachin
Myitkyina
659
1566
51
1259
35
531
30
464
29
355
9 Shan (S)
Taunggyi
164
523
6
493
6
81
5
77
5
69
10 Shan (N)
Lashio
388
1288
29
1100
22
427
20
406
13
288
11 Magway
Pakokku
177
652
4
612
3
67
1
23
0
12
12 Sagaing
Monywa
66
406
3
346
2
34
2
31
2
25
13 Ayeyawady
whole region
3505
9766
139
1416
19
299
7
147
4
23
14 Magway
Magway
133
729
7
567
5
57
5
57
1
11
15 Shan (E)
Tachileik
124
278
7
199
7
24
3
14
3
13
16 Mon
Mawlamyine
252
898
7
675
7
93
7
93
0
0
17 Bago (W)
Pyay
460
593
37
499
6
110
6
97
0
6
18 Tanintharyi
Dawei
259
350
0
245
0
4
0
8
0
1
Annual Report 2013
1 Mandalay
32
19 Kachin
Banmaw
466
441
12
262
12
191
12
158
10
109
20 Kayin
Hpa-an
224
1159
0
77
0
13
0
10
0
0
21 Tanintharyi
Myeik
575
947
0
553
1
29
0
6
0
0
22 Bago (E)
Bago
413
1013
6
572
3
68
0
29
0
27
23 Mandalay
Pyinmana
76
414
6
292
4
40
4
40
0
5
24 Yangon
Thanlyin
65
756
0
314
0
19
0
0
0
0
25 Yangon
North Okkalapa
48
769
0
586
0
36
0
0
0
0
26 Shan (E)
Kyaington
69
236
0
157
0
35
0
30
0
19
27 Shan (S)
Kalaw
47
239
2
157
2
24
2
24
2
20
28 Yangon
Mingalardon
39
858
0
476
0
36
0
0
0
0
29 Mandalay
Meikhtila (UNION)
145
428
0
313
0
26
1
9
1
11
30 Mandalay
Myingyan (UNION)
125
401
1
345
0
17
13
0
8
31 MSF-H
All ART Project Sites
32 MDM
Yangon & Kachin
95
33 MSF-CH
Yangon & Dawei
251 39016
16882
2556
5413
2482
2296
3987
Annual Report 2013
Total
2556
Annual Report 2013
HIV Sentinel Surveillance (HSS) Routine HIV Sentinel Surveillance was conducted by NAP. With the collaboration with NAP, it started to include new TB patients in 2005 at 5 sentinel sites, and expanded to 10 sites each in 2006, 2007 & 2008, then to 15 sites in 2009, 20 sites in 2010 & 2011, 25 sites in 2012 and 28 sites in 2013. However, one expanded township, Kawthaung, has reported with wrong format, so this site was not included in analysis of this year. According to the results from 2013 survey, overall HIV prevalence among new TB patients decreased to 9.2% in 2013 from 9.7% in 2012. Figure 11. Trend of HIV prevalence among new TB patients (2005-2013) 12% 10.4%
10%
10.3%
10.8%
11.1%
9.9%
9.2%
9.8%
9.7%
9.2%
Percentage
8% 6% 4% 2% 0% 2005
2006
2007
2008
2009
2010
2011
2012
2013
2012
2013
year Figure 12 HIV prevalence among TB patients by sites (2005-2013)
20% 16% 12% 8% 4% 0% 2005
2006
2007
Yangon
2008
2009
Pyay
2010
Hpa-an
33
2011 Nyaung U
Annual Report 2013
35% 30% 25% 20% 15% 10% 5% 0% 2006
2007
Bago
Magway
2008
2009
2010
Monywa
Pathein
2011
2012
Mawlamyine
2013 Myeik
16%
12%
8%
4%
0% 2009
2010
Tachileik
Sittwe
2011 Loikaw
34
2012 Hinthada
2013 Pyinmana
Annual Report 2013
25% 20% 15% 10% 5% 0% 2010
2011
Dawei
2012
Myingyan
Taungoo
2013
Meikhtila
Bamaw
Table 17. HIV prevalence among new TB patients, sentinel surveillance (2005- 2013) 2005
2006
2007
2008
2009
1
Sentinel sites Yangon
11.30%
8.70%
8.70%
4.67%
5.3%
2
Pyay
16.70% 10.70%
3
Bago
4
Hpa-an
5
Nyaung U
6
Magway
7
Monywa
8
Myeik
9
Pathein
10
Mawlamyine
11
Tachileik
12
Sittway
13
Loikaw
14
Hinthada
6.8%
6.0%
10%
10% 10.0%
15
Pyinmana
13.4%
8.0%
12%
9.6%
0.0%
16
Dawei
5.2%
7.5%
2.7%
2.2%
No.
2010 6.7%
3.30% 16.67% 11.3% 14.0%
11% 10.70%
9.33%
8.7% 11.3%
2011
2012
8% 12.8% 10%
2013 8.7%
8.7% 16.0%
6%
7.3%
8.0%
3.30%
3.30%
6.70%
8.67%
4%
8.0%
7.3%
12%
9.3%
9%
9%
7.30%
6.67% 10.2%
7.5%
4.7%
7.3%
4.7%
1%
6%
8.67%
0.7%
6.7%
4.7% 10.3%
9.3%
23% 16.10% 28.77% 26.1% 27.9% 12.7% 12.6% 10.3%
6%
15.30%
7.33%
5.3%
8.0%
10%
6.7%
4.7%
9.30%
7.33%
4.7%
4.0%
12%
12%
6.0%
15% 14.70% 13.33% 14.7% 16.0% 14.7%
8.7%
3.3%
2.0%
2% 10.7%
35
14% 10.7% 12.7% 8.5% 10.3% 2%
9%
5.2% 3.7%
8.7% 13.6% 11.7%
Annual Report 2013
17
Myingyan
11.0% 15.3% 18.7% 14.7%
18
Taungoo
14.2% 12.7%
5.5%
7.3%
19
Meikhtila
20.7% 11.3%
6%
9.3%
20
Bahmo
24.1% 19.1%
21
Myaungmya
7.3%
22
Shwebo
8.7% 17.3%
23
Pyinoolwin
10.4% 28.9%
24
Kyaingtong
10.6% 28.9%
25
Maubin
11.3% 13.8%
26
Myawaddy
27
Kalay
Total
19% 22.1% 8.0%
10.4% 3.3% 10.30% 10.90%
9.80% 11.10% 9.15% 10.4%
9.9%
9.7%
Isoniazid Preventive Therapy (IPT) Isoniazid Preventive Therapy (IPT) project was started in June, 2009 at 9 townships. Then, it was expanded to 15 townships in 2012 and 28 townships in 2013. The “Workshop on implement IPT in Myanmar” was conducted at Yangon in 2013. Recommendations from this workshop were as follow: 1. IPT workshop strongly recommends to adopt IPT in PLHIV as a national policy in reducing the burden of TB in PLHIV 2. IPT should be implemented by NAP, by incorporation into NAP guidelines for opportunistic infection care and prevention 3. Scale-up of IPT should occur at all townships with NAP team and international NGOs with HIV clinical services incorporating into TB/HIV collaborative township activities 4. To provide logistic drugs, commodities, forms, registers & reports to STD Teams & partners through TB Teams 5. Programmatic M & E should be done by collaborating NAP and NTP together 6. To conduct Operational Research for effectiveness of IPT and outcome of breakthrough TB by NAP/NTP 7. To conduct TB/HIV coordinating meeting at central, state/regional & township level 8. To adapt 6 months IPT to reach nation-wide coverage by 2016 & make detailed scale up plan 4.2.2 Prevention and care of MDR TB Programmatic Management of Drug Resistant TB (PMDT) is one of the integral parts of Five Year National Strategic Plan (2011-2015). National Drug Resistant TB committee
36
9.2%
Annual Report 2013
was formed in 2006. National guideline for Programmatic Management of MDR-TB was published in 2013. DOTS-Plus Pilot Project was started in 2009, and concluded in 2011. MDR-TB pilot project could cover 10 townships (5 townships each from Yangon & Mandalay Regions). A total of 309 MDR-TB cases were enrolled. Total 492 patients could be put on treatment in 2011-2012 from 22 townships (11 townships each from Yangon & Mandalay Regions). PMDT project is applying community based model for uncomplicated cases. In 2013, 53 townships were expanded for treating MDR-TB patients and total 1,468 MDR-TB cases were already enrolled for second line anti TB treatment at the end of 2013. The PMDT project will be scaled up to 108 townships in 2015 including all townships in Yangon region. Government commitment for Second-line anti-TB drugs were increasing and total 1800 cases will be supported by government budget from 2014-2016. With the scaling up of MDR-TB, MDR-TB treatment will be available to 10,155 MDR-TB patients in 2014-2016. The first cohort report from PMDT was shown in the following figure. It showed satisfactory performance with cure rate of 74% (37/50). Figure 13. MDR-TB Treatment Outcomes (Cohort of 4th Quarter 2011)
2% 18%
Cured
6%
Complete Died Defaulted
74%
N=50
4.2.3 Address prisoners, refugees and other high-risk groups and special situations Looking inside prisons, TB is a major cause of sickness and death along with HIV, malnutrition, mental illness etc. Thus, NTP initiated TB control activities among prisoners in collaboration with Ministry of Home Affairs (MoHA). Coordinating mechanism for TB in prisons was developed in 2012 between Ministry of Health and Ministry of Home Affairs
37
Annual Report 2013
(MoHA). As an output, referral/transfer mechanism for continuation of treatment after release and policies and operational guidelines for TB screening among prisoners were developed. Then, NTP started implementation at 3 prisons in 2012. In 2013, the number of prisons increased up to 20 prisons including Kawthaung, Sittwe, Kyaukphyu, Pathein, Myanungmya, Pyay, Taungoo, Tharyawaddy, Myingyan, Mandalay Central Jail, Insein, Myitkyina, Thayet, Mawlamyaing, Taungyi, Lashio, Monywa, Shwebo and Kalay from 7 regions and 6 states with GF support. In 6 border townships (Tachileik, Myawaddy, Kawthaung, Maungdaw, Tamu and Muse), NTP strengthened community based DOTS under Global Fund. Meeting for proposal development of cross border health activities was held in Bangkok, Thailand. Most of the work on this issue was related to the equity to access TB treatment and care for all migrating people. This activity was also intended to overcome geographical, social and cultural barriers to health care. Special interventions were done in hard to reach areas where there were low case detection rates.
Childhood TB National Guideline for the management of TB in children was developed in 2007, published and disseminated. However, it was revised in 2012 according to rapid advice of WHO. Not only the development of guideline, but also the trainings for region/state TB officers as well as district TB team leaders and TMOs were provided. In 2013, 25% (35,813/142,162) were childhood TB cases including new smear positive, primary complex, hilar lymph adenopathy and TB meningitis. Childhood TB cases decreased in 2013 compared to 2012 (28.5%). “Workshop on Childhood TB Management” was conducted in August 2013. Professor Steven Graham (Consultant Paediatrician) and Dr. Dan Engleman (Paediatrician) from WHO attended this workshop and discussed the Childhood TB Management with Myanmar Consultant Paediatricians and NTP persons. The following recommendations were set up for Childhood TB Management in Myanmar. 1. To review & revise the existing Childhood TB Management Guideline with suggestions from this workshop in coordination with the pediatricians 2. To disseminate the revised guidelines to health care providers giving
anti-TB
treatment including the pediatric society 3. To advocate the radiologists regarding the CXR opinions to diagnose the childhood TB 4. To conduct the trainings of pediatric CXR on TB for health care providers treating the children with TB 5. To start IPT at accessible area according to the guideline
38
Annual Report 2013
6. To monitor the adverse effects on high dose regimen 7. To strengthen the contact tracing of child TB cases Figure 14. Childhood TB cases detected by Regions & States (2013)
4500 4000 3500 3000 2500 2000 1500 1000 500 0
The figure showed Childhood TB cases detected by regions and states in 2013. The highest number of childhood TB cases was found in Bago region, followed by Mon State, Yangon, Ayeyarwaddy, Tanintharyi and Mandalay regions. Strengthen infection control in health services, other congregate settings and households Infection control measures were installed at health centres where MDR-TB and TB/HIV patients were taking treatment. N95 respirators, gowns and caps were provided for health staff with the support of GF in 2013. With the support of GF, NTP could strengthen infection control measures by installation of stand fans, exhaust fans, running water and wash basins, renovation of TB laboratories, patient wards in TB hospitals, outpatient departments and staff rooms. 4.3 Contribute to health system strengthening Myanmar Country Coordinating Mechanism (M-CCM) was established in October 2008 to oversee the national response related to the three diseases of HIV, TB and Malaria
39
Annual Report 2013
as well as related health issues such as maternal, newborn and child health and other health-related Millennium Development Goals. This Governance Manual sets out the guidelines for the M-CCM members to oversee the implementation of national responses for AIDS, TB and Malaria and related health issues including the implementation of the Global Fund grants in Myanmar. It was changed to Myanmar Health Sector Coordinating Committee (MHSCC) in 2013. The Technical and Strategy Group (TSG) TB coordinates with all implementing partners in monitoring and evaluation of programme implementation every quarter. The National TB programme coordinated with MHSCC, is contributing to health system development in a number of ways.
Capacity Building Human resource development is essential in achievement of NTP. Trainings and workshops were held within country for all levels of staffs and also sent to international workshops and training according to their area. In 2013, NTP organized several trainings in relating with human resource development. Table 18. Training activities in 2013 Training Topic
No. of trainings
Installation and TOT training of Gene Xpert
5
Training on 'Management of TB at District level
1
Training for BHS on 'Management of TB for health facility staff'
20
Training on Cohort review meeting
30
Training on TB Counselling
20
Training on sputum microscopy for lab. Technicians
2
Training on FLM for lab. Technicians
3
Orientation training on TB control updates for NTP staff
3
Training of NTP/NAP staff from TB/HIV expanded townships
1
TOT training for MDR-TB management
5
Training for MDR-TB management at township level
1
PPM Advocacy and Training on PPM DOTS for new expanded hospitals
2
Community based TB Care Training for new project area of MRCS volunteer
4
Training for MRCS volunteers in existing implementing townships
4
Total
101
40
Annual Report 2013
Table 19. Training activities of NTP in 2013 with GF Funding Training Activities of National Tuberculosis Programme (2013) Training Period No. of Attendees Funding From To Male Female Total Source Training for BHS on “Management of TB for health facility staff” 1 Shan(S) Moenai 22.1.13 24.1.13 5 24 29 GF 2 Rakhine Buthitaung 4.3.13 6.3.13 10 30 40 GF 3 Rakhine Rathedaung 23.4.13 25.4.13 56 GF 4 Mandalay Tharzi 11.3.13 13.3.13 10 45 55 GF 5 Mandalay Kyaukpadaung 20.3.13 23.3.13 8 32 40 GF 6 Shan(N) Namatu 5.3.13 7.3.13 8 28 36 GF 7 Shan(S) Linkhay 14.5.13 16.5.13 5 25 30 GF 8 Yangon Hmawbi 29.5.13 31.5.13 9 51 60 GF 9 Ayeyarwaddy Pathein 23.6.13 25.6.13 8 32 40 GF 10 Mon Thanbyuzayat 15.5.13 17.5.13 4 36 40 GF 11 Shan(East) Kyaington 14.8.13 16.8.13 2 32 34 GF 12 Sagaing Kyunhla 21.8.13 23.8.13 3 28 31 GF 13 Sagaing Banmauk 28.10.13 30.10.13 7 29 36 GF 14 Kayin Kawkareik 28.10.13 30.10.13 4 36 40 GF 15 Magway Salin 30.4.13 2.3.13 9 22 31 GF 16 Kachin Shwegu 2.12.13 5.12.13 4 34 38 GF 17 Yangon Thanlyin 20.11.13 22.11.13 10 46 56 GF 18 Bago Nyaunglaybin 17.12.13 19.12.13 40 40 GF 19 Bago Padaung 28.12.13 30.12.13 7 33 40 GF 20 Magway Saydoktaya 3.3.13 5.5.13 4 27 31 GF Sub Total 803 Training on Cohort review meeting 1 Yangon Shwe pyi thar 24.1.13 5 36 41 GF 2 Ayeyarwaddy Einme 24.1.13 9 41 50 GF 3 Rakhine Pauktaw 9.2.13 11 40 51 GF 4 Yangon N Okkalapa 23.1.13 3 32 35 GF 5 Ayeyarwaddy Pyarpon 29.1.13 9 41 50 GF 6 Shan(S) Taunggyi 18.2.13 7 53 60 GF 7 Shan(S) Linkhay 4.2.13 4 35 39 GF 8 Magway Pwintphyu 5.3.13 6 44 50 GF 9 Tanintharyi Myeik 18.2.13 9 49 58 GF 10 Ayeyarwaddy Bogalay 30.1.13 4 46 50 GF 11 Shan(N) Tanyan 8.2.13 27 GF 12 Mon Mudon 28.1.13 10 48 58 GF 13 Mandalay Saintgaing 5.2.13 8 42 50 GF 14 Mandalay Sintgu 30.1.13 14 35 49 GF 15 Mandalay Mahlaing 25.1.13 9 51 60 GF 16 Sagaing Wattlat 14.2.13 8 42 50 GF 17 Sagaing Palae 15.2.13 14 36 50 GF Shan 18 Meiyai 7.2.13 28 GF (Taunggyi) No.
Region/State
Township
41
Annual Report 2013
19 20 21 22 23 24 25 26 27 28 29
Yangon Dala 18.2.13 60 Bago Oaktwin 7.2.13 6 22 28 Bago Thegone 19.2.13 8 32 40 Ayeyarwaddy Laymyetnar 21.1.13 5 45 50 Kayin Hlaingbwe 31.1.13 30 Chin Mindat 28.3.13 2 28 30 Kachin Mogaung 27.2.13 13 38 51 Kachin Mohnyin 25.2.13 11 39 50 Magway Seikphyu 11.2.13 9 35 44 Yangon Kyeemyindaing 19.2.13 50 Tanintharyi Thayetchaung 35 Shan 30 Mongping 6.2.13 26 (Kengtong) Sub Total 1322 Training on “Management of TB at District Level” 1 Naypyitaw Naypyitaw 24.6.2013 28.6.2013 10 19 29 Sub Total TOT Training for MDR TB Management 1 Yangon Aungsan 6.8.13 8.8.13 20 2 Mandalay Patheingyi 9.9.13 11.9.13 1 20 21 3 Shan (South) Taunggyi 9.9.13 11.9.13 5 15 20 4 Shan (South) Taunggyi 12.9.13 14.9.13 9 11 20 81 Training on TB Counseling 1 Ayeyarwaddy Dedaeyae 20.2.13 22.2.13 45 2 Rakhine Pauktaw 6.2.13 8.2.13 6 27 33 3 Shan(S) Namsan 5.3.13 7.3.13 6 24 30 4 Mandalay Windwin 18.3.13 20.3.13 4 26 30 5 Kachin Waimaw 14.3.13 16.3.13 2 28 30 6 Yangon Latha 9.4.13 11.4.13 30 30 7 Shan(N) Meiyai 9.3.13 11.3.13 30 8 Shan(S) Hopone 30.5.13 1.6.13 4 36 40 9 Rakhine Minbyar 28.5.13 30.5.13 46 10 Bago Phyu 14.5.13 16.5.13 4 26 30 11 Mon Kyeikmayaw 28.5.13 30.5.13 5 35 40 12 Bago Oakpho 28.8.13 30.8.13 10 25 35 13 Sagaing Shwebo 24.6.13 26.6.13 7 23 30 14 Mandalay Yamaethin 9.10.13 10.10.13 9 45 54 15 Magway Chauk 24.4.13 25.4.13 10 21 31 16 Magway Seikphyu 27.4.13 29.4.13 6 25 31 17 Shan(East) Techileike 18.9.13 8 34 42 18 Yangon North Okkalapa 20.8.13 22.8.13 4 26 30 19 Kayin Hlaingbwe 9.12.13 12.12.13 7 33 40 20 Sagaing Tamu 6.12.12 8.12.13 5 25 30 Sub Total
42
GF GF GF GF GF GF GF GF GF GF GF
GF
GF GF GF GF
GF GF GF GF GF GF GF GF GF GF GF GF GF GF GF GF GF GF
Annual Report 2013
Orientation training on TB control update for NTP staff 1 Naypyitaw 27.9.13 28.9.13 2 Shan(East) Kyaington 16.10.13 17.10.13 1 8 3 Tanintharyi Dawei 8.6.13 9.6.13 Sub Total Training on FLM for Lab. Technicians 1 Yangon Insein 25.2.13 1.3.13 8 9 2 Yangon Insein 24.6.13 28.6.13 8 12 3 Mandalay Patheingyi 24.6.13 28.6.13 10 16 Sub Total Training on sputum microscopy for Lab. Technicians 1 Mandalay Patheingyi 10.6.13 14.6.13 8 15 2 Yangon Insein 10.6.13 14.6.13 3 13 Sub Total Training of NTP/NAP staff on TB/HIV from currently implementing townships 1 Mandalay Mandalay 1.9.2013 3.9.2013 6 30 Sub Total Training of NTP/NAP staff on TB/HIV from newly expanded townships 1 Yangon Latha 18.9.2013 20.9.2013 6 16 Sub Total Training for new project area of MRCS volunteer 1 Magway Yesagyo 4.2.2013 6.2.2013 10 13 2 Sagaing Yinmarbin 3.3.2013 5.3.2013 8 12 3 Sagaing YeU 10.3.2013 12.3.2013 2 18 4 Sagaing Shwebo 20.3.2013 22.3.2013 13 7 Sub Total Training for MRCS volunteers in existing implementing townships 1 Sagaing Depayin 19.8.2013 17 3 2 Naypyitaw Lewei 28.8.2013 5 13 3 Mandalay Pyawbwe 6.9.2013 10 10 4 Mandalay Saintgaing 17.9.2013 3 15 Sub Total Advocacy and Training on PPM DOTS for newly expanded hospitals 1 Yangon Yangon Children Hospital 5.2.2013 7.2.2013 2 Yangon Yankin Children Hospital 26.2.2013 28.2.2013 550 bedded Children 3 Mandalay 6.2.2013 8.2.2013 1 19 Hospital Sub Total
43
58 GF 9 9
17 GF 20 26
23 GF 16 GF
36 GF 36 22 GF 22 20 20 20 20 80
GF GF GF GF
20 18 20 18 76
GF GF GF GF
20 GF 20 GF 20 GF 60
Annual Report 2013
Table 20. Training activities with other funding sources (2013) Training Period No. of Attendees From To Male Female Total Refresher Training course on TB Control 1 Naypyitaw Naypyitaw 12.2.2013 15.2.2013 18 13 31 2 Naypyitaw Naypyitaw 18.2.2013 20.2.2013 18 10 28 3 Naypyitaw Naypyitaw 1.3.2013 3.3.2013 14 22 36 Sub Total 95 Training on Interviewer Skill for collection data of TB Mortality Survey 1 Yangon Latha 11.3.2013 13.3.2013 4 20 24 Sub Total 24 Training on TB control for phamacists 1 Mandalay Chanmyatharzi 16.5.2013 16.5.2013 34 2 Mandalay Nahtogyi 14.5.2013 14.5.2013 66 3 Mandalay Chanaytharzan 26.6.2013 15 43 58 Sub Total 158 Training on TB control for community health volunteers 1 Mandalay Ngazun 13.5.2013 13.5.2013 45 Sub Total 45 Training for STLS on EQA 1 Yangon Latha 20.6.2013 21.6.2013 13 15 28 Sub Total 28 Training on MDR TB for new expansion townships 1 Mandalay Patheingyi 16.10.13 18.10.13 17 23 40 2 Yangon Latha 22.10.13 24.10.13 10 19 29 3 Yangon Latha 28.10.13 30.10.13 11 17 28 Sub Total 97 MDR TB training for Physicians, TMOs and team leaders 1 Yangon Latha 18.12.13 20.12.13 51 Sub Total 51 Training for BHS on MDR TB management 1 Bago Bago 2.12.13 3.12.13 1 34 35 2 Bago Bago 4.12.13 5.12.13 35 3 Bago Bago 6.12.13 7.12.13 12 23 35 4 Bago Pyay 9.12.13 10.12.13 7 28 35 5 Bago Pyay 11.12.13 12.12.13 10 25 35 6 Bago Pyay 13.12.13 14.12.13 6 29 35 7 Yangon Hlegu 23.12.13 24.12.13 5 25 30 8 Yangon Hlegu 26.12.13 27.12.13 5 30 35 9 Yangon Hlegu 30.12.13 20.12.13 5 32 37 10 Yangon Latha 26.12.13 27.12.13 2 27 29 11 Yangon Latha 29.12.13 30.12.13 4 32 36 12 Tanintharyi Dawei 9.12.13 10.12.13 1 32 33 13 Tanintharyi Dawei 11.12.13 12.12.13 5 23 28 Sub Total 438 No. Region/State
Township
44
Funding Source WHO WHO WHO
WHO
JICA JICA JICA
JICA
JICA
3 MDG 3 MDG 3 MDG
3 MDG
3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG 3 MDG
Annual Report 2013
Table 21. International Trainings, Meetings & Workshops attended by NTP staff No.
1
2
Name and Designation Dr. Cho Cho San (AD, NTP Central) Dr. Win Naing (RO, Mon & Kayin States) Dr. Lwin Lwin Mon (Team leader, Myeik) Dr. Tin Maung Swe (RO, Magway) Dr. Aye Aye Thwe (MO, NTP Central)
Duration
4.6.13 to 6.6.13
5.6.13 to 6.6.13
Country
Attended training/ workshop/ meeting
Thailand
Forum on International Migration and Health
Moroco
Meeting on Strategic and Technical for Tuberculosis Control Study Tour on Capacity Building at Department of Medical Research (Lower Myanmar) for Advanced New TB/MDR-TB Diagnosis
3
Dr. Thandar Lwin (DD, NTP Central)
22.3.13 to 29.3.13
Korea
4
Dr. Thandar Lwin (DD, Disease control)
17.4.13 to
Indonesia Workshop for prevention and control of 3 Diseases
5
Dr. Thandar Lwin (DD, Disease control)
23.9.13 to
6
Dr. Thandar Lwin (DD, Disease control) Dr. Si Thu Aung (AD, NTP Central) Dr. Mar Mar Htay (RO, Ayeyarwaddy)
7
Dr. Ko Ko Htwe (MO, Mandalay NTP)
8
Dr. Khin Zaw Latt (Consultant Microbiologist, NTRL) Dr. Tin Tin Mar (Consultant Microbiologist, EQA Centre)
9
Dr. Thin Lei Swe (Microbiologist, UMTB Laboratory, Mandalay) Dr. Win Win Nyunt (Microbiologist, NTRL, Yangon)
18.4.13
27.9.13
30.10.13 to 3.11.13
8.5.13 to 3.8.13
10.4.13 to 13.4.13
15.4.13 to 18.4.13
Thailand
Regional Meeting of National TB Control Programme Managers and Partners
France
44th Union World Conference on Lung Health
Japan
Training on Strengthening of Tuberculosis (TB) control towards MDGs and elimination
Vietnam
4th Asia Pacific Region Conference of the International Union against Tuberculosis and Lung Diseases
France
5th Global Laboratory Initiative (GLI) partners Meeting for Advance in TB Diagnostic Services
45
Annual Report 2013
Dr. Htay Lwin (RO, Tanintharyi Region)
10
Dr. Cho Cho San (AD, Central NTP) Dr. Aye Aye Thwe (MO, Central NTP) Dr. Si Thu Aung (AD, Central NTP) Dr. Aye Thein (RO, Sagaing Region)
11
12
29.4.13 to 11.5.13 8.10.13 to 10.10.13
24.6.13 to 27.6.13
Italy
Training on Stop TB Strategy for Managers and Consultants
Vietnam
Multi-Country Workshop for analysis of data from Anti-TB DRS
Thailand
Regional meeting on MDR-TB
4.4 Engaging all care providers 4.4.1
Public-Public and Public-Private Mix (PPM) approaches There are many non-TB providers who could serve a large number of TB suspects
and patients from both public and private sector. Public-Public and Public-Private Mix (PPM) approach strengthen TB prevention and control services in Myanmar. 4.4.2 Public-Public Public-Public Mix DOTS has been launched in 4 specialist hospitals (New YGH, East and West YGH, Thingungyun Sanpya General Hospital) in Yangon with the 3DF bridging fund since May 2007; then expanded to Insein General Hospital, 1000-bedded Hospital (NayPyiTaw), Mingalardon Specialist Hospital, AungSan TB Hospital and Patheingyi TB Hospital. Public-Public Mix DOTS was initiated as a pilot phase, aiming to strengthen the TB control services between public hospitals and public TB centres. PPM-DOTS hospitals run with four options: Option 1: Diagnosis of TB cases + prescription of treatment regimen in hospital followed by referral to Health Centre for DOT, with clinical follow-up at hospital Option 2: Same as Option 1 without clinical follow-up at hospital Option 3: Diagnosis of TB cases + starting Directly Observed Treatment (DOT) in hospital followed by referral to Health Centre during treatment Option 4: Diagnosis of TB cases + providing full treatment (DOT) at hospital Currently all hospitals are practicing both option 3 and 4. NTP and WHO conducted joint monitoring and supervisory visits regularly. In 2013, the number of PPM hospitals became increased to twenty-three. In 2013, PPM-Hospitals contributed 1.6% to total new smear positive TB patients and 3.3% to total all forms of TB cases.
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Annual Report 2013
Table 22. New Smear Positive TB Patients and All Forms of TB Patients of PPM DOTS Hospitals (2013) No.
Hospitals
New Smear Positive
1
Aung San Hos:
45
237
2
Patheingyi Hos:
13
37
3
East YGH
13
121
4
Mingalardon Hos:
142
1290
5
No.1MBH (PyinOoLwin)
37
253
6
1000 bedded hospital (Naypyitaw)
77
303
7
Thingangyun Sanpya Hos:
7
80
8
Central Jail Mandalay
42
140
9
New YGH
29
101
10
West YGH
18
96
11
Tharketa HIV hospital
45
658
12
Insein general hospital
2
34
13
Htantabin TB hospital
11
80
14
Pathein General Hospital
44
296
15
No(1) MBH (Mandalay Nantwin)
3
47
16
300 bedded teaching hospital (Mdy)
32
156
17
North Okkalapa General Hospital
28
198
18
550 bedded child hospital (Mdy)
0
19
19
Hpa-an General Hospital
66
409
20
Myeik general hospital
20
90
21
Mawlamyine general hospital
12
37
22
Yangon Children Hospital
1
66
47
Total TB cases
Annual Report 2013
Table 23. Outcome of new smear positive TB patients of PPM-DOTS Hospitals implementing Option 4 (2012 cohort)
No.
Hospitals
Cured
1
Aung San Hospital
33%
35%
2
Patheingyi Hospital
67%
3
East YGH
4
Defaulted
23%
15%
10%
17%
79%
4%
8%
8%
0%
75%
92%
8%
0%
0%
0%
Mingalardon Hospital
51%
54%
32%
5%
2%
7%
5
No.1MBH (PyinOoLwin)
62%
67%
4%
16%
2%
11%
6
83%
92%
1%
1%
5%
0%
69%
69%
8%
23%
0%
0%
8
1000 bedded hospital (Naypyitaw) Thingangyun Sanpya Hospital Central Jail Mandalay
82%
91%
0%
0%
0%
9%
9
New YGH
87%
87%
10%
0%
0%
3%
10
West YGH
53%
82%
0%
6%
12%
0%
11
Tharketa HIV hospital
60%
63%
13%
5%
15%
5%
12
Insein general hospital
80%
80%
20%
0%
0%
0%
13
Htantabin TB hospital
83%
92%
0%
0%
0%
8%
14
Pathein General Hospital
59%
67%
13%
0%
20%
0%
15
No(1) MBH (Mandalay
86%
100%
0%
0%
0%
0%
67%
87%
7%
0%
3%
3%
59%
84%
0%
3%
0%
14%
Nantwin) 16
300 bedded teaching hospital (Mdy)
17
North Okkalapa General Hospital
Died
Transferred
Failed
7
TSR
out
Annual evaluation meeting for PPM-DOTS Hospitals is conducted every year. Annual evaluation meeting for PPM-DOTS Hospitals was conducted in December 2013 at Central Hotel, Yangon. The recommendations from 2013 meeting were as follows: 1. To conduct Training including Revised R&R/ refresher training for newly recruited staff and expanded PPM hospital staff (AMS, MO, Lab technician, pharmacist, social worker) (Central, Region) 2. To conduct Training including Revised R&R/ refresher training for newly recruited staff and expanded PPM hospital staff (AMS, MO, Lab technician, pharmacist, social worker) To conduct Training including Revised R&R/ refresher training for newly recruited staff and expanded PPM hospital staff (AMS, MO, Lab technician, pharmacist, social worker)
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Annual Report 2013
3. To reduce dropout rate for option 3 cases by appropriate ways. (MS, AMS,TB Coordinator) 4. To improve TB case finding among all OPD attendance and admitted inpatient case. Public-Private Public-Private Mix (PPM) DOTS is implemented with MMA, PSI and JICA. Some Private Practitioners (PPs) use scheme (I) in which they educate about TB and refer TB suspects to TB centers.
Table 24. Area coverage and activities of Implementing Partners Name of Local NGOs
Area Coverage and activities
MMCWA
Community based TB care at 10 townships in Mon State, 27 townships in Bago Region except Kyaukgyi township, expanded to 26 townships in Mandalay Region, 3 townships (Pyinmana, Tatkone & lewei) in NayPyiTaw, 2 townships (Pha-an & Hlaingbwe) in Kayin State & one township (Twantay) in Yangon Region.
MWAF
Community based TB care at all 26 townships of Ayeyarwaddy Region, 9 townships in Shan (Kengtong) Region, 2 townships in Kayah Region, 16 in Shan (Lashio) State, 12 in Shan (Taunggyi) & 9 townships in Tanintharyi Region.
MMA
MRCS
MHAA
PPM-DOTS activities, mainly scheme I covering altogether 116 townships of which 29 townships were implementing scheme III. MMA was functioning with 1266 GPs for Scheme I and 190 GPs for Scheme III. 77 volunteers were trained & 67 actively participated. Multiplier training (Peer Education) for Red Cross Volunteers, comprehensive IEC Campaign, Defaulter Tracing, case detection and referral, home based care and support at 5 townships (Kungyangon, Kawhmu, Twantay, Thonegwa & Kyauktan) in Yangon Region, 2 townships (Lewei & Takone) in NayPyiTaw Council Area, 3 townships (Yamethin, Pyawbwe & Sintgaing) in Mandalay Region, 4 townships (Depeyin, Yinmarbin, Ye U, Shwebo) in Sagaing Region & 1 township (Yesagyo) in Magway Region. Myanmar Health Assistant Association (MHAA) worked to mobilize and empower the community to reduce the burden of TB at 3 townships (Meiktila, Thazi and Mahlaing) in Mandalay Region and 3 townships (Pakokku, Myaing and Seik Phyu) in Magway Region. In addition, MHAA worked for care and support for MDR-TB, supported by USAID at 2 townships (Hlaingtharya and Insein) in Yangon Region and 7 townships (Patheingyi, Chanaytharzan, Mahaaungmyay, Chanmyathazi, Pyigyitagon, Amarapura and Aungmyaythazan) in Mandalay Region.
49
Annual Report 2013
Name of Bilateral
Area Coverage and activities
agency
JICA
Supported TB control activities at 6 townships (South Dagon, Hlaing, Kyauktan, South Oakkalapa, Taikkyi & Twantay) in Yangon and 5 townships (Chanmyatharzi, Maharaungmyay, Nahtogyi, Ngazun & Pyinmana) in Mandalay Region.
Name of INGOs
PSI
MSF- Holland
MSFSwitzerland World Vision International
IUATLD
IOM
Malteser
Pact Myanmar
Area Coverage and activities TB diagnosis & treatment through Sun Quality Health Clinics (SQHC) at 197 townships by 934 Sun Quality Health Providers (SQHP), through active case finding by 1796 Sun Primary Health Providers (SPHP). TBREACH project at 36 townships by 57 interpersonel communicators (IPC) and at 30 townships by 448 pharmacies. PSI also integrates TB/HIV services as well as performs ACSM activities. Treatment of TB/MDR-TB and TB/ HIV patients at 3 townships (Hlaingtharyar, Insein & Tharketa) in Yangon Region, 5 townships (Myitkyina, Bahmo, Waingmaw, Moegaung, Pharkant) in Kachin State, 3 townships (Lashio, Muse, Mongshu) in Shan (Lashio) State & 3 townships (Sittwe, Butheetaung & Maungdaw) in Rakhine State. MSF-H is only partner of NTP for MDR-TB management. MDR-TB management in Yangon Region and Shan State (Lashio). TB/HIV control at all townships of Tanintharyi Region, Dawei District (4 townships) for TB diagnosis and HIV testing. Conduct case finding and provide nutritional support through volunteers in Hlaingthayar (Yangon Region), Loikaw (Kayah State), Thanphyuzayat (Mon State), Dewei, Myeik, Thayetchaung, Longlon & Kawthaung (Taninthayi Region). Supported Integrated TB/HIV care at 7 Townships of Mandalay Region, Pakkoku township from Magway Region, Taunggyi township, Lashio township from Shan State, and then expanded to Myingyan and Meikhtilar townships in Mandalay Region, Monywa township in Sagaing Region, and Tharketa township in Yangon Region. IPT initiation in adult HIV positive pateints’ activity was also carried out in 7 townships of Mandalay Region. Care and support to TB patients at 6 townships (Mawlamyaing, Mudon, Kyikmayaw, Thanphyuzayat, Ye & Belin) in Mon State and at one township ( Myawaddy) in Kayin State. Referral of TB patients & giving care to TB patients at Maungdaw & Buthidaung townships in northan Rakhine State. Community mobilization, behavior change communication and health education session at targeted villages of 3 townships (Pale, Htigyaint & Kawlin) in Sagaing Region & 1 townships (Magway) in Magway Region.
50
Annual Report 2013
AHRN
Capacity building, training for health staff, provision of IEC materials and support to TB treatment for intravenous drug users (IDU) to reduce the incidence of TB, TB/Drug use related issues and TB/HIV co-infection among drug users at Lashio & Laukkai in Shan (Lashio) State, Pharkant, Waingmaw & Bahmaw townships in Kachin State.
Cesvi
Health education on TB at 90 villages of 5 townships (Kyaukme, Namtu, Mongmeik, Mabein and Hsipaw) townships of Shan (Lashio) State and one township (Madaya) in Mandalay Region for TB control by promoting case finding and referral by trained Voluntary Health Workers.
MDM
TB diagnosis, treatment provision and follow-up at Hlaing township of Yangon Region, and Myitkyina, Moegaung and Mohnyin townsips of Kachin State.
Projeto
Provides technical assistance in close collaboration with NTP, building a patient-centered community driven model through implementing partners and capacity development for partners both technical and organizational in 38 PMDT townships for DR TB patients. Implementing partners are MMA covering 18 townships, 8 townships in Yangon (North Okkalapa, South Okkalapa, North Dagon, South Dagon, Insein, Shwepyithar, Tharketa, Thanlyin), 6 townships in Mandalay (Aungmyaytharzan, Chanmyatharzi, Chanaytharzan, Maharaungmyay, Kyaukse, Myeikhtila), 1 township each in Sagaing (Monywa), Magway (Pakokku), Shan State (Lashio) and Mon (Mawlamyaing), Pyi Gyi Khin covering 6 townships in Yangon (Mingalardon, Mayangone, Hlaing, North Dagon, Shwe Pyi Thar and North Okkalapa), Myanmar Health Assistant Association (MHAA) implementing 7 townships in Mandalay (Aungmyaytharzan, Chanayetharzan, Maharaungmyay, Patheingyi, Pyigyitagon, Amarapura and Chanmyatharzi) and 2 townships in Yangon (Insein and Hlaingtharyar) and Myanmar Business Coalition on AID (MBCA) implementing in Monywa Industrial Zone. Nutritional support to TB patients at Magway township.
JATA
Technical support.
FHI360
51
Annual Report 2013
Table 25. Contribution of MMA PPM-DOTS Scheme I (2013) Main Townships Smear
Name of No.
townships (main)
1
Insein
2 3 4
5
No. of TB suspects referred for Dx
(+)
TB
Smear (-)TB
patients
patients put on
No.of
put on TB
TB treatment
feedback
treatment
received
Cat
Cat
Cat
Cat
Cat
I
II
I
II
III
No. of
No. of
Total
Non
TB
TB
211
210
59
2
50
3
3
118
92
North Dagon
99
99
33
3
17
0
1
54
45
South Dagon
237
206
52
9
21
6
15
103
103
119
115
20
4
17
12
2
55
60
124
124
31
1
42
0
5
79
45
49
49
9
2
5
0
3
19
30
North Okkalapa South Okkalapa
6
Shwepyitar
7
Thanlyin
164
159
45
1
21
0
3
70
89
8
Thakata
131
128
32
6
19
1
3
61
67
9
Kyimyindine
188
188
45
1
28
0
7
81
107
10
Latha
28
25
10
1
6
0
0
17
8
11
Taikkyi
66
66
11
2
14
2
0
29
37
12
Hlaingtharya
146
114
68
8
1
0
36
113
1
13
Bago
241
216
30
5
74
10
24
143
73
14
Pyay
176
159
31
1
52
2
31
117
42
15
Mawlamyaing
100
100
21
4
16
1
5
47
53
16
Kyeikto
71
68
8
0
0
0
0
8
60
17
Hpa-an
226
209
71
1
112
0
8
192
17
18
Sittway
27
27
8
4
8
0
2
22
5
19
Pathein
132
130
23
3
31
3
29
89
41
20
Phyarpone
235
185
76
2
50
1
42
171
14
219
215
36
2
28
2
2
70
145
21
Aungmyaytharzan
52
Annual Report 2013
22
23
24
Chanayetharzan
59
59
15
0
6
0
0
21
38
51
51
8
0
2
1
0
11
40
127
127
29
1
18
1
0
49
78
Chanmyatharzi Mahaaungmyay
25
Kyaukse
69
69
27
0
11
0
23
61
8
26
Myingyan
50
37
7
0
7
1
8
23
11
27
Meiktila
198
171
30
3
19
0
36
88
83
28
Pyinmana
136
117
23
0
4
0
1
28
89
29
Magway
64
64
15
0
17
1
8
41
23
30
Pakokku
136
136
16
0
38
6
17
77
59
31
Monywa
229
154
37
2
18
2
3
62
92
32
Lashio
62
62
11
4
20
2
13
50
12
33
Kyaukme
127
127
64
8
42
0
13
127
0
34
Muse
4
4
1
0
0
0
0
1
3
35
Taunggyi
113
97
14
1
2
1
19
37
60
36
Myitkyinar
101
88
4
2
18
4
34
62
26
83
834
62
396
2396
1756
102
Total
4515
4155
0
Attached Townships Smear
Name of No.
townships (attached)
No. of TB suspect referred for Dx
(+)
TB
Smear (-)TB
No.of
patients
patients put on
feedback
put on TB
TB treatment
received
treatment
Cat
Cat
Cat
Cat
Cat
I
II
I
II
III
No.
No.
of
of
Total
Non-
TB
TB
1
Mayangon
52
52
10
3
11
1
0
26
26
2
East Dagon
73
73
18
0
20
3
1
42
31
3
Dagon Seikkan
13
9
2
0
3
0
3
8
1
4
Thingangyun
112
112
51
9
39
6
6
111
1
5
Mingalardon
30
24
4
0
5
0
0
9
15
6
Kyauktan
31
31
6
1
5
0
4
16
15
53
Annual Report 2013
7
Khayan
42
42
18
2
5
0
5
30
12
8
Tonekwa
22
20
9
0
2
0
0
11
9
9
Dawpon
71
70
23
4
13
1
0
41
29
10
Pazuntaung
18
18
5
1
5
1
2
14
4
11
Sanchaung
74
74
31
0
9
0
2
42
32
12
Ahlon
40
40
7
1
4
0
0
12
28
13
Kamaryut
32
32
21
0
6
0
0
27
5
kanaungto
11
11
2
0
0
0
1
3
8
15
Lanmadaw
61
48
9
2
16
0
0
27
21
16
Pabedan
69
49
10
1
19
0
2
32
17
17
Kyauktada
25
22
1
1
9
1
0
12
10
18
Hlaing
154
135
51
6
23
2
12
94
41
19
Hmawbi
49
49
8
0
8
0
2
18
31
20
Hlegu
33
29
3
0
6
0
2
11
18
21
Botahtaung
51
31
14
1
10
1
2
28
3
taungnyunt
36
18
5
0
9
1
1
16
2
23
Bahan
67
47
10
1
10
2
0
23
24
24
Tarmwe
96
61
15
0
15
3
2
35
26
25
Dala
81
65
8
1
21
3
9
42
23
26
Twantay
81
60
8
0
9
0
6
23
37
27
Kungyangon
16
10
1
0
0
0
0
1
9
28
Kawhmu
22
20
3
1
4
0
2
10
10
29
Thanutpin
10
10
2
0
5
0
3
10
0
30
Waw
0
0
0
0
0
0
0
0
0
31
Paduang
89
89
25
4
37
2
15
83
6
32
Paukkaung
250
250
104
12
55
3
76
250
0
33
Shwetaung
89
89
39
0
4
0
1
44
45
34
Thayarwaddy
7
6
1
0
0
0
0
1
5
35
Lapatan
50
31
10
0
4
0
0
14
17
36
Minhla
82
66
7
1
5
0
2
15
51
37
Oakpho
0
0
0
0
0
0
0
0
0
38
Gyobingauk
4
3
0
0
0
0
0
0
3
39
Nattalin
8
5
2
0
0
0
0
2
3
14
22
Seikkyi-
Mingalar-
54
Annual Report 2013
40
Zigon
42
37
9
1
1
0
5
16
21
41
Paungde
72
49
11
0
0
0
0
11
38
42
Taungoo
2
2
1
0
0
0
0
1
1
43
DaikOo
142
140
58
8
20
9
32
127
13
44
Oaktwin
42
39
7
0
4
1
10
22
17
45
Phyu
264
247
10
2
32
1
188
233
14
46
Yedashe
57
44
18
1
8
1
1
29
15
47
Paung
7
7
4
0
0
0
3
7
0
48
Mudon
13
13
4
0
0
0
7
11
2
49
Kyeikmayaw
25
25
2
0
5
0
11
18
7
50
Hlaingbwe
136
136
47
5
5
1
75
133
3
51
Pauktaw
0
0
0
0
0
0
0
0
0
52
Kyauktaw
16
16
8
0
7
0
1
16
0
53
MraukU
5
5
5
0
0
0
0
5
0
54
Kangyidauk
91
91
44
2
40
0
3
89
2
55
Kyaiklatt
100
97
30
1
3
2
60
96
1
56
Bogalay
163
107
27
3
8
0
16
54
53
57
Maubin
53
53
19
0
3
1
3
26
27
58
Nyaungtone
0
0
0
0
0
0
0
0
0
59
Pantanaw
0
0
0
0
0
0
0
0
0
60
Kyaunggon
207
207
40
6
8
0
3
57
150
61
Myaungmya
101
101
27
0
18
0
1
46
55
62
Pyinoolwin
123
123
7
0
9
0
2
18
105
63
Amarapura
12
11
0
0
1
0
1
2
9
64
Patheingyi
29
29
3
0
4
0
2
9
20
65
Pyigyitagon
43
43
15
0
1
0
2
18
25
66
Myitthar
81
81
26
0
37
0
18
81
0
67
Sintgaing
74
74
21
3
25
1
24
76
0
68
Taungtar
2
1
0
0
1
0
0
1
0
69
Natogyi
30
29
12
0
13
0
3
28
1
70
Sagaing
18
17
3
3
5
0
2
13
4
8
8
3
0
0
1
1
5
3
13
12
9
0
0
1
1
11
1
71
72
Naypyitaw (Leiway) Naypyitaw (Tatkone)
55
Annual Report 2013
73
Wundwin
11
4
0
0
1
0
2
3
1
74
Mahlaing
3
3
1
0
0
0
2
3
0
75
Tharzi
20
9
0
0
0
0
9
9
0
76
Pyawbwe
40
36
14
0
0
0
15
29
7
77
Yamethin
131
115
22
3
21
1
25
72
43
78
Namkan
8
8
4
0
1
0
0
5
3
79
Hsipaw
1
1
1
0
0
0
0
1
0
80
Kalaw
0
0
0
0
0
0
0
0
0
81
Naungshwe
7
7
0
0
0
0
0
0
7
82
Pindaya
0
0
0
0
0
0
0
0
0
83
Pharkhant
0
0
0
0
0
0
0
0
0
Attached Total
4243
3828
1055
90
677
50
689
2564
1266
Main total
4515
4155
1020
83
834
62
396
2396
1756
Grand Total
8758
7983
2075
173
1511
112
1085
4960
3022
Figure 15. TB Cases Notified by MMA PPM-DOTS Scheme I Program (2007-2013)
12000 10000
8758
8150
7979 8000
6689 5588
6000 4096 4000 2000
10036
9617
2056 1105 410
5689 4960
4717 3529
1577
2009
1422
2249
2163
2075
0 2007
2008
2009
Total Referral
2010 Total TB
2011
2012
2013
New smear positive
MMA implement Scheme I activities at 119 townships that covers in 7 regions and 5 states. Presumptive TB cases referral, total TB cases and new smear positive cases were increased year by year. It was peak in 2012 and slightly decreased in 2013.
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Annual Report 2013
Table 26. MMA Scheme III Contribution to New Smear Positive Cases & Total TB Cases (2009-2013)
Cat I
TB suspected
Years
cases screened
Cat I (+)
(Neg. &
Cat II
Cat III
Total
EP)
2009
2,329
558
469
114
654
1,795
2010
3,778
655
677
109
812
2,253
2011
4,902
799
900
149
1148
2,996
2012
4,204
872
904
141
1189
3,106
2013
4,580
1061
1051
163
710
2,985
Figure 16. MMA Scheme III Contribution to New Smear Positive Cases & Total TB Cases (2009-2013) 4,902 4,580 4,204 3,778 2,996 2,329
3,106
2,985
2,253 1,795
655
558
2009
799
2010
2011
TB suspected cases screened
2012 All forms
57
872
New Smear (+)
1061
2013
Annual Report 2013
Table 27. Contribution of PSI Myanmar (2004-2013) TB suspected
Years
cases
Cat I (+)
Cat I
Cat II
(Neg. & EP)
Cat III
Total
screened 2004
3,530
840
256
199
927
2,222
2005
11,048
2,262
571
396
2,311
554
2006
19,798
3,560
1,200
556
4,116
9,432
2007
23,607
3,837
1,694
589
4,023
10,143
2008
24,307
4,137
1,921
598
3,683
10,339
2009
31,881
5,262
2,761
694
6,628
15,345
2010
37,076
5,624
3,461
809
6,854
16,748
2011
44,519
6,380
4,223
974
9,055
20,632
2012
58,820
7,235
4,371
1,119
11,186
23,911
2013
73,179
7,195
8,710
1,095
5,060
22,060
Figure 17. TB Cases Notified by PSI PPM-DOTS Program 30,000
25,000
20,000
15,000
10,000
5,000
3,543
3,804
4,100
2006
2007
2008
5,262
5,624
2009
2010
6,380
7,235
7133
2012
2013
2,251 835
2004
2005
2011
TB cases notified by SQH Clinics
TB cases notified by SPH Providers
TB cases notified by TB-REACH
New SS (+) cases
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Annual Report 2013
Population Services International (PSI) started collaborating with NTP in March 2004. PSI has organized the Private Practitioners and run the "Sun Quality Health Clinics" (SQHC) as DOT units. In addition, PSI also implement active case finding and referral by “Sun Primary Health Provider” (SPH) started in 2009. TB REARCH project also started in 2011 for active case finding and referral through Interpersonal Communicator (IPC) and Pharmacies. Figure 18. Proportion of New smear cases of TB Patients contributed by NTP and Partners (2013) PPM Hospitals, 1.6%
MSF H, 2.6% PSI, 16.8% MMA, 2.5% MDM, 0.0% AHRN, 0.3% MSF CH 0.2%
NTP 75.9%
Figure 19. Proportion of All forms of TB Patients contributed by NTP and Partners (2013) PPM Hospitals (3.3%)
MSF- H (2.8%) PSI (15.3%) MMA (2.1%) MDM (0.1%) AHRN (0.3%) MSF-CH(0.3%)
NTP (75.8%)
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Annual Report 2013
4.5 Empowering patients and communities 4.5.1 Advocacy, communication and social mobilization In the context of TB control, the objective of the ACSM is to upscale advocacy, communication and social mobilization for all DOTS components to achieve the targets enshrined in the MDGs. Based on the findings from nationwide Knowledge, Attitude and Practice (KAP) Survey, NTP developed the Advocacy, Communication and Social Mobilization (ACSM) materials together with Health Education Bureau of Department of Health so that ACSM activities could be held at different levels. NTP has also commemorated World TB Day/Week ceremony and activities every year since 1996. In 2012, commemoration ceremonies could be carried out at central level, all state and regional levels and district levels.
World TB Day, 2013 World TB Day commemoration was held on 24th March, 2013 at central and all Regions and States. The Central level World TB Day commemoration ceremony was held on 24th March, 2013 at the Assembly hall of Ministry of Health, Nay Pyi Taw. The Slogan for the year 2013 was “Stop TB in my lifetime” and it was translated as “
” in Myanmar language. H.E Dr Thein Thein
Htay, Deputy Minister of Health, acted as Chairperson of the ceremony and delivered the opening speech. In her speech, she pointed out that this year commemoration ceremony was the 18th celebration in Myanmar. She also explained about the discovery of TB germs by Heinrich Hermann Robert Koch, a German Scientist, on 24th March 1882. Hence, the World honored Dr Robert Koch on March 24, World TB Day. Based on his finding, anti-TB drugs were administered in 1947 and nowadays, Fixed Dose Combination and Patient Kits were used from 6 to 8 months to cure TB. She mentioned that global TB morbidity and mortality was decreasing steadily since 2004, however Global TB burden for 2011 was 8.7 million TB patients and 1.4 million deaths occurred yearly, about 80% are 15-54 age, productive age group. She also pointed out annual case notification for all forms of TB 148,149 (total TB cases) notified by NTP. She highlighted CDR was not achieved target in some States and Regions and these areas should strengthen active case finding for early case detection and prompt treatment.
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Annual Report 2013
Figure 20. The Deputy-Minister for Ministry of Health delivering the opening speech in commemoration ceremony of World TB Day (2013)
Figure 21. The Deputy-Minister and invited guests viewing the World TB Day mini exhibitions Then, Mrs. Eva Nathanson, WHO Resident Representative, read out the message of the Regional Director of WHO Southeast Asia Region. The Deputy Minister for Health, and invited guests viewed the World TB day mini exhibitions presented by NTP and implementing partners. Attendees were from Ministry of Health, other Ministries, UN Agencies and implementing partners. The donated materials such as World TB Day pamphlets, posters, bags, T-Shirt, handkerchief from implementing partners were distributed at the ceremony.
4.5.2
Community participation in TB care
It is a one of the essential components in effective TB programmes. Community-based TB Care Community-based TB care activity was introduced in 2011 and currently implemented by all local NGOs and some INGOs under the guidance and support of NTP.
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Annual Report 2013
Figure 22. Contribution by community volunteers to total TB cases (2013)
Community volunteer 1%
NTP Community voluntery
NTP, 99%
Figure 23. TB cases finding by CBTC activities of Local NGOs (2013)
4500
4306
4000
Number
3500 3000 2500
2015
2000 1500
1385 986
671
1000
290
388
256
500 0 MMCWA
MRCS MHAA Local NGOs
No. of presumptive TB cases referred
MWAF
No. of TB cases detected
Four local NGOs such as MMCWA, MRCS, MHAA and MWAF conducted community based TB care activities in selected townships. The volunteers were provided training in each twonship. Then, they carried out TB health talk in the community; contact tracing;
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Annual Report 2013
referral of presumptive TB cases and provision of DOT for TB patients. In 2013, altogether 8,692 presumptive TB cases were referred by the trained volunteers of these 4 local NGOs and of them, 1,605 TB cases could be detected and treated. Figure 24. TB cases finding by CBTC activities of INGOs (2013)
16000
15273
14000 12000 Number
10000 8000
6041 4876
6000 2541
4000
2261
2000
1150
337 243
411
67
370
40
0 PSI
IOM
World Cevsi PACT FHI 360 Vision INGOs No. of presumptive TB cases referred No. of TB cases detected
Partners implementing for community based TB care were PSI, IOM, World Vision Myanmar, Cesvi, Pact Myanmar and FHI360. Their activities included conducting health education sessions, referral of presumptive TB cases, provision of DOT for TB patients, providing nutrition support for TB/MDR-TB patients and contact tracing. Total 27,308 presumptive TB cases were referred by these INGOs and 23% (6,302/27,308) was diagnosed as TB and treatment was given.
63
Annual Report 2013
4.6 Enabling and promoting research 4.6.1 Programme-based operational research The Stop TB Strategy consolidates DOTS implementation and involves the implementation of several new approaches for tackling the challenges facing NTP. Designing and conducting locally relevant operational research can help in identifying problems workable solutions, and planning for the scaling up of activities. In order to measure progress towards achieving the MDGs, national TB prevalence survey and TB mortality survey will be conducted in 2015. Tuberculosis Mortality Survey was conducted in early 2013 at two sites as a preliminary survey for the nationwide one. Third nationwide drug resistant TB survey was also held in 2012-2013. In addition, a survey on second line anti-TB drug resistance among MDR-TB cases was performed. TB-HIV annual sentinel surveillance will also be continued, in collaboration with NAP, at 25 sentinel sites and will be expanded up to 40 sites at the end of 2015. Operational research studies depending on the problems are conducted as necessary in collaboration with Departments of Medical Research and other academic Institutions. NTP conducted necessary surveys and presented the findings at national and international research congress. The abstracts of the presented posters and published papers are recorded.
64
Annual Report 2013
Multidrug-resistant tuberculosis in Myanmar: results of the third nationwide survey (2012-2013) 1
2
Si Thu Aung , Wint Wint Nyunt , Thynn Lei Swe3, Aye Aye Thwe1 , Ti Ti4 , Thandar Lwin1 1 National Tuberculosis Programme, Myanmar 2 National TB Reference Laboratory, Yangon, Myanmar 3 Upper Myanmar TB Laboratory, Mandalay, Myanmar 4 Foundation for Innovative New Diagnostics Abstract Background: Myanmar is one of (27) high Multidrug-resistant tuberculosis (MDR-TB) burden countries and MDR-TB is a major threat to TB control in Myanmar and globally. Two previous nationwide drug resistance surveys revealed that the proportion of MDRTB among new and previously treatedTB patients was 4.0 and 15.5% in 2002-2003, and 4.2% and 10.0% in 2007-2008. The third nationwide survey was conducted in 2012-2013 to obtain updated information on the magnitude of MDR-TB, determine trends in MDRTB epidemiology and explore MDR-TB risk factors. Methods: Sputum samples were collected from a nationally representative sample of new sputum smear-positive TB patients registered at public health centers from October 2012 to December 2013 using a weighted cluster sampling method. Culture and drug susceptibility testing to first-line anti-TB drugs were performed at the national TB reference laboratories in Mandalay and Yangon. Results: A total of 1,510 sputum smear-positive cases were enrolled from 30 clusters. Complete results were available for 1,161 (77.7%) patients following removal of mycobacteria other than tuberculosis (15 samples), culture contamination (187 samples) and no culture growth (147 samples). After imputation of missing values, MDR-TB was detected in 5.0% (95%CI 3.1-6.8) of new TB cases and 27.1% (95%CI15.0-39.2) of retreatment cases. MDR-TB was significantly associated with previous TB treatment (adjusted OR 6.9, 95% CI3.1–15.0), living in Yangon Region (adjusted OR3.0, 95% CI1.5–5.8) and HIV positive status (adjusted OR4.2, 95% CI0.9–19.4). MDR-TB among previously treated TB patients was 27.1% which was not significant statistically since sample size was not enough. Conclusions: The third nationwide drug resistance survey (2012-2013) in Myanmar reveals the highest MDR-TB rates in the South East Asian Region. Efforts to diagnose, treat and prevent the spread of MDR-TB need to be urgently scaled-up, particularly in Yangon Region. MDR-TB patients found from this survey were planned to be enrolled in existing programmatic management of MDR-TB for treatment with approval of national expert MDR-TB committee. (Oral presentation at 45th UNION World Conference on Lung Health)
65
Annual Report 2013
TB Mortality Survey in two selected townships in Myanmar Si Thu Aung1, Ko Ko Zaw2, Thandar Lwin1 1 National Tuberculosis Programme, Myanmar, 2 Department of Medical Research (Lower Myanmar) Abstract Aim: National TB Programme (NTP) has never assessed TB mortality at the community level. The only information available in the country is the number of TB deaths among cohorts of registered TB patients. Vital registration is covering only one third of the country especially in urban. The aim of this study is to determine adult TB specific mortality rate in two selected townships: Padaung (Bago Region) and Kawkareik (Kayin State). Methods: It is a cross-sectional study to ascertain causes of adult deaths that occurred during 1st January to 31st December 2012. Verbal autopsy interviews of relatives or main care givers of the deceased were done by trained interviewers. All deaths data were identified through death registries at respective Township Health Departments. Data collection was completed in May 2013. Verbal autopsy questionnaires were reviewed independently by 2 physicians to assign the causes of deaths. For discrepancies in diagnoses between these two physicians, 3rd physician gave the final decision. Pulmonary TB mortality per 100,000 populations was estimated by using TB death data from verbal autopsy questionnaires and population data from respective township health management information. Results: Out of total (448) persons aged ≥15 years, females comprised 61% of all deceased persons. The age of (448) deceased persons ranged from 15 to 99 years with the mean age of 83 years. About 40% of deaths occurred in people under 60 years. Most of deceased were ever married and most of deaths occurred at home. This study showed five leading causes of death: stroke, liver diseases, pulmonary tuberculosis, digestive neoplasms and unspecified cardiac diseases. But 22% of adult deaths had unknown cause. Pulmonary tuberculosis attributed to 7% of all adult deaths, which ranked 3rd in both townships. TB deaths occurred in males more than in females (61% vs. 39% of all adult TB deaths) and in ≥60 years group more than 85% with Case detection rate less than 40%
To maintain CR and raise the CDR as suggestion A.
To check data quality
To check laboratory quality
To identify more TB suspected cases
E. Sputum positivity rate less than 10%
To check quality of laboratory performance whether lab. technician strictly follows the SOP on sputum microscopy
To ensure that 3 sputum specimens are examined for all TB suspects
To check whether the TB suspect is correct or not
To check quality of stains and microscopes using in that microscopy centre
To improve the accessibility of TB suspects to sputum microscopy centres
F. Sputum Positivity Rate more than 10%
To evaluate the prevalence of TB in that particular township
To improve the accessibility of TB suspects to sputum microscopy centres
To check
whether PPs under PPM are using Chest X Ray before sputum
examination
143
Annual Report 2013
G. Sputum conversion rate less than 80-85% in new smear positive TB cases
To check whether categorization of TB patients based on proper history taking is correct or not
To check whether that every dose of medication is directly observed
To ensure sputum microscopy accuracy with quality assurance system
To monitor the drug resistant TB situation
To check correctness of TB-07, Block 5
To explain all the staff involving in TB control about the importance of follow-up sputum examination in TB control
To provide qualified DOT to every patient
H. Case fatality rate more than 5% in new smear positive TB cases
To identify and refer TB suspect as early as possible
To ensure that every dose of medication is directly observed
To consider HIV prevalence among TB patients
To advocate and encourage local PPs to refer promptly
To find out other causes of death other than TB
I. Treatment failure rate more than 5% in new smear positive TB cases
To check whether categorization of TB patients based on proper history taking is correct or not
To ensure the quality of anti-TB drugs, stored in appropriate condition and being used before their expiry date
To ensure that every correct dose of medication is directly observed, especially in initial phase
To consider the level of primary drug resistance in the community
To check laboratory quality
J. Defaulter rate more than 10% in new smear positive TB cases
To consider for migrant population
To strengthen DOT by supervision and close monitoring
To educate TB patients concerning TB disease, its treatment and follow-up
To provide adherence counseling as necessary
To instruct the DOT supervisors and providers how to take action for patient with missed dose
To find the patients with missed dose within 1 week (not to miss more than 1-2 doses) and put under DOT again.
144
Annual Report 2013
K.
Transferred out rate more than 5% in new smear positive TB cases
To ensure that defaulted TB patients are not counted as transferred out cases
To strengthen the system of proper referral
To ask for the treatment outcome of transferred out patients from the transferred townships
L.
Cure rate less than 85% but Treatment Success Rate more than 85% in new smear positive cases
To intensify follow-up sputum examination as 2nd , 5th and 6th month of treatment in new smear positive TB patients
To explain all the staff involving in TB control the crucial importance of follow-up sputum examination in TB control
To make sure defaulted TB patients are not counted as completed TB patients and misuse of anti-TB drugs
13. Recommendations 1. To strengthen township health system: e.g. To decentralize DOTS services to appropriate SHU/RHCs, capacity building of BHS 2. To establish standard organization set up at all levels 3. To fill up the important vacant posts 4. To ensure adequacy of resources for TB control 5. To evaluate and scale up the prevention and control activities for TB/HIV co-infection and MDR-TB 6. To enhance accelerated TB case finding especially in hard to reach area and plan for scale up 7. To scale up on Public-Private Mix and strengthen the public-public Mix 8. To cover all public and private laboratories including PPM hospitals and private hospitals under the external quality assurance system of NTP 9. To strengthen coordination mechanism related to TB control at all levels 10. To strengthen monitoring, supervision and evaluation on TB control activities 11. To promote Operational Research 12. To strengthen data quality and verification at all levels
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Annual Report 2013
14. Conclusion NTP, Myanmar has covered all the townships since November, 2003. NTP achieved case detection rate 78.8% and treatment success rate 85% in 2013 and has reached the global TB control targets since 2006. The achievement should be sustained by implementing innovative approaches in line with Stop TB Strategies and Millennium Development Goals according to the accessibility status of different location in the country. Case finding activities will also be improved by innovative approaches. NTP has planned to carry out accelerated case finding activities starting from 2014 onwards with the support of 3 MDG fund. These activities will include mobile team activities especially in hard to reach areas and mines; screening of TB among clinically high risk groups in PPM hospitals and screening of TB in Maternal, Newborn and Child Health (MNCH) services. In conclusion, strong political commitment, health system strengthening and partnership are important to maintain the achievement and reaching the MDGs.
146
Annual Report 2013
Balance of Anti-TB Drugs at NTP Central Drug Store (2013) SN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Item Description Anti TB 1st line Patient kit ( I & III) 4FDC (HRZE) (75/150/400/275)mg 3FDC (HRE) (75/150/275)mg 2FDC (HR) (75/150)mg ETB 100mg ETB 400mg INH 100mg INH 300mg Paed: HRZ (30/60/150)mg Paed: HR (30/60)mg Paediatric HR (60/60)mg PZA 400mg Streptomycin 1G inj Anti TB 2nd line (SLD) Amikacin 500mg/2ml inj: Capreomycin 1g, inj: Cycloserine250mg Ethionamide 250mg Kanamycin 1G injection Levofloxacin 250mg PAS sodium Granules 60% 100g PAS powder / sac PZA 500mg Water for injection 5ml Consumable items Syrine & Needles
Basic Unit
Opening Balance
Received
x kit
29879
84399
tab
0
tab
Annex 1-a Closing balance
Expire Date
103922
10356
Jun-15
4093920
3120192
973728
Apr-16
3476928
3476928
0
Issued
tab
568512
1738464
677376
1629600
Feb-16
tab tab tab tab
7500 0 1031500 1041600
240000 324800 0 101472
128500 324800 103600 1143072
119000 0 927900 0
Jan-16
7378560
4004196
3374364
350600
0 20714400 1344000 828300 0 115720 1670 1437800 1350400 28908 1221900
0 12946920 290304 781800 0 148890 770 961600 946300 28100 1151100
0 8812944 1053696 144500 0 22600 900 955900 881100 808 421400
Feb-16 Mar-15 Feb-15 Nov-16 Jan-16 Feb-15
5351
10863
11794
4420
Jun-16
26312 1768000 763600 0 709000
1012 1188000 747900 0 768700
25300 766000 52700 0 0
Jun-15 Dec-16 Mar-16
tab tab tab tab vial x vial vial tab tab vial tab jar sach tab vial x pcs
1045464 98000 55770 479700 477000
186000 37000 59700
147
Nov-15 Feb-15 Feb-15 Apr-16 Jun-17
Annual Report 2013
Balance of Anti-TB Drugs at NTP Upper Myanmar Drug Store (2013) SN
Item Description
Anti TB 1st line 1 Patient kit ( I & III) 4FDC (HRZE) 2 (75/150/400/275)mg 3 4 5 6 7 8 9 10 11 12 13
14 15 16 17 18 19 20 21 22 23 24
3FDC (HRE) (75/150/275)mg 2FDC (HR) (75/150)mg ETB 100mg ETB 400mg INH 100mg INH 300mg Paed: HRZ (30/60/150)mg Paed: HR (30/60)mg Paediatric HR (60/60)mg PZA 400mg Streptomycin 1G inj Anti TB 2nd line (SLD) Amikacin 500mg/2ml inj: Capreomycin 1g, inj: Cycloserine250mg Ethionamide 250mg Kanamycin 1G injection Levofloxacin 250mg PAS sodium Granules 60% 100g PAS powder / sac PZA 500mg Water for injection 5ml Consumable items Syrine & Needles
Basic Unit x kit
Opening Balance
Received
Annex 1-b Closing balance
Issued
Expire Date
10389
39310
41335
8364
Dec-14
tab
216720
1337040
1273584
280176
Feb-16
tab
74592
1174656
751968
497280
May-16
tab
368928
1134672
1433040
70560
Jan-15
tab tab tab tab
62500 311808 266500
28000 70558 0 611520
86500 371366 201500 152544
4000 11000 65000 458976
Jan-16 Feb-16 Nov-15 Jul-14
tab
0
1294776
839916
454860
Feb-15
0
0
0
1375920
3765552
3550176
1591296
Feb-15
63900
221088 230500
15456 228200
205632 66200
Apr-16 Jun-17
0
0
0
tab tab tab vial x vial
24200
37400
38500
23100
Feb-16
vial tab tab
100 85100 91400
770 220100 217300
870 143000 144300
0 162200 164400
Jul-14 Feb-15
10000
3940
6060
Jan-16
vial tab
82900
332200
236400
178700
Nov-14
jar
2000
840
2166
674
Apr-16
0 127100 235600 0 245700
0 226100 226950 0 274500
0 35000 72150 0 33100
sach tab vial x pcs
134000 63500 61900
148
Jun-16 Mar-16 May-18
Annual Report 2013
Balance of Anti-TB Drugs at NTP Lower Myanmar Drug Store (2013)
Annex 1-c
Basic Unit
Closing balance
Expire Date
SN
Item Description
Anti TB 1st line 1 Patient kit ( I & III) 4FDC (HRZE) 2 (75/150/400/275)mg 3FDC (HRE) 3 (75/150/275)mg 2FDC (HR) 4 (75/150)mg 5 ETB 100mg 6 ETB 400mg 7 INH 100mg 8 INH 300mg Paed: HRZ 9 (30/60/150)mg 10 Paed: HR (30/60)mg Paediatric HR 11 (60/60)mg 12 PZA 400mg 13 Streptomycin 1G inj Anti TB 2nd line (SLD) Amikacin 500mg/2ml 14 inj: 15 Capreomycin 1g, inj: 16 Cycloserine250mg 17 Ethionamide 250mg Kanamycin 1G 18 injection 19 Levofloxacin 250mg PAS sodium 20 Granules 60% 100g 21 PAS powder / sac 22 PZA 500mg Water for injection 23 5ml Consumable items 24 Syrine & Needles
Opening Balance
Received
x kit
10864
79704
77011
13557
Mar-15
tab
234528
2532096
2099328
667296
Feb-15
tab
32928
2638272
2131584
539616
Dec-15
tab
465696
205632
393120
278208
Jan-15
tab tab tab tab
66000 161280 97900 360869
100500 330860 103600 565152
121500 492140 167600 782885
45000 0 33900 143136
Jan-16 Nov-15 Oct-14
tab
51156
2788716
2442216
397656
Jan-15
tab
0
0
0
tab
7953708
6114024
1839684
Feb-15
81312 570000
78840 498490
34272 149100
Apr-16 Jun-17
0
0
0
17280
204170
168640
52810
Feb-16
vial tab tab
54300 76300
0 642500 625500
0 521800 525400
0 175000 176400
Jun-14 Feb-15
vial
320
8200
5080
3440
Jan-16
tab
54400
797000
704700
146700
Nov-14
tab vial
31800 77590
x vial
jar
Issued
2145
14420
14532
2033
Apr-16
sach tab
72000
25300 1000900
5200 864900
20100 208000
Jun-15 Feb-16
vial
64800
522271
422471
164600
Sep-15
61800
0 440200
0 451100
0 50900
May-18
x pcs
149
Annual Report 2013
Laboratory supplies and equipments (2012)
Annex-2
Opening No.
Items
balance (1-1-2013)
Received
Issued
2013
2013
Closing balance (31-12-2013)
1.
Fuchsin Basic (25 gm)
725
0
638
87
2.
Phenol Crystals (500 gm)
133
96
229
0
3.
Methylated Spirit (Cans)
1
100
78
23
4.
Microscopes (C×21 Olympus)
3
0
2
1
5.
Binocular Microscope Nikkon E100
2
0
0
2
6.
Microscope Glass Slides 3600/unit
238
0
222
16
7.
Dry Cell
3
0
2
1
8.
Inverter with dry cell battery
3
0
2
1
9.
Xylene (1 Litre)
32
0
29
3
10.
Objective lens (100µ)
82
0
6
76
11.
Methylene Blue (25 gm)
670
1200
163
1707
12.
Sulphuric Acid (2.5 Litre)
0
0
0
0
13.
Sulphuric Acid (1 Litre)
1245
1185
925
1505
14.
Sulphuric Acid (500 ml)
0
0
0
0
120
655
675
100
15.
Sputum Containers (bags of 1000)
16.
Immersion Oil (1 Litre)
8
73
12
69
17.
Methanol (1 Litre )
0
0
0
0
18.
Methanol (2.5 Litre)
230
0
208
22
19.
Glycerol (1 Litre)
0
0
0
0
20.
Glycerol (500 ml)
14
6
10
10
21.
Sodium hydroxide (500 gm)
23
0
19
4
22.
Auromine O
317
0
85
232
23.
B.P Phenyl
4443
0
936
3507
150
Annual Report 2013
Manpower Situation of National Tuberculosis Programme (2013)
No.
Designation
1. Deputy Director (TB) 2. Medical Superintendent 3. Lecturer/TB specialist 4. Assistant Director (TB) 5. Microbiologist 6. Regional/State TB Officer 7. Medical Officer 8. Administrative Officer 9. Superintendent 10. District Community Health Nurse 11. Assistant Statistical Officer 12. Health Assistant 13. Sister 14. Public Health Sister 15. Medical technician 16. Radiology technician 17. Radiographer 18. BC (Budget/Admin) 19. BCG supervisor 20. Blue staff 21. LHV 22. Trained nurse 23. Grade 1 lab: technician 24. Grade 1 X-ray technician 25. Assistant statistician 26. BCG technician 27. UD (Budget/Admin) 28. Grade 2 lab technician +Microscopist 29. LD (Budget/Admin) 30. Compounder 31. Grade 2 X-ray technician 32. Steward 33. Typist 34. Jr. TB worker 35. Statistical clerk 36. Driver 37. Clinic assistant 38. Lab. boy and Lab: assistant 39. Peon 40 X-ray van assistant 41. X-ray department assistant 42. Gardener and Plumber 43. Night Watch 44. Sweeper and Manual worker Total
Annex-3 Sanctio
Pay 160000-2000-170000 160000-2000-170000 160000-2000-170000 140000-2000-150000 140000-2000-150000 140000-2000-150000 120000-2000-130000 120000-2000-130000 85000-1000-90000 85000-1000-90000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 79000-1000-84000 73000-1000-78000 73000-1000-78000 73000-1000-78000 73000-1000-78000 73000-1000-78000 73000-1000-78000 73000-1000-78000 73000-1000-78000 67000-1000-72000 67000-1000-72000 67000-1000-72000 67000-1000-72000 67000-1000-72000 67000-1000-72000 67000-1000-72000 67000-1000-72000 61000-1000-66000 61000-1000-66000 55000-1000-60000 55000-1000-60000 55000-1000-60000 55000-1000-60000 55000-1000-60000 55000-1000-60000 55000-1000-60000
151
n 1 1 1 1 2 6 56 1 1 2 2 80 1 1 1 9 2 4 14 4 12 122 11 8 5 60 11 200 35 4 3 1 7 123 100 48 2 7 15 2 3 2 14 43 1028
Posted 1 1 1 1+3* 2* 6+7* 46+1* 0 1 2 2 70 1 1 1+2* 8 1+1* 4 11 4 12 100 11+6* 7+1* 5 26 9+2* 144 27 3 1 0 5 60 74 7 2 2 6 0 1 1 7 25 697+25*
Vacant 0 0 0 2 10 1 0 0 0 10 0 0 0 1 1 0 3 0 0 22 1 0 34 2 56 8 1 2 1 2 63 26 41 0 5 9 2 2 1 7 18 331
S/R & Other unit
372
8 Shan State (Kengtong) 636719
152
1934427 2031
13 Bago Region (Pyay)
0
999
559
833
745 1990
529 1626
502 1552
603 1826
282
369 1054
393 1152
187
336 1056
933 2982
736 2102
198
697
6775 3475 10250
499
2855 1580 4435
4516 2258 6774
1245
1097
1050
1223
551
685
759
142
149
731 2357
58
40
349 1059
807
45
257
886
93
136
116
142
60
48
116
55
55
257
158
132
9
6
100
318
17
136
353
42
48
49
51
33
33
44
12
19
82
68
34
4
1
32
78.7% 3478 1376
70%
68%
66%
59%
72%
76%
61%
61%
72%
59%
84%
49%
50%
49%
43%
28%
50%
69%
398
72
13
35
98
10
12
3
15
5
14
25
4
10
27
14
23
2
2
14
281
31
63
179
60
40
41
28
46
14
38
28
36
133
57
53
9
7
60
104 1204
23
4
6
17
12
4
1
4
5
8
7
1
3
2
2
2
0
1
2
817
4967
8412
2232
1888
1785
2077
1017
1181
1399
662
1195
3522
2423
2619
171
170
1293
216
172
498
754
902
403
418
222
412
532
611
837
420
108
782
M
966
M
72
53
60
849 138
806 362
795 351
300
302 459
145
307 328
365 1168
463 661
671 444
295
74 105
561 481
F
652 1448
413
142
503
61
51 283
6
47
950 115
117
155
845 199
44
49
81
27
48
8
49
13
22
42
95
14
52
554 156 102
346
285
712 197 102
637
109
846 115
89
570
97
65
45
4
17
83
3054
4209
3460
4289
2773
2028
2776
1103
2119
6002
4088
4357
740
492
3188
M
184
467
79
32
677 1466 222 113
1372
7986
829 1702 781 335 12767
273
163
147
350
286
49
387
38
242
924 2092 274
462 1117 122
324
45
50
364
F
Other M F
5284
7010
5722
7164
4847
3290
4469
1676
3309
9274
6661
6727
1229
743
5000
TOTAL
638
2010
5188 13174
7340 20107
2230
2801
2262
2875
2074
1262
1693
573
1190
3272
2573
2370
489
251
1812
F
Total
Annex-4
7037 4528 11565 3302 2524 2285 1717 4002 821 362 21380 13086 34466
361
2317 1621 3938 1448 1020 789
878 873
379 281
862 2050 1511 1159 183
639 1690
948 2253 1017
590 1367
485 1262
494 1340
173
245
830 2392
755 1832
545 1672
78
64
395 1237
F
Total
Primary Complex
4273 2565 6838 1161
796
1188
1051
1305
777
777
846
325
509
1562
1099
1127
138
108
842
M
Smear Negative
Extra Pulmonary TB Total
Annual 2013
566 49721 26438 16611 43049 #### #### 9376 7511 #### 3472 ### 88183 53979 1E+05
139 11890
10
35
105
25
22
23
11
35
10
17
4
16
39
22
18
5
4
26
Reporting Efficiency Rate = 97% (319/330) tsps CDR = 78.7% CR = 74 % TSR = 85% Report had not been received from ( 11 )Townships Kachin State (5) Tsps 1. N'ganyan 2. Hsawlaw 3.Khaunglanbu 4.Naungmon, 5. Sumprabom Shan (Lashio) State (6)Tsps 1. Kongyan 2. Panwine 3.Mongmaw 4. Manphant 5. Narphant 6.Pangyan
47796627 54106 28291 #### 42595
0
19 Other Unit
Total
951852
18 Naypyitaw
6249174 6562
17 Ayeyarwady Region
3213668 3374
6030053 10251
Rakhine State
Yangon Region
16
15
2141928 2249
2874449 3018
12 Bago Region
Mon State
1301784 1367
11 Tanintharyi Region
14
1389274 1459
1849708 1942
10 Kayin State
9 Shan State (Lashio)
720
7 Shan State (Taunggyi) 2068600 2172
669
2049
5672704 5956
6 Mandalay Region
1366
4059425 4262
1626
84
5 Magway Region
503
109
5193199 5453
478958
3 Chin State
300
710
New Cases M F T
PULMONARY TUBERCULOSIS SMEAR POSITIVE Old Cases Total NCDR Relapses T'after Default Trt after failure M F M F M F
CASE FINDING & ACTIVITIES ( D.O.T.S - Townships )
4 Sagaing Region
285341
1465364 1539
Estim Population ated cases
2 Kayah State
1 Kachin State
Sr.No
Country Block 1
Annual Report 2013
153
94098
83235
208386
163173
148674
237178
19494
7183
9500
12544
14808
Momauk
Shwegu
Mohynin
Phakant
Mogaung
Tanai
Myitkyina
Chipway
Hsawlaw
N Jan Yan
Waingmaw
PutaO
Khaunglanbu
Machanbaw
Nogmun
Sumprabum
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
1465364
8245
15532
93483
123276
1539
16 Nr.
13 Nr.
9
16 Nr.
98
129
10 Nr.
8 Nr.
20
249
40
156
171
219
87
99
78
120
710
3
23
24
1
230
49
71
83
72
41
22
28
349
0
0
2
0
12
20
0
0
1
105
19
40
34
49
20
13
11
23
61
35
39
86
1059
0
0
5
0
35
44
0
0
2
335
68
111
117
121
New Cases F T
63
M
69%
0%
0%
58%
0%
36%
34%
0%
0%
10%
135%
171%
71%
68%
55%
70%
35%
50%
72%
CDR
3
1
1
5
100
0
0
1
0
2
6
0
0
0
34
4
15
15
13
M
1
7
5
2
0
1
0
3
32
0
0
0
0
2
1
0
0
0
10
F
0
0
0
0
0
0
0
0
0
8
0
0
1
2
0
3
0
0
14
M
F
2
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
7
7
1
2
0
2
60
0
0
0
0
2
1
0
0
0
25
2
11
M
1
2
3
1
0
1
0
0
26
0
0
0
0
0
1
0
0
0
17
F
1293
0
0
6
0
41
53
0
0
2
429
78
146
148
146
65
43
40
96
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
Nr. 5 Tsp; 1.N'ganyan. 2. Hsaw law , 3 Khaunglanbu 4.Nogmun, 5. Sumprabum
* Note* (Nr.) Report had not been received from (5) tow nships
Total
74308
Mansi
2
37977
114270
Population Estimated New S(+) cases
Bahmo
Kachin State
TOWNSHIP
1
Sr.
PULMONARY SMEAR POSITIVE
842
0
0
2
0
16
122
0
0
2
371
43
23
46
46
11
27
21
112
M
395
0
0
0
0
7
53
0
0
2
176
25
13
22
21
5
9
15
47
F
Smear Negative
NATIONAL TUBERCULOSIS PROGRAMME CASE FINDING ACTIVITIES (2013)
1237
0
0
2
0
23
175
0
0
4
547
68
36
68
67
16
36
36
159
Total
782
0
0
0
0
15
149
0
0
4
302
3
28
70
15
0
37
40
119
M
561
0
0
0
0
10
95
0
0
5
198
5
25
67
13
0
20
37
86
F
Primary complex
481
0
0
0
0
5
47
0
0
1
122
6
12
26
42
31
17
9
163
M
364
0
0
0
0
4
53
0
0
1
76
14
20
19
24
18
17
6
112
F
Extra Pulmonary Tuberculosis
845
0
0
0
0
9
100
0
0
2
198
20
32
45
66
49
34
15
275
Total
199
0
0
0
0
3
27
0
0
0
121
8
11
5
7
3
1
0
13
M
other
1
7
0
0
0
1
2
6
83
0
0
0
0
3
17
0
0
0
46
F
3188
0
0
6
0
66
376
0
0
8
1213
115
171
253
204
90
110
99
477
M
1812
0
0
2
0
38
240
0
0
9
628
68
114
150
110
43
62
71
277
F
TOTAL
5000
0
0
8
0
104
616
0
0
17
1841
183
285
403
314
133
172
170
754
TOTAL
Annex 4
Annual Report 2013
35455
117966
80041
31132
6334
Pasaung
Loikaw
Dimawhso
Phruhso
Shataw
3
4
5
6
7
154
52296
94961
29400
44095
21309
52491
93393
Htantalan
Tiddim
Tunzan
Mindat
Kanpetlet
Matupi
Paletwa
3
4
5
6
7
8
9
478958
42630
Hakha
2
Total
48383
Falam
1
Chin State
285341
6033
Masai
2
Total
8380
Bawlake
Kayah State
503
98
55
22
46
31
100
55
45
51
300
7
33
84
124
37
6
9
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
3
9
84
37
12
1
11
1
1
7
4
10
109
1
3
28
51
58
23
4
0
5
6
4
5
7
4
40
0
1
18
14
3
1
3
1
4
46
65
17
4
12
142
60
16
1
16
7
5
12
11
14
149
New Cases F T
14
M
28%
61%
29%
4%
35%
23%
5%
22%
25%
28%
50%
15%
12%
55%
52%
46%
63%
136%
CDR M
9
1
1
0
3
1
0
2
0
1
6
0
1
2
2
1
0
0
F
4
0
0
0
0
1
0
2
1
0
1
0
0
1
0
0
0
0
M
2
0
1
0
1
0
0
0
0
0
2
0
0
0
0
0
0
2
F
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
0
0
M
9
0
0
0
0
0
0
3
6
0
7
0
2
2
3
0
0
0
F
5
0
0
0
0
0
0
2
3
0
4
0
0
1
3
0
0
0
171
61
18
1
20
9
5
21
21
15
170
1
7
52
74
18
4
14
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
0
0
138
18
5
9
24
2
7
41
27
5
108
0
6
16
67
19
M
F
Smear Negative
78
10
9
1
10
3
3
16
22
4
64
0
3
7
43
10
0
1 0
1
216
28
14
10
34
5
10
57
49
9
172
0
9
23
110
29
Total
0
4
420
12
29
4
8
13
18
199
111
26
108
0
4
16
72
12
M
77
17
74
0
1
8
55
7
1
2
295
11
22
4
6
9
17
132
F
Primary complex
1
0
1
72
11
7
5
5
8
13
3
14
6
105
0
5
7
91
M
2
0
1
45
6
8
3
6
2
7
0
8
5
50
0
1
6
40
F
Extra Pulmonary Tuberculosis
117
17
15
8
11
10
20
3
22
11
155
0
6
13
131
3
0
2
Total
5
0
2
6
0
0
0
3
0
0
0
0
3
47
0
2
4
34
M
other M
F
TOTAL
4
0
0
0
1
1
0
0
0
2
17
0
0
2
14
0
0
1
740
79
55
19
55
25
39
255
162
489
50
43
8
28
22
31
157
118
32
251
492
51
0
6
43
170
22
2
8
1
23
75
320
52
3
18
1229
129
98
27
83
47
70
412
280
83
743
1
29
118
490
74
5
26
Annex 4(township list)
F
TOTAL
Annual Report 2013
155
36 37
35
34
33
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
Sr.
Total
5193199
51824 58862
16864
190767
31436
117241
53435
109895
108425
56450
315084
72385
113468
144231
125852
84466
95781
163107
147786
137015
150713
142182
110579
143275
160258
325761
129486
5453
54 62
18
200
33
123
56
115
114
59
331
76
119
151
132
89
101
171
155
144
158
149
116
150
168
342
136
218
191
181957
207262
159
96
161
283
273
121
151469
91225
153083
269788
259855
115429
117
309
1626
18 11
3
67
53
26
22
60
19
19
145
24
37
53
39
46
18
48
47
32
27
54
23
68
34
144
33
41
47
32
14
31
41
54
39
46
111
731
2 10
3
42
27
17
9
50
5
8
60
8
19
14
5
23
11
23
16
24
14
29
6
27
10
47
12
26
13
19
3
13
15
21
15
22
63
2357
20 21
6
109
80
43
31
110
24
27
205
32
56
67
44
69
29
71
63
56
41
83
29
95
44
191
45
67
60
51
17
44
56
75
54
68
174
56%
CDR M 4
F 3
M 1
F 0
M 0
F 0
182
Total
43%
37% 34%
34%
54%
242%
35%
55%
95%
21%
46%
62%
42%
47%
44%
33%
78%
29%
41%
41%
39%
26%
56%
25%
63%
26%
56%
33%
31%
31%
32%
18%
27%
20%
27%
45%
58%
132
0 5
3
7
5
2
0
13
1
1
15
2
0
3
3
2
0
4
2
4
5
1
2
1
2
13
1
9
4
2
2
1
2
3
4
4
34
1 2
0
2
0
1
0
2
1
0
3
0
0
0
1
1
0
0
0
0
0
0
1
1
3
4
0
4
0
1
1
0
0
2
0
0
23
0 0
0
0
2
0
0
1
0
0
9
0
0
0
0
0
0
0
0
2
0
0
0
0
0
7
0
0
0
0
0
0
0
1
0
0
2
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
53
0 0
0
0
4
2
1
1
0
0
10
2
0
2
0
5
0
0
0
5
1
0
1
5
0
2
0
2
1
0
0
0
6
0
0
3
18
0 0
0
1
1
0
0
1
0
0
2
0
0
1
0
0
0
0
1
1
0
0
1
2
0
0
0
0
0
0
0
0
4
2
0
1
2619
21 28
9
119
92
48
32
128
26
28
244
36
56
73
48
77
29
75
66
68
47
84
34
104
49
218
46
82
65
54
20
45
68
84
58
76
1127
8 4
0
100
32
21
9
41
25
8
71
11
16
36
34
36
9
65
15
21
8
21
20
33
56
74
21
42
18
4
17
11
33
93
40
17
57
M
F 24
81
Total
545
3 2
2
40
30
12
6
18
3
7
54
4
6
13
12
28
2
38
6
14
12
11
4
15
18
27
11
21
5
4
9
3
6
36
21
18
1672
11 6
2
140
62
33
15
59
28
15
125
15
22
49
46
64
11
103
21
35
20
32
24
48
74
101
32
63
23
8
26
14
39
129
61
35
837
11 0
3
60
37
12
3
55
9
0
118
1
7
5
10
30
2
22
14
14
10
16
21
51
11
25
17
84
12
10
7
2
36
27
13
17
65
M
F
Primary complex
51
671
5 2
6
44
35
8
4
37
8
0
68
1
4
6
12
13
1
20
11
11
10
13
20
32
13
21
21
76
5
15
9
5
41
25
8
10
444
10 1
0
3
5
22
5
9
7
11
43
6
4
6
9
4
1
17
13
12
10
5
10
18
11
50
12
4
14
12
2
9
17
25
22
2
33
M
324
4 3
0
8
8
18
8
7
2
12
18
4
2
4
5
5
2
8
8
4
9
2
3
13
5
33
5
8
6
6
3
9
16
30
18
6
22
F
Extra Pulmonary Tuberculosis
55
Total
950
14 186
0
11
13
40
13
16
9
23
61
10
6
10
14
9
3
25
21
16
19
7
13
31
16
83
17
12
20
18
5
18
33
55
40
8
115
0 0
0
12
11
2
0
8
0
0
10
1
1
4
5
0
0
3
0
5
1
0
0
0
4
8
3
5
4
2
0
2
3
8
0
0
13
M
other F
M
F
TOTAL
TOTAL
45
0 0
0
3
9
0
0
5
0
0
1
0
0
3
0
0
0
2
0
0
0
0
1
0
0
3
1
1
4
3
1
1
1
3
0
1
4357
47 21
9
249
149
87
40
188
61
39
421
47
65
109
100
123
30
159
91
95
62
97
77
176
118
323
87
187
100
62
42
56
138
211
118
89
284
2370
15 19
11
140
110
56
27
120
19
27
206
17
31
41
35
70
16
91
42
54
45
55
36
90
49
136
50
136
33
48
26
31
83
120
62
58
165
6727
62 40
20
389
259
143
67
308
80
66
627
64
96
150
135
193
46
250
133
149
107
152
113
266
167
459
137
323
133
110
68
87
221
331
180
147
449
2
111868
294635
New Cases F T
Smear Negative
Sagaing Myaung Myinmu Shwebo Kanbalu Khin-U Kyunhla Tabayin Taze Wetlet Ye-U Monywa Ayadaw Budalin ChaungU Kani Pale Salingyi Yinmabin Katha Banmauk Htigyaing Indaw Kawlin Pinlebu Wuntho Kalay Kalewa Minkin Tamu Mawlaik Phaungbyin Khamti Homalin Layshi Lahel Nanyun
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Annex 4(township list)
Population Estimated New S(+) cases
Sagaing Region
TOWNSHIP
Annual Report 2013
156
50848
172660
49195
168625
43246
265328
103601
112425
72036
61003
232865
4059425
HTINLIN
MINBU
NGAPE
PWINTPHYU
Saytoketaya
SALIN
THAYET
MINHLA
KANMA
SINPAUNGWAE
MINDON
AUNGLAN
Total
14
15
16
17
18
19
20
21
22
23
24
25
125181
69727
SAW
13
131125
GANTGAW
12
4262
245
64
131
76
118
109
279
45
177
52
181
53
73
138
111
1366
50
35
28
34
39
77
56
14
42
19
75
3
11
26
23
736
30
8
20
13
22
30
26
4
25
5
43
2
5
16
14
2102
80
43
48
47
61
107
82
18
67
24
118
5
16
42
37
75
62
49%
33%
67%
37%
62%
52%
98%
29%
40%
38%
46%
65%
9%
22%
31%
33%
28%
33%
158
7
4
6
2
8
2
0
0
0
3
7
1
0
1
3
2
1
68
0
2
0
2
2
1
0
0
1
0
2
1
0
0
1
1
1
14
0
0
0
1
0
0
0
0
2
0
2
0
1
0
0
1
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
57
0
1
0
1
0
8
4
0
3
1
5
0
1
0
0
6
0
3
22
2
0
2
0
0
3
1
0
0
0
1
0
0
1
0
0
0
0
2423
89
50
56
53
71
121
87
18
73
28
135
7
18
44
41
86
64
70
1099
85
48
21
46
25
40
38
21
24
15
47
13
12
68
17
40
6
48
97
59
755
57
39
17
28
13
17
22
8
14
12
36
5
8
33
13
18
6
26
82
41
78
1832
142
87
38
74
38
57
60
29
38
27
83
18
20
101
30
58
12
74
179
611
40
40
31
54
9
20
3
12
13
8
55
2
9
107
5
3
0
21
60
13
7
463
31
38
16
41
10
23
8
6
13
7
29
3
6
60
1
1
0
20
49
8
4
12
661
126
7
5
7
35
10
11
3
12
7
29
2
1
26
17
43
41
35
65
17
25
16
21
23
462
86
6
5
2
31
7
14
2
7
4
19
2
1
10
5
34
18
24
34
19
22
26
12
24
1117
212
13
10
9
66
11
25
5
19
11
48
4
2
36
22
77
59
59
99
36
47
42
33
47
122
5
2
0
0
4
4
3
1
1
0
7
0
0
6
0
3
3
4
24
5
13
3
6
13
65
4
2
0
0
1
1
1
0
1
1
2
0
0
2
0
2
3
3
9
1
8
4
1
10
105351
22
23
0
409
137
78
6
10
33
SEIKPHYU
53
39
0
4
4
29
19
8
31
11
267
187
1
5 12
49
7
44
138
254420
6
1
0
103
12
14
52
178441
22%
0
0
0
117
30
86
MYAING
60
8 23
1
0
128
104
PAUK
16
38
16
0
0
0
0
9
44
65% 104%
1
0
0
1
10
267
331
104
1
0
0
0
4088
313
137
91
145
120
161
115
51
97
53
227
21
35
234
65
151
90
161
493
178
166
109
152
226
2573
210
95
60
86
79
82
72
20
61
29
132
13
20
122
34
79
51
90
336
122
94
94
78
150
6661
523
232
151
231
199
243
187
71
158
82
359
34
55
356
99
230
141
251
829
300
260
203
230
376
861
254176
41 134
4
0
2
0
364
YESAGYO
63
197
40%
7
1
5
497
8
317
159
96
66%
5
8
15
301866
125
151417
30
110
44%
40%
48
TOTAL
PAKOKKU
66
90 120
77
F
YENANCHAUNG
34
M
7
242
45
40
26
54
F
6
310
M
230647
65
80
64
158
F
NATMAUK
168
274
227
152
M
5
314
F
159812
4
M
MYOTHIT
5
F
4
0
M
260481
4
Total
216630
15
F
TAUNGDWINGYI
27
M
CHAUK
86%
F
TOTAL
3
259
M
other
2
96
F
Total
9
163
M
Extra Pulmonary Tuberculosis
288319
303
CDR
Total
Primary complex
MAGWE
New Cases F T
Smear Negative
1
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Annex 4(township list)
Population Estimated New S(+) cases
Magwe Region
Sr.
TOWNSHIP
Annual Report 2013
285370
Chanmyatharzi
Maharaungmyae
Pyigyitagonn
Patheingyi
Meiktilar Mahlaing Tharzi Wundwin
4
5
6
7
8
157
135377
247862
276848
177208
245432
171225
145252
127343
246847
268927
233901
189669
130557
139945
Ngazun
Taungtha
NyaungU
Pyin oo Lwin
Madayar
Mogok
Sintgu
Thabeikkyin
Yamethin Pyawbwei
Kyaukse
Myittha
Sintgine
TadaOo
15
16
17
18
19
20
21
22
23
24
25
26
27
28
5672704
186946
14
Total
309476
Natogyi
13
12
276252
222668
209583
158140
153683
225751
198098
140066
Myingan Kyaukpadaung
11
10
9
190278
Chanayetharzan
3
190665
Aungmyaytharzan
189335
Amarapura
2
Mandalay Region
5956
147
137
199
246
282
259
134
153
180
258
186
291
260
142
196
325
290
234
220
166
300
200
161
237
208
147
200
199
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
2049
27
39
48
81
87
63
61
102
76
72
43
85
57
33
36
71
109
53
72
38
132
82
76
101
122
55
124
933
16
19
19
38
66
27
19
25
21
29
23
47
27
17
19
46
43
28
29
24
50
37
42
49
55
24
49
45
2982
43
58
67
119
153
90
80
127
97
101
66
132
84
50
55
117
152
81
101
62
182
119
118
150
177
79
173
149
New Cases F T
104
M
50%
29%
42%
34%
48%
54%
35%
60%
83%
54%
39%
35%
45%
32%
35%
28%
36%
52%
35%
46%
37%
61%
60%
73%
63%
85%
54%
86%
75%
CDR
257
5
6
5
4
10
5
6
24
12
10
3
11
3
1
5
10
10
3
4
11
13
7
11
16
17
8
21
16
M
0
0
0
2
4
3
2
3
2
4
2
9
0
1
2
6
5
2
3
0
6
2
5
7
5
1
2
4
82
F
2
2
0
2
0
4
1
0
0
0
0
1
0
0
0
0
0
3
0
0
1
2
2
2
0
2
2
1
27
M
F
2
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
3
133
2
4
0
2
3
0
17
9
9
7
1
10
3
0
1
3
1
2
0
0
21
2
4
2
13
0
14
M
0
1
0
3
1
3
0
1
0
0
2
7
3
0
0
1
1
4
0
1
4
1
0
1
3
0
1
1
39
F
3522
52
71
72
132
171
105
106
164
120
122
74
170
94
52
63
137
169
95
108
74
227
133
140
179
215
90
213
174
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
1562
12
37
55
38
19
61
17
44
46
46
37
79
44
35
39
59
105
24
41
21
92
66
85
114
99
94
97
56
M
15
9
26
11
10
31
9
19
16
24
17
39
35
31
23
25
55
19
45
12
56
27
34
57
51
42
65
27
830
F
Smear Negative
2392
27
46
81
49
29
92
26
63
62
70
54
118
79
66
62
84
160
43
86
33
148
93
119
171
150
136
162
83
Total
532
6
30
0
21
12
13
1
2
10
4
45
43
8
3
13
33
17
28
26
8
1
29
37
22
32
26
49
13
M
1
19
2
12
3
12
3
1
8
4
34
39
10
2
4
23
17
17
19
4
0
16
24
18
21
14
24
14
365
F
Primary complex
1168
30
14
37
29
51
72
18
25
51
109
23
21
34
37
14
15
72
7
20
23
94
61
54
60
56
38
79
24
M
924
25
11
28
25
35
39
13
19
33
82
20
18
16
28
13
23
53
13
22
16
79
41
51
61
64
43
39
14
F
Extra Pulmonary Tuberculosis
2092
55
25
65
54
86
111
31
44
84
191
43
39
50
65
27
38
125
20
42
39
173
102
105
121
120
81
118
38
Total
7
274
7
6
5
1
4
17
6
7
8
12
9
10
3
2
0
12
12
4
3
2
6
18
21
22
23
19
28
M
other M
F
TOTAL
97
1
2
3
0
4
5
1
1
5
2
1
6
0
3
1
6
3
1
2
0
6
2
9
5
11
6
8
3
6002
91
138
150
178
186
235
127
213
212
260
161
260
152
111
108
203
326
124
166
103
360
267
290
339
362
242
414
224
3272
58
61
78
91
123
120
47
69
85
145
99
165
92
82
62
130
177
84
120
57
201
126
165
199
210
130
188
108
9274
149
199
228
269
309
355
174
282
297
405
260
425
244
193
170
333
503
208
286
160
561
393
455
538
572
372
602
332
Annex 4(township list)
F
TOTAL
Annual Report 2013
26
18
24350
16815
3 Monai 4 Mangpang
39
47
37013
45145
88264
7 Kyeethi 8 Laikha
9 Mongaking
153
145785
158
2068600
84496
51532
32702
28496
55417
Monghsat
Mongping Mongton
Monpyak
Mongyaung
Tachileik Matman
4
5
6
7
8
9
10
Total
48032
Mongyan
3
620054
16665
131385
26832
161162
Kengtong Mongkhat
2
1
651
17
138
58
30
34
54
89
50
28
169
2172
83
79076
Shan State (Kengtong)
Total
189
180290
83
180
79021
18 Pindaya
139
170983
132744
17 Lauksauk
19 Pinlaung 20 Nyaungshwe 21 Ywangan
156542
16 Kalaw
164
101
96546
14 Hpekon 15 Hsiseng
33
103
372
2
90
38
24
37
23
62
9
5
82
720
12
44
100
35
39
55
37
34
35
118
89
363
85092
345305 97736
11 Namsan 12 Taunggyi 13 Hopone
32
15
52703
55
37
5
26
14
6
9
13
187
3
45
7
9
26
22
37
2
2
34
336
6
26
46
23
21
19
22
13
10
57
9
19
7
9
3
20
9
2
7
2
6
44
51
22
46
8
46
23
8
16
15
27
559
5
135
45
33
63
45
99
11
7
116
1056
18
70
146
58
60
74
59
47
43
175
New Cases F T
21
M
10 Mongshu
93
61
58132
6 Kunhein
118
112509
5 Loilem
28
27071
39
37478
2 Maukme
Shan State (Taunggyi)
Population Estimated New S(+) cases
1 Linhkay
Sr.
TOWNSHIP
86%
29%
98%
77%
110%
183%
83%
112%
22%
25%
69%
49%
22%
37%
81%
70%
43%
45%
39%
46%
42%
48%
49%
92%
24%
97%
21%
75%
19%
45%
63%
53%
69%
CDR
3
0
2
1
0
0
1
1
1
2
2
55
1
8
4
1
3
6
14
0
0
18
55
0
4
1
2
8
7
4
1
1
14
M
0
1
2
0
0
0
4
1
0
2
3
2
0
0
0
3
0
0
0
0
1
12
0
1
1
0
2
2
2
0
1
3
19
F
0
0
0
0
0
1
1
0
1
4
0
0
0
0
0
3
0
0
0
0
0
4
0
1
0
0
1
1
0
0
0
1
10
M
F
1
0
0
0
0
0
0
0
0
0
1
3
0
1
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
1
0
0
28
0
7
2
0
2
0
0
1
0
16
36
0
1
2
2
3
5
1
1
3
15
M
0
0
0
0
1
3
0
0
1
4
0
0
1
0
0
3
1
0
0
1
1
4
0
1
0
0
1
0
1
0
0
1
16
F
663
6
153
52
34
72
54
116
12
8
156
1195
18
77
151
62
72
90
69
50
50
215
50
53
27
47
8
55
25
9
18
18
31
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
325
0
57
6
9
31
21
132
7
2
60
509
12
21
18
3
40
41
31
4
10
139
49
21
7
20
24
16
20
5
6
0
22
M
7
13
3
2
22
10
17
2
6
58
23
8
4
10
14
17
14
3
5
0
7
173
0
35
7
4
9
13
67
7
2
29
245
F
Smear Negative
498
0
92
13
13
40
34
199
14
4
89
754
19
34
21
5
62
51
48
6
16
197
72
29
11
30
38
33
34
8
11
0
29
Total
4
4
222
0
60
3
7
11
14
66
2
5
54
412
6
18
11
10
6
9
11
13
12
35
55
19
3
83
0
17
69
3
24
M
6
17
7
6
8
14
4
16
3
27
45
20
0
56
2
10
50
0
11
1
4
145
0
46
5
4
3
10
40
4
2
31
307
F
Primary complex
1
8
3
3
2
0
53
2
11
2
0
3
13
0
4
2
16
328
5
27
18
1
41
38
17
8
7
101
14
16
1
4
13
M
2
1
0
2
38
0
5
3
2
4
9
1
1
0
13
242
0
12
20
0
34
10
11
3
8
79
6
21
1
1
16
4
11
F
Extra Pulmonary Tuberculosis
91
2
16
5
2
7
22
1
5
2
29
570
5
39
38
1
75
48
28
11
15
180
20
37
2
5
29
5
19
5
4
2
2
Total
2
0
1
1
0
2
3
1
1
0
1
44
0
17
2
1
1
0
10
0
0
13
49
1
3
0
0
4
10
1
4
1
13
M
other M
F
TOTAL
13
0
3
3
0
1
1
1
0
0
4
22
1
1
1
1
1
4
0
0
0
6
3
0
0
1
0
0
1
0
1
0
1
1103
5
251
57
42
89
78
284
23
14
260
2119
36
118
150
53
141
166
103
65
68
439
158
88
31
146
42
65
115
19
45
21
50
573
3
136
26
19
46
57
149
14
7
116
1190
20
71
79
32
87
60
58
35
29
234
89
70
13
77
35
57
86
7
25
4
22
1676
8
387
83
61
135
135
433
37
21
376
3309
56
189
229
85
228
226
161
100
97
673
247
158
44
223
77
122
201
26
70
25
72
Annex 4(township list)
F
TOTAL
Annual Report 2013
Namsam
Mongmaw
11
12
159
49084
127576
79084
148388
182021
107806
Nr.
Nr.
Nr.
Nr.
1849708
Mongreh
Manphant
Pangyan
Narphant
Panwaing
Tanyan
Laukkai
Kongyan
Muse
Kuitai
Namkham
Total
14
15
16
17
18
19
20
21
22
23
24
1942
113
191
156
83
134
52
55
80
300
136
759
25
36
72
27
36
18
36
7
139
31
25
393
15
20
21
14
25
4
18
3
64
7
12
35% 59%
1152
29%
60%
49%
46%
43%
98%
13%
68%
28%
72%
114%
15%
29%
69%
40
56
93
41
61
22
54
10
203
38
37
71
7
116
5
7
11
1
8
2
2
0
26
2
2
5
0
0
18
14
9
3
4
5
0
1
0
0
1
8
1
3
1
0
0
5
7
4
44
Nr. (6) tsp: 1.Manphant, 2.Panw aing, 3.Mongmaw , 4.Kongyan, 5.Narphant, 6.Pangyan
* Note* (Nr.) Report had not been received from (6) tow nships
Nr.
52647
Theinni
13
75830
285706
Lashio
Nr.
129853
Nyaungcho
9
10
52
28
5
11
120
109%
225%
25
0
2
0
3
2
0
1
0
10
2
0
0
1
1
0
1
0
7
0
1
1
1
1
0
0
0
1
0
1
0
0
0
0
0
0
38
1
5
5
0
4
0
0
0
14
1
0
5
0
0
0
0
0
17
0
5
3
2
2
0
0
0
3
0
0
2
0
0
0
0
0
1399
49
80
118
48
79
24
57
11
265
44
43
84
8
12
143
218
73
846
48
63
39
105
31
25
50
7
253
19
56
6
0
18
33
51
11
494
32
51
13
84
24
10
32
6
126
6
17
5
1
7
21
37
8
1340
80
114
52
189
55
35
82
13
379
25
73
11
1
25
54
88
19
418
35
5
6
12
11
16
27
2
154
18
23
1
2
4
16
3
60
302
21
1
14
4
6
20
21
3
121
8
19
0
2
4
16
4
31
459
0
116
40
34
38
1
3
2
53
11
12
3
0
6
65
57
15
387
2
75
32
19
23
0
5
1
55
6
10
6
0
4
86
51
11
846
2
191
72
53
61
1
8
3
108
17
22
9
0
10
151
108
26
115
8
10
2
17
2
0
6
0
53
2
4
0
1
1
0
5
0
49
1
2
0
5
1
0
2
0
28
0
3
0
0
1
1
4
1
2776
122
244
175
199
132
62
125
18
702
86
122
63
6
38
203
254
128
97
1693
74
159
89
129
83
34
78
14
406
28
65
42
8
19
178
176
82
29
4469
196
403
264
328
215
96
203
32
1108
114
187
105
14
57
381
430
210
126
49147
43
2
3
49
196
60
Namtu
62
46
8
71
73
27
8
4
59384
4
Mongmeik
1
TOTAL
7
3
F
43438
7
M
Manton
38
173
123
33
23
F
6
45
M
36058
14
F
165143
180
27
31
M
Mabein
43
F
Hsipaw
0
M
5
3
F
4
1
M
171355
2
Total
Kyaukme
1
F
3
4
M
0
49%
F
TOTAL
25374
32
M
other
Hopan
5
F
Total
2
27
M
Extra Pulmonary Tuberculosis
Annex 4(township list)
65
CDR
Total
Primary complex
61814
New Cases F T
Smear Negative
Kunlon
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Shan State (Lashio)
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
Annual Report 2013
1
1389274
132935
138021
119812
124951
98293
51554
252659
145321
100497
137741
1301784
Dawei
Launglon
Thayetchaung
Yebyu
Kawthaung
Bokpyin
Myeik
Kyunsu
Tanintharyi
Palaw
Total
1
2
3
4
5
6
7
8
9
10
Tanintharyi Region
Total
160
1367
145
106
153
265
54
103
131
126
145
140
1459
101
551
32
45
11
154
29
68
33
38
53
88
685
12
25
282
25
12
5
92
14
36
13
16
33
36
369
5
11
83
833
57
57
16
246
43
104
46
54
86
124
1054
17
36
211
385
185
79
61%
39%
54%
10%
93%
79%
101%
35%
43%
59%
89%
72%
17%
78%
74%
85%
150%
42%
60
6
1
3
18
2
8
3
2
8
9
48
1
0
5
17
16
2
33
6
0
0
10
3
5
1
1
3
4
33
1
0
8
13
7
0
5
1
1
0
1
0
1
1
0
0
0
14
0
0
2
0
5
2
5
1
2
0
1
0
0
0
0
1
0
8
0
1
2
0
3
1
46
4
3
2
9
0
2
1
7
7
11
14
0
0
3
0
9
0
35
5
2
1
7
0
3
1
4
8
4
10
3
0
1
1
4
0
1017
80
66
22
292
48
123
53
68
113
152
1181
22
37
232
416
229
84
777
87
14
9
294
32
147
44
28
43
79
777
12
35
88
441
86
46
590
114
7
3
224
12
66
35
25
37
67
485
6
22
79
254
55
29
1367
201
21
12
518
44
213
79
53
80
146
1262
18
57
167
695
141
75
902
242
8
6
212
22
137
38
43
77
117
403
53
27
74
107
41
22
795
223
8
4
171
19
120
22
31
67
130
300
38
13
45
86
29
23
351
76
8
0
148
27
32
5
14
21
20
60
4
1
4
10
18
6
286
66
4
3
125
18
23
3
6
15
23
49
3
0
2
11
18
7
637
142
12
3
273
45
55
8
20
36
43
109
7
1
6
21
36
13
81
4
3
0
32
1
10
4
4
6
17
27
1
0
5
5
15
0
48
2
1
1
24
0
5
2
2
7
4
8
0
1
0
1
4
0
2773
452
83
31
868
113
405
129
136
215
341
2028
83
88
309
846
300
127
275
2074
442
36
17
654
66
258
77
85
171
268
1262
56
48
220
485
195
90
168
4847
894
119
48
1522
179
663
206
221
386
609
3290
139
136
529
1331
495
217
443
96249
25
Thandaung
8
TOTAL
7
46
128
119
75
30
17
F
43936
66
M
Papun(Kamamaung)
285
266
110
49
79
F
6
109
M
271548
40
F
Hlaingbwe
452
123
187
69
M
5
161
F
430180
1
M
Hpa-an
2
F
4
1
M
117269
5
Total
Myawady
4
F
3
7
M
178031
53%
F
TOTAL
Kyainseikkyi
141
M
other
2
46
F
Total
2
95
M
Extra Pulmonary Tuberculosis
252061
265
CDR
Total
Primary complex
Kawkareik
New Cases F T
Smear Negative
1
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Annex 4(township list)
Population Estimated New S(+) cases
Kayin State
Sr.
TOWNSHIP
Annual Report 2013
161
159549
110162
119576
2874449
12 Phyu
13 Htantabin
14 Yedashe
Total
185420
124401
115164
126460
128331
167003
2 Paukkhaung
3 Paungde
4 Padaung
5 Shwedaung
6 Thegon
7 Tharyarwady
228
217359
116715
139151
128340
129515
135322
1934427
9 Minhla
10 Moenyo
11 Okpo
12 Gyobingauk
13 Nattalin
14 Latpadan
Total
2031
142
136
135
146
123
73
175
135
133
121
131
195
160
3018
126
116
168
293
209
241
167
233
95
273
218
219
212
450
69251
8 Zigon
151995
1 Pyay
Bago Region (Pyay )
278684
11 Oktwin
229239
9 Taunggoo
198795
159274
8 Waw
259856
5 Nyaunglaybin
90845
207761
4 Kyauktaga
221487
208983
3 Kawa
7 Thanatpin
201612
2 Daik-U
6 Shwekyin
428626
1 Bago
Bago Region
Population Estimated New S(+) cases
10 Kyaukkyi
Sr.
TOWNSHIP
1050
99
114
39
72
37
98
50
102
53
74
54
58
75
125
1223
100
28
109
79
45
107
104
49
37
96
96
65
74
502
47
54
20
36
31
44
21
48
25
32
10
45
47
42
603
42
26
44
33
28
48
57
31
18
40
41
38
51
106
1552
146
168
59
108
68
142
71
150
78
106
64
103
122
167
1826
142
54
153
112
73
155
161
80
55
136
137
103
125
340
New Cases F T
234
M
76%
103%
124%
44%
74%
55%
62%
98%
86%
58%
80%
53%
79%
63%
105%
61%
113%
47%
91%
38%
35%
64%
96%
34%
58%
50%
63%
47%
59%
76%
CDR
116
11
18
3
8
3
7
4
13
6
3
8
11
10
11
142
6
2
14
13
5
18
7
2
4
6
12
10
13
30
M
49
2
7
7
3
4
3
0
5
1
0
4
2
7
4
51
0
3
6
2
4
3
2
2
1
3
6
1
5
13
F
0
1
0
0
2
2
0
0
1
1
0
0
1
7
3
0
0
0
1
0
2
0
0
0
0
0
0
0
0
15
M
F
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
4
0
0
1
0
1
0
0
0
0
0
1
0
0
1
41
3
4
5
1
0
4
0
4
2
1
7
1
1
8
28
1
0
2
1
0
3
0
0
0
4
1
1
2
13
M
2
0
3
1
0
0
0
0
0
0
2
0
1
2
23
2
0
2
3
1
2
0
2
1
1
3
2
0
4
11
F
1785
164
197
76
124
76
160
75
174
88
112
86
119
140
194
2077
151
60
179
129
85
181
170
84
61
150
159
115
147
406
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
1051
62
84
65
67
46
82
53
82
86
56
65
52
48
203
1305
78
40
173
69
29
85
66
108
41
107
107
67
93
242
M
639
37
58
38
39
28
64
38
39
45
33
52
40
28
100
948
57
35
110
57
24
36
51
81
34
71
80
65
62
185
F
Smear Negative
1690
99
142
103
106
74
146
91
121
131
89
117
92
76
303
2253
135
75
283
126
53
121
117
189
75
178
187
132
155
427
Total
966
36
103
52
52
42
53
48
59
76
32
59
97
68
189
1017
45
28
249
108
17
102
42
40
40
58
69
43
74
102
M
40
42
19
44
55
30
69
94
849
30
94
26
52
35
57
25
47
79
40
42
79
58
185
806
36
40
137
74
22
104
F
Primary complex
138
15
9
10
5
3
16
4
10
5
7
3
13
18
20
362
11
5
21
8
4
19
27
20
10
23
24
13
31
146
M
147
8
18
22
10
5
13
4
7
7
13
7
6
8
19
350
19
9
32
10
3
20
25
13
8
22
23
9
22
135
F
Extra Pulmonary Tuberculosis
285
23
27
32
15
8
29
8
17
12
20
10
19
26
39
712
30
14
53
18
7
39
52
33
18
45
47
22
53
281
Total
95
7
17
8
4
2
6
4
10
2
5
6
8
4
12
197
7
6
17
9
1
25
3
7
8
8
18
19
10
59
M
other M
F
TOTAL
52
1
4
7
6
3
2
1
9
3
4
2
6
1
3
102
2
1
2
6
2
15
4
6
2
6
6
12
6
32
3460
233
349
182
210
133
268
163
280
230
178
202
240
224
568
4289
248
110
585
287
103
361
249
226
141
303
327
218
298
833
2262
127
235
122
149
107
185
89
157
161
124
120
180
149
357
2875
158
114
335
183
84
226
179
175
82
186
214
155
216
568
5722
360
584
304
359
240
453
252
437
391
302
322
420
373
925
7164
406
224
920
470
187
587
428
401
223
489
541
373
514
1401
Annex 4(township list)
F
TOTAL
Annual Report 2013
162
217512
220414
201781
144362
183993
169352
552993
316750
171724
114708
64296
114485
124844
146505
Kyauktaw
MraukOo
Minbya
Myaepon
Pauktaw
Yatheedaung
Maungdaw
Buthidaung
Kyaukphyu
Yanbye
Manaung
Ann
Thandwe
Taunggoke
Gwa
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Total
147448
Ponngyun
3213668
63064
259437
Sittwe
2
Rakhine State
1
3374
66
154
131
120
68
120
180
333
581
178
193
152
212
231
228
155
272
2249
1245
39
80
65
53
41
33
83
108
117
60
21
45
115
104
81
47
153
1097
108
745
16
54
43
14
17
22
39
66
49
45
20
37
81
87
42
29
84
529
63
1990
55
134
108
67
58
55
122
174
166
105
41
82
196
191
123
76
237
1626
171
59%
83%
87%
82%
56%
86%
46%
68%
52%
29%
59%
21%
54%
93%
83%
54%
49%
87%
72%
66%
65%
93
1
7
6
3
2
1
3
13
3
2
3
2
3
12
4
7
21
136
6
8
42
2
1
5
0
2
0
1
4
1
2
3
1
2
3
5
6
4
48
6
0
10
0
2
0
0
0
0
2
0
0
0
0
1
0
2
0
0
3
12
0
2
0
12
0
1
1
0
0
0
2
3
0
0
0
1
0
1
0
0
3
4
0
0
0
60
0
9
0
0
0
1
8
0
16
2
4
0
5
1
0
2
12
40
0
4
2
25
0
4
0
1
0
2
1
0
5
1
2
1
4
0
0
0
4
22
0
0
1
3
11
2154
58
158
120
71
62
59
139
194
191
112
53
88
210
210
132
91
206
1888
183
128
167
287
222
796
23
43
32
51
22
24
50
88
38
36
26
28
32
79
70
87
67
1188
228
39
147
144
126
652
19
31
23
33
10
13
53
77
31
32
18
18
28
69
46
92
59
862
151
26
148
88
121
1448
42
74
55
84
32
37
103
165
69
68
44
46
60
148
116
179
126
2050
379
65
295
232
247
126
115
413
11
19
5
20
6
8
45
40
49
21
15
9
9
18
40
33
65
1511
163
16
129
75
244
267
114
379
5
20
6
16
4
12
36
34
36
11
15
12
18
23
44
33
54
1159
117
11
120
71
158
228
75
227
281
23
22
55
26
3
6
27
6
11
1
6
11
18
14
13
7
32
183
17
9
4
19
9
4
74
12
273
28
17
45
21
4
6
30
13
8
1
2
8
13
25
10
6
36
163
10
7
5
11
9
13
58
14
554
51
39
100
47
7
12
57
19
19
2
8
19
31
39
23
13
68
346
27
16
9
30
18
17
132
26
11
156
2
1
2
6
1
4
4
26
3
3
2
3
7
7
11
58
16
42
1
6
4
3
2
1
3
3
1
18
102
1
3
0
1
4
1
1
22
0
1
3
0
2
1
6
52
4
14
0
3
0
1
1
1
2
1
0
3054
99
183
165
159
75
77
222
281
237
125
77
99
189
237
219
241
369
4209
523
167
393
427
524
437
345
474
200
719
2230
71
131
123
86
41
56
163
219
130
93
63
78
148
209
153
218
248
2801
347
78
331
272
368
343
211
352
114
385
5284
170
314
288
245
116
133
385
500
367
218
140
177
337
446
372
459
617
7010
870
245
724
699
892
780
556
826
314
1104
2141928
60
Total
258
114
4
8
15
59
43
291
8
28
245796
31
11
1
1
67
72
141
3
32
Paung
83
78%
2
1
140
115
62
49
103
10
177
149
2 10
2
1
79
88
168131
53
9 27
5
3
137
70
Kyaikto
96
89%
69%
2
0
1
27
9
190
236
183
0
1
2
43
180960
87
65
3
3
0
95
Belin
149
118
8
4
1
1
8
266
267
65%
46%
3
0
253013
120
103
5
0
254253
35
29
55%
0
124
TOTAL
Thaton
380
F
Ye
85
74
125
0
137
M
7
185
226
44
3
243
F
6
414
M
176653
2
F
Thanbyuzayat
1
M
5
0
F
215484
5
M
Mudon
81
55%
17
F
4
227
91
55
M
216101
116%
Total
Kyaikmaraw
29
334
F
3
62
93
M
5
166
241
F
TOTAL
157753
M
other
273784
F
Total
Chanungzon
M
Extra Pulmonary Tuberculosis
Mawlamyaing
287
CDR
Total
Primary complex
2
New Cases F T
Smear Negative
1
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Annex 4(township list)
Population Estimated New S(+) cases
Mon State
Sr.
TOWNSHIP
Annual Report 2013
163
180599
281081
128626
273506
156157
205225
192422
98114
157797
Dagon(N)
Dagon(S)
MingalarTN
Okkala(N)
Okkala(S)
Thaketa
Thingangyun
Yankin
Tarmwe
Pazundaung
Dagon(E)
Dagon Seikkan
3
4
5
6
7
8
9
10
11
12
13
14
79404
SANCHUNG SEIKKAN DAGON PABADAN BAHAN MAYANGON LATHA LANMADAW HLAING AHLONE
4
13
12
11
10
9
8
7
6
5
Total
103586
KYINMYINDINE
68
87
204
59
47
266
134
51
38
3
135
176
48
108
3516
191
199
81
268
167
327
349
265
465
219
478
307
133
797713 1356.112
51338
119969
34450
27643
156228
78923
30252
22516
1523
28227
3
1
KAMAYUT KYAUKTADA
63654
2068327
112091
116784
2
West District
Total
77985
Dawbon
47661
40279
Botataung
2
East District
Yangon Region
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
643
35
133
32
14
100
55
23
22
4
62
101
20
42
1570
62
137
40
80
85
126
168
135
181
64
280
115
70
388
24
86
11
7
54
36
18
5
2
42
53
10
40
736
42
63
21
45
41
52
69
42
67
37
136
62
40
19
46
1031
59
219
43
21
154
91
41
27
6
104
154
30
82
2306
104
200
61
125
126
178
237
177
248
101
416
177
110
New Cases F T
27
M
76%
68%
107%
73%
45%
58%
68%
80%
71%
232%
77%
87%
63%
76%
66%
55%
101%
75%
47%
76%
54%
68%
67%
53%
46%
87%
58%
83%
67%
CDR
9
149
9
28
8
7
30
11
4
2
0
15
19
6
10
360
12
27
9
29
19
29
34
26
34
29
54
24
25
M
6
4
2
63
4
14
1
2
12
4
3
0
0
7
8
2
6
137
3
6
6
9
10
15
16
12
11
11
26
F
1
5
2
1
0
19
1
3
1
0
3
1
0
1
0
1
5
0
3
34
0
4
1
0
0
5
5
0
10
M
F
4
0
1
0
0
0
1
0
0
0
1
1
0
0
4
0
0
0
0
0
0
2
0
0
0
2
0
0
0
5
0
0
19
1
4
1
0
1
5
0
0
0
2
2
1
2
73
0
2
5
5
0
4
8
3
10
5
26
M
5
0
0
15
1
1
0
0
3
4
0
0
0
3
2
0
1
45
0
2
1
3
0
6
5
3
7
2
11
F
1300
75
270
54
30
203
117
48
30
6
133
191
39
104
2959
119
241
83
171
155
237
307
221
320
149
540
219
140
57
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
619
25
110
33
13
137
47
30
15
3
58
68
25
55
1413
58
118
30
88
19
145
94
86
190
163
216
117
53
36
M
53
31
20
350
15
67
16
9
80
33
15
4
0
32
38
13
28
867
34
61
32
61
19
109
50
59
99
104
135
F
Smear Negative
969
40
177
49
22
217
80
45
19
3
90
106
38
83
2280
92
179
62
149
38
254
144
145
289
267
351
170
84
56
Total
3
3
110
3
41
0
4
19
9
4
0
0
5
16
2
7
355
18
28
8
21
16
39
35
19
23
36
80
26
M
2
13
29
8
18
16
25
26
12
23
24
60
15
12
76
4
22
0
1
14
7
4
2
0
7
10
1
4
283
F
Primary complex
9
5
183
13
32
9
7
36
18
5
6
0
11
22
5
19
278
16
17
8
27
12
27
25
18
34
18
45
17
M
7
164
14
26
8
2
33
13
6
5
0
12
21
5
19
287
9
12
9
29
10
34
29
17
36
21
41
21
12
F
Extra Pulmonary Tuberculosis
347
27
58
17
9
69
31
11
11
0
23
43
10
38
565
25
29
17
56
22
61
54
35
70
39
86
38
21
12
Total
6
7
101
4
26
2
6
19
9
1
5
0
12
7
3
7
332
26
33
6
13
6
41
19
10
53
36
48
28
M
other M
F
TOTAL
41
2
8
2
1
9
3
4
0
0
3
6
0
3
164
11
18
3
9
3
25
6
9
32
9
18
10
5
6
1843
91
377
86
51
345
155
67
51
7
166
240
62
145
4415
192
366
107
263
157
416
388
297
535
352
754
334
167
87
1101
64
225
38
22
205
101
50
16
2
107
139
31
101
2523
112
191
80
174
99
266
203
154
275
208
429
172
104
56
2944
155
602
124
73
550
256
117
67
9
273
379
93
246
6938
304
557
187
437
256
682
591
451
810
560
1183
506
271
143
Annex 4(township list)
F
TOTAL
Annual Report 2013
166068
116147
170290
216388
161800
192995
KAWHMU
KYAUKTAN
KUNGGANGONE
KAYAN
TWANTAY
THONGWA
THANLYIN
4
5
6
7
8
9
10
164
244769
126131
191920
199432
TAIKKYI
HTANTABIN
HMAWBI
HLEGU
5
6
7
8
Grand Total
Total
6030053
1828158
0
238928
INSEIN
4
0
396124
HLAINGTHAYAR
3
NTP( Diagnostic C)
240886
SHWEPYITHA
2
U.T.I
189968
MINGALADON
1335855
0
1
North District
Total
123992
CoCo Gyun
3
156364
DALLAH
2
31811
SEIKKYIKANAUNG' T
South District
10251
3108
0
0
339
326
214
416
406
673
410
323
2271
328
275
368
289
197
282
211
0
266
54
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
753
0
0
36
50
26
100
123
214
90
114
381
107
42
47
44
32
43
20
0
38
4516 2258
1491
0
0
59
145
71
153
241
392
162
268
812
233
98
113
78
68
66
31
0
89
8
44
6774
2244
0
0
95
195
97
253
364
606
252
382
1193
340
140
160
122
100
109
51
0
127
New Cases F T
36
M
66%
72%
28%
60%
45%
61%
90%
90%
62%
118%
53%
104%
51%
43%
42%
51%
39%
24%
48%
81%
CDR
2
886
283
1
0
16
14
7
31
46
68
40
60
94
34
6
18
8
9
2
5
0
10
M
7
2
4
4
0
9
2
353
102
0
0
5
7
2
13
19
26
12
18
51
8
5
10
F
4
2
2
0
0
1
1
0
2
2
98
31
0
0
2
1
0
1
7
0
9
11
14
M
8
0
0
0
2
0
0
3
0
0
3
1
1
0
0
0
0
0
0
0
0
0
17
F
8
1
7
1
0
1
0
0
5
2
179
62
0
0
2
7
1
14
4
4
6
24
25
M
6
4
5
9
6
2
0
2
0
0
0
1
0
1
0
105
39
0
0
1
2
0
12
F
8412
2769
1
0
121
228
107
324
449
708
324
507
1384
397
154
199
138
111
117
62
0
154
52
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
4273
1641
4
0
126
104
46
173
289
424
189
286
600
156
43
64
37
36
67
36
0
134
27
M
88
17
38
21
16
50
20
0
82
16
2565
1000
4
0
74
64
23
140
153
323
100
119
348
F
Smear Negative
6838
2641
8
0
200
168
69
313
442
747
289
405
948
244
60
102
58
52
117
56
0
216
43
Total
6
1161
451
0
0
72
68
13
75
27
124
32
40
245
31
12
52
40
30
27
26
0
21
M
19
6
48
22
17
29
13
0
17
6
878
342
1
0
46
41
12
63
19
102
28
30
177
F
Primary complex
6
873
230
0
0
11
18
17
13
51
53
24
43
182
40
16
26
17
8
12
7
0
50
M
7
829
232
1
0
10
15
13
15
55
59
30
34
146
34
13
20
11
4
12
8
0
37
F
Extra Pulmonary Tuberculosis
1702
462
1
0
21
33
30
28
106
112
54
77
328
74
29
46
28
12
24
15
0
87
13
Total
2
781
245
0
0
23
7
4
27
54
75
19
36
103
34
8
11
5
3
7
6
0
27
M
other M
F
TOTAL
335
95
0
0
5
6
3
9
20
31
7
14
35
7
0
2
4
1
7
5
0
6
3
12767
4434
5
0
311
364
159
487
719
1140
481
768
2075
540
186
293
186
154
183
112
0
338
83
7340
2571
6
0
177
187
79
352
398
759
272
341
1145
266
83
167
109
72
145
71
0
190
42
20107
7005
11
0
488
551
238
839
1117
1899
753
1109
3220
806
269
460
295
226
328
183
0
528
125
Annex 4(township list)
F
TOTAL
Annual Report 2013
165
281396
328446
310977
295634
201407
313642
341121
214181
207427
347196
221135
262339
186830
Myaungmya
Laputta
Mawgyun
Wakema
Einme
Pyapon
Bogalay
Dedaye
Kyaiklatt
Maubin
Nyaungdon
Pantanaw
Danuphyu
14
15
16
17
18
19
20
21
22
23
24
25
26
6249174
107852
Laymtethna
13
Total
180592
6562
196
275
232
365
218
225
358
329
211
310
327
345
295
113
190
224
50
74
63
72
34
21
71
86
67
40
73
74
76
28
30
63
2855 1580
104
131
92
152
55
44
138
173
94
87
102
129
150
53
60
85
4435
154
205
155
224
89
65
209
259
161
127
175
203
226
81
90
148
130
68%
79%
74%
67%
61%
41%
29%
58%
79%
76%
41%
54%
59%
76%
72%
47%
66%
56%
257
23
5
7
13
4
6
8
11
5
2
2
6
16
1
6
16
7
136
9
3
3
12
2
0
4
13
2
1
3
9
11
1
7
3
4
0
5
35
2
0
0
2
0
0
3
1
0
7
1
1
2
1
0
0
0
0
0
6
0
0
0
1
0
0
0
0
1
1
0
1
2
0
0
0
0
0
0
63
0
2
2
3
4
1
6
4
0
4
0
5
4
2
0
2
0
1
0
35
0
0
0
4
0
0
7
2
1
0
2
2
3
1
0
1
0
1
0
4967
188
215
167
259
99
72
237
290
170
142
183
227
264
87
103
170
141
61
382
2317
30
58
29
122
55
60
72
139
65
41
56
89
164
30
104
82
136
50
248
51
1621
21
42
20
79
60
42
41
81
60
23
24
61
122
26
66
69
88
32
194
44
3938
51
100
49
201
115
102
113
220
125
64
80
150
286
56
170
151
224
82
442
95
171
102
14
1448
34
23
32
2
64
16
13
93
44
23
52
62
86
12
108
44
113
53
82
108
103
6
1020
27
12
17
0
40
12
9
32
46
17
38
44
53
14
75
29
88
38
73
81
70
789
6
5
16
109
11
1
38
42
13
17
30
22
63
8
5
5
79
29
44
17
17
66
677
2
6
21
80
6
4
34
26
12
11
18
26
68
3
5
7
65
19
37
15
29
45
19
52
17
1466
8
11
37
189
17
5
72
68
25
28
48
48
131
11
10
12
144
48
81
32
46
111
47
99
31
222
5
2
7
5
4
0
7
10
9
10
2
36
11
0
7
2
10
2
5
10
7
10
4
16
8
113
1
5
4
4
1
0
6
1
5
1
3
11
8
0
3
0
6
2
0
4
3
3
2
11
3
213652
Zalun
41
0
24
150
63
33
28
47
14
Ingapu
12
89
58%
92%
4
69 108
24
32
26
11
234
59
353
3
209
197
32
56
30
222740
23
105
0
0
1
50
196
91
Myanaung
36
248
1
3
6
14
84
36
10
102
385
5
0
0
36
112
55
96729
9
2
2
155
168
125
366960
80%
4
5
0
1
1
Kyankin
128
12
15
1
1
1
7986
204
226
185
408
197
128
285
473
230
191
245
350
496
107
290
236
434
171
651
283
360
295
199
337
187
5188
110
142
128
252
143
79
172
241
194
94
161
228
343
73
186
172
292
115
414
197
249
148
115
241
127
13174
314
368
313
660
340
207
457
714
424
285
406
578
839
180
476
408
726
286
1065
480
609
443
314
578
314
1390
Hinhada
44
58%
62%
0
0
0
572
9
84
188
168
1
1
2
818
8
161
80
55
5
4
5
33
153137
107
Thabaung
108
113
11
7
10
50
TOTAL
7
324
269
78%
75%
59%
57
F
308535
137
154
106
117
M
256056
51
57
39
149
F
Ngaputaw
452
M
Kyonpyaw
86
97
67
196
F
6
175
206
179
256
M
5
506
F
166406
4
M
Kyaunggon
8
F
4
0
M
196496
6
Total
170061
16
F
Yekyi
31
M
Kanyidaung
141%
F
TOTAL
3
441
M
other
2
163
F
Total
26
278
M
Extra Pulmonary Tuberculosis
298227
313
CDR
Total
Primary complex
Pathein
New Cases F T
Smear Negative
1
M
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
Annex 4(township list)
Population Estimated New S(+) cases
Ayeyarwaddy Region
Sr.
TOWNSHIP
Annual Report 2013
283
999
269916
951852
Poatpatheri
Zamutheri
Zayyartheri
Pyinmana
Tatkone
Lewei
Total
4
5
6
7
8
204625
159429
76818
73213
80682
215
167
81
77
85
30
3
28998
Dekhinatheri
61
2
58171
Oaktaratheri
Nay Pyi Taw Council
Population Estimated New S(+) cases
1
Sr.
TOWNSHIP
49
27
57
24
10
18
2
499 198
116
84
113
100
16
37
6
11
26
55
8
38
697
165
111
170
124
New Cases F T
27
M
70%
58%
52%
102%
154%
34%
65%
26%
62%
CDR
7
6
2
2
1
45
7
7
13
M
2
1
3
3
4
2
1
1
17
F
1
1
6
4
0
0
1
0
13
M
F
4
0
1
1
2
0
0
0
0
4
9
8
3
2
4
1
0
31
M
1
2
4
0
1
1
0
1
10
F
817
180
132
205
143
39
64
13
41
Total
TUBERCULOSIS
P revio usly treated cases Relapses T'after Default T'after failure
PULMONARY SMEAR POSITIVE
361
61
53
76
107
16
28
2
18
M
142
30
24
40
21
5
9
1
12
F
Smear Negative
503
91
77
116
128
21
37
3
30
Total
2
6
2
3
61
12
15
8
13
M
1
4
3
3
51
12
4
10
14
F
Primary complex
283
41
63
59
73
9
20
8
10
M
1
4
184
30
31
61
38
2
17
F
Extra Pulmonary Tuberculosis
467
71
94
120
111
11
37
9
14
Total
4
4
3
2
79
13
15
18
20
M
other
5
1
0
0
0
32
6
7
13
F
1372
255
247
301
327
55
101
25
61
M
24
51
8
32
638
130
97
189
107
F
TOTAL
2010
385
344
490
434
79
152
33
93
TOTAL
Annual Report 2013
166
167
7 12 6 4 2 3 0 3
3 6 11 10
Sagaing Region
Magway Region
Mandalay Region
Shan State (Taunggyi)
Shan State (Kengtong)
Shan State (Lashio)
Kayin State
Tanintharyi Region
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwady Region
Naypyitaw council area
Other Unit
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Country
0
Chin State
3
137
45
7
12
0
Kayah State
2
0-14 6
M
Kachin State
Region/State
1
Sr.No
Block 2
1
0
9
794
46
231
655
124
86
178
40
51
100
39
77
250
108
131
5
20
106
201
184
434
103
116
174
87
143
478
255
325
14
21
180
150
451
617 1652
42
208
455 1022
90
76
158
51
40
82
52
61
151
101
98
9
7
74
15-24 M F
240
250
572
126
145
171
97
157
491
281
354
16
28
187
108
577
805 1580
57
301
535 1044
156
89
241
41
68
90
43
84
204
130
137
5
9
79
89
677
910
300
250
443
126
181
140
80
147
391
266
349
16
24
124
651 1346
39
313
391
142
96
206
48
67
77
43
41
195
127
115
10
11
58
573
29
322
366
135
106
214
47
77
64
22
62
154
129
148
16
3
57
862
66
550
524
219
189
369
95
111
111
45
127
251
258
251
20
9
68
435
21
252
288
109
86
156
49
72
43
11
39
112
124
116
9
6
46
55 - 64 M F
496
33
359
350
155
135
265
58
81
60
22
65
182
186
209
13
7
39
337
8
168
200
105
71
117
36
45
28
12
43
110
117
107
8
4
26
65 or more M F
6775
499
2855
4516
1245
1097
2273
551
685
759
372
720
2049
1366
1626
84
109
710
M
697
4435
6774
1990
1626
3378
833
1054
1152
559
1056
2982
2102
2357
142
149
1059
T
3475 10250
198
1580
2258
745
529
1105
282
369
393
187
336
933
736
731
58
40
349
TOTAL F
Annual 2013
188 3041 2372 5990 3074 6424 2630 5859 2524 4125 1974 2715 1542 28291 14304 42595
57
2
16
23
8
5
13
10
0
9
4
6
7
8
10
F
AGE GROUP ( YEAR ) 25 - 34 35 - 44 45 - 54 M F M F M F
AGE AND SEX DISTRIBUTION OF NEW SMEAR POSITIVE TB PATIENTS
Annual Report 2013
411 288
6 Mandalay Region
7 Shan State (Taunggyi)
168 795 904 947 317 860
12 Bago Region
13 Bago Region (Pyay)
14 Mon State
15 Rakhine State
16 Yangon Region
Total
19 Other Unit
18 Naypyitaw council area 3415
60
1452
1184
435
1718
922
1026
919
454
428
199
430
488
595
799
309
86
596
PC 5-14
##### #####
2399
52
1011
767
11 Tanintharyi Region
17 Ayeyarwady Region
231
10 Kayin State
295
478
5 Magway Region
9 Shan State (Lashio)
645
4 Sagaing Region
163
369
3 Chin State
8 Shan State (Kengtong)
96
2 Kayah State
0-4 745
S/R & Other unit
1 Kachin State
Sr.No
943
50
0
11
5
0
5
5
4
744
0
6
5
2
0
1
103
0
0
2
≥15
28231
5864
112
2474
2049
752
2670
1831
1825
2430
685
729
367
720
899
1074
1547
678
182
1343
3920
1171
177
282
65
100
53
17
116
183
21
254
20
90
538
225
116
56
60
376
4280
622
122
459
160
155
119
48
196
264
33
291
28
229
657
359
166
50
71
251
3791
517
1464
1462
486
346
220
590
620
120
815
91
561
2071
1123
605
140
155
845
7825 #####
1998
218
723
1237
231
174
158
278
173
66
270
43
242
876
539
323
34
24
218
151
2
8
22
26
6
0
8
9
2
6
10
1
4
17
16
5
4
0
5
130
5
4
13
15
6
1
9
6
3
7
8
1
7
16
9
7
3
2
8
PC and TBM, Hilar cases All EP (including TBM & Hilar) TBM Total 0-4 5-14 ≥15 Total 0-4 5-14
298
108
8
17
49
4
11
6
15
1
2
2
1
9
26
19
9
1
2
8
≥15
579
115
20
52
90
16
12
23
30
6
15
20
3
20
59
44
21
8
4
21
Total
Annual 2013
3090
1109
109
251
19
75
50
7
100
69
10
119
0
57
437
188
60
12
51
367
3041
497
117
388
46
74
107
19
165
111
17
135
2
163
546
277
67
11
66
233
415
93
1
51
80
12
10
4
1
11
1
3
0
22
48
25
34
2
0
17
6545
1699
227
690
145
161
167
29
266
191
28
257
2
242
1031
490
161
25
117
617
Hilar Lymphadenopathy 0-4 5-14 ≥15 Total
NATIONAL TUBERCULOSIS PROGRAMME AGE DISTRIBUTION OF PRIMARY COMPLEX, HILAR LYMPHADENOPATHY AND TB MENINGITIS PATIENTS
Annual Report 2013
S/R & Other Units
3033 1067
6 Mandalay Region
7 Shan State (Taunggyi)
169 43203
Total
4514
16 Ayeyarwady Region
10364
6864
15 Yangon Region
18 Other Unit
2019
14 Rakhine State
710
1654
13 Mon State
17 Naypyitaw
3440
740
1077
1194
12 Bago Region
11 Tanintharyi Region
10 Kayin State
9 Shan State (Lashio)
572
2162
5 Magway Region
8 Shan State (Kengtong)
2387
148
3 Chin State
4 Sagaing Region
156
1102
28730
5106
458
2689
6339
1213
1541
2114
1121
1140
656
501
429
1761
1297
877
158
142
1188
19240
7714
82
1584
449
294
2611
1929
114
587
776
202
309
741
711
859
97
22
159
6341
1521
132
535
1328
194
143
350
142
84
251
47
114
534
363
340
41
29
193
25664
1497
9763
15184
3916
6080
8189
2172
2909
3000
1345
2086
6606
4859
4833
475
357
2707
4128 101642
959
115
441
204
196
131
356
55
21
123
23
167
537
326
370
31
8
65
Total
4997
1144
61
413
1261
150
191
367
92
88
168
69
89
346
228
168
14
7
141
Relapses
Treat-
522
93
16
43
116
23
16
25
10
23
38
5
13
33
18
28
2
3
17
1784
421
42
99
293
85
63
103
71
23
57
32
54
176
80
72
14
12
87
ment afterment after Default Failure
Treat-
CAT - 2
NOTIFIED TB PATIENTS ACCORDING TO CATEGORY OF REGIMENS
CAT-1 (HRZE/HR) Sputum Smear Sputum Negative EP severe severe Smear form lesssev form lesssev Positive
2 Kayah State
1 Kachin State
Sr.No
BLOCK - 3
5102
1198
114
346
1137
184
67
453
128
49
172
60
74
396
191
169
11
65
288
Others
12405
2856
233
901
2807
442
337
948
301
183
435
166
230
951
517
437
41
87
533
Total
Annual 2013
30080
6257
324
2957
2404
964
780
3950
1947
260
1194
203
1055
1932
1472
1580
608
322
1871
(HRZ/HR)
(Children)
34777
2054
13621
20395
5322
7197
13087
4420
3352
4629
1714
3371
9489
6848
6850
1124
766
5111
Annex-7 TOTAL
30080 144127
6257
324
2957
2404
964
780
3950
1947
260
1194
203
1055
1932
1472
1580
608
322
1871
Total
CAT - 3
Annual Report 2013
0 0 1120 22 0 0 1209 81 8336 12283
7538
7203
23622
15889
5449
39434
26986
2934
83191
325067
10 Kayin State
11 Tanintharyi Region
12 Bago Region
13 Mon State
14 Rakhine State
15 Yangon Region
16 Ayeyarwady Region
17 Naypyitaw
18 Other Unit
Country
0
11085
7 Shan State (Taunggyi)
0
1185
33733
6 Mandalay Region
9258
153
16399
5 Magway Region
9 Shan State (Lashio)
165
27088
4 Sagaing Region
0
12
1648
3 Chin State
2935
0
1903
2 Kayah State
8 Shan State (Kengtong)
0
8772
S/R & Other Units
170 57094
29394
464
4001
0
7124
918
5375
0
0
0
0
0
5448
2612
1758
0
0
0
A Number of suspects(Dx) examined by microscopy for case finding NTP MMA PSI
1 Kachin State
Sr.No
Block _ 4
50104
9683
601
4827
13163
993
1790
3912
1391
1194
1314
534
1152
3162
2283
2562
135
171
1237
2191
1355
11
329
0
0
7
184
0
0
0
0
0
262
16
19
8
0
0
6972
3560
56
509
0
1131
74
547
0
0
0
0
0
592
313
190
0
0
0
213614
42008
3533
22079
42172
3685
10277
18698
5308
6022
6038
2495
4452
18408
9628
11183
723
791
6114
6406
4214
3
115
0
0
25
1093
0
0
0
0
0
886
52
12
6
0
0
31144
15525
111
2754
0
4638
778
2557
0
0
0
0
0
2608
1190
983
0
0
0
B C Number of smear positive ptsNumber of patients detected out of examined by microscopy suspcts (Dx) for follow-up NTP MMA PSI NTP MMA PSI
LABORATORY PERFORMANCE (2013)
15401
2872
282
1154
4163
714
464
765
524
292
432
277
341
1317
558
654
57
74
461
500
341
2
16
0
0
4
41
0
0
0
0
0
83
6
1
6
0
0
2285
1309
15
162
0
231
11
159
0
0
0
0
0
282
57
59
0
0
0
Annual 2013 D Number of smear positive out of follow-up patients NTP MMA PSI
15%
12%
20%
18%
33%
18%
11%
17%
19%
16%
14%
18%
10%
9%
14%
9%
8%
9%
14%
Sputum positivity rate
Annex-8
Annual Report 2013
171
Bago Region (Pyay)
Mon State
Rakhine State
Yangon Region
Ayeyarwady Region
Naypyitaw
Other Units
13
14
15
16
17
18
19
Country
Bago Region
Shan State (Kengtong)
8
12
Shan State (Taunggyi)
7
Tanintharyi Region
Mandalay Region
6
11
Magway Region
5
Kayin State
Sagaing Region
4
10
Chin State
3
Shan State (Lashio)
Kayah State
2
9
Kachin State
Region/State
1
Sr.no
Block-5
32426
7758
514
3428
4947
1579
1199
1177
1417
628
827
838
440
819
2321
1666
1853
89
109
817
3240
1230
26
286
225
151
101
95
153
61
77
124
79
53
222
139
130
1
4
83
New smear(+) Smear not done cases Register at eighter 2or 3 in previous Q: months
24259
5541
355
2664
3996
988
941
894
1190
430
651
572
277
661
1633
1257
1470
76
77
586
75%
71%
69%
78%
81%
63%
78%
76%
84%
68%
79%
68%
63%
81%
70%
75%
79%
85%
71%
72%
3318
616
96
367
496
275
116
145
62
90
68
104
57
73
293
169
172
8
13
98
10%
8%
19%
11%
10%
17%
10%
12%
4%
14%
8%
12%
13%
9%
13%
10%
9%
9%
12%
12%
Sputum conversion at 2 month 3 month No % No %
1609
371
37
111
230
165
41
43
12
47
31
38
27
32
173
101
81
4
15
50
Remaining positive at 3 month
5%
5%
7%
3%
5%
10%
3%
4%
1%
7%
4%
5%
6%
4%
7%
6%
4%
4%
14%
6%
Remaining positive at 3 month (%)
Annual 2013
NATIONAL TUBERCULOSIS PROGRAMME SPUTUM CONVERSION OF NEW POSITIVE PULMONARY TB PATIENTS
32426
7758
514
3428
4947
1579
1199
1177
1417
628
827
838
440
819
2321
1666
1853
89
109
817
2+3+4+5
85%
79%
88%
88%
91%
80%
88%
88%
88%
83%
87%
81%
76%
90%
83%
86%
89%
94%
83%
84%
Sputum Conversion Rate
Annex -9 TOTAL
Annual Report 2013
172 10166 41033
Bago Region (Pyay)
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other Unit
Country
14
15
16
17
18
19
743
4338
5348
1880
1543
1592
1885
895
1168
13
1229
584
Bago Region
Shan State (Kengtong)
8
906
12
Shan State (Taunggyi)
7
3093
Tanintharyi Region
Mandalay Region
6
1952
11
Magway Region
5
2491
Kayin State
Sagaing Region
4
109
10
Chin State
3
98
Shan State (Las hio)
Kayah State
2
1013
TOTAL
9
Kachin State
Region/State
1
Sr.No
30262
6754
564
3182
4518
1226
1172
1163
1453
625
904
827
375
666
2385
1557
2022
89
72
708
71
594
200
376
156
235
205
99
94
134
105
110
267
162
210
12
10
123
No.
74% 4771
12%
16%
10%
14%
4%
20%
10%
15%
11%
11%
8%
11%
18%
12%
9%
8%
8%
11%
10%
12%
Rate
Completed
66% 1608
76%
73%
84%
65%
76%
73%
77%
70%
77%
67%
64%
74%
77%
80%
81%
82%
73%
70%
CR
Cured No.
Died
1
6
46
43
49
54
25
58
68
79
87
43
85% 1948
82% 460
85%
87% 213
88% 194
85%
86%
88%
88% 101
81%
85%
78%
82%
86%
86% 192
88% 101
426
36
84
212
80
46
67
23
48
16
46
27
36
135
62
67
2
4
44
47
25
75
49
37
4
3
66
71
19
76
56
70
14
4% 1958
4% 697
5%
2% 233
4% 161
4% 112
3%
4%
1%
5%
1%
Transfer
221
15
32
63
18
19
21
27
24
35
25
5
11
39
21
27
1
3
26
2%
2%
2%
1%
1%
1%
1%
1%
1%
3%
3%
2%
1%
1%
1%
1%
1%
1%
3%
3%
41033
10166
743
4338
5348
1880
1543
1592
1885
895
1168
1229
584
906
3093
1952
2491
109
98
1013
Total
Annex-10
No. Rate
5% 633
7%
2%
5%
3%
6%
5%
1%
4%
6%
6%
12%
8%
3%
2%
3%
1%
4%
3%
7%
No. Rate
Defaulted
4% 143
5%
4%
4%
3%
3%
2%
4%
4%
Rate
FaiIure No.
5% 1461
5%
6%
5%
4%
4%
5%
5%
5%
5%
4%
4%
4%
6%
6%
5%
5%
1%
6%
5%
No. Rate
90% 128
93%
84%
82%
TSR
NEW SMEAR POSITIVE TB PATIENTS
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOMES OF NEW SMEAR POSITIVE TB PATIENTS (2012 COHORT)
Annual Report 2013
Sr.
173
21 62 89 140 118
Momauk
Shw egu
Mohynin
Phakant
Mogaung
49 47 Nr.
N Jan Yan
Waingmaw
PutaO
Khaunglanbu
Nr.
Masai
Pasaung
Loikaw
Dimaw hso
Phruhso
Shataw
3
4
5
6
7
Hakha
Htantalan
Tiddim
Tunzan
Mindat
Kanpetlet
Matupi
Paletw a
2
3
4
5
6
7
8
9
Total
Falam
1
Chin State
Total
Baw lake
2
Kayah State
109
45
15
3
12
5
9
2
13
5
98
0
5
18
59
9
0
7
1013
Sumprabum
Total
Nr.
Nogmun
0
Nr.
Hsaw law
Machanbaw
2 Nr.
Chipw ay
320
Myitkyina
61
29
Tanai
75
Mansi
Reg. Pts.
Bahmo
Kachin State
Tow nships
1
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
No.
89
44
4
3
9
5
8
2
9
5
72
0
3
13
40
9
0
7
708
33
33
2
226
31
92
79
55
50
18
21
82%
98%
27%
100%
75%
100%
89%
100%
69%
100%
73%
60%
72%
68%
100%
100%
70%
70%
67%
100%
71%
51%
78%
56%
62%
81%
86%
72%
91%
CR
Cured
68
No
6
1
6
0
12
0
10
0
1
0
0
0
1
0
10
0
5
5
0
0
123
5
13
0
33
12
5
22
20
No
11%
0%
67%
0%
8%
0%
0%
0%
8%
0%
10%
0%
28%
8%
0%
0%
12%
11%
27%
0%
10%
20%
4%
16%
22%
10%
5%
21%
0%
Rate
Completed
93%
98%
93%
100%
83%
100%
89%
100%
77%
100%
84%
60%
100%
76%
100%
100%
82%
81%
94%
100%
81%
70%
82%
72%
84%
90%
90%
93%
91%
TSR
0
6
6
7
5
0
0
3
1
0
0
0
1
0
0
0
0
0
6
1
0
5
0
0
46
1
2
0
1%
0%
0%
0%
8%
0%
0%
0%
0%
0%
6%
20%
0%
8%
0%
0%
5%
2%
4%
0%
5%
0%
5%
4%
8%
8%
0%
0%
4%
Rate
Died
16
No
5
1
0
1
0
2
2
0
0
0
1
0
0
0
1
0
4
1
0
3
0
0
44
4
1
0
16
2
12
No
2%
0%
0%
0%
8%
0%
0%
0%
8%
0%
4%
20%
0%
5%
0%
0%
4%
9%
2%
0%
5%
3%
10%
4%
1%
0%
5%
0%
3%
Rate
FaiIure
5
1
1
2
0
4
1
1
0
0
0
1
0
1
0
3
0
0
3
0
0
66
1
0
0
25
12
1
18
No
4%
2%
7%
0%
0%
0%
11%
0%
8%
0%
3%
0%
0%
5%
0%
0%
7%
2%
0%
0%
8%
20%
1%
13%
6%
2%
5%
7%
0%
Rate
Def aulted
1
0
0
0
0
0
0
0
1
0
3
0
0
3
0
0
26
3
0
0
4
4
2
10
1
0
0
0
2
1%
0%
0%
0%
0%
0%
0%
0%
8%
0%
3%
0%
0%
5%
0%
0%
3%
6%
0%
0%
1%
7%
2%
7%
1%
0%
0%
0%
3%
109
45
15
3
12
5
9
2
13
5
98
0
5
18
59
9
0
7
1013
47
49
2
320
61
118
140
89
62
21
29
75
Transf ered out Total No Rate eva. Pts.
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOMES OF NEW SMEAR POSITIVE TB PATIENTS (2012 COHORT) NTP Only Annex -10(township list)
Annual Report 2013
174
Myaung
Myinmu
Shw ebo
Kanbalu
Khin-U
Kyunhla
Tabayin
Taze
Wetlet
Ye-U
Monyw a
Ayadaw
Budalin
ChaungU
Kani
Pale
Salingyi
Yinmabin
Katha
Banmauk
Htigyaing
Indaw
Kaw lin
Pinlebu
Wuntho
Kalay
Kalew a
Minkin
Tamu
Maw laik
Phaungbyin
Khamti
Homalin
Layshi
Lahel
Nanyun
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
Total
Sagaing
Sagaing Re gion
Tow nships
1
No.
Sr.
2491
7
29
7
108
90
86
28
120
25
21
253
36
42
57
44
58
16
73
52
59
78
49
57
100
45
194
55
100
47
73
27
59
75
84
43
52
142
Reg. Pts.
2022
7
19
3
100
74
40
15
102
21
19
223
31
37
54
41
33
9
61
32
48
75
46
49
83
42
156
50
90
34
57
8
56
51
64
19
41
132
No
81%
100%
66%
43%
93%
82%
47%
54%
85%
84%
90%
88%
86%
88%
95%
93%
57%
56%
84%
62%
81%
96%
94%
86%
83%
93%
80%
91%
90%
72%
78%
30%
95%
68%
76%
44%
79%
93%
CR
Cured
4
2
210
0
10
3
5
7
32
10
7
0
1
1
1
0
0
0
13
5
0
12
3
1
2
1
0
1
12
0
7
5
10
14
0
12
10
19
No
8%
0%
34%
43%
5%
8%
37%
36%
6%
0%
5%
0%
3%
0%
0%
0%
22%
31%
0%
23%
5%
1%
4%
2%
0%
2%
6%
0%
7%
11%
14%
52%
0%
16%
12%
44%
8%
1%
Rate
Completed
90%
100%
100%
86%
97%
90%
84%
89%
91%
84%
95%
89%
89%
88%
95%
93%
79%
88%
84%
85%
86%
97%
98%
88%
83%
96%
87%
91%
97%
83%
92%
81%
95%
84%
88%
88%
87%
94%
TSR
3
2
2
5
3
3
3
9
2
2
5
128
0
0
1
2
3
10
2
5
3
1
6
0
5
3
1
6
2
3
5
4
1
1
3
10
2
10
No
5%
0%
0%
14%
2%
3%
12%
7%
4%
12%
5%
2%
0%
12%
5%
2%
10%
13%
4%
10%
7%
1%
2%
5%
10%
4%
5%
5%
2%
4%
7%
11%
5%
4%
11%
5%
4%
4%
Rate
Died
4
0
0
0
2
0
1
2
3
0
0
3
7
0
5
0
1
5
1
2
0
7
1
0
5
0
67
0
0
0
0
4
1
0
1
0
0
12
No
3%
0%
0%
0%
0%
4%
1%
0%
1%
0%
0%
5%
11%
0%
0%
0%
3%
0%
1%
4%
5%
0%
0%
5%
7%
0%
3%
0%
1%
11%
1%
7%
0%
9%
1%
0%
10%
0%
Rate
FaiIure
0
0
0
0
0
0
6
1
0
0
0
1
0
0
6
0
0
1
0
0
0
2
0
0
0
1
37
0
0
0
0
2
2
1
4
0
0
10
No
1%
0%
0%
0%
0%
2%
2%
4%
3%
0%
0%
4%
0%
0%
0%
0%
0%
0%
8%
2%
0%
0%
0%
2%
0%
0%
3%
0%
0%
2%
0%
0%
0%
3%
0%
0%
0%
1%
Rate
27
0
0
0
1
0
1
0
1
1
0
1
0
0
0
2
4
0
2
0
1
1
0
0
0
0
5
2
0
0
0
0
0
0
0
3
0
2
1%
0%
0%
0%
1%
0%
1%
0%
1%
4%
0%
0%
0%
0%
0%
5%
7%
0%
3%
0%
2%
1%
0%
0%
0%
0%
3%
4%
0%
0%
0%
0%
0%
0%
0%
7%
0%
1%
2491
7
29
7
108
90
86
28
120
25
21
253
36
42
57
44
58
16
73
52
59
78
49
57
100
45
194
55
100
47
73
27
59
75
84
43
52
142
Transf ered out Total No Rate eva. Pts.
Annex -10(tow nship list) Def aulted
Annual Report 2013
Sr.
175
64
Myothit
Natmauk
Yenanchaung
Pakokku
Yesagyo
Pauk
Myaing
Seikphyu
Gantgaw
Saw
Htilin
Minbu
Ngape
Pw intphyu
Saytoketaya
Salin
Thayet
Minhla
Kanma
Sinpaukw ae
Mindon
Aunglan
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Total
53
Taundw ingyi
3
1952
75
43
55
27
66
81
98
10
94
22
94
15
13
49
46
55
125
131
92
114
138
102
Chauk
2
290
Reg. Pts.
Magw e
Magw e Region
Tow nships
1
No.
1557
62
42
54
18
62
57
67
8
91
18
71
12
12
31
39
43
52
46
93
114
70
107
129
71
80%
83%
98%
98%
67%
94%
70%
68%
80%
97%
82%
76%
80%
92%
63%
85%
78%
81%
87%
74%
87%
76%
94%
93%
70%
65%
CR
Cured
188
No
162
6
1
0
1
0
6
24
1
0
2
3
1
0
14
3
4
11
0
7
0
9
0
0
18
51
No
98%
70%
94%
78%
93%
90%
97%
91%
79%
87%
92%
92%
91%
85%
98%
87%
80%
87%
86%
94%
93%
87%
82%
TSR
8%
8%
88%
91%
2% 100%
0%
4%
0%
7%
24%
10%
0%
9%
3%
7%
0%
29%
7%
7%
17%
0%
6%
0%
10%
0%
0%
18%
18%
Rate
Completed
101
2
0
1
3
4
8
5
0
1
2
9
2
0
1
3
5
1
2
12
5
4
7
4
4
5%
3%
0%
2%
11%
6%
10%
5%
0%
1%
9%
10%
13%
0%
2%
7%
9%
2%
4%
10%
4%
4%
6%
3%
4%
6%
Rate
Died
16
No
62
1
0
0
1
0
8
1
1
1
0
6
0
1
1
0
3
0
5
8
11
2
0
1
1
10
3%
1%
0%
0%
4%
0%
10%
1%
10%
1%
0%
6%
0%
8%
2%
0%
5%
0%
9%
6%
8%
2%
0%
1%
1%
3%
Rate
FaiIure No
49
3
0
0
4
0
2
0
0
0
0
3
0
0
1
1
0
0
0
1
1
7
0
0
7
19
No
3%
4%
0%
0%
15%
0%
2%
0%
0%
0%
0%
3%
0%
0%
2%
2%
0%
0%
0%
1%
1%
8%
0%
0%
7%
7%
Rate
Defaulted
21
1
0
0
0
0
0
1
0
1
0
2
0
0
1
0
0
0
0
4
0
0
0
4
1
6
1%
1%
0%
0%
0%
0%
0%
1%
0%
1%
0%
2%
0%
0%
2%
0%
0%
0%
0%
3%
0%
0%
0%
3%
1%
2%
1952
75
43
55
27
66
81
98
10
94
22
94
15
13
49
46
55
64
53
125
131
92
114
138
102
290
Transfered out Total No Rate eva. Pts.
Annex -10(township list)
Annual Report 2013
176 94 67
Chanayetharzan
Chanmyatharzi
Maharaungmyae
Pyigyitagonn
Patheingyi
Meiktilar
Mahlaing
Tharzi
Wundw in
Myingan Kyaukpadaung
Natogyi
Ngazun
Taungtha
NyaungU
Pyin oo Lw in
Madayar
Mogok
Sintgu
Thabeikkyin
Yamethin
Pyaw bw ei
Kyaukse
Myittha
Sintgine
TadaOo
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Total
47
Aungmyaytharzan
3093
79
52
71
113
157
95
102
124
66
136
75
121
117
145
54
101
96
171
140
127
155
178
125
207
Amarapura
78
Reg. Pts.
2
Mandalay Region
Tow nships
1
No.
Sr.
2385
66
31
51
98
118
49
49
82
39
94
62
94
44
89
36
88
108
39
87
80
132
124
112
143
137
96
175
62
No
77%
84%
60%
72%
87%
75%
52%
48%
66%
59%
69%
83%
78%
66%
95%
77%
75%
74%
72%
86%
83%
77%
89%
88%
92%
77%
77%
85%
79%
CR
Cured
6
9
267
3
14
10
1
9
22
31
20
4
25
5
6
9
1
6
18
9
9
2
5
6
2
3
2
14
16
No
9%
4%
27%
14%
1%
6%
23%
30%
16%
6%
18%
7%
5%
13%
1%
13%
15%
6%
17%
2%
5%
4%
1%
2%
1%
8%
13%
3%
12%
Rate
Completed
86%
87%
87%
86%
88%
81%
75%
78%
82%
65%
88%
89%
83%
79%
96%
89%
91%
81%
89%
88%
89%
81%
90%
91%
94%
85%
90%
87%
91%
TSR 5
192
6
3
6
5
14
9
2
3
10
9
5
10
2
2
1
5
18
1
8
8
12
6
10
8
8
6
10
No
6%
8%
6%
8%
4%
9%
9%
2%
2%
15%
7%
7%
8%
3%
2%
2%
4%
12%
2%
8%
8%
7%
4%
8%
5%
4%
5%
5%
6%
Rate
Died
1
135
3
0
1
5
6
3
15
7
12
5
2
11
1
2
1
3
3
5
1
0
11
3
2
0
12
5
15
No
4%
4%
0%
1%
4%
4%
3%
15%
6%
18%
4%
3%
9%
1%
2%
2%
3%
2%
9%
1%
0%
6%
2%
2%
0%
7%
4%
7%
1%
Rate
FaiIure
0
3
1
0
9
0
2
0
5
0
3
1
5
0
0
1
5
2
1
1
75
1
1
3
1
6
10
2
12
No
2%
1%
2%
4%
1%
4%
11%
2%
10%
0%
2%
1%
0%
13%
0%
4%
0%
3%
0%
3%
1%
3%
0%
0%
1%
3%
2%
0%
1%
39
0
3
0
3
4
2
3
0
1
0
0
0
2
0
1
3
2
0
0
2
5
5
0
1
2
0
0
0
1%
0%
6%
0%
3%
3%
2%
3%
0%
2%
0%
0%
0%
3%
0%
2%
3%
1%
0%
0%
2%
3%
4%
0%
1%
1%
0%
0%
0%
3093
79
52
71
113
157
95
102
124
66
136
75
121
67
94
47
117
145
54
101
96
171
140
127
155
178
125
207
78
Transf ered out Total Rate No Rate eva. Pts.
Def aulted
Annex -10(township list)
Annual Report 2013
Hpekon
Hsiseng
14
15
177
Mongyan
Monghsat
Mongping
Mongton
Monpyak
Mongyaung
Tachileik
Matman
3
4
5
6
7
8
9
10
Total
Mongkhat
2
Shan State (Ke ngtong) 1 Kengtong
Total
Yw angan
Hopone
13
21
Taunggyi
12
Nyaungshw e
Namsan
11
20
Mongshu
Pinlaung
Mongkaing
9
10
19
Laikha
8
Pindaya
Kyeethi
7
18
Kunhein
6
Lauksauk
Loilem
5
17
Mangpang
4
Kalaw
13
Monai
3
16
38
Maukme
584
0
134
33
38
68
60
120
21
7
375
0
92
26
32
27
47
67
14
5
65
666
906 103
11
38
61
52
40
61
33
25
25
81
27
52
8
38
2
35
28
10
16
9
14
No
64%
69%
79%
84%
40%
78%
56%
67%
71%
63%
74%
79%
95%
81%
90%
75%
79%
79%
86%
60%
55%
34%
91%
62%
100%
25%
78%
88%
91%
84%
90%
82%
CR
Cured
14
40
75
58
53
77
42
29
42
146
80
57
8
45
32
11
19
10
Linhkay
2
17
Reg. Pts.
Shan State (Taunggyi)
Tow nships
1
No.
Sr.
5
5
0
4
6
2
0
1
1
0
105
17
1
5
29
1
39
1
0
12
110
0
0
8
0
1
1
4
3
3
18
48
No
18%
13%
3%
13%
43%
2%
33%
5%
0%
12%
12%
0%
0%
11%
0%
2%
1%
10%
10%
7%
12%
60%
9%
38%
0%
50%
13%
6%
0%
5%
10%
0%
Rate
Completed
82%
81%
82%
97%
82%
80%
88%
71%
71%
75%
86%
79%
95%
92%
90%
77%
81%
88%
97%
67%
68%
94%
100%
100%
100%
75%
91%
94%
91%
89%
100%
82%
TSR
4
0
0
0
2
2
1
1
2
0
2
25
7
0
0
1
3
8
1
0
5
58
3
0
4
6
5
5
2
0
4
15
No
4%
5%
0%
0%
1%
5%
7%
5%
0%
5%
6%
21%
0%
5%
10%
9%
6%
5%
0%
10%
10%
5%
0%
0%
0%
25%
4%
3%
9%
11%
0%
12%
Rate
Died
0
0
0
0
0
1
1
0
0
0
1
27
6
1
1
4
0
6
1
0
8
36
0
0
1
0
6
4
0
1
7
14
No
5%
4%
3%
3%
6%
0%
5%
5%
0%
8%
4%
0%
0%
1%
0%
11%
5%
0%
3%
17%
10%
0%
0%
0%
0%
0%
2%
3%
0%
0%
0%
6%
Rate
FaiIure
1
0
0
0
0
1
0
0
0
0
0
47
9
5
0
5
9
0
4
2
13
25
0
1
1
0
0
1
3
0
2
15
No
8%
7%
15%
0%
7%
15%
0%
19%
29%
13%
3%
0%
3%
1%
0%
0%
1%
7%
0%
5%
10%
1%
0%
0%
0%
0%
2%
0%
0%
0%
0%
0%
Rate
5
3
0
0
2
0
0
0
0
0
11
0
1
0
0
1
5
0
0
1
3
0
0
0
0
0
0
0
0
0
0
0
1%
2%
0%
0%
3%
0%
0%
0%
0%
0%
1%
0%
3%
0%
0%
2%
6%
0%
0%
2%
2%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
584
134
33
38
68
60
120
21
7
103
906
14
40
75
58
53
77
42
29
42
146
80
57
13
38
8
45
32
11
19
10
17
Transf ered out Total No Rate eva. Pts.
Annex -10(township list) Def aulted
Annual Report 2013
178
Hopan
Kyaukme
Hsipaw
Mabein
Manton
Mongmeik
Namtu
Nyaungcho
Lashio
Namsam
Mongmaw
Theinni
Mongreh
Manphant
Pangyan
Narphant
Panw aing
Tanyan
Laukkai
Kongyan
Muse
Kutkai
Namkham
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total
Kunlon
1229
51
48
93
Nr.
51
82
Nr.
Nr.
Nr.
Nr.
27
46
Nr.
13
236
35
28
63
0
16
168
139
86
47
Reg. Pts.
Shan State (Lashio)
Tow nships
1
No.
Sr.
827
34
18
44
23
39
13
40
8
126
30
15
34
0
11
163
114
78
37
No
67%
67%
38%
47%
45%
48%
48%
87%
62%
53%
86%
54%
54%
69%
97%
82%
91%
79%
CR
Cured
3
0
7
2
0
134
6
14
19
7
28
12
0
5
14
0
6
11
No
59%
86%
75%
71%
88%
97%
87%
93%
79%
TSR
11%
12%
29%
20%
14%
34%
44%
0%
78%
78%
67%
68%
59%
82%
93%
87%
38% 100%
6%
0%
21%
17%
19%
0%
5%
2%
0%
Rate
Completed
1
2
6
2
4
7
2
5
54
3
3
0
1
3
2
3
0
10
No
4%
6%
6%
0%
2%
4%
7%
7%
0%
4%
3%
7%
10%
13%
2%
5%
2%
11%
Rate
Died
2
2
6
0
0
0
0
3
46
0
6
2
0
2
0
1
0
22
No
4%
0%
13%
2%
0%
2%
0%
2%
0%
9%
6%
7%
10%
0%
0%
0%
0%
6%
Rate
FaiIure
0
3
6
0
1
8
4
2
143
8
6
22
18
10
0
2
0
53
No
12%
16%
13%
24%
35%
12%
0%
4%
0%
22%
0%
11%
10%
0%
1%
6%
5%
4%
25
0
1
6
2
0
0
0
0
11
2
0
0
0
0
3
0
0
2%
0%
2%
6%
4%
0%
0%
0%
0%
5%
6%
0%
0%
0%
0%
2%
0%
0%
1229
51
48
93
51
82
27
46
13
236
35
28
63
0
16
168
139
86
47
Transfered out Total Rate No Rate eva. Pts.
Annex -10(township list) Defaulted
Annual Report 2013
Kyainseikkyi
Myaw ady
Hpa-an
Hlaingbw e
Papun(Kamamaung)
Thandaung
2
3
4
5
6
7
Daw ei
Launglon
Thayetchaung
Yebyu
Kaw thaung
Bokpyin
Myeik
Kyunsu
Tanintharyi
Palaw
1
2
3
4
5
6
7
8
9
10
Tanintharyi Region
Total
Kaw kareik
Kayin State
Tow nships
1
No.
Sr.
179 59
50
30
262
49
157
40
36
55
157
1168
14
26
198
529
201
74
126
Reg. Pts.
33
39
27
189
31
86
33
25
44
118
904
13
20
178
432
120
53
88
No
56%
78%
90%
72%
63%
55%
83%
69%
80%
75%
77%
93%
77%
90%
82%
60%
72%
70%
CR
Cured
12
0
0
29
1
42
3
3
1
8
94
0
0
8
40
19
4
23
No
20%
0%
0%
11%
2%
27%
8%
8%
2%
5%
8%
0%
0%
4%
8%
9%
5%
18%
Rate
Completed
76%
78%
90%
83%
65%
82%
90%
78%
82%
80%
85%
93%
77%
94%
89%
69%
77%
88%
TSR
8
7
8
4
1
8
4
4
1
2
2
9
49
0
4
5
11
14
No
14%
8%
3%
3%
8%
3%
3%
6%
4%
6%
4%
0%
15%
3%
2%
7%
11%
6%
Rate
Died
0
1
3
3
2
8
0
9
0
6
7
10
16
0
0
1
1
13
No
5%
6%
7%
3%
0%
6%
0%
17%
13%
6%
1%
0%
0%
1%
0%
6%
0%
1%
Rate
FaiIure
9
6
3
3
0
16
10
12
3
0
0
9
70
0
2
6
25
22
No
5%
6%
0%
6%
20%
8%
8%
0%
0%
6%
6%
0%
8%
3%
5%
11%
12%
5%
0
1
0
12
3
4
0
0
1
3
35
1
0
0
20
13
0
1
0%
2%
0%
5%
6%
3%
0%
0%
2%
2%
3%
7%
0%
0%
4%
6%
0%
1%
59
50
30
262
49
157
40
36
55
157
1168
14
26
198
529
201
74
126
Transfered out Total Rate No Rate eva. Pts.
Defaulted
Annex -10(township list)
Annual Report 2013
Annex -10(township list) Sr.
Tow nships
Reg. Pts.
No.
Completed
Cured No
CR
No
Rate
Died TSR
No
FaiIure
Rate
No
Def aulted
Rate
No
Rate
Transf ered out Total No Rate eva. Pts.
Bago Region
180
1
Bago
407
307
75%
40
10%
85%
32
8%
8
2%
10
2%
10
2%
407
2
Daik-U
126
71
56%
44
35%
91%
6
5%
1
1%
4
3%
0
0%
126
3
Kaw a
104
88
85%
4
4%
88%
4
4%
1
1%
6
6%
1
1%
104
4
Kyauktaga
139
119
86%
9
6%
92%
6
4%
0
0%
1
1%
4
3%
139
5
Nyaunglaybin
134
104
78%
18
13%
91%
3
2%
0
0%
4
3%
5
4%
134
6
Shw ekyin
65
29
45%
26
40%
85%
2
3%
0
0%
7
11%
1
2%
65
7
Thanatpin
105
84
80%
11
10%
90%
5
5%
1
1%
2
2%
2
2%
105
8
Waw
138
119
86%
10
7%
93%
5
4%
0
0%
4
3%
0
0%
138
9
Taunggoo
147
126
86%
5
3%
89%
8
5%
3
2%
4
3%
1
1%
147
10
Kyaukkyi
50
37
74%
5
10%
84%
3
6%
1
2%
3
6%
1
2%
50
11
Oktw in
113
82
73%
11
10%
82%
5
4%
0
0%
14
12%
1
1%
113
12
Phyu
184
134
73%
17
9%
82%
18
10%
5
3%
10
5%
0
0%
184
13
Htantabin
54
49
91%
1
2%
93%
1
2%
0
0%
3
6%
0
0%
54
14
Yedashe
119
104
87%
4
3%
91%
3
3%
3
3%
4
3%
1
1%
119
1885
1453
77%
205
11%
88%
101
5%
23
1%
76
4%
27
1%
1885
Total Bago region (Pyay) 1
Pyay
206
163
79%
3
1%
81%
15
7%
18
9%
2
1%
5
2%
206
2
Paukkhaung
115
67
58%
39
34%
92%
5
4%
1
1%
1
1%
2
2%
115
3
Paungde
116
103
89%
2
2%
91%
2
2%
4
3%
3
3%
2
2%
116
4
Padaung
96
49
51%
28
29%
80%
6
6%
5
5%
3
3%
5
5%
96
5
Shw edaung
88
54
61%
18
20%
82%
7
8%
7
8%
1
1%
1
1%
88
6
Thegon
108
75
69%
18
17%
86%
6
6%
7
6%
2
2%
0
0%
108
7
Tharyarw ady
152
131
86%
5
3%
89%
10
7%
4
3%
1
1%
1
1%
152
8
Zigon
67
56
84%
9
13%
97%
1
1%
1
1%
0
0%
0
0%
67
9
Minhla
135
93
69%
21
16%
84%
10
7%
9
7%
0
0%
2
1%
135
Moenyo
85
69
81%
9
11%
92%
1
1%
3
4%
2
2%
1
1%
85
11
Okpo
88
51
58%
26
30%
88%
7
8%
3
3%
0
0%
1
1%
88
12
Gyobingauk
98
74
76%
17
17%
93%
2
2%
3
3%
1
1%
1
1%
98
13
Nattalin
129
97
75%
20
16%
91%
9
7%
0
0%
3
2%
0
0%
129
14
Latpadan
109
81
74%
20
18%
93%
6
6%
2
2%
0
0%
0
0%
109
1592
1163
73%
235
15%
88%
87
5%
67
4%
19
1%
21
1%
1592
Total
Annual Report 2013
10
Annex -10(township list) Sr.
Tow nships
Reg. Pts.
No.
Completed
Cured No
CR
No
Rate
Died TSR
No
FaiIure
Rate
No
Def aulted
Rate
No
Rate
Transf ered out Total No Rate eva. Pts.
Mon State 1
Maw lamyaing
2
Chanungzon
257
181
70%
37
14%
85%
12
5%
4
2%
19
7%
4
2%
90
79
88%
2
2%
90%
5
6%
3
3%
1
1%
0
0%
3
90
Kyaikmaraw
129
86
67%
32
25%
91%
8
6%
3
2%
0
0%
0
0%
129
4
Mudon
145
116
80%
11
8%
88%
10
7%
3
2%
4
3%
1
1%
145
5
Thanbyuzayat
117
105
90%
2
2%
91%
1
1%
3
3%
2
2%
4
3%
117
6
Ye
179
117
65%
17
9%
75%
13
7%
21
12%
8
4%
3
2%
179
7
Thaton
202
113
56%
46
23%
79%
11
5%
4
2%
28
14%
0
0%
202
8
Belin
156
142
91%
7
4%
96%
5
3%
1
1%
1
1%
0
0%
156
9
Kyaikto
108
90
83%
0
0%
83%
3
3%
3
3%
7
6%
5
5%
108
10
Paung
160
143
89%
2
1%
91%
11
7%
1
1%
1
1%
2
1%
160
1543
1172
76%
156
10%
86%
79
5%
46
3%
71
5%
19
1%
1543 200
Total
257
Rakhine State
181
1
Sittw e
200
88
44%
68
34%
78%
5
3%
9
5%
30
15%
0
0%
2
Ponngyun
79
76
96%
0
0%
96%
0
0%
0
0%
2
3%
1
1%
79
3
Kyauktaw
170
116
68%
48
28%
96%
1
1%
1
1%
4
2%
0
0%
170
4
MraukOo
222
107
48%
95
43%
91%
9
4%
2
1%
9
4%
0
0%
222
5
Minbya
147
113
77%
13
9%
86%
6
4%
10
7%
4
3%
1
1%
147
6
Myaepon
90
46
51%
34
38%
89%
8
9%
1
1%
1
1%
0
0%
90
7
Pauktaw
45
18
40%
15
33%
73%
0
0%
4
9%
7
16%
1
2%
45
8
Yatheedaung
119
102
86%
0
0%
86%
4
3%
1
1%
10
8%
2
2%
119
Maungdaw
114
67
59%
7
6%
65%
7
6%
16
14%
17
15%
0
0%
114
Buthidaung
137
94
69%
35
26%
94%
4
3%
3
2%
0
0%
1
1%
137
11
Kyaukphyu
136
96
71%
11
8%
79%
5
4%
10
7%
10
7%
4
3%
136
12
Yanbye
41
34
83%
0
0%
83%
2
5%
4
10%
0
0%
1
2%
41
13
Manaung
43
42
98%
0
0%
98%
1
2%
0
0%
0
0%
0
0%
43
14
Ann
63
35
56%
16
25%
81%
2
3%
3
5%
6
10%
1
2%
63
15
Thandw e
97
80
82%
9
9%
92%
3
3%
2
2%
2
2%
1
1%
97
16
Taunggoke
128
69
54%
25
20%
73%
7
5%
13
10%
9
7%
5
4%
128
17
Gw a
49
43
88%
0
0%
88%
4
8%
1
2%
1
2%
0
0%
49
1880
1226
65%
376
20%
85%
68
4%
80
4%
112
6%
18
1%
1880
Total
Annual Report 2013
9 10
Annex -10(township list) Sr.
Tow nships
Reg. Pts.
No.
Completed
Cured No
CR
No
Rate
Died TSR
No
FaiIure
Rate
No
Def aulted
Rate
No
Rate
Transf ered out Total No Rate eva. Pts.
Yangon Region East District
182
1
Botataung
44
40
91%
0
0%
91%
1
2%
0
0%
2
5%
1
2%
2
Daw bon
92
85
92%
0
0%
92%
2
2%
4
4%
0
0%
1
1%
92
3
Dagon(N)
151
117
77%
17
11%
89%
5
3%
4
3%
6
4%
2
1%
151
4
Dagon(S)
364
290
80%
0
0%
80%
15
4%
23
6%
33
9%
3
1%
364
5
MingalarTN
97
94
97%
1
1%
98%
0
0%
2
2%
0
0%
0
0%
97
6
Okkala(N)
221
191
86%
0
0%
86%
7
3%
13
6%
8
4%
2
1%
221
7
Okkala(S)
105
93
89%
2
2%
90%
3
3%
2
2%
1
1%
4
4%
105
8
Tharkata
217
181
83%
0
0%
83%
10
5%
15
7%
8
4%
3
1%
217
9
Thingangyun
113
91
81%
4
4%
84%
6
5%
3
3%
9
8%
0
0%
113
10
Yankin
105
94
90%
0
0%
90%
3
3%
5
5%
0
0%
3
3%
105
11
Tarmw e
103
92
89%
1
1%
90%
3
3%
5
5%
2
2%
0
0%
103
12
Pazundaung
37
29
78%
0
0%
78%
1
3%
5
14%
1
3%
1
3%
37
13
Dagon(E)
165
145
88%
7
4%
92%
3
2%
6
4%
2
1%
2
1%
165
14
Dagon Seikkan
91
76
84%
4
4%
88%
3
3%
1
1%
6
7%
1
1%
91
1905
1618
85%
36
2%
87%
62
3%
88
5%
78
4%
23
1%
1905 62
Total
44
West District 1
Kamayut
62
49
79%
0
0%
79%
3
5%
5
8%
5
8%
0
0%
2
Kyauktada
20
18
90%
0
0%
90%
0
0%
2
10%
0
0%
0
0%
20
3
Kyeemyintdaing
132
83
63%
12
9%
72%
6
5%
11
8%
16
12%
4
3%
132
4
Sanchaung
74
60
81%
4
5%
86%
2
3%
2
3%
0
0%
6
8%
74
5
Seikkan
0
0
6
Dagon
18
16
89%
0
0%
89%
1
6%
1
6%
0
0%
0
0%
18
7
Pabadan
27
23
85%
0
0%
85%
0
0%
3
11%
0
0%
1
4%
27
8
Bahan
69
64
93%
1
1%
94%
0
0%
4
6%
0
0%
0
0%
69
9
Mayangon
142
127
89%
1
1%
90%
4
3%
6
4%
2
1%
2
1%
142 16
0
Latha
16
13
81%
2
13%
94%
0
0%
1
6%
0
0%
0
0%
11
Lanmadaw
25
20
80%
1
4%
84%
0
0%
2
8%
1
4%
1
4%
25
12
Hlaing
157
153
97%
0
0%
97%
0
0%
2
1%
0
0%
2
1%
157
13
Ahlone
54
46
85%
0
0%
85%
1
2%
5
9%
1
2%
1
2%
54
796
672
84%
21
3%
87%
17
2%
44
6%
25
3%
17
2%
796
Total
Annual Report 2013
10
Annex -10(township list) Sr.
Tow nships
Reg. Pts.
No.
Completed
Cured No
CR
No
Rate
Died TSR
No
FaiIure
Rate
No
Transfered out Total Rate No Rate eva. Pts.
Defaulted
Rate
No
South District 1
Seikkyikhanaungto
2
Dallah
47
26
55%
15
32%
87%
4
9%
1
2%
1
2%
0
0%
47
123
86
70%
12
10%
80%
18
15%
1
1%
4
3%
2
2%
123
3
Cocogyun
0
0
4
Kaw hmu
42
39
93%
0
0%
93%
2
5%
1
2%
0
0%
0
0%
42
5
Kyauktan
6
Kungyangone
111
79
71%
22
20%
91%
3
3%
0
0%
4
4%
3
3%
111
85
69
81%
7
8%
89%
5
6%
2
2%
1
1%
1
1%
85
7
Kayan
100
88
88%
5
5%
93%
7
7%
0
0%
0
0%
0
0%
100
8
Tw antay
146
113
77%
15
10%
88%
11
8%
5
3%
2
1%
0
0%
146
9
Thonegw a
105
92
88%
1
1%
89%
5
5%
2
2%
5
5%
0
0%
105
Thanlyin
196
157
80%
14
7%
87%
3
2%
8
4%
8
4%
6
3%
196
955
749
78%
91
10%
88%
58
6%
20
2%
25
3%
12
1%
955
10
Total
0
183
North District Mingalardon
294
257
87%
2
1%
88%
9
3%
18
6%
4
1%
4
1%
294
2
Shw epyithar
236
182
77%
20
8%
86%
12
5%
8
3%
14
6%
0
0%
236
3
Hlaingtharyar
434
402
93%
2
0%
93%
12
3%
5
1%
9
2%
4
1%
434
4
Insein
275
245
89%
7
3%
92%
12
4%
7
3%
4
1%
0
0%
275
5
Taikkyi
172
137
80%
11
6%
86%
7
4%
17
10%
0
0%
0
0%
172
6
Htantabin
64
62
97%
0
0%
97%
1
2%
1
2%
0
0%
0
0%
64
7
Hmaw bi
133
112
84%
10
8%
92%
3
2%
4
3%
1
1%
3
2%
133
8
Hlegu
72
70
97%
0
0%
97%
1
1%
0
0%
1
1%
0
0%
72
U.T.I
7
7
100%
0
0% 100%
0
0%
0
0%
0
0%
0
0%
7
NTP (Diagnostic)
5
5
100%
0
0% 100%
0
0%
0
0%
0
0%
0
0%
5
1692
1479
87%
52
3%
90%
57
3%
60
4%
33
2%
11
1%
1692
5348
4518
84%
200
4%
88%
194
4%
212
4%
161
3%
63
1%
5348
Total Yangon Region
Annual Report 2013
1
Annex -10(tow nship list) Sr.
Tow nships
Reg. Pts.
No.
Completed
Cured No
CR
No
Rate
Died TSR
No
FaiIure
Rate
No
Def aulted
Rate
No
Rate
Transf ered out Total No Rate eva. Pts.
Aye yarw addy Re gion 1 Pathein
352
238
68%
67
19%
87%
9
3%
7
2%
22
6%
9
3%
70
58
83%
7
10%
93%
2
3%
0
0%
3
4%
0
0%
70
3 Yekyi
154
95
62%
48
31%
93%
1
1%
0
0%
10
6%
0
0%
154
4 Kyaunggon
176
137
78%
24
14%
91%
7
4%
2
1%
5
3%
1
1%
176
5 Kyonpyaw
128
83
65%
40
31%
96%
4
3%
1
1%
0
0%
0
0%
128
6 Ngaputaw
200
148
74%
31
16%
90%
11
6%
4
2%
6
3%
0
0%
200
7 Thabaung
97
68
70%
14
14%
85%
6
6%
3
3%
6
6%
0
0%
97
395
346
88%
18
5%
92%
11
3%
3
1%
9
2%
8
2%
395
2 Kanyidaung
8 Hinhada 9 Kyankin
352
88
74
84%
5
6%
90%
4
5%
1
1%
4
5%
0
0%
88
10 Myanaung
108
76
70%
19
18%
88%
4
4%
0
0%
9
8%
0
0%
108
11 Ingapu
184
178
134
75%
15
8%
84%
10
6%
6
3%
8
4%
5
3%
178
12 Zalun
82
38
46%
20
24%
71%
5
6%
2
2%
17
21%
0
0%
82
13 Laymtethna
90
71
79%
9
10%
89%
5
6%
4
4%
1
1%
0
0%
90
14 Myaungmya
242
170
70%
21
9%
79%
9
4%
8
3%
33
14%
1
0%
242
15 Laputta
249
174
70%
33
13%
83%
22
9%
6
2%
14
6%
0
0%
249
16 Maw gyun
157
134
85%
2
1%
87%
15
10%
1
1%
3
2%
2
1%
157
17 Wakema
129
83
64%
33
26%
90%
2
2%
5
4%
6
5%
0
0%
129
18 Einme
156
114
73%
16
10%
83%
10
6%
2
1%
13
8%
1
1%
156
19 Pyapon
198
155
78%
5
3%
81%
13
7%
1
1%
21
11%
3
2%
198
20 Bogalay
247
186
75%
16
6%
82%
18
7%
12
5%
13
5%
2
1%
247
21 Dedaye
56
26
46%
23
41%
88%
4
7%
1
2%
2
4%
0
0%
56
22 Kyaiklatt
106
62
58%
34
32%
91%
3
3%
3
3%
4
4%
0
0%
106
23 Maubin
241
158
66%
49
20%
86%
14
6%
6
2%
14
6%
0
0%
241
24 Nyaungdon
159
149
94%
0
0%
94%
9
6%
0
0%
1
1%
0
0%
159
25 Pantanaw
161
96
60%
43
27%
86%
9
6%
6
4%
7
4%
0
0%
161
26 Danuphyu
119
109
92%
2
2%
93%
6
5%
0
0%
2
2%
0
0%
119
4338
3182
73%
594
14%
87%
213
5%
84
2%
233
5%
32
1%
4338
Total Naypyitaw council Oaktaratheri
34
25
74%
6
18%
91%
3
9%
0
0%
0
0%
0
0%
34
2
Dekhinatheri
16
12
75%
2
13%
88%
1
6%
0
0%
1
6%
0
0%
16
3
Poatpatheri
54
37
69%
7
13%
81%
3
6%
1
2%
3
6%
3
6%
54
4
Zamutheri
42
27
64%
7
17%
81%
1
2%
2
5%
2
5%
3
7%
42
5
Zayyartheri
124
84
68%
13
10%
78%
9
7%
7
6%
4
3%
7
6%
124
6
Pyinmana
176
139
79%
7
4%
83%
9
5%
18
10%
3
2%
0
0%
176
7
Tatkone
129
102
79%
10
8%
87%
9
7%
7
5%
1
1%
0
0%
129
8
Lew ei
168
138
82%
19
11%
93%
8
5%
1
1%
0
0%
2
1%
168
743
564
76%
71
10%
85%
43
6%
36
5%
14
2%
15
2%
743
Total
Annual Report 2013
1
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF SMEAR NEGATIVE TB PATIENTS (2012 COHORT)
Annex- 11
2013 Annual SMEAR NEGATIVE TB PATIENTS Sr.No.
Region/State & Other Units
1
Kachin State
2
Total No. Reg. pts.
Completed No. Rate
No.
Died Rate
FaiIure No. Rate
Defaulted No. Rate
Transfer No. Rate
Total
185
1089
84%
83
6%
22
2%
84
6%
22
2%
Kayah State
191
155
81%
17
9%
1
1%
12
6%
6
3%
1300
3
Chin State
247
207
84%
17
7%
0
0%
19
8%
4
2%
191
4
Sagaing Region
1681
1415
84%
169
10%
7
0%
81
5%
9
1%
247
5
Magway Region
1818
1570
86%
146
8%
11
1%
78
4%
13
1%
1681
6
Mandalay Region
2408
1968
82%
271
11%
23
1%
113
5%
33
1%
1818
7
Shan State (Taunggyi)
661
550
83%
54
8%
6
1%
42
6%
9
1%
2408
8
Shan State (Kengtong)
469
417
89%
22
5%
1
0%
29
6%
0
0%
661
9
Shan State (Las hio)
1113
858
77%
62
6%
7
1%
163
15%
23
2%
469
10
Kayin State
1356
1128
83%
50
4%
0
0%
130
10%
48
4%
1113
11
Tanintharyi Region
1410
1150
82%
69
5%
5
0%
170
12%
16
1%
1356
12
Bago Region
3481
3023
87%
201
6%
16
0%
203
6%
38
1%
1410
13
Mon State
2117
1862
88%
109
5%
6
0%
116
5%
24
1%
3481
14
Rakhine State
1296
1116
86%
69
5%
6
0%
95
7%
10
1%
2117
15
Yangon Region
7203
6493
90%
270
4%
52
1%
287
4%
101
1%
1296
16
Ayeyarwaddy Region
4198
3483
83%
259
6%
8
0%
369
9%
79
2%
7203
17
Naypyitaw council area
408
317
78%
46
11%
6
1%
26
6%
13
3%
4198
18
Other Units
9972
8188
82%
611
6%
114
1%
776
8%
283
3%
408
41329
34989
85%
2525
6%
291
1%
2793
7%
731
2%
9972
Country
Annual Report 2013
1300
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF RELAPSES (2012 COHORT)
Annex - 12
Annual 2013 RELAPSE CASES
Sr.No.
Region/State & Other Units
Total
Cured
No. 1
Kachin State
2
Completed
Rate
No.
Rate
Died
No.
FaiIure
Rate
No.
Defaulted
Rate
No.
Transferred out
Rate
No.
Total
Rate
186
106
65
61%
13
12%
9
8%
11
10%
5
5%
3
3%
106
Kayah State
5
2
40%
0
0%
1
20%
0
0%
0
0%
2
40%
5
3
Chin State
6
5
83%
0
0%
0
0%
0
0%
0
0%
1
17%
6
4
Sagaing Region
196
130
66%
22
11%
16
8%
18
9%
6
3%
4
2%
196
5
Magway Region
139
93
67%
17
12%
13
9%
7
5%
9
6%
0
0%
139
6
Mandalay Region
317
210
0%
30
0%
32
0%
28
0%
10
0%
7
0%
317
7
Shan State (Taunggyi)
61
40
66%
12
20%
6
10%
1
2%
2
3%
0
0%
61
8
Shan State (Kengtong)
61
36
59%
12
20%
2
3%
3
5%
6
10%
2
3%
61
9
Shan State (Las hio)
115
68
59%
21
18%
8
7%
6
5%
12
10%
0
0%
115
Kayin State
83
52
63%
6
7%
10
12%
1
1%
9
11%
5
6%
83
11
Tanintharyi Region
79
38
48%
13
16%
10
13%
3
4%
12
15%
3
4%
79
12
Bago Region
340
205
60%
48
14%
43
13%
20
6%
17
5%
7
2%
340
13
Mon State
150
92
61%
18
12%
17
11%
13
9%
6
4%
4
3%
150
14
Rakhine State
115
59
51%
25
22%
8
7%
2
2%
17
15%
4
3%
115
15
Yangon Region
1230
804
65%
73
6%
138
11%
119
10%
72
6%
24
2%
1230
16
Ayeyarwaddy Region
317
187
59%
48
15%
37
12%
18
6%
24
8%
3
1%
317
17
Naypyitaw council area
51
36
71%
4
8%
4
8%
3
6%
1
2%
3
6%
51
18
Other Units
1169
668
57%
154
13%
117
10%
95
8%
70
6%
65
6%
1169
Country
4540
2790
61%
516
11%
471
10%
348
8%
278
6%
137
3%
4540
Annual Report 2013
10
187 104 514
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other Unit
country
12
13
14
15
16
17
18
10
35
120
16
7
39
23
8
24
Tanintharyi Region
14
20
11
Shan State (Taunggyi)
7
29
Kayin State
Mandalay Region
6
20
10
Magway Region
5
20
Shan State (Las hio)
Sagaing Region
4
0
9
Chin State
3
5
Shan State (Kengtong)
Kayah State
2
20
TOTAL
8
Kachin State
Region/State & Other Units
1
Sr.No.
Annual 2013
236
36
6
18
70
3
5
21
9
4
7
5
9
15
9
6
0
2
11
No.
46%
35%
60%
51%
58%
19%
71%
54%
39%
50%
29%
36%
45%
52%
45%
30%
40%
55%
CR
Cured
101
18
1
10
13
4
1
10
7
2
9
4
5
4
4
7
2
0
No.
20%
17%
10%
29%
11%
25%
14%
26%
30%
25%
38%
29%
25%
14%
20%
35%
40%
0%
Rate
Completed
65
18
2
3
10
3
0
5
3
1
3
2
3
3
3
4
0
2
No.
13%
17%
20%
9%
8%
19%
0%
13%
13%
13%
13%
14%
15%
10%
15%
20%
0%
10%
Rate
Died
31
10
0
0
11
0
0
0
0
0
0
0
2
2
2
1
0
3
No.
6%
10%
0%
0%
9%
0%
0%
0%
0%
0%
0%
0%
10%
7%
10%
5%
0%
15%
Rate
FaiIure
TREATMINT AFTER DEFAULT
63
14
0
4
11
6
1
2
4
0
5
3
1
3
2
2
1
4
No.
12%
13%
0%
11%
9%
38%
14%
5%
17%
0%
21%
21%
5%
10%
10%
10%
20%
20%
Rate
Defaulted
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF TREATMENT AFTER DEFAULT (2012 COHORT)
18
8
1
0
5
0
0
1
0
1
0
0
0
2
0
0
0
0
No.
4%
8%
10%
0%
4%
0%
0%
3%
0%
13%
0%
0%
0%
7%
0%
0%
0%
0%
Rate
Transfer
514
104
10
35
120
16
7
39
23
8
24
14
20
29
20
20
0
5
20
Total
Annex- 13
Annual Report 2013
188 472 1684
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other Units
Country
12
13
14
15
16
17
18
44
79
313
70
71
97
40
20
44
Tanintharyi Region
33
39
11
Shan State (Taunggyi)
7
159
Kayin State
Mandalay Region
6
71
10
Magway Region
5
70
Shan State (Lashio)
Sagaing Region
4
5
9
Chin State
3
1
Shan State (Kyengtong)
Kayah State
2
56
TOTAL
8
Kachin State
Region/State & Other Units
1
Sr.No.
Annual 2013
814
202
29
41
120
37
40
50
17
6
27
11
23
98
46
35
3
1
28
No.
48%
43%
66%
52%
38%
53%
56%
52%
43%
30%
61%
33%
59%
62%
65%
50%
60%
100%
50%
CR
Cured
162
60
0
6
21
12
7
6
5
4
3
7
5
11
3
7
1
0
4
No.
10%
13%
0%
8%
7%
17%
10%
6%
13%
20%
7%
21%
13%
7%
4%
10%
20%
0%
7%
Rate
Completed
168
55
5
7
39
2
4
14
1
4
3
2
3
9
4
11
0
0
5
No.
10%
12%
11%
9%
12%
3%
6%
14%
3%
20%
7%
6%
8%
6%
6%
16%
0%
0%
9%
Rate
Died
302
71
7
11
101
12
11
10
10
0
3
4
4
27
11
9
1
0
10
No.
18%
15%
16%
14%
32%
17%
15%
10%
25%
0%
7%
12%
10%
17%
15%
13%
20%
0%
18%
Rate
FaiIure
TREATMENT AFTER FAILURE
175
57
1
10
21
7
9
7
6
5
8
9
2
13
6
7
0
0
7
No.
10%
12%
2%
13%
7%
10%
13%
7%
15%
25%
18%
27%
5%
8%
8%
10%
0%
0%
13%
Rate
Defaulted
NATIONAL TUBERDULOSIS PROGRAMME TREATMENT OUTCOME OF TREATMENT AFTER FAILURE (2012 COHORT)
63
27
2
4
11
0
0
10
1
1
0
0
2
1
1
1
0
0
2
No.
4%
6%
5%
5%
4%
0%
0%
10%
3%
5%
0%
0%
5%
1%
1%
1%
0%
0%
4%
Rate
Transfer
1684
472
44
79
313
70
71
97
40
20
44
33
39
159
71
70
5
1
56
Total
Annex- 14
Annual Report 2013
1206 4687
Chin State
Sagaing Region
Magway Region
Mandalay Region
Shan State (Taunggyi)
Shan State (Kengtong)
Shan State (Las hio)
Kayin State
Tanintharyi Region
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other
Country
3
4
5
6
7
8
9
189
10
11
12
13
14
15
16
17
18
68
301
1092
123
38
343
85
23
136
54
80
407
208
175
19
59
Kayah State
2
270
Total
Kachin State
Region/State & Other Units
1
Sr.No.
297
8
9
3
54
11
0
33
9
1
30
35
3
12
9
18
0
10
52
6%
1%
13%
1%
5%
9%
0%
10%
11%
4%
22%
65%
4%
3%
4%
10%
0%
17%
19%
Rate
Cured
No.
3148
698
45
233
812
95
29
232
51
15
70
10
53
318
147
124
14
37
165
67%
58%
66%
77%
74%
77%
76%
68%
60%
65%
51%
19%
66%
78%
71%
71%
74%
63%
61%
Rate
Completed
No.
623
255
8
28
97
10
6
47
8
3
9
3
7
50
39
23
3
5
13%
21%
12%
9%
9%
8%
16%
14%
9%
13%
7%
6%
9%
12%
19%
13%
16%
8%
8%
Rate
Died
22
No.
0
0
4
0
0
1
5
3
1
4
0
1
0
7
83
36
1
0
20
No.
2%
3%
1%
0%
2%
0%
0%
1%
0%
0%
1%
9%
4%
0%
2%
0%
5%
0%
3%
Rate
FaiIure
OTHER CASES
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF OTHER CASES (2012 COHORT)
407
145
2
35
81
7
3
23
15
3
21
1
8
23
8
9
1
3
19
9%
12%
3%
12%
7%
6%
8%
7%
18%
13%
15%
2%
10%
6%
4%
5%
5%
5%
7%
Rate
Defaulted
No.
0
0
4
2
1
5
0
6
3
1
1
0
4
5
129
64
3
2
28
No.
3%
5%
4%
1%
3%
0%
0%
1%
2%
4%
4%
0%
8%
1%
0%
1%
0%
7%
2%
Rate
Transfer out
Annual 2013
4687
1206
68
301
1092
123
38
343
85
23
136
54
80
407
208
175
19
59
270
Total
Annual Report 2013
190
Country
18 Other Units
7624
112
2562
2409
682
2091
3720
1837
907
579
510
602
952
1004
2617
373
301
1123
96%
96%
92%
96%
97%
91%
96%
97%
93%
90%
88%
94%
96%
96%
96%
98%
97%
99%
95%
Completed No Rate
162
47
0
13
9
7
6
25
6
5
3
2
3
10
9
14
2
0
1
Died
PRIMARY COMPLEX
31365 30005
7955
122
2669
16 Ayeyarwaddy Region
17 Naypyitaw council area
2472
2173
13 Mon State
15 Yangon Region
3854
12 Bago Region
750
1975
11 Tanintharyi Region
14 Rakhine State
1003
10 Kayin State
657
9 Shan State (Lashio)
626
7 Shan State (Taunggyi) 542
992
6 Mandalay Region
8 Shan State (Kengtong)
1047
5 Magway Region
385
3 Chin State 2660
305
2 Kayah State
4 Sagaing Region
1178
Reg. pts.
Total No.
1 Kachin State
Sr.No.
Region/State& Other units
968
197
8
79
39
47
74
98
128
59
63
29
18
26
32
27
6
1
37
3%
2%
7%
3%
2%
6%
3%
3%
6%
6%
10%
5%
3%
3%
3%
1%
2%
0%
3%
Defaulted No Rate
230
87
2
15
15
14
2
11
4
32
12
1
3
4
2
2
4
3
17
31365
7955
122
2669
2472
750
2173
3854
1975
1003
657
542
626
992
1047
2660
385
305
1178
Transfer Total out
430
32
7
15
114
12
9
57
10
11
30
8
12
43
33
22
2
0
13
Reg. pts.
345
28
5
9
98
9
7
47
8
5
23
8
7
32
30
17
2
0
10
ted
45
1
2
4
8
1
1
5
0
4
3
0
2
8
2
3
0
0
1
32
3
0
1
6
2
1
5
2
1
4
0
3
3
0
0
0
0
1
8
0
0
1
2
0
0
0
0
1
0
0
0
0
1
2
0
0
1
430
32
7
15
114
12
9
57
10
11
30
8
12
43
33
22
2
0
13
Total No. Comple- Died Defaulted Transfer Total
TB MENINGITIS
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF PRIMARY COMPLEX AND TB MENINGITIS (2012 COHORT) Annual 2013
Annual Report 2013
191 2536 8905
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other Units
Country
12
14
15
16
17
18
19
157
965
238
242
253
209
341
49
217
Tanintharyi Region
16
304
11
Shan State (Taunggyi)
7
1285
Kayin State
Mandalay Retion
6
689
10
Magway Region
5
310
Shan State (Las hio)
Sagaing Region
4
34
9
Chin State
3
6
Shan State (Kengtong)
Kayah State
2
1054
Total No. Reg. pts.
8
Kachin State
Region/State & Other Units
1
Sr.No.
8534
2458
149
891
234
232
240
194
314
46
194
16
290
1248
668
305
30
6
1019
96%
97%
95%
92%
98%
96%
95%
93%
92%
94%
89%
100%
95%
97%
97%
98%
88%
100%
97%
Completed No. Rate
2
0
5
1
0
0
3
0
0
2
0
0
4
1
0
2
0
2
0%
0%
0%
1%
0%
0%
0%
1%
0%
0%
1%
0%
0%
0%
0%
0%
6%
0%
0%
Died Rate
22
No.
7
0
0
5
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0%
0%
0%
1%
0%
0%
0%
0%
0%
0%
0%
0%
1%
0%
0%
0%
0%
0%
0%
FaiIure No. Rate
249
64
4
24
3
10
11
9
26
2
20
0
9
21
16
4
2
0
24
3%
3%
3%
2%
1%
4%
4%
4%
8%
4%
9%
0%
3%
2%
2%
1%
6%
0%
2%
Defaulted No. Rate
HILAR LYMPHADENOPATHY TB PATIENTS
93
12
4
40
0
0
2
3
1
1
1
0
3
12
4
1
0
0
9
1%
0%
3%
4%
0%
0%
1%
1%
0%
2%
0%
0%
1%
1%
1%
0%
0%
0%
1%
8905
2536
157
965
238
242
253
209
341
49
217
16
304
1285
689
310
34
6
1054
Total
Annual 2013
Transfer No. Rate
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF HILAR LYMPHADENOPATHY TB PATIENTS (2012 COHORT)
Annual Report 2013
192
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarwaddy Region
Naypyitaw council area
Other Units
12
13
14
15
16
17
18
Country
Tanintharyi Region
11
Shan State (Taunggyi)
7
Kayin State
Mandalay Region
6
10
Magway Region
5
Shan State (Lashio)
Sagaing Region
4
9
Chin State
3
Shan State (Kengtong)
Kayah State
2
8
Kachin State
6545
418
181
142
373
117
15
157
576
12
621
81
220
1895
240
230
146
29
1092
Region/State & Other Units Total No. Reg. pts.
1
Sr.No.
6082
319
173
129
351
102
14
149
512
11
561
66
209
1826
229
217
138
24
1052
93%
76%
96%
91%
94%
87%
93%
95%
89%
92%
90%
81%
95%
96%
95%
94%
95%
83%
96%
Completed No. Rate
5
4
2
4
3
120
39
4
5
5
3
0
4
14
0
6
5
1
2%
9%
2%
4%
1%
3%
0%
3%
2%
0%
1%
6%
0%
1%
2%
2%
1%
14%
0%
Died Rate
16
No.
4
2
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0%
0%
0%
0%
0%
0%
0%
0%
0%
8%
0%
0%
0%
0%
0%
0%
0%
0%
0%
FaiIure No. Rate
EP < 15
243
28
1
8
14
11
0
3
45
0
48
8
9
28
5
8
1
0
26
4%
7%
0%
6%
4%
9%
0%
2%
8%
0%
8%
10%
4%
1%
2%
3%
1%
0%
2%
96
30
3
0
3
1
1
1
5
0
5
2
1
25
1
1
5
1
11
1%
7%
0%
0%
1%
1%
7%
1%
1%
0%
1%
2%
0%
1%
0%
0%
3%
3%
1%
Transfer No. Rate
Annual 2013
Defaulted No. Rate
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF EP 15
365
153
5
43
28
24
11
13
0
6
0
0
11
21
23
10
0
3
14
5%
9%
3%
6%
2%
10%
6%
3%
8%
4%
2%
4%
2%
0%
14%
7%
123
49
2
15
22
1
3
6
0
1
0
0
4
13
1
2
1
1
2
2%
3%
1%
2%
2%
0%
2%
1%
1%
2%
1%
0%
0%
4%
5%
1%
Transfer No. Rate
Annual 2013
Defaulted No. Rate
NATIONAL TUBERCULOSIS PROGRAMME TREATMENT OUTCOME OF EP>15 TB PATIENTS (2012 COHORT)
7298
1785
158
696
1253
233
187
447
0
72
0
0
257
948
593
424
25
21
199
Total
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Sr.No
62
21
377
26 3 6
47
682
80
4
36
MSF-CH (Daw ei)
Central Jail Mandalay
Medecins du monde
194 8 6
15 1 9
20
12
30
1
2
24
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
0 9 8 4 9 0
32
3
23
20
22
34
0
34
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
1 1
0
4
Yangon Children Hospital
Latha Dx Center
13
13
45
22
40
3
12
27
4
8
34
M
3
25
1
0
7
0
3
28
F
Relapses
5
1
12
20
66
0
43
26
28
32
3
44
11
2
45
18
29
4
42
7
106
1059
68
53
88
0
0
3
4
0
0
5
5
4
1
0
1
10
2
12
8
1
1
10
2
9
55
10
0
10
0
0
0
0
0
0
2
1
2
0
0
1
4
0
4
2
1
0
1
0
3
27
1
2
1
7134 504 199
209
768
77
37
142
T
M
T'after Default
Old Cases
SMEAR POSITIVE
22
43
1
0
0
1
0
34
0
0
0
0
0
0
1
0
0
0
0
1
1
1
5
1
0
0
0
0
0
2
0
3
1
0
0
0
0
0
0
4
0
0
0
0
1
0
0
7
0
0
0
1
0
24
12
3
0
7
4 121
1
1
0
0
1
0
0
0
M
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
8
13
0
1
3
58
8
19
1
0
2
0
0
23
F
Trt after failure
384
512
54
96
220
9
6
21
M
196
314
39
10
115
5
1
17
F
5
1
15
24
66
0
56
32
34
33
3
49
26
5
77
33
31
5
54
12
156
1176
86
61
113
2
5
8
32
60
0
68
90
71
17
23
52
14
11
113
13
15
27
52
17
44
549
26
16
87
1
11
4
22
26
0
8
7
36
9
5
32
20
8
65
19
19
10
3
10
24
353
19
13
28
8030 4323 3079
269
909
85
49
180
18
24
173
Total
Smear Negative
3
16
12
54
86
0
76
97
107
26
28
84
34
19
178
32
34
37
55
27
68
902
45
29
115
7402
580
826
93
106
335
14
7
38
Total
72 23 281 139 11890 7037 4528 11565
0
0
0
0
0
0
1
0
0
0
0
1
0
0
4
4
0
0
0
0
6
8
4
2
3
10
4
13
2
0
1
0
0
9
F
TUBERCULOSIS
Case Finding Activities PULMONARY
6775 3475 10250 807 318
4
8
Total
3
17
Maw lamyine general hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
Pathein General Hospital
0
4
21
New YGH
Thingangyun Sanpya Hos:
AHRN (Shan North) Laukkai, Lashio
MMA
18
35
24
64
MSF-H (Rakhine)
4693 2441
MSF-H (Shan-north)
PSI
147
16
61
1000 bedded hospital (Naypyitaw )
MSF-H (Kachin)
0
37
No.1MBH (PyinOoLw in)
278
53
89
Mingalardon Hos:
490
3
10
East YGH
MSF-H (Ygn)
1
12
Patheingyi Hos:
F
New Cases
16
M
29
Other Units
Aung San Hos:
Block 1
M 0
1
3
35
37
12
47
38
F
0
13
2
0
78
3
1
8
8
1
6
20
0
1
10
7
0
0
0
1
0
231
1
4
1
3
3
2
4
7
4
27
5
56
5
15
59
3
40
2
3
172
4
16
43
15
14
15
147
34
6
15
905
87
250
14
36
262
12
M
8
0
3 1
0
9
1
16
149
91
383 150
30
49
2
6
1
0
19
4
8
5
8
36
1
44
12
4
83
9
16
6
2
9
7
115
20
5
7
4
10
8
4
46
9
64
10
23
95
4
84
14
7
255
13
32
49
17
23
22
262
54
11
22
0
7
0
5
0
0
14
9
17
0
0
6
6
1
91
0
4
15
12
11
13
27
10
14
15
0
7
0
3
0
0
1
2
1
1
0
5
0
0
41
0
0
1
2
6
7
18
4
6
8
68
33
73
2
3
59
0
1
10
F
Other M
450 162
20
3
6
Total
865 1770 114
62
133
16
13
188
F
Extra Pulmonary TB
3302 2524 2285 1717 4002 821 362
0
12
0
0
133
7
0
0
8
0
6
48
0
1
6
11
0
0
0
0
3
359
1
0
1
2485 1955
2
57
55
18
57
30
2
0
Primary complex
Annual 2013
759
1555
191
215
818
67
31
139
4
38
11
28
155
7
30
27
63
56
12
123
46
15
223
44
44
17
14
32
75
1136
66
52
73
8669
368
878
112
38
21380 13086
8
28
26
62
254
12
182
131
135
100
35
173
34
19
435
52
57
90
126
48
194
1839
135
73
202
54
6
98
472
F
Total
13155
M
Annex-20
34466
12
66
37
90
409
19
212
158
198
156
47
296
80
34
658
96
101
107
140
80
269
2975
201
125
275
21824
1127
2433
303
253
1290
121
37
237
TOTAL
Annual Report 2013
195
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
24
25
26
27
28
29
30
31
32
33
34
Total
Pathein General Hospital
23
Thingangyun Sanpya Hos:
15
Htantabin TB hospital
AHRN (Shan North) Laukkai, Lashio
14
22
MMA
13
Insein general hospital
MSF-CH (Daw ei)
12
21
MSF-H (Rakhine)
11
Tharketa HIV hospital
MSF-H (Shan-north)
10
West YGH
PSI
9
20
MSF-H (Kachin)
8
19
MSF-H (Ygn)
7
New YGH
1000 bedded hospital (Naypyitaw )
6
Medecins du monde
No.1MBH (PyinOoLw in)
5
18
Mingalardon Hos:
4
17
East YGH
3
Central Jail Mandalay
Patheingyi Hos:
2
16
Aung San Hos:
Other Unit
1
Sr.No
Block 2
M
45
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
0
35
1
2
1
0
0
0
0
0
0-14 F
57
0
1
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
3
1
0
0
44
1
4
0
0
0
0
0
0
21
43
4
2
3
2
2
2
15-24
793
0
0
2
1
5
0
2
4
2
3
0
1
0
0
0
3
1
1
3
0
14
89
3
6
2
572
M
7
35
2
0
7
2
0
4
616
0
0
1
0
1
0
2
1
1
0
0
3
0
0
0
1
2
0
0
0
10
87
0
3
1
446
F
23
13
33
3
4
10
1651
0
0
1
6
4
0
7
8
5
5
1
4
1
1
14
0
7
2
14
2
31
146
18
10
15
1040
48
175
M
POSITIVE
8
0
24
0
0
4
804
0
0
2
0
3
0
1
1
1
4
0
6
6
1
7
2
2
0
5
3
3
74
5
2
10
510
20
100
F
16
11
34
3
0
4
1579
0
0
1
3
8
0
5
6
1
7
2
10
0
0
11
3
6
1
8
0
21
139
13
11
20
1028
47
160
M
11
74
4
0
18
1
0
1
650
0
0
0
0
9
0
2
1
3
3
0
3
0
0
6
1
0
0
1
0
5
62
7
5
9
424
F
35 - 44
23
72
8
8
15
2
0
1
1346
0
0
4
2
4
0
7
3
4
4
0
4
1
0
3
4
3
0
8
1
17
149
11
9
7
972
M
572
0
0
0
1
4
0
1
0
1
1
0
4
2
0
1
2
1
0
0
0
5
55
7
4
2
423
16
35
1
0
4
0
1
1
862
0
0
1
2
3
0
2
1
6
3
0
2
0
0
2
0
1
0
0
1
13
101
1
5
0
661
7
29
8
2
3
0
3
5
5
22
1
0
0
0
0
5
434
0
0
1
1
7
0
0
1
1
0
0
2
1
0
1
0
2
0
0
0
2
48
1
0
0
333
F
55 - 64 M
CASES
F
45 - 54
AGE GROUP ( YEAR )
OF NEW SMEAR
25 - 34
AGE DISTRIBUTION
0
9
1
1
1
0
3
7
496
0
0
0
1
10
0
0
0
2
1
0
3
0
0
0
1
3
0
3
0
4
56
0
5
0
385
M
2
8
0
0
0
0
0
1
336
0
0
0
1
6
0
0
0
1
1
0
2
0
0
0
1
1
0
0
0
2
48
0
1
0
261
F
65 or more
61
37
89
10
12
29
6772
0
0
9
17
34
0
23
22
20
23
3
24
2
1
30
11
21
4
36
4
100
682
47
47
44
4693
147
490
M
Annual 2013
16
0
53
3
1
16
3469
0
1
4
3
32
0
6
4
8
9
0
20
9
1
15
7
8
0
6
3
28
377
21
15
22
2441
62
278
F
TOTAL
13
13
45
10241
0
1
13
20
66
0
29
26
28
32
3
44
11
2
45
18
29
4
42
7
128
1059
68
62
66
7134
209
768
77
37
142
T
Annual Report 2013
196
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
24
25
26
27
28
29
30
31
32
33
34
Total
Pathein General Hospital
23
Thingangyun Sanpya Hos:
15
Htantabin TB hospital
AHRN (Shan North) Laukkai, Lashio
14
22
MMA
13
Insein general hospital
MSF-CH (Daw ei)
12
21
MSF-H (Rakhine)
11
Tharketa HIV hospital
MSF-H (Shan-north)
10
20
PSI
9
West YGH
MSF-H (Kachin)
8
19
MSF-H (Ygn)
7
New YGH
1000 bedded hospital (Naypyitaw )
6
18
No.1MBH (PyinOoLw in)
5
Medecins du monde
Mingalardon Hos:
4
17
East YGH
3
Central Jail Mandalay
Patheingyi Hos:
2
16
Aung San Hos:
Other Units
1
Sr.No
1
31
57
20
27
45
0
0 2
0
0
3415
2399
41
2
0
90
4
0
0
8
1
6
16
0
0
7
7
0
0
0
0
3
344
1
0
1
2685
2
50
35
10
77
23
5-14
0
1
0
0
122
6
1
8
8
0
6
52
0
1
9
11
0
0
0
1
0
245
1
0
0
1746
0-4
PC
50
0
0
3
23
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
9
2
11
0
0
0
0
0
0
≥15 2
0
5864
0
42
5
23
212
10
1
8
16
1
12
68
0
1
16
18
0
0
0
1
3
590
2
0
2
4440
5
92
92
30
104
68
Total
0
0
0
7
0
0
1171
0
0
0
0
8
8
1
0
0
44
1
1
0
0
2
0
0
0
0
1
0
69
1
2
1
988
22
15
0-4
622
0
24
0
0
20
1
6
0
1
23
1
1
0
0
4
0
0
1
0
0
0
92
1
3
1
400
6
18
1
12
0
6
0
0
5-14
6
2
5
1998
0
0
8
3
7
0
36
8
22
28
0
82
3
1
249
2
0
44
4
22
14
101
59
11
20
382
123
350
29
37
340
≥15
All EP (including TBM & Hilar)
2
5
3791
0
24
8
3
35
9
43
8
23
95
2
84
3
1
255
2
0
45
4
23
14
262
61
16
22
1770
151
383
30
49
340
19
Total
2
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0-4
5
0
0
0
1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
5-14
TBM
PC and TBM & Hilar cases
Primary complex cases, Hilar and TB meningitis cases by age group
0
1
0
108
0
0
1
0
0
0
0
0
4
3
0
4
0
0
24
0
0
1
0
3
0
0
2
0
2
0
9
15
0
2
37
≥15
115
0
0
1
1
0
0
0
0
4
5
0
5
0
0
24
0
0
1
0
4
0
1
2
0
2
0
9
16
0
2
37
0
1
0
Total
0-4
1109
0
0
0
0
0
0
1
0
0
44
0
0
0
0
0
0
0
0
0
0
0
65
0
0
0
985
14
0
0
0
0
0
0
0
497
0
0
0
0
0
0
3
0
0
21
0
0
0
0
0
0
0
0
0
0
0
82
0
0
0
376
3
0
1
11
0
0
0
0
5-14
Hilar Lymphadenopathy
Annual 2013
93
0
0
0
0
0
0
22
0
0
0
0
3
3
0
8
2
0
1
0
3
0
3
15
0
0
17
4
12
0
0
0
0
0
0
≥15
0
0
0
0
1699
0
0
0
0
0
0
26
0
0
65
0
3
3
0
8
2
0
1
0
3
0
150
15
0
0
1378
21
12
1
11
Total
Annual Report 2013
197
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
Other Units
2
3
1
Sr.No
BLOCK -
10364
0
0
12
19
65
0
31
26
28
32
3
44
11
2
60
18
29
5
48
7
128
1061
68
87
67
7195
223
768
77
37
142
13
5106
0
0
12
52
51
0
16
91
78
10
19
52
32
18
175
28
25
38
60
23
20
786
10
53
164
1591
611
614
55
0
382
5
6
29
f orm
13
severe
Positive 45
CAT
-
1
f orm
7714
0
0
0
3
198
0
47
5
40
17
10
18
1
1
47
20
9
0
2
4
12
140
37
2
0
6624
0
225
36
108
50
48
0
10
0
0
8
4
9
2
7
7
18
16
2
43
11
6
184
11
22
49
11
18
8
48
16
13
25
90
154
263
15
0
450
4
1
6
1521
f orm
less severe severe
Smear negative
Smear
Sputum
Other Unit
f orm
959
0
0
0
0
33
0
40
1
5
23
0
37
1
1
85
2
10
0
7
5
13
77
38
0
0
405
0
106
8
43
0
16
3
0
less severe
EP
86
23
90
25664
0
0
32
78
356
2
141
130
169
98
34
194
56
28
551
79
95
92
128
57
181
2112
169
155
256
15905
988
1976
191
188
1024
Total
1144
0
0
3
4
0
0
5
6
6
1
0
3
14
2
19
10
2
1
13
2
12
83
11
3
11
714
25
65
4
12
34
6
11
62
Relapses
Treat-
2
0
2
0
0
9
93
0
0
1
0
0
0
2
0
0
0
0
2
1
1
9
5
0
0
0
0
6
10
4
2
4
14
5
14
Def ault
421
0
0
0
0
0
0
3
0
0
0
0
1
0
0
7
0
0
0
1
3
34
25
3
2
8
180
30
62
2
0
2
1
0
57
Failure
ment af ter ment af ter
Treat-
CAT - 2
1198
0
0
1
8
3
0
12
11
18
1
0
11
6
1
139
0
4
15
14
17
8
45
14
28
35
187
132
223
3
20
221
1
1
19
Others
2856
0
0
5
12
3
0
22
17
24
2
0
17
21
4
174
15
6
16
28
22
60
163
32
35
58
1095
192
364
11
32
259
8
12
147
Total
36
7
27
2
0
6257
0
0
0
0
50
17
0
11
5
43
14
49
3
2
5
11
0
0
0
1
0
710
0
8
0
5060
1
93
102
HRZ/HR
(children)
CAT 3
Annual 2013
2
0
6257
0
0
0
0
50
17
0
11
5
43
14
49
3
2
5
11
0
0
0
1
0
710
0
8
0
5060
1
93
102
36
7
27
Total
34777
0
0
37
90
409
19
163
158
198
143
48
260
80
34
730
105
101
108
156
80
241
2985
201
198
314
22060
1181
2433
304
256
1290
121
37
237
TOTAL
Annual Report 2013
198
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
Other Unit
1
Sr.No
Block _ 4
0 8336
83191
0
0
0
0
0
0
0
0
1268
0
753
0
0
0
0
0
0
0
0
0
4580
0
0
0
0
0
0
0
0
0
0
1735
0
0
12
554
212
459
0
756
357
1378
789
0
1224
0
1876
675
652
745
211
574
804
1111
1267
836
2089
1610
43785
2684
11557
2256
811
867
999
1133
908
29394
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29394
0
0
0
0
0
0
0
0
PSI
9683
0
1
70
19
86
0
35
24
151
76
0
156
0
201
4
76
69
19
54
103
151
396
95
179
193
4352
203
1578
315
79
142
138
230
488
NTP
1355
0
0
0
0
0
0
0
0
0
106
0
93
0
0
0
0
0
0
0
0
0
794
0
0
0
0
0
0
0
0
0
0
362
0
MMA
3560
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3560
0
0
0
0
0
0
0
0
PSI
suspcts (Dx)
for case finding MMA
detected out of
examined by microscopy NTP
Number of smear positive pts
B
Number of suspects(Dx)
A
42008
0
0
48
45
211
0
361
145
311
246
0
438
0
27
282
148
257
52
284
119
611
1423
524
359
859
20483
2176
6410
663
82
966
102
273
4103
NTP
4214
0
0
0
0
0
0
0
0
0
352
0
201
0
0
0
0
0
0
0
0
0
3260
0
0
0
0
0
0
0
0
0
0
401
0
MMA
for follow-up
15525
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15525
0
0
0
0
0
0
0
0
PSI
examined by microscopy
Number of patients
C
D
2872
0
0
1
5
18
0
13
3
14
16
0
20
0
1
2
15
10
1
13
10
124
87
17
63
107
1137
105
515
38
23
29
9
51
425
NTP
341
0
0
0
0
0
0
0
0
0
28
0
10
0
0
0
0
0
0
0
0
0
223
0
0
0
0
0
0
0
0
0
0
80
0
MMA
patients
out of follow-up
1309
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1309
0
0
0
0
0
0
0
0
PSI
Number of smear positive
Annual 2013
Annual Report 2013
199
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
2
Other Unit
1
SN
Other Unit
10166
4
15
37
30
14
46
24
5
40
17
31
10
33
13
137
864
273
24
72
7232
266
644
75
45
127
12
24
52
TOTAL
6754
3
10
22
20
12
27
20
4
24
9
27
7
27
9
71
707
221
4
42
75%
67%
59%
67%
86%
59%
83%
80%
60%
53%
87%
70%
82%
69%
52%
82%
81%
17%
58%
66%
57%
62%
83%
62%
51%
75%
67%
33%
CR
66%
Cured
4740
152
399
62
28
65
9
16
17
No
NATIONAL TUBERCULOSIS PROGRAMME
1608
0
1
9
6
2
4
2
0
1
5
0
3
3
0
12
56
5
6
4
1365
35
70
7
2
4
2
3
1
No
16%
0%
7%
24%
20%
14%
9%
8%
0%
3%
29%
0%
30%
9%
0%
9%
6%
2%
25%
6%
19%
13%
11%
9%
4%
3%
17%
13%
2%
Rate
Com pleted
82%
75%
73%
84%
87%
100%
67%
92%
80%
63%
82%
87%
100%
91%
69%
61%
88%
83%
42%
64%
84%
70%
73%
92%
67%
54%
92%
79%
35%
TSR %
460
0
1
0
2
0
6
0
1
5
0
3
0
0
1
3
37
21
0
14
234
32
42
1
2
41
1
1
12
No
5%
0%
7%
0%
7%
0%
13%
0%
20%
13%
0%
10%
0%
0%
8%
2%
4%
8%
0%
19%
3%
12%
7%
1%
4%
32%
8%
4%
23%
Rate
Died
426
0
0
1
0
0
0
0
0
2
1
0
0
0
3
29
26
14
0
5
259
19
43
1
7
6
0
2
8
No
4%
0%
0%
3%
0%
0%
0%
0%
0%
5%
6%
0%
0%
0%
23%
21%
3%
5%
0%
7%
4%
7%
7%
1%
16%
5%
0%
8%
15%
Rate
FaiIure
TREATMENT OUTCOME OF NEW SMEAR POSITIVE in (2012 cohort)
697
0
0
0
1
0
9
0
0
6
2
0
0
0
0
16
30
8
14
6
489
22
80
4
1
2
0
2
5
No
7%
0%
0%
0%
3%
0%
20%
0%
0%
15%
12%
0%
0%
0%
0%
12%
3%
3%
58%
8%
7%
8%
12%
5%
2%
2%
0%
8%
10%
Rate
Defaulted
221
1
3
5
1
0
0
2
0
2
0
1
0
3
0
6
8
4
0
1
145
6
10
0
5
9
0
0
9
No
2%
25%
20%
14%
3%
0%
0%
8%
0%
5%
0%
3%
0%
9%
0%
4%
1%
1%
0%
1%
2%
2%
2%
0%
11%
7%
0%
0%
17%
Rate
10166
4
15
37
30
14
46
24
5
40
17
31
10
33
13
137
864
273
24
72
7232
266
644
75
45
127
12
24
52
Total
Annual 2013 Transfer
Annual Report 2013
200
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
21
22
23
24
25
26
27
28
29
30
Total
Tharketa HIV hospital
20
MMA
13
West YGH
MSF-CH (Daw ei)
12
19
MSF-H (Rakhine)
11
New YGH
MSF-H (Shan-north)
10
18
PSI
9
Medecins du monde
MSF-H (Kachin)
8
17
MSF-H (Ygn)
7
Central Jail Mandalay
1000 bedded hospital (Naypyitaw )
6
16
No.1MBH (PyinOoLw in)
5
Thingangyun Sanpya Hos:
Mingalardon Hos:
4
15
East YGH
3
AHRN (Shan North) Laukkai, Lashio
Patheingyi Hos:
14
Aung San Hos:
2
Other Unit
9989
0
0
0
61
92
38
23
60
35
7
179
16
58
31
23
34
73
891
65
2
226
6301
497
720
51
123
327
9
20
27
Reg: pts:
Total No.
8202
47
75
24
23
43
33
5
115
12
53
26
21
31
59
784
52
0
151
5322
370
556
48
91
216
9
17
19
No
82%
77%
82%
63%
100%
72%
94%
71%
64%
75%
91%
84%
91%
91%
81%
88%
80%
0%
67%
84%
74%
77%
94%
74%
66%
100%
85%
70%
Rate
Completed
TREATMENT OUTCOME OF
1
Sr.
Other Unit
0
1
3
614
1
1
10
0
1
2
1
31
1
1
3
2
3
3
48
11
1
30
266
57
71
0
8
6%
2%
1%
26%
0%
2%
6%
14%
17%
6%
2%
10%
9%
9%
4%
5%
17%
50%
13%
4%
11%
10%
0%
7%
18%
0%
5%
11%
Rate
Died
58
No
0
0
1
0
1
0
114
0
0
0
0
1
0
0
1
0
0
0
0
0
3
9
1
0
9
55
9
24
No
1%
0%
0%
0%
0%
2%
0%
0%
1%
0%
0%
0%
0%
0%
4%
1%
2%
0%
4%
1%
2%
3%
0%
0%
0%
0%
5%
0%
Rate
0
1
1
776
0
4
3
0
15
0
1
26
2
1
1
0
0
7
39
0
1
32
507
46
62
2
3
22
No
8%
0%
4%
8%
0%
25%
0%
14%
15%
13%
2%
3%
0%
0%
10%
4%
0%
50%
14%
8%
9%
9%
4%
2%
7%
0%
5%
4%
Rate
Defaulted
Annual 2013 NEGATIVE
FaiIure
SMEAR
SMEAR NEGATIVE in 2012 (2012 cohort)
0
0
4
283
13
12
1
0
0
0
0
6
1
3
1
0
0
1
11
1
0
4
151
15
7
1
21
30
No
3%
21%
13%
3%
0%
0%
0%
0%
3%
6%
5%
3%
0%
0%
1%
1%
2%
0%
2%
2%
3%
1%
2%
17%
9%
0%
0%
15%
Rate
Transfer out
9989
0
0
0
61
92
38
23
60
35
7
179
16
58
31
23
34
73
891
65
2
226
6301
497
720
51
123
327
9
20
27
Total
Annual Report 2013
201
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
23
24
25
26
27
28
29
30
31
32
33
34
Thingangyun Sanpya Hos:
15
22
AHRN (Shan North) Laukkai, Lashio
14
Insein general hospital
MMA
13
21
MSF-CH (Daw ei)
12
Tharketa HIV hospital
MSF-H (Rakhine)
11
20
MSF-H (Shan-north)
10
West YGH
PSI
9
19
MSF-H (Kachin)
8
New YGH
MSF-H (Ygn)
7
18
1000 bedded hospital (Naypyitaw )
6
Medecins du monde
No.1MBH (PyinOoLw in)
5
17
Mingalardon Hos:
4
Central Jail Mandalay
East YGH
3
16
Patheingyi Hos:
7960
6
28
30
9
52
1
2
23
20
1
0
0
12
5
858
10
0
0
6556
14
24
87
33
130
57
2
0
Reg pts
2
Total
PRIMARY
Rate
55%
40%
93%
90%
97%
71%
96%
99%
0%
50%
87%
83%
7629
4
23
25
96%
67%
82%
83%
9 100%
43
1 100%
1
20
20 100%
0
12 100%
2
800
9
6381
10
23
86
33 100%
71
95%
2 100% 54
No
47
0
0
1
0
1
0
1
2
0
0
0
0
4
0
10
3
0
0
0
25
0
0
Died
COMPLEX
Total No. Completed
Aung San Hos:
Other Unit
1
Sr.
Other Unit
NATIONAL TUBERCULOSIS PROGRAMME
3
0
197
0
5
4
0
8
0
0
1
0
1
0
3
23
0
131
0
1
1
0
16
No
2%
0%
18%
13%
0%
15%
0%
0%
4%
0%
100%
0%
60%
3%
0%
2%
0%
4%
1%
0%
12%
5%
0%
Rate
Defaulted
0
0
87
2
0
0
0
0
0
0
0
0
0
0
0
31
1
34
1
0
0
0
18
out
Transfer Other Unit 2 Patheingyi Hos :
0 Aung San Hos :
7960 Total
Latha Dx Center
Yangon Children Hos pital
Mawlam yine general hos pital
Myeik general hos pital
Hpa-an general hos pital
550 bedded child hos pital (Mdy)
AHRN (Kachin s tate) WM, PK, BM
6 MSF-CH (Ins ein Pris ion)
28 North Okkalapa General Hos pital
30 300 bedded teaching hos pital (Mdy)
9 No(1) MBH (Mandalay Nantwin)
52 Pathein General Hos pital
1 Htantabin TB hos pital
2 Ins ein general hos pital
23 Tharketa HIV hos pital
20 Wes t YGH
1 New YGH
0 Medecins du monde
0 Central Jail Mandalay
12 Thingangyun Sanpya Hos :
5 AHRN (Shan North) Laukkai, Las hio
858 MMA
10 MSF-CH (Dawei)
0 MSF-H (Rakhine)
0 MSF-H (Shan-north)
6556 PSI
14 MSF-H (Kachin)
24 MSF-H (Ygn)
TB MENINGITIS
Annex-20
32
2
2
0
3
2
0
0
0
0
0
0
0
2
0
1
0
0
0
1
0
6
3
0
10
0
0
0
2
2
0
3
1
0
0
0
0
0
0
0
2
0
1
0
0
0
1
0
6
3
0
7
0
0
0
28
ted
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
3
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
out
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
32
2
2
0
3
2
0
0
0
0
0
0
0
2
0
1
0
0
0
1
0
6
3
0
10
0
0
0
Total No. Comple-Died Defaulted Transfer Total
Annual 2013
Reg pts
87 1000 bedded hos pital (Naypyitaw)
33 No.1MBH (PyinOoLwin)
130 Mingalardon Hos :
57 Eas t YGH
Total
TREATMENT OUTCOME OF PC and TBM in 2012 (2012 cohort)
Annual Report 2013
202
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
2
Other Unit
2539
0
0
0
0
0
0
0
0
3
15
0
27
0
0
9
0
0
0
0
3
24
194
4
0
0
2234
7
3
1
15
0
0
0
0
Reg: pts:
Total No.
2460
3
12
25
7
3
20
194
4
2166
7
3
1
15
97%
100%
80%
93%
78%
100%
83%
100%
100%
97%
100%
100%
100%
100%
Rate
Completed No
No
3
0
0
0
2
0
0
0
0
1
0
0
0
0
0%
0%
0%
0%
22%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Rate
Died No
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Rate
FaiIure
0
0
0
0
64
0
2
2
0
0
3
0
0
57
No
3%
0%
13%
7%
0%
0%
13%
0%
0%
3%
0%
0%
0%
0%
Rate
Defaulted
Hilar Lym phadenopathy
Annual 2013
TREATMENT OUTCOME OF HILAR LYMPHADENOPATHY in 2012 (2012 cohort)
1
Sr.
Other Unit
12
0
1
0
0
0
1
0
0
10
0
0
0
0
0%
0%
7%
0%
0%
0%
4%
0%
0%
0%
0%
0%
0%
0%
Rate
Transfer out No
0
0
0
0
2539
0
0
0
0
0
0
0
0
3
15
0
27
0
0
9
0
0
0
0
3
24
194
4
0
0
2234
7
3
1
15
Total
Annual Report 2013
203
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
2
Other Unit
430
0
0
0
0
0
0
0
0
3
7
9
4
0
2
3
0
0
1
0
0
65
32
33
0
16
36
15
14
2
20
152
11
5
0 4
328
0
0
0
0
3
5
9
1
2
3
1
48
31
26
13
32
13
14
2
20
90
11
No
76%
0
0
0
0
100%
71%
100%
25%
100%
100%
100%
74%
97%
79%
81%
89%
87%
100%
100%
100%
59%
100%
80%
Rate
Total No. Completed Reg: pts:
0
0
42
0
0
0
0
0
1
0
1
0
0
0
6
0
6
0
0
1
0
0
0
10%
0
0
0
0
0%
14%
0%
25%
0%
0%
0%
9%
0%
18%
0%
0%
7%
0%
0%
0%
18%
0%
0%
Rate
Died
27
No
No
2
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0%
0
0
0
0
0%
0%
0%
0%
0%
0%
0%
0%
0%
3%
6%
0%
0%
0%
0%
0%
0%
0%
0%
Rate
FaiIure
EP15
1
1
1
153
1
4
0
16
0
0
34
0
3
1
0
0
2
0
29
3
28
1
0
28
No
9%
6%
17%
0%
22%
0%
0%
13%
0%
21%
3%
0%
0%
2%
0%
7%
2%
8%
3%
0%
13%
8%
8%
8%
Rate
Defaulted
Annual 2013
TREATMENT OUTCOME OF EXTRA-PULMONARY TB in 2012 (2012 cohort)
1
Sr.
Other Unit
3
4
1
0
6
0
0
1
49
4
1
0
1
0
0
7
0
0
1
0
0
0
0
20
No
3%
22%
4%
0%
1%
0%
0%
3%
0%
0%
3%
0%
0%
0%
0%
5%
2%
1%
3%
0%
3%
0%
0%
8%
Rate
Transfer out
1785
0
0
0
0
0
0
0
0
18
24
2
72
11
3
260
4
14
34
9
20
0
101
0
4
0
411
146
348
29
24
213
12
13
13
Total
Annual Report 2013
205
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
MMA
PSI
9
14
MSF-H (Kachin)
8
13
MSF-H (Ygn)
7
MSF-CH (Daw ei)
1000 bedded hospital (Naypyitaw )
6
12
No.1MBH (PyinOoLw in)
5
MSF-H (Rakhine)
Mingalardon Hos:
4
MSF-H (Shan-north)
East YGH
3
11
Patheingyi Hos:
10
Aung San Hos:
2
Other Unit
1
No
Sr.
Other Unit
1185
0
0
0
0
0
0
0
1
21
4
4
6
9
0
14
7
4
2
3
9
12
66
52
1
10
726
29
96
5
16
41
1
7
39
Total
676
1
8
2
3
1
4
8
0
3
1
3
8
5
49
40
1
5
443
21
33
1
9
16
0
2
9
57%
100%
38%
50%
75%
17%
44%
57%
0%
75%
50%
100%
89%
42%
74%
77%
100%
50%
61%
72%
34%
20%
56%
39%
0%
29%
23%
Rate
Cured
No
158
0
2
0
1
1
1
1
1
0
0
0
0
0
3
6
0
0
106
0
28
3
0
2
1
1
1
13%
0%
10%
0%
25%
17%
11%
7%
14%
0%
0%
0%
0%
0%
5%
12%
0%
0%
15%
0%
29%
60%
0%
5%
100%
14%
3%
Rate
Com pleted
No
118
0
0
1
0
2
0
4
1
0
1
0
0
1
3
4
0
3
43
3
17
0
3
17
0
1
10%
0%
0%
25%
0%
33%
0%
29%
14%
0%
50%
0%
0%
8%
5%
8%
0%
30%
6%
10%
18%
0%
19%
41%
0%
14%
36%
Rate
Died 14
No
3
4
1
3
0
0
2
8
0
0
1
0
0
0
2
1
1
0
0
0
1
5
9
2
0
1
53
No
0%
0%
5%
0%
0%
0%
22%
7%
14%
0%
0%
0%
11%
42%
14%
4%
0%
10%
7%
10%
4%
20%
19%
0%
0%
29%
21%
Rate
FaiIure
Relaps es
TREATMENT OUTCOME OF RELAPSES in 2012 (2012 cohort)
71
0
1
1
0
1
0
0
3
0
0
0
0
0
2
0
0
1
49
1
5
0
0
2
0
1
4
6%
0%
5%
25%
0%
17%
0%
0%
43%
0%
0%
0%
0%
0%
3%
0%
0%
10%
7%
3%
5%
0%
0%
5%
0%
14%
10%
Rate
Defaulted
No
1
9
0
1
4
0
0
3
65
0
9
0
0
1
2
0
1
1
0
0
0
1
0
0
0
0
32
No
5%
0%
43%
0%
0%
17%
22%
0%
14%
25%
0%
0%
0%
8%
0%
0%
0%
0%
4%
3%
9%
0%
6%
10%
0%
0%
8%
Rate
Trans fer out
1185
0
0
0
0
0
0
0
1
21
4
4
6
9
0
14
7
4
2
3
9
12
66
52
1
10
726
29
96
5
16
41
1
7
39
Total
Annual 2013
Annual Report 2013
206
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
23
24
25
26
27
28
29
30
31
32
33
34
Total
Htantabin TB hospital
22
Thingangyun Sanpya Hos:
15
Insein general hospital
AHRN (Shan North) Laukkai, Lashio
14
21
MMA
13
Tharketa HIV hospital
MSF-CH (Daw ei)
12
20
MSF-H (Rakhine)
11
West YGH
MSF-H (Shan-north)
19
PSI
9
10
New YGH
MSF-H (Kachin)
8
18
MSF-H (Ygn)
7
Medecins du monde
1000 bedded hospital (Naypyitaw )
6
17
No.1MBH (PyinOoLw in)
5
Central Jail Mandalay
32
Mingalardon Hos:
4
16
16
East YGH
3
106
0
0
0
0
0
0
0
0
1
0
1
4
0
0
8
0
0
0
0
0
8
3
3
1
1
8
3
0
8
0
0
Patheingyi Hos:
9
Aung San Hos:
2
Other Unit
TOTAL
1
SN
Other Unit
NATIONAL TUBERCULOSIS PROGRAMME
36
0
1
0
0
5
3
1
1
0
15
5
2
2
0
1
No
34%
0%
100%
0%
0%
63%
100%
33%
100%
0%
47%
31%
25%
67%
0%
11%
CR
Cured
18
1
0
0
5
0
0
0
0
0
7
3
1
1
0
0
No
17%
100%
0%
0%
63%
0%
0%
0%
0%
0%
22%
19%
13%
33%
0%
0%
Rate
Com pleted
20
0
0
1
2
1
0
1
0
1
1
1
4
0
6
2
No
19%
0%
0%
25%
25%
13%
0%
33%
0%
100%
3%
6%
50%
0%
86%
22%
Rate
Died
10
0
0
1
0
1
0
0
0
0
2
1
0
0
1
4
No
10%
0%
0%
25%
0%
13%
0%
0%
0%
0%
6%
6%
0%
0%
14%
44%
Rate
FaiIure
14
0
0
1
1
1
0
1
0
0
2
5
1
0
0
2
No
13%
0%
0%
25%
13%
13%
0%
33%
0%
0%
6%
31%
13%
0%
0%
22%
Rate
Defaulted
TREATMENT OUTCOME OF TREATMENT AFTER DEFAULT in (2012 cohort)
8
0
0
1
0
0
0
0
0
0
5
1
0
0
1
0
No
8%
0%
0%
25%
0%
0%
0%
0%
0%
0%
16%
6%
0%
0%
14%
0%
Rate
106
0
0
0
0
0
0
0
0
1
0
1
4
0
0
8
0
0
0
0
0
8
3
3
1
1
32
16
8
3
0
8
0
0
9
Total
Annual 2013 Transfer
Annual Report 2013
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio 21
1
East YGH
Thingangyun Sanpya Hos:
Central Jail Mandalay
3
4
5
6
7
8
9
10
11
12
13
14
15
16
207
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
West YGH
300 bedded teaching hospital (Mdy) 1
0
New YGH
18
438
0
0
0
0
0
0
0
0
1
1
0
0
1
0
2
Medecins du monde
17 0
0
30
22
0
6
222
27
59
4
0
6
0
0
Patheingyi Hos:
34
Aung San Hos:
2
Other Unit
TOTAL
1
SN
Other Unit
207
0
0
0
0
0
0
8
13
17
5
115
17
26
0
3
3
No
47%
0%
0%
0%
0%
0%
0%
38%
43%
77%
83%
52%
63%
44%
0%
50%
9%
CR
Cured
48
0
1
0
0
0
0
1
3
2
0
28
0
11
2
0
0
No
11%
0%
100%
0%
0%
0%
0%
5%
10%
9%
0%
13%
0%
19%
50%
0%
0%
Rate
Com pleted
39
0
0
1
1
0
1
0
1
0
0
17
1
6
0
2
9
No
9%
0%
0%
100%
100%
0%
100%
0%
3%
0%
0%
8%
4%
10%
0%
33%
26%
Rate
Died
72
0
0
0
0
0
0
7
11
3
0
30
3
1
0
1
16
No
16%
0%
0%
0%
0%
0%
0%
33%
37%
14%
0%
14%
11%
2%
0%
17%
47%
Rate
FaiIure
TREATMENT OUTCOME OFTREATMENT AFTER FAILURE in 2012 (Cohort)
47
0
0
0
0
1
0
3
2
0
1
19
5
10
2
0
4
No
11%
0%
0%
0%
0%
50%
0%
14%
7%
0%
17%
9%
19%
17%
50%
0%
12%
Rate
Defaulted
25
1
0
0
0
1
0
2
0
0
0
13
1
5
0
0
2
No
6%
100%
0%
0%
0%
50%
0%
10%
0%
0%
0%
6%
4%
8%
0%
0%
6%
Rate
438
0
0
0
0
0
0
0
0
0
1
1
1
0
0
1
0
2
0
0
1
21
30
22
0
6
222
27
59
4
0
6
0
0
34
Total
Annual 2013 Transfer
Annual Report 2013
208
Patheingyi Hos:
East YGH
Mingalardon Hos:
No.1MBH (PyinOoLw in)
1000 bedded hospital (Naypyitaw )
MSF-H (Ygn)
MSF-H (Kachin)
PSI
MSF-H (Shan-north)
MSF-H (Rakhine)
MSF-CH (Daw ei)
MMA
AHRN (Shan North) Laukkai, Lashio
Thingangyun Sanpya Hos:
Central Jail Mandalay
Medecins du monde
New YGH
West YGH
Tharketa HIV hospital
Insein general hospital
Htantabin TB hospital
Pathein General Hospital
No(1) MBH (Mandalay Nantw in)
300 bedded teaching hospital (Mdy)
North Okkalapa General Hospital
MSF-CH (Insein Prision)
AHRN (Kachin state) WM, PK, BM
550 bedded child hospital (Mdy)
Hpa-an general hospital
Myeik general hospital
Maw lamyine general hospital
Yangon Children Hospital
Latha Dx Center
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Total
Aung San Hos:
2
Other Unit
1
No
Sr.
Other Unit
1248
0
0
0
2
12
6
10
20
5
0
137
0
8
15
5
6
19
41
12
21
48
139
126
200
5
15
291
1
2
102
Total
8
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
1%
0%
0%
0%
0%
0%
0%
0%
13%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
7%
Rate
Cured
No
712
0
7
3
9
12
5
61
7
7
4
6
15
34
9
17
20
109
82
135
4
12
141
1
1
11
No
57%
0%
58%
50%
90%
60%
100%
45%
88%
47%
80%
100%
79%
83%
75%
81%
42%
78%
65%
68%
80%
80%
48%
100%
50%
11%
Rate
Com pleted
271
1
0
1
1
6
0
43
0
8
0
0
0
2
1
0
20
10
23
33
0
1
87
0
0
22%
50%
0%
17%
10%
30%
0%
31%
0%
53%
0%
0%
0%
5%
8%
0%
42%
7%
18%
17%
0%
7%
30%
0%
0%
33%
Rate
Died 34
No
36
0
0
0
0
0
0
9
0
0
0
0
0
0
0
2
3
2
0
1
0
0
1
0
0
18
No
3%
0%
0%
0%
0%
0%
0%
7%
0%
0%
0%
0%
0%
0%
0%
10%
6%
1%
0%
1%
0%
0%
0%
0%
0%
18%
Rate
FaiIure
OTHER CASES
TREATMENT OUTCOME OF OTHER CASES in 2012 (2012 cohort)
155
0
2
0
0
2
0
17
0
0
0
0
3
5
2
2
3
14
15
23
1
1
44
0
1
20
12%
0%
17%
0%
0%
10%
0%
12%
0%
0%
0%
0%
16%
12%
17%
10%
6%
10%
12%
12%
20%
7%
15%
0%
50%
20%
Rate
Defaulted
No
66
1
3
2
0
0
0
7
0
0
1
0
1
0
0
0
2
4
6
8
0
1
18
0
0
12
No
5%
50%
25%
33%
0%
0%
0%
5%
0%
0%
20%
0%
5%
0%
0%
0%
4%
3%
5%
4%
0%
7%
6%
0%
0%
12%
Rate
Trans fer out
1248
0
0
0
2
12
6
10
20
5
0
137
0
8
15
5
6
19
41
12
21
48
139
126
200
5
15
291
1
2
102
Total
Annual 2013
Annual Report 2013
209
9
37
25
28
21
10
24
7
10
28
10
17
45
26
8
Chin State
Sagaing Region
Magw ay Region
Mandalay Region
Shan State (Taunggyi)
Shan State (Kengtong)
Shan State (Lashio)
Kayin State
Tanintharyi Region
Bago Region
Mon State
Rakhine State
Yangon Region
Ayeyarw addy Region
Naypyitaw 320
8
26
45
17
10
28
10
7
18
10
21
28
25
37
9
7
14
97%
100%
100%
100%
100%
100%
100%
100%
100%
75%
100%
100%
100%
100%
100%
100%
100%
78%
%
320
8
26
45
17
10
28
10
7
18
10
21
28
25
37
9
7
14
97%
100%
100%
100%
100%
100%
100%
100%
100%
75%
100%
100%
100%
100%
100%
100%
100%
78%
%
3%
10
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
4
not received
2nd Quarter 2013 Received
1. Kongyan
2. Nanphant 3.Panw ine
4.Mongmaw
320
8
26
45
17
10
28
10
7
18
10
21
28
25
37
9
7
14
97%
100%
100%
100%
100%
100%
100%
100%
100%
75%
100%
100%
100%
100%
100%
100%
100%
78%
%
3%
10
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
4
not received
3rd Quarter 2013 Received
5. Manphant 6. Pangyan
1. N'ganyan, 2.Hsaw law , 3.Khaunglanbu, 4. Naungmon 5. Sumprabom
Shan (Lashio) State (6)Tsps
Kachin State (5) Tsps
3%
10
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
4
not received
1st Quarter 2013 Received
Annual report had not been received f rom ( 11 )Tow nships
330
7
Kayah State
Total tow ns hips
18
Tow nships
Kachin State
Regions & States
Reporting Status from Regions & States (2013)
NATIONAL TUBERCULOSIS PROGRAMME
318
8
26
45
17
10
28
10
7
18
10
21
28
25
37
9
7
12
96%
100%
100%
100%
100%
100%
100%
100%
100%
75%
100%
100%
100%
100%
100%
100%
100%
67%
%
3%
10
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
4
not received
4th Quarter 2013 Received
319
8
26
45
17
10
28
10
7
18
10
21
28
25
37
9
7
13
Received
97%
100%
100%
100%
100%
100%
100%
100%
100%
75%
100%
100%
100%
100%
100%
100%
100%
72%
%
Annual 2013
3%
11
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
5
not received
Annual Report 2013
Shan State (Lashio)
Kayin State
9
37
25
28
21
10
24
9
37
25
28
21
10
18
210
34
364
34
353
Naypyitaw
26
26
8
45
45
330
17
17
8
10
10
319
Ayeyarw addy Region
28
28
951852
6249174
6030053
3213668
2141928
4808876
1301784
1389274
1849708
620054
2068600
5672704
4059425
5193199
478958
285341
1465364
Populatio n
Country
Other Units
47796627
not available
Regions and States 47779962
Yangon Region
Rakhine State
Mon State
Bago Region
Tanintharyi Region
7
10
7
10
Shan State (Kengtong)
Shan State (Taunggyi)
Mandalay Region
Magw ay Region
Sagaing Region
Chin State
Kayah State
7
7
Kachin State
18
Regions/States
13
No.of No.of Reported total Tsp. Tsp. & & other other unit unit
NATIONAL TUBERCULOSIS PROGRAMME (Myanm ar)
54106
not available
54106
999
6562
10251
3374
2249
5049
1367
1459
1942
669
2172
5956
4262
5453
503
300
1539
42595
10250
32345
697
4435
6774
1990
1626
3378
833
1054
1152
559
1056
2982
2102
2357
142
149
1059
142162
34466
107696
2010
13174
20107
5284
7010
12886
4847
3290
4469
1676
3309
9274
6661
6727
1229
743
5000
estimate Total d New Total notified S(+) New S(+) TB cases cases
60%
78.7%
41%
41%
not not availabl available e
57%
44%
49%
49%
29%
34%
25%
38%
40%
43%
45%
42%
83%
79%
109%
65%
89%
83%
72%
78%
78%
90%
52%
45%
45%
16%
32%
33%
78.7%
60%
70%
68%
66%
59%
72%
67%
61%
72%
59%
84%
50%
65%
49%
58%
49%
52%
31%
51%
90%
CDR (NTP + Other)
50%
43%
28%
50%
69%
CDR (NTP only)
Prop: of SS(+) pul: TB cases out of All Pul:
0.71:1
0.66:1
0.73:2
0.72:1
0.82:1
0.79:1
0.99:1
0.68:1
0.68:1
0.42:1
0.77:1
0.53:1
0.95:1
0.8:1
0.67:1
0.71:1
0.9:1
0.43:1
0.46:1
0.51:1
1:1
0.9:1
1:1
1.4:1
1.1:1
1:1
1.4:1
0.8:1
0.9:1
0.6:1
0.8:1
0.9:1
1.1:1
1.4:1
1.2:1
1.1:1
1.4:1
0.7:1
0.9:1
0.9:1
82% 81% 80%
74% 64% 67%
70% 75%
94% 89% 86% 83% 90% 76% 81% 88% 83% 88%
14% 9% 10%
14% 16% 19%
15%
12%
17%
20%
18%
33%
18%
11%
17%
18%
9%
76% 76%
88% 87%
85%
79%
73%
74%
74%
73%
77%
64%
75%
74%
72%
77%
66%
63%
72%
74%
78%
79%
78%
73%
66%
76%
74%
CR =66%(other units only)
84%
88%
65%
76%
77%
91%
80%
89%
73%
83%
1%
9%
77%
70%
14%
Annex-22
85%
85%
87%
85%
84%
87%
88%
82%
85%
77%
81%
85%
85%
88%
89%
88%
84%
80%
86%
85%
TSR= 82%(other units only)
86%
85%
87%
88%
85%
86%
88%
81%
85%
78%
82%
86%
86%
88%
90%
93%
84%
82%
CR CR TSR TSR ( NTP (NTP+ (NTP (NTP+ only) Other) only) Other)
84%
Ratio of NSS+ to Ratio of Sputum sputum NSS(-) NSS+ to positivit conversio cases NSS(-) y rate n rate and EP cases cases
EVALUATION OF TB CONTROL ACTIVITIES IN REGIONS & STATES (2012-2013)
Annual Report 2013
211
Mans i
Mom auk
Shwegu
Mohynin
Phakant
Mogaung
Tanai
Myitkyina
Chipway
Hs awlaw
N Jan Yan
Waingm aw
PutaO
Khaunglanbu
Machanbaw
Nogm un
Sum prabum
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
1465364
14808
12544
8245
15532
93483
123276
9500
7183
19494
237178
37977
148674
163173
208386
83235
94098
74308
114270
Population
Pas aung
Loikaw
Dimawhso
Phruhs o
Shataw
3
4
5
6
7
Falam
Hakha
Htantalan
Tiddim
Tunzan
Mindat
Kanpetlet
Matupi
Paletwa
1
2
3
4
5
6
7
8
9
Total
Total
STATE
Mas ai
2
CHIN
Bawlake
1
Kayah State
478958
93393
52491
21309
44095
29400
94961
52296
42630
48383
285341
6334
31132
80041
117966
35455
6033
8380
* Note* (Nr.) Report had not been received from towns hips
Total
Bahmo
Kachin State
Towns hip
1
Sr.No
503
98
55
22
46
31
100
55
45
51
300
7
33
84
124
37
6
9
1539
16
13
9
16
98
129
10
8
20
249
40
156
171
219
87
99
78
120
es tim ated New S(+) cas es
142
60
16
1
16
7
5
12
11
14
149
1
4
46
65
17
4
12
1059
Nr.
Nr.
5
Nr.
35
44
Nr.
Nr.
2
335
68
111
117
121
61
35
39
86
Total New S(+)
1229
129
98
27
83
47
70
412
280
83
743
1
29
118
490
74
5
26
5000
8
104
616
17
1841
183
285
403
314
133
172
170
754
Total notified TB cas es
28%
61%
29%
4%
35%
23%
5%
22%
25%
28%
50%
15%
12%
55%
52%
46%
63%
136%
69%
58%
36%
34%
10%
135%
171%
71%
68%
55%
70%
35%
50%
72%
CDR (NTP only)
31%
61%
29%
4%
35%
23%
17%
22%
25%
30%
51%
15%
12%
55%
55%
46%
63%
136%
90%
58%
40%
114%
10%
163%
171%
83%
116%
82%
71%
35%
50%
103%
CDR (NTP + Other)
16%
54%
22%
5%
29%
25%
10%
5%
8%
22%
32%
100%
33%
53%
24%
27%
80%
67%
33%
75%
46%
11%
13%
29%
51%
62%
42%
61%
80%
32%
26%
21%
Prop: of SS(+) pul: TB cas es out of All Pul:
0.43:1
1.33:1
0.55:1
0.06:1
0.36:1
0.47:1
0.17:1
0.20:1
0.15:1
0.70:1
0.46:1
0:1
0.27:1
1.28:1
0.27:1
0.53:1
0:1
4:1
0.51:1
1.09:1
0.16:1
0.33:1
0.45:1
0.77:1
1.63:1
1.04:1
0.91:1
0.94:1
0.50:1
0.76:1
0.20:1
Ratio of NSS(+) to NSS(-) cas es and EP cas es
0.7:1
2.1:1
1.1:1
0.1:1
0.5:1
1.4:1
0.5:1
0.2:1
0.2:1
1.6:1
0.9:1
Nil
0.4:1
2:1
0.6:1
0.6:1
0:1
12:1
0.9:1
1.5:1
0.3:1
0.5:1
0.6:1
1:1
3.1:1
1.7:1
1.8:1
3.8:1
1:1
1.1:1
0.5:1
Ratio of NSS(+) to NSS(-) cas es
1%
1%
2%
1%
1%
2%
0%
1%
2%
7%
9%
4%
2%
8%
9%
23%
13%
14%
14%
23%
13%
6%
6%
14%
14%
13%
16%
20%
11%
24%
17%
13%
Sputum pos itivity rate
94%
100%
92%
100%
91%
100%
100%
100%
67%
100%
83%
100%
100%
76%
79%
94%
100%
84%
75%
96%
97%
100%
85%
77%
83%
67%
78%
94%
86%
85%
97%
s putum convers ion rate
82%
98%
27%
100%
75%
100%
89%
100%
69%
100%
73%
60%
72%
68%
100%
100%
70%
70%
67%
100%
71%
51%
78%
56%
62%
81%
86%
72%
91%
CR ( NTP only)
NATIONAL TUBERCULOSIS PROGRAMME (Myanmar) EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail tow nship data)
78%
98%
27%
100%
75%
100%
68%
100%
69%
100%
73%
60%
72%
68%
100%
100%
66%
65%
53%
100%
68%
51%
77%
58%
58%
78%
83%
72%
76%
CR (NTP+O ther)
93%
98%
93%
100%
83%
100%
89%
100%
77%
100%
84%
60%
100%
76%
100%
100%
82%
81%
94%
100%
81%
70%
82%
72%
84%
90%
90%
93%
91%
TSR (NTP only)
88%
98%
93%
100%
83%
100%
76%
100%
77%
100%
84%
60%
100%
76%
100%
100%
80%
82%
82%
100%
79%
70%
82%
70%
85%
90%
91%
93%
86%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
Sr.No
212
Total
Sagaing Region Sagaing Myaung Myinmu Shwebo Kanbalu Khin-U Kyunhla Tabayin Taze Wetlet Ye-U Monywa Ayadaw Budalin ChaungU Kani Pale Salingyi Yinmabin Katha Banmauk Htigyaing Indaw Kawlin Pinlebu Wuntho Kalay Kalewa Minkin Tamu Mawlaik Phaungbyin Khamti Homalin Layshi Lahel Nanyun
Township
5193199
294635 111868 115429 259855 269788 153083 91225 151469 181957 207262 129486 325761 160258 143275 110579 142182 150713 137015 147786 163107 95781 84466 125852 144231 113468 72385 315084 56450 108425 109895 53435 117241 31436 190767 16864 51824 58862
Population
5453
309 117 121 273 283 161 96 159 191 218 136 342 168 150 116 149 158 144 155 171 101 89 132 151 119 76 331 59 114 115 56 123 33 200 18 54 62
estimated New S(+) cases
2357
174 68 54 75 56 44 17 51 60 67 45 191 44 95 29 83 41 56 63 71 29 69 44 67 56 32 205 27 24 110 31 43 80 109 6 20 21
Total New S(+)
6727
449 147 180 331 221 87 68 110 133 323 137 459 167 266 113 152 107 149 133 250 46 193 135 150 96 64 627 66 80 308 67 143 259 389 20 62 40
Total notified TB cases
43%
56% 58% 45% 27% 20% 27% 18% 32% 31% 31% 33% 56% 26% 63% 25% 56% 26% 39% 41% 41% 29% 78% 33% 44% 47% 42% 62% 46% 21% 95% 55% 35% 242% 54% 34% 37% 34%
CDR (NTP only)
52%
79% 58% 45% 41% 32% 35% 22% 33% 32% 51% 38% 82% 27% 64% 33% 60% 26% 41% 43% 42% 32% 78% 35% 48% 49% 47% 90% 46% 23% 111% 55% 35% 242% 54% 34% 37% 34%
CDR (NTP + Other)
45%
48% 55% 41% 32% 37% 68% 32% 62% 62% 27% 40% 60% 33% 44% 34% 58% 54% 53% 59% 34% 67% 42% 41% 55% 63% 68% 44% 65% 37% 46% 59% 48% 41% 33% 45% 44% 78%
Prop: of SS(+) pul: TB cases out of All Pul:
0.9:1
1.28:1 1.58:1 0.53:1 0.41:1 0.78:1 1.38:1 0.55:1 1.96:1 1.40:1 0.89:1 0.92:1 1.04:1 0.49:1 1.20:1 0.78:1 2.13:1 1.05:1 1.1:1 1.5:1 0.55:1 2.07:1 0.95:1 0.73:1 1.14:1 2:1 1.28:1 1.10:1 0.71:1 0.65:1 1.47:1 1.11:1 0.59:1 1.07:1 0.72:1 3:1 0.8:1 0.11:1 1.4:1
2.1:1 1.9:1 0.9:1 0.6:1 1.4:1 3.1:1 0.7:1 6.4:1 2.6:1 1.1:1 1.4:1 1.9:1 0.6:1 2:1 1.2:1 2.6:1 2.1:1 1.6:1 3:1 0.7:1 2.6:1 1.1:1 1:1 1.4:1 2.5:1 2.1:1 1.6:1 1.8:1 0.9:1 1.9:1 2.1:1 1.3:1 1.3:1 0.8:1 3:1 1.8:1 3.5:1
Ratio of NSS(+) Ratio of to NSS(-) NSS(+) to cases NSS(-) and EP cases cases
9%
16% 7% 9% 5% 5% 5% 6% 7% 18% 11% 8% 13% 7% 13% 3% 7% 6% 5% 9% 14% 20% 11% 12% 6% 10% 4% 14% 10% 73% 12% 19% 12% 19% 7% 13% 8% 23%
Sputum positivity rate
89%
93% 96% 93% 92% 94% 100% 50% 95% 82% 98% 53% 86% 100% 85% 94% 95% 85% 93% 96% 91% 100% 78% 93% 79% 93% 96% 79% 95% 95% 90% 93% 84% 83% 91% 100% 88% 100% 81%
93% 79% 44% 76% 68% 95% 30% 78% 72% 90% 91% 80% 93% 83% 86% 94% 96% 81% 62% 84% 56% 57% 93% 95% 88% 86% 88% 90% 84% 85% 54% 47% 82% 93% 43% 66% 100%
79%
84% 79% 45% 73% 68% 89% 27% 78% 71% 80% 86% 76% 90% 83% 86% 90% 96% 79% 62% 83% 53% 57% 88% 94% 84% 83% 86% 90% 84% 84% 54% 47% 82% 93% 43% 66% 100%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
90%
94% 87% 88% 88% 84% 95% 81% 92% 83% 97% 91% 87% 96% 83% 88% 98% 97% 86% 85% 84% 88% 79% 93% 95% 88% 89% 89% 95% 84% 91% 89% 84% 90% 97% 86% 100% 100%
TSR (NTP only)
89%
90% 87% 89% 84% 86% 93% 77% 92% 81% 91% 90% 87% 92% 83% 89% 96% 97% 85% 85% 84% 82% 79% 94% 95% 89% 90% 87% 95% 84% 89% 89% 84% 90% 97% 86% 100% 100%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Sr.No
288319 216630 260481 159812 230647 151417 301866 254176 178441 254420 105351 131125 69727 50848 172660 49195 168625 43246 265328 103601 112425 72036 125181 61003 232865
4059425
Total
Population
Magway Region MAGWE CHAUK TAUNGDWINGYI MYOTHIT NATMAUK YENANCHAUNG PAKOKKU YESAGYO PAUK MYAING SEIKPHYU GANTGAW SAW HTINLIN MINBU NGAPE PWINTPHYU Saytoketaya SALIN THAYET MINHLA KANMA SINPAUNGWAE MINDON AUNGLAN
Township
213 4262
303 227 274 168 242 159 317 267 187 267 111 138 73 53 181 52 177 45 279 109 118 76 131 64 245 2102
259 90 120 110 96 104 331 60 62 75 37 42 16 5 118 24 67 18 82 107 61 47 48 43 80 6661
861 376 230 203 260 300 829 251 141 230 99 356 55 34 359 82 158 71 187 243 199 231 151 232 523
estimated Total Total New New S(+) notified TB S(+) cases cases
49%
86% 40% 44% 66% 40% 65% 104% 22% 33% 28% 33% 31% 22% 9% 65% 46% 38% 40% 29% 98% 52% 62% 37% 67% 33% 58%
102% 64% 49% 66% 42% 86% 116% 24% 33% 28% 37% 31% 22% 9% 73% 46% 103% 42% 39% 98% 55% 65% 37% 67% 41% 45%
44% 34% 67% 76% 54% 53% 59% 38% 84% 58% 53% 14% 34% 23% 45% 40% 53% 28% 55% 55% 55% 24% 40% 23% 29% 0.71:1
0.6:1 0.49:1 1.56:1 1.8:1 0.77:1 0.91:1 1.19:1 0.45:1 0.87:1 0.56:1 0.71:1 0.31:1 0.73:1 0.23:1 0.9:1 0.63:1 1.18:1 0.53:1 0.96:1 1.57:1 0.59:1 0.57:1 1:1 0.43:1 0.23:1 1.1:1
0.8:1 0.7:1 2.7:1 5.8:1 1.2:1 1.3:1 1.8:1 0.8:1 5.2:1 1.3:1 1.2:1 0.4:1 0.8:1 0.3:1 1.4:1 0.9:1 1.8:1 0.6:1 1.4:1 1.9:1 1.6:1 0.6:1 1.3:1 0.5:1 0.6:1 14%
15% 16% 12% 31% 19% 15% 19% 6% 14% 9% 7% 13% 10% 2% 13% 4% 17% 8% 11% 16% 13% 22% 24% 19% 11% 86%
84% 86% 96% 97% 89% 84% 83% 87% 100% 88% 93% 74% 92% 100% 90% 74% 86% 79% 79% 60% 91% 89% 81% 100% 85%
80%
65% 70% 93% 94% 76% 87% 74% 87% 81% 78% 85% 63% 92% 80% 76% 82% 97% 80% 68% 70% 94% 67% 98% 98% 83%
78%
68% 71% 90% 94% 75% 81% 74% 80% 81% 78% 82% 64% 92% 80% 69% 82% 81% 88% 66% 71% 93% 67% 96% 98% 78%
88%
82% 87% 93% 94% 86% 87% 80% 87% 98% 85% 91% 92% 92% 87% 79% 91% 97% 90% 93% 78% 94% 70% 98% 100% 91%
Ratio of Prop: of NSS(+) Ratio of SS(+) pul: Sputum sputum CR TSR CDR (NTP CDR (NTP to NSS(-) NSS(+) to CR ( NTP TB cases positivity conversion (NTP+O (NTP only) + Other) cases NSS(-) only) out of All rate rate ther) only) and EP cases Pul: cases
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
88%
84% 87% 93% 94% 86% 86% 81% 87% 98% 85% 93% 92% 92% 87% 80% 91% 99% 94% 92% 78% 94% 70% 98% 100% 90%
TSR (NTP+ Other)
Annual Report 2013
214
186946
135377
247862
Chanmyatharzi
Maharaungmyae
Pyigyitagonn
Patheingyi
Meiktilar
Mahlaing
Tharzi
Wundwin
Myingan Kyaukpadaung
Natogyi
Ngazun
Taungtha
NyaungU
Pyin oo Lwin
Madayar
Mogok
Sintgu
Thabeikkyin
Yamethin
Pyawbwei
Kyaukse
Myittha
Sintgine
TadaOo
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Total
309476
Chanayetharzan
3
5672704
139945
130557
189669
233901
268927
246847
127343
145252
171225
245432
177208
276848
276252
222668
209583
158140
285370
190278
153683
225751
198098
140066
190665
Aungmyaytharzan
2
189335
Population
Amarapura
Mandalay Region
Township
1
Sr.No
5956
147
137
199
246
282
259
134
153
180
258
186
291
260
142
196
325
290
234
220
166
300
200
161
237
208
147
200
199
estimated New S(+) cases
2982
43
58
67
119
153
90
80
127
97
101
66
132
84
50
55
117
152
81
101
62
182
119
118
150
177
79
173
149
9274
149
199
228
269
309
355
174
282
297
405
260
425
244
193
170
333
503
208
286
160
561
393
455
538
572
372
602
332
Total Total New notified TB S(+) cases
50%
29%
42%
34%
48%
54%
35%
60%
83%
54%
39%
35%
45%
32%
35%
28%
36%
52%
35%
46%
37%
61%
60%
73%
63%
85%
54%
86%
75%
CDR (NTP only)
65%
39%
42%
42%
62%
55%
35%
121%
120%
101%
62%
38%
49%
34%
37%
29%
75%
72%
44%
48%
39%
70%
61%
98%
87%
127%
70%
107%
91%
CDR (NTP + Other)
52%
60%
43%
46%
62%
80%
47%
78%
71%
60%
61%
36%
46%
49%
42%
44%
49%
47%
52%
45%
62%
60%
49%
44%
46%
51%
34%
48%
61%
Prop: of SS(+) pul: TB cases out of All Pul:
0.67:1
0.52:1
0.82:1
0.46:1
1.16:1
1.33:1
0.44:1
1.4:1
1.19:1
0.66:1
0.39:1
0.68:1
0.84:1
0.65:1
0.38:1
0.62:1
0.96:1
0.53:1
1.29:1
0.79:1
0.86:1
0.57:1
0.61:1
0.53:1
0.51:1
0.66:1
0.36:1
0.62:1
1.23:1
1.2:1
1.6:1
1.3:1
0.8:1
2.4:1
5.3:1
1:1
3.1:1
2:1
1.6:1
1.4:1
1.2:1
1.1:1
1.1:1
0.8:1
0.9:1
1.4:1
1:1
1.9:1
1.2:1
1.9:1
1.2:1
1.3:1
1:1
0.9:1
1.2:1
0.6:1
1.1:1
1.8:1
Ratio of NSS(+) Ratio of to NSS(-) NSS(+) to cases NSS(-) and EP cases cases
94% 83% 97% 91% 85% 77% 87% 93% 80% 79% 86%
6% 11% 5% 7% 7% 18% 9% 14% 6% 11% 17%
75% 86% 82% 69% 65% 90% 66% 82% 77% 80% 85% 82% 88% 83%
12% 3% 18% 17% 17% 22% 16% 22% 12% 11% 11% 2% 9%
85% 8%
5%
83%
85%
4%
84%
10%
77%
84%
60%
72%
87%
75%
52%
48%
66%
59%
69%
83%
78%
66%
95%
77%
75%
74%
72%
86%
83%
77%
89%
88%
92%
77%
77%
85%
79%
74%
78%
60%
59%
86%
75%
51%
54%
73%
64%
68%
83%
76%
61%
94%
71%
77%
74%
58%
84%
83%
72%
83%
80%
87%
72%
71%
77%
70%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
10%
Sputum positivity rate
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
86%
87%
87%
86%
88%
81%
75%
78%
82%
65%
88%
89%
83%
79%
96%
89%
91%
81%
89%
88%
89%
81%
90%
91%
94%
85%
90%
87%
91%
TSR (NTP only)
85%
82%
87%
84%
87%
81%
74%
79%
85%
77%
86%
90%
83%
80%
95%
86%
90%
84%
86%
89%
89%
80%
89%
91%
91%
84%
86%
86%
85%
TSR (NTP+ Other)
Annual Report 2013
215
Mongkhat
Mongyan
Monghsat
Mongping
Mongton
Monpyak
Mongyaung
Tachileik
Matman
2
3
4
5
6
7
8
9
10
Total
Kengtong
1
Shan State (Kengtong)
Total
21 Ywangan
620054
16665
131385
55417
28496
32702
51532
84496
48032
26832
161162
2068600
79076
180290
132744
17 Lauksauk
20 Nyaungshwe
156542
16 Kalaw
170983
145785
15 Hsiseng
19 Pinlaung
96546
14 Hpekon
79021
345305 97736
12 Taunggyi 13 Hopone
18 Pindaya
85092
88264
9 Mongaking
11 Namsan
45145
8 Laikha
52703
37013
7 Kyeethi
10 Mongshu
58132
16815
4 Mangpang
6 Kunhein
24350
3 Monai
112509
27071
5 Loilem
37478
Population
2 Maukme
Shan State (Taunggyi)
Township
1 Linhkay
Sr.No
669
17
138
58
30
34
54
89
50
28
169
2172
83
189
180
83
139
164
153
559
5
135
45
33
63
45
99
11
7
116
1056
18
70
146
58
60
74
59
47
43
103 101
175
44
51
22
46
8
46
23
8
16
15
27
Total New S(+)
363
89
55
93
47
39
61
118
18
26
28
39
estimated New S(+) cases
1676
8
387
83
61
135
135
433
37
21
376
3309
56
189
229
85
228
226
161
100
97
673
247
158
44
223
77
122
201
26
70
25
72
Total notified TB cases
84%
29%
98%
77%
110%
183%
83%
112%
22%
25%
69%
49%
22%
37%
81%
70%
43%
45%
39%
46%
42%
48%
49%
92%
24%
97%
21%
75%
19%
45%
63%
53%
69%
CDR (NTP only)
90%
29%
100%
77%
110%
183%
87%
113%
22%
25%
89%
50%
22%
39%
81%
70%
43%
46%
39%
46%
44%
48%
49%
92%
25%
97%
21%
75%
30%
45%
63%
53%
69%
CDR (NTP + Other)
43%
44%
71%
59%
57%
48%
28%
38%
42%
47%
45%
37%
53%
79%
75%
49%
55%
52%
59%
62%
45%
23%
44%
66%
22%
17%
48%
14%
45%
28%
78%
46%
Prop: of SS(+) pul: TB cases out of All Pul:
0.95:1
1.25:1
2.5:1
2.2:1
1.34:1
0.8:1
0.50:1
0.58:1
1.17:1
0.98:1
0.8:1
0.75:1
0.96:1
2.47:1
9.67:1
0.44:1
0.75:1
0.78:1
2.76:1
1.39:1
0.46:1
0.48:1
0.77:1
1.69:1
1.31:1
0.12:1
1.21:1
0.43:1
0.62:1
1.07:1
7.5:1
0.87:1
1.1:1
1.5:1
3.5:1
2.5:1
1.6:1
1.3:1
0.5:1
0.8:1
1.8:1
1.3:1
1.4:1
0.9:1
2.1:1
7:1
11.6:1
1:1
1.5:1
1.2:1
7.8:1
2.7:1
0.9:1
0.6:1
1.8:1
2:1
1.5:1
0.2:1
1.4:1
0.7:1
1:1
1.5:1
15:1
0.9:1
Ratio of NSS(+) Ratio of to NSS(-) NSS(+) to cases NSS(-) and EP cases cases
54% 76% 80% 87% 80%
29% 21% 22% 18% 8%
76%
94%
19%
18%
66%
16%
90%
10%
100%
92%
5%
11%
87%
10%
67%
97%
14%
74%
92%
10%
9%
90%
7%
17%
75%
93% 7%
12%
91%
81%
8% 8%
85%
91%
12%
12%
60%
33%
91%
97%
15%
19%
100%
5%
56%
100%
6%
100%
100%
10%
38%
91%
21%
100%
9%
64%
69%
79%
84%
40%
78%
56%
67%
71%
63%
74%
79%
95%
81%
90%
75%
79%
79%
86%
60%
55%
34%
91%
62%
100%
25%
78%
88%
91%
84%
90%
82%
sputum CR ( NTP conversion only) rate
41%
Sputum positivity rate
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
63%
68%
79%
84%
40%
77%
56%
67%
71%
59%
72%
79%
89%
81%
90%
75%
79%
79%
86%
60%
55%
34%
91%
62%
100%
25%
78%
67%
91%
84%
90%
82%
CR (NTP+O ther)
82%
81%
82%
97%
82%
80%
88%
71%
71%
75%
86%
79%
95%
92%
90%
77%
81%
88%
97%
67%
68%
94%
100%
100%
100%
75%
91%
94%
91%
89%
100%
82%
TSR (NTP only)
81%
81%
82%
97%
82%
79%
88%
71%
71%
74%
85%
79%
89%
92%
90%
77%
81%
88%
97%
67%
68%
94%
100%
100%
100%
75%
91%
83%
91%
89%
100%
82%
TSR (NTP+ Other)
Annual Report 2013
216
Total
Shan State (Lashio) Kunlon Hopan Kyaukme Hsipaw Mabein Manton Mongmeik Namtu Nyaungcho Lashio Namsam Mongmaw Theinni Mongreh Manphant Pangyan Narphant Panwaing Tanyan Laukkai Kongyan Muse Kuitai Namkham
Township
1849708
61814 25374 171355 165143 36058 43438 59384 49147 129853 285706 75830 Nr. 52647 49084 Nr. Nr. Nr. Nr. 127576 79084 Nr. 148388 182021 107806
Population
93 56 40
156 191 113 1152
61 41
134 83
1942
54 22
32 60 196 120 11 7 71 37 38 203 10
55 52
65 27 180 173 38 46 62 52 136 300 80
4469
264 403 196
215 328
203 96
126 210 430 381 57 14 105 187 114 1108 32
estimated Total Total New New S(+) notified TB S(+) cases cases
* Note* (Nr.) Report had not been received from townships
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Sr.No
59%
60% 29% 35%
46% 49%
98% 43%
49% 225% 109% 69% 29% 15% 114% 72% 28% 68% 13%
78%
85% 32% 36%
68% 177%
101% 47%
51% 229% 131% 91% 29% 15% 119% 74% 29% 135% 14%
CDR (NTP CDR (NTP only) + Other)
40%
62% 40% 26%
52% 19%
30% 25%
36% 40% 70% 62% 27% 62% 88% 27% 46% 29% 38%
Prop: of SS(+) pul: TB cases out of All Pul:
0.53:1
0.75:1 0.18:1 0.49:1
0.53:1 0.17:1
0.6:1 0.61:1
0.65:1 1.33:1 1:1 0.59:1 0.31:1 7:1 3.55:1 0.39:1 0.9:1 0.42:1 0.63:1
0.9:1
1.8:1 0.5:1 0.5:1
1.1:1 0.2:1
0.7:1 0.6:1
0.7:1 3.2:1 2.2:1 2.2:1 0.4:1 7:1 6.5:1 0.5:1 1.5:1 0.5:1 0.8:1
71% 73% 86%
12% 16% 9%
81%
82% 69%
7% 15%
14%
93% 94%
79% 68% 82% 78% 67%
21% 23% 6% 15% 6% 17% 8%
94% 91% 82% 85% 100%
67%
47% 38% 67%
48% 45%
87% 48%
54% 54% 86% 53% 62%
79% 91% 82% 97% 69%
66%
67%
59% 37%
47% 50%
85% 48%
54% 52% 80% 57% 62%
79% 91% 83% 94% 69%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
11% 24% 27% 10% 24%
Ratio of NSS(+) Ratio of Sputum to NSS(-) NSS(+) to positivity cases NSS(-) rate and EP cases cases
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
78%
68% 67% 78%
82% 59%
87% 93%
71% 75% 86% 59% 100%
79% 93% 87% 97% 88%
TSR (NTP only)
77%
74% 65% 78%
79% 60%
85% 93%
73% 72% 85% 65% 100%
79% 93% 89% 95% 88%
TSR (NTP+ Other)
Annual Report 2013
Kyainseikkyi
Myawady
Hpa-an
Hlaingbwe
Papun(Kamamaung)
Thandaung
2
3
4
5
6
7
217
145321
100497
Launglon
Thayetchaung
Yebyu
Kawthaung
Bokpyin
Myeik
Kyunsu
Tanintharyi
2
3
4
5
6
7
8
9
137741
1301784
10 Palaw
Total
252659
51554
98293
124951
119812
138021
Dawei
132935
1389274
96249
43936
271548
430180
117269
178031
252061
Population
1
Tanintharyi Region
Total
Kawkareik
Kayin State
Township
1
Sr.No
1367
145
106
153
265
54
103
131
126
145
140
1459
101
46
285
452
123
187
265
833
57
57
16
246
43
104
46
54
86
124
1054
17
36
211
385
185
79
141
4847
894
119
48
1522
179
663
206
221
386
609
3290
139
136
529
1331
495
217
443
estimated Total Total New New S(+) notified TB S(+) cases cases
61%
39%
54%
10%
93%
79%
101%
35%
43%
59%
89%
72%
17%
78%
74%
85%
150%
42%
53%
72%
41%
54%
11%
107%
91%
114%
36%
47%
62%
145%
78%
19%
102%
79%
86%
175%
42%
60%
25%
11%
64%
50%
24%
36%
21%
28%
35%
34%
28%
38%
17%
28%
45%
32%
52%
41%
39%
0.42:1
0.17:1
1.73:1
1.07:1
0.31:1
0.48:1
0.39:1
0.53:1
0.74:1
0.74:1
0.66:1
0.77:1
0.68:1
0.62:1
1.22:1
0.54:1
1.05:1
0.9:1
1.05:1
0.6:1
0.3:1
2.7:1
1.3:1
0.5:1
1:1
0.5:1
0.6:1
1:1
1.1:1
0.8:1
0.8:1
0.9:1
0.6:1
1.3:1
0.6:1
1.3:1
1.1:1
1.3:1
97% 82% 75% 84% 100% 80% 88% 83%
7%
25% 50% 2% 24% 11% 19%
88%
16%
14%
70%
15%
78%
97%
24%
83%
95%
11%
10%
94%
15%
79%
71%
19%
4%
90%
31%
12%
78%
21%
70%
56%
78%
90%
72%
63%
55%
83%
69%
80%
75%
77%
93%
77%
90%
82%
60%
72%
70%
72%
55%
76%
88%
71%
65%
58%
83%
70%
80%
79%
77%
79%
75%
88%
81%
60%
71%
70%
81%
76%
78%
90%
83%
65%
82%
90%
78%
82%
80%
85%
93%
77%
94%
89%
69%
77%
88%
Ratio of Prop: of NSS(+) Ratio of SS(+) pul: Sputum sputum CR TSR CDR (NTP CDR (NTP to NSS(-) NSS(+) to CR ( NTP TB cases positivity conversion (NTP+O (NTP only) + Other) cases NSS(-) only) out of All rate rate ther) only) and EP cases Pul: cases
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
82%
75%
76%
91%
84%
70%
81%
90%
80%
82%
82%
85%
95%
78%
94%
89%
70%
76%
88%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Sr.No
218
Total
Bago Region Bago Daik-U Kawa Kyauktaga Nyaunglaybin Shwekyin Thanatpin Waw Taunggoo Kyaukkyi Oktwin Phyu Htantabin Yedashe Pyay Paukkhaung Paungde Padaung Shwedaung Thegon Tharyarwady Zigon Minhla Moenyo Okpo Gyobingauk Nattalin Latpadan
Township
4808876
428626 201612 208983 207761 259856 90845 221487 159274 229239 198795 278684 159549 110162 119576 151995 185420 124401 115164 126460 128331 167003 69251 217359 116715 139151 128340 129515 135322
Population
5049
450 212 219 218 273 95 233 167 241 209 293 168 116 126 160 195 131 121 133 135 175 73 228 123 146 135 136 142
estimated New S(+) cases
3378
146
168
59
108
68
142
71
150
78
106
64
103
122
167
142
54
153
112
73
155
161
80
55
136
137
103
125
340
12886
1401 514 373 541 489 223 401 428 587 187 470 920 224 406 925 373 420 322 302 391 437 252 453 240 359 304 584 360
Total Total New notified TB S(+) cases
67%
76% 59% 47% 63% 50% 58% 34% 96% 64% 35% 38% 91% 47% 113% 105% 63% 79% 53% 80% 58% 86% 98% 62% 55% 74% 44% 124% 103%
CDR (NTP only)
83%
127% 68% 57% 73% 54% 58% 40% 107% 121% 35% 46% 96% 54% 132% 149% 63% 96% 104% 96% 65% 101% 98% 62% 55% 81% 54% 124% 120%
CDR (NTP + Other)
34%
39% 33% 36% 34% 35% 31% 24% 46% 36% 48% 30% 21% 30% 41% 22% 41% 31% 28% 41% 24% 43% 31% 38% 33% 37% 30% 37% 50%
Prop: of SS(+) pul: TB cases out of All Pul:
0.68:1
0.48:1 0.6:1 0.67:1 0.59:1 0.61:1 0.59:1 0.36:1 0.95:1 0.97:1 1.22:1 0.78:1 0.46:1 0.61:1 0.86:1 0.49:1 1.2:1 0.93:1 0.5:1 0.97:1 0.55:1 1.09:1 0.72:1 0.81:1 0.83:1 0.89:1 0.44:1 0.99:1 1.2:1 0.9:1
0.8:1 0.8:1 0.8:1 0.7:1 0.8:1 0.7:1 0.4:1 1.4:1 1.3:1 1.4:1 0.9:1 0.5:1 0.7:1 1.1:1 0.6:1 1.6:1 1.1:1 0.5:1 1.2:1 0.6:1 1.2:1 0.8:1 1:1 0.9:1 1:1 0.6:1 1.2:1 1.5:1
Ratio of NSS(+) Ratio of to NSS(-) NSS(+) to cases NSS(-) and EP cases cases
17%
12% 18% 31% 16% 17% 15% 9% 18% 32% 25% 21% 15% 23% 24% 15% 9% 16% 15% 16% 13% 19% 18% 16% 13% 17% 11% 20% 15%
Sputum positivity rate
88%
89% 77% 85% 92% 88% 80% 86% 97% 89% 92% 93% 81% 93% 92% 78% 99% 80% 83% 96% 93% 90% 94% 76% 90% 91% 92% 91% 89%
75%
75% 56% 85% 86% 78% 45% 80% 86% 86% 74% 73% 73% 91% 87% 79% 58% 89% 51% 61% 69% 86% 84% 69% 81% 58% 76% 75% 74%
74%
74% 55% 86% 83% 75% 45% 80% 83% 76% 74% 71% 70% 78% 81% 78% 58% 86% 53% 67% 71% 85% 84% 69% 81% 55% 76% 75% 70%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
88%
85% 91% 88% 92% 91% 85% 90% 93% 89% 84% 82% 82% 93% 91% 81% 92% 91% 80% 82% 86% 89% 97% 84% 92% 88% 93% 91% 93%
TSR (NTP only)
88%
87% 92% 90% 91% 91% 85% 92% 94% 86% 84% 82% 82% 92% 91% 83% 92% 88% 78% 85% 87% 90% 97% 84% 92% 88% 92% 90% 89%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 2 3 4 5 6 7 8 9 10
Sr.No
219
Total
Rakhine State Sittwe Ponngyun Kyauktaw MraukOo Minbya Myaepon Pauktaw Yatheedaung Maungdaw Buthidaung Kyaukphyu Yanbye Manaung Ann Thandwe Taunggoke Gwa
Total
Mon State Mawlamyaing Chanungzon Kyaikmaraw Mudon Thanbyuzayat Ye Thaton Belin Kyaikto Paung
Township
3213668
259437 147448 217512 220414 201781 144362 183993 169352 552993 316750 171724 114708 64296 114485 124844 146505 63064
2141928
273784 157753 216101 215484 176653 254253 253013 180960 168131 245796
Population
3374
272 155 228 231 212 152 193 178 581 333 180 120 68 120 131 154 66
2249
287 166 227 226 185 267 266 190 177 258
1990
237 76 123 191 196 82 41 105 166 174 122 55 58 67 108 134 55
1626
334 91 125 103 120 183 236 149 114 171
5284
617 459 372 446 337 177 140 218 367 500 385 133 116 245 288 314 170
7010
1104 314 826 556 780 892 699 724 245 870
estimated Total Total New New S(+) notified TB S(+) cases cases
59%
87% 49% 54% 83% 93% 54% 21% 59% 29% 52% 68% 46% 86% 56% 82% 87% 83%
72%
116% 55% 55% 46% 65% 69% 89% 78% 65% 66%
65%
152% 49% 54% 83% 93% 54% 21% 59% 32% 52% 68% 46% 86% 56% 83% 88% 83%
89%
133% 57% 56% 66% 68% 69% 138% 99% 108% 72%
CDR (NTP CDR (NTP only) + Other)
49%
46% 27% 40% 53% 71% 57% 42% 53% 55% 45% 43% 51% 60% 37% 65% 58% 50%
29%
41% 31% 17% 27% 18% 25% 43% 23% 58% 22%
Prop: of SS(+) pul: TB cases out of All Pul:
0.99:1
1.22:1 0.4:1 0.88:1 1.02:1 2.15:1 1.26:1 0.79:1 1.5:1 1.89:1 0.95:1 0.76:1 1.12:1 1.49:1 0.51:1 0.7:1 1.19:1 0.59:1
0.68:1
0.76:1 1.12:1 0.75:1 0.42:1 0.84:1 0.69:1 0.9:1 0.49:1 1.41:1 0.42:1
1.4:1
1.9:1 0.4:1 1.1:1 1.3:1 3.3:1 1.8:1 0.9:1 1.5:1 2.4:1 1.1:1 1.2:1 1.5:1 1.8:1 0.8:1 2:1 1.8:1 1.3:1
0.8:1
0.9:1 1.3:1 0.9:1 0.9:1 1:1 0.7:1 1:1 0.5:1 1.8:1 0.5:1
18%
26% 38% 17% 13% 17% 21% 17% 11% 14% 17%
17% 25% 11% 24% 28% 22%
16% 6% 7% 10% 8% 13% 16% 8% 19% 11% 11%
Ratio of NSS(+) Ratio of Sputum to NSS(-) NSS(+) to positivity cases NSS(-) rate and EP cases cases
80%
70% 83% 94% 86% 79% 94% 73% 90% 70% 67% 85% 93% 98% 75% 89% 80% 87%
89%
93% 93% 91% 89% 85% 78% 85% 95% 90% 88%
65%
44% 96% 68% 48% 77% 51% 40% 86% 59% 69% 71% 83% 98% 56% 82% 54% 88%
76%
70% 88% 67% 80% 90% 65% 56% 91% 83% 89%
64%
44% 96% 68% 48% 77% 51% 40% 86% 58% 68% 71% 83% 98% 56% 82% 54% 88%
75%
70% 85% 66% 70% 87% 65% 64% 88% 80% 89%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
85%
78% 96% 96% 91% 86% 89% 73% 86% 65% 94% 79% 83% 98% 81% 92% 73% 88%
86%
85% 90% 91% 88% 91% 75% 79% 96% 83% 91%
TSR (NTP only)
84%
74% 96% 96% 91% 86% 89% 73% 86% 66% 94% 79% 83% 98% 81% 92% 73% 88%
87%
85% 91% 92% 86% 89% 75% 85% 95% 84% 91%
TSR (NTP+ Other)
Annual Report 2013
220
1 2 3 4 5 6 7 8 9 10 11 12 13
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Sr.No
40279 77985 180599 281081 128626 273506 156157 205225 192422 98114 157797 47661 116784 112091 2068327
63654 28227 103586 79404 1523 22516 30252 78923 156228 27643 34450 119969 51338 797713
West District KAMAYUT KYAUKTADA KYINMYINDINE SANCHUNG SEIKKAN DAGON PABADAN BAHAN MAYANGON LATHA LANMADAW HLAING AHLONE Total
Population
Yangon Region East District Botataung Dawbon Dagon(N) Dagon(S) MingalarTN Okkala(N) Okkala(S) Thaketa Thingangyun Yankin Tarmwe Pazundaung Dagon(E) Dagon Seikkan Total
Township
108 48 176 135 3 38 51 134 266 47 59 204 87 1356
68 133 307 478 219 465 265 349 327 167 268 81 199 191 3516
estimated New S(+) cases
82 30 154 104 6 27 41 91 154 21 43 219 59 1031
2306
104
200
61
125
126
178
237
177
248
101
416
177
110
46
246 93 379 273 9 67 117 256 550 73 124 602 155 2944
143 271 506 1183 560 810 451 591 682 256 437 187 557 304 6938
Total Total New notified TB S(+) cases
76% 63% 87% 77% 232% 71% 80% 68% 58% 45% 73% 107% 68% 76%
67% 83% 58% 87% 46% 53% 67% 68% 54% 76% 47% 75% 101% 55% 66%
CDR (NTP only)
90% 63% 118% 91% 232% 71% 80% 86% 91% 45% 86% 135% 99% 97%
69% 165% 124% 156% 50% 129% 120% 159% 111% 78% 71% 77% 132% 87% 118%
CDR (NTP + Other)
53% 49% 59% 57% 67% 59% 48% 55% 45% 53% 52% 53% 61% 53%
48% 59% 51% 52% 31% 49% 56% 60% 43% 69% 48% 52% 51% 49% 50%
Prop: of SS(+) pul: TB cases out of All Pul:
0.68:1 0.63:1 1.03:1 0.92:1 2:1 0.9:1 0.73:1 0.82:1 0.54:1 0.68:1 0.65:1 0.93:1 0.88:1 0.78:1
0.68:1 1.05:1 0.85:1 0.95:1 0.33:1 0.69:1 0.98:1 1.2:1 0.57:1 2.1:1 0.61:1 0.77:1 0.96:1 0.89:1 0.81:1 1:1 0.8:1 1.5:1 1.2:1 2:1 1.4:1 0.9:1 1.1:1 0.7:1 1:1 0.9:1 1.2:1 1.5:1 1:1
0.8:1 1.3:1 1:1 1.2:1 0.4:1 0.9:1 1.2:1 1.6:1 0.7:1 3.3:1 0.8:1 1:1 1.1:1 1.1:1 1:1
Ratio of NSS(+) Ratio of to NSS(-) NSS(+) to cases NSS(-) and EP cases cases
22%
20%
17% 20%
26%
21% 60% 65%
78% 99% 85% 69% 69% 59% 96% 31% 84% 106% 36%
Sputum positivity rate
83% 96% 79% 93% 40% 86% 93% 95% 90% 82% 94% 97% 76% 89%
100% 98% 88% 84% 95% 90% 82% 88% 98% 93% 100% 93% 93% 98% 91%
77% 90% 64% 80% 89% 86% 81% 83% 82% 76% 90% 83% 80%
89% 85% 93% 89% 81% 80% 97% 85% 84%
85% 79% 77% 73% 94% 80% 84% 71% 71% 84% 83% 74% 84% 65% 77% 79% 90% 63% 81%
91% 92% 77% 80% 97% 86% 89% 83% 81% 90% 89% 78% 88% 84% 85%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
89% 85% 94% 90% 94% 84% 97% 85% 87%
79% 90% 72% 86%
91% 92% 89% 80% 98% 86% 90% 83% 84% 90% 90% 78% 92% 88% 87%
TSR (NTP only)
89% 86% 90% 86% 94% 79% 95% 87% 86%
79% 90% 76% 88%
88% 86% 92% 80% 95% 86% 88% 81% 80% 88% 89% 74% 94% 83% 85%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 10
Sr.No
31811 156364 0 123992 166068 116147 170290 216388 161800 192995 1335855
189968 240886 396124 238928 244769 126131 191920 199432 0 0 1828158
6030053
North District MINGALADON SHWEPYITHA HLAINGTHAYAR INSEIN TAIKKYI HTANTABIN HMAWBI HLEGU U.T.I NTP( Diagnostic C) Total
Yangon Region
Population
South District SEIKKYIKANAUNG' T DALLAH CoCo Gyun KAWHMU KYAUKTAN KUNGGANGONE KAYAN TWANTAY THONGWA THANLYIN Total
Township
221 10251
323 410 673 406 416 214 326 339 0 0 3108
54 266 0 211 282 197 289 368 275 328 2271
6774
382 252 606 364 253 97 195 95 0 0 2244
44 127 0 51 109 100 122 160 140 340 1193
20107
1109 753 1899 1117 839 238 551 488 0 11 7005
125 528 0 183 328 226 295 460 269 806 3220
estimated Total Total New New S(+) notified TB S(+) cases cases
109%
128%
72% 66%
179% 124% 190% 149% 101% 49% 90% 56%
82% 98% 0% 54% 44% 63% 54% 74% 57% 150% 77%
118% 62% 90% 90% 61% 45% 60% 28%
24% 39% 51% 42% 43% 51% 104% 53%
81% 48%
CDR (NTP CDR (NTP only) + Other)
0.79:1
0:1 0.72:1
10% 45% 49%
0.79:1 0.73:1 0.71:1 0.66:1 0.74:1 0.98:1 0.97:1 0.43:1
0.72:1 0.77:1 1.56:1 1.42:1 1.08:1 1.57:1 1.07:1 0.93:1
0.79:1 0.42:1
52% 48% 42% 48% 42% 53% 45% 28%
39% 40% 53% 53% 50% 66% 57% 50%
49% 38%
1:1
0:1 0.8:1
0.9:1 0.9:1 0.8:1 0.8:1 0.8:1 1.4:1 1.2:1 0.5:1
0.9:1 0.9:1 1.9:1 2.1:1 1.6:1 2.4:1 1.4:1 1.3:1
1:1 0.6:1
33%
91%
91%
83% 88% 97% 94% 85% 100% 87% 100%
97% 88% 91% 99% 92% 89% 91% 92%
5% 10% 10% 23% 9% 13% 24% 13% 19% 19% 18% 20% 19% 33% 15% 7% 18% 13% 16%
91% 92%
84%
87%
87% 77% 93% 89% 80% 97% 84% 97%
93% 71% 81% 88% 77% 88% 80% 78%
55% 70%
77%
77%
83% 75% 73% 81% 73% 97% 71% 81%
81% 75% 82% 84% 75% 80% 75% 74%
55% 62%
88%
90%
88% 86% 93% 92% 86% 97% 92% 97%
93% 91% 89% 93% 88% 89% 87% 88%
87% 80%
sputum CR TSR CR ( NTP conversion (NTP+O (NTP only) rate ther) only)
15%
Ratio of Prop: of NSS(+) Ratio of SS(+) pul: Sputum to NSS(-) NSS(+) to TB cases positivity cases NSS(-) out of All rate and EP cases Pul: cases
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
85%
84%
86% 87% 78% 88% 88% 97% 85% 89%
89% 92% 91% 91% 86% 82% 84% 85%
87% 75%
TSR (NTP+ Other)
Annual Report 2013
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Sr.No
222
Total
Ayeyarwaddy Region Pathein Kangyidaung Yekyi Kyaunggon Kyonpyaw Ngaputaw Thabaung Hinhada Kyankin Myanaung Ingapu Zalun Laymtethna Myaungmya Laputta Mawgyun Wakema Einme Pyapon Bogalay Dedaye Kyaiklatt Maubin Nyaungdon Pantanaw Danuphyu
Township
6249174
298227 170061 196496 166406 256056 308535 153137 366960 96729 222740 213652 180592 107852 281396 328446 310977 295634 201407 313642 341121 214181 207427 347196 221135 262339 186830
Population
6562
313 179 206 175 269 324 161 385 102 234 224 190 113 295 345 327 310 211 329 358 225 218 365 232 275 196 4435
441 106 154 137 168 188 128 353 59 130 148 90 81 226 203 175 127 161 259 209 65 89 224 155 205 154 13174
1390 314 578 314 443 609 480 1065 286 726 408 476 180 839 578 406 285 424 714 457 207 340 660 313 368 314
estimated Total Total New New S(+) notified TB S(+) cases cases
68%
141% 59% 75% 78% 62% 58% 80% 92% 58% 56% 66% 47% 72% 76% 59% 54% 41% 76% 79% 58% 29% 41% 61% 67% 74% 79% 79%
173% 65% 76% 81% 68% 59% 81% 107% 62% 57% 81% 51% 72% 87% 60% 70% 76% 79% 94% 75% 38% 51% 61% 84% 93% 90%
CDR (NTP CDR (NTP only) + Other)
44%
41% 46% 37% 59% 62% 38% 35% 39% 26% 25% 43% 23% 51% 38% 47% 52% 58% 44% 46% 64% 36% 31% 56% 63% 61% 63%
Prop: of SS(+) pul: TB cases out of All Pul:
0.82:1
0.79:1 0.87:1 0.52:1 1.41:1 0.79:1 0.87:1 1.01:1 0.67:1 0.45:1 0.35:1 0.91:1 0.5:1 1.21:1 0.54:1 1.03:1 1.37:1 1.38:1 1.07:1 0.9:1 1.13:1 0.61:1 0.67:1 0.57:1 1.8:1 1.85:1 2.61:1 1.1:1
1:1 1.2:1 0.8:1 2.7:1 1.6:1 1.1:1 1.3:1 0.8:1 0.7:1 0.6:1 1:1 0.5:1 1.4:1 0.8:1 1.4:1 2.2:1 2:1 1.3:1 1.2:1 1.8:1 0.6:1 0.8:1 1.1:1 3.2:1 2.1:1 3:1 18%
20% 16% 17% 17% 19% 20% 15% 20% 10% 20% 16% 15% 18% 15% 17% 16% 12% 13% 18% 18% 13% 18% 24% 29% 25% 29%
Ratio of NSS(+) Ratio of Sputum to NSS(-) NSS(+) to positivity cases NSS(-) rate and EP cases cases
88%
84% 96% 90% 94% 92% 93% 86% 91% 96% 89% 90% 89% 81% 88% 88% 81% 90% 87% 91% 87% 79% 89% 90% 92% 78% 96%
73%
68% 83% 62% 78% 65% 74% 70% 88% 84% 70% 75% 46% 79% 70% 70% 85% 64% 73% 78% 75% 46% 58% 66% 94% 60% 92%
73%
69% 79% 62% 78% 65% 74% 69% 84% 84% 72% 72% 46% 79% 69% 70% 82% 67% 73% 79% 73% 51% 60% 65% 93% 65% 90%
sputum CR CR ( NTP conversion (NTP+O only) rate ther)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
87%
87% 93% 93% 91% 96% 90% 85% 92% 90% 88% 84% 71% 89% 79% 83% 87% 90% 83% 81% 82% 88% 91% 86% 94% 86% 93%
TSR (NTP only)
87%
86% 91% 93% 92% 96% 89% 85% 92% 90% 89% 84% 71% 89% 80% 84% 87% 88% 83% 82% 81% 89% 90% 86% 94% 87% 93%
TSR (NTP+ Other)
Annual Report 2013
223 10250
not available
54106
47796627
Country
42595
165
not available
Other units
283 697
111
170
999
215
167
124
951852
204625
159429
81
26
Total
Pyinmana
6
76818
77
55
269916
Zayyartheri
5
73213
85
8
Lewei
Zamutheri
4
80682
30
38
8
Poatpatheri
3
28998
61
70%
58%
52%
102%
154%
34%
65%
26%
62%
not
83%
69%
65%
130%
160%
36%
74%
36%
69%
CDR (NTP CDR (NTP only) + Other)
142162
60%
78.7%
34466 not available available
2010
385
344
490
434
77
152
33
93
estimated Total Total New New S(+) notified TB S(+) cases cases
Tatkone
Dekhinatheri
2
58171
Population
7
Oaktaratheri
Naypyitaw
Township
1
Sr.No
41%
41%
57%
61%
58%
60%
48%
62%
58%
62%
53%
0.71:1
0.66:1
0.72:1
1.02:1
0.65:1
0.72:1
0.52:1
0.81:1
0.74:1
0.67:1
0.86:1
1:1
0.9:1
1.4:1
1.8:1
1.4:1
1.5:1
1:1
1.2:1
1.5:1
2.7:1
1.3:1
15%
12%
20%
23%
24%
19%
21%
25%
Ratio of Prop: of NSS(+) Ratio of SS(+) pul: Sputum to NSS(-) NSS(+) to TB cases positivity cases NSS(-) out of All rate and EP cases Pul: cases
85%
79%
88%
89%
80%
90%
93%
96%
85%
78%
94%
69% 63% 68%
69% 64% 68%
74%
76%
76%
74%
CR =66%(other units only)
80%
73% 82%
79%
75%
75%
75%
79%
72%
74%
85%
93%
83%
83%
78%
81%
81%
88%
92%
TSR (NTP+ Other)
86%
85%
TSR= 82%(other units only)
85%
93%
87%
83%
78%
81%
81%
88%
91%
sputum CR TSR CR ( NTP conversion (NTP+O (NTP only) rate ther) only)
EVALUATION OF TB CONTROL ACTIVITIES IN TOWNSHIPS (2012-2013) Annex-22(Detail township data)
Annual Report 2013
Annual Report 2013
CDR
