Tuberculosis control programme of Khyber Pakhtunkhwa

Tuberculosis is a high priority agenda in the National Health Policy of Pakistan. Health Department Khyber-Pakhtunkhwa planned and implemented “TB Eradication Program NWFP (Khyber-Pakhtunkhwa)” to control TB in the Province in 2000, through a PC-1 for duration of five years (2000–2005). Foreign aided PC-I for 2005–2008 was then approved and extended to 31 December 2009. A new PC-I of Rs.142.22 million for 3 years i.e. 2009–2012 has been approved by the Government comprising purely of Government component, which shows Government commitment to eradicate TB from the Province.

Facts about TB

• According to WHO estimates, one third of world population is infected with TB.
• Eight million people develop active TB annually all over the world.
• Two million people die of TB every year.
• Pakistan ranks 5th among high burden TB countries in the world.
• There are about 4,20,000 new TB cases in Pakistan each year.
• An estimated 55,000 new TB cases occur in Khyber-Pakhtunkhwa every year.
• A sputum smear positive TB patient can infect 10–15 persons/year.

About the programme

Programme Mission is TB free Khyber-Pakhtunkhwa. Programme goal is to reduce TB prevalence & death rates by 50% by 2015 relative to 1990. Implementation target is to detect at least 70% of new sputum smear positive cases and cure at least 90% of these cases. TB is a high priority agenda in the National Health Policy. Health Department Khyber-Pakhtunkhwa planned and implemented “TB Eradication Program” to control TB in the Province in the year 2000, through a PC-1 for duration of five years (2000–2005).

Foreign aided PC-I for 2005–2008 was then approved and extended to 31 December 2009. GTZ provided technical assistance and KFW yielded financial assistance in this PC-I. Counterpart component was Rs.29.668 million. Currently the Programme is functioning under a PC-I of Rs.142.22 million for 3 years i.e. 2009–2012, which purely is Government component and shows the commitment of the Government to control TB in the Province.

The Programme Follows WHO recommended DOTS (Directly Observed Treatment Short course) strategy to address TB concern effectively.

TB Surveillance System in Khyber-Pakhtunkhwa

TB Control Programme, Khyber-Pakhtunkhwa is the only programme which has its own web based Electronic Recording and Reporting System (tbdatakp.gov.pk). It is the case based recording system which provides access to every patient's record and to monitor performance of each BMU and district. It was developed in last quarter of 2009 with financial support from AGEG-KfW and was launched in 1st quarter of 2010.

The basic objective was to have a system which can help to generate error free report and to strengthen the TB surveillance system. TB Control Programme, KP was maintaining TB data in MS Excel Files since 2002 which was holding data collected from districts and consolidating to generate province report but the quality of the data was always in question and chances of errors were high because of manual collection and generation of reports by the district TB control officers.

Introduction of ERS addressed many issues. Now DOTS facilitator at district TB control office enter TB patient's data from TB03 register just like he/she enter it in TB03 itself, the system records it along with its follow-up data and generate WHO standard reports at the end of each quarter. Also it performs analysis on the reports to show the progress and performance of the BMU, District and Province. With the help of ERS district TB control officer and provincial TB control authority can access and monitor the data of patients registered in periphery.

TB control programme upgraded their system in January, 2011. Keeping in view the feed backs from the districts. The system has the capacity to be upgraded further and new features can be introduced to strengthen it more, it can be attached to increase its scope to other TB related activities and to help TB management staff by getting quality data in real time.

TB Diagnostic Centers in Khyber-Pakhtunkhwa

District Abbottabad

1. District TB Office
2. Ayub Teaching Hospital
3. Civil Hospital Nathia Gali
4. Civil Hospital Sherwaan
5. Civil Hospital Boi
6. Rural Health Centre Havelian
7. Rural Health Centre Lora
8. TB Association Centre

District Battagram

1. District TB Office
2. Civil Hospital Thakot
3. Rural Health Centre Banna
4. Rural Health Centre Kooza Banda

District Bannu

1. District Headquarters Hospital
2. Rural Health Centre Domail
3. Rural Health Centre Kakki
4. Rural Health Centre Ghoriwala
5. Anti TB Association Geneva Bannu Township

District Buner

1. District Headquarters Hospital Dagar
2. Civil Hospital Pacha killi
3. Civil Hospital Totalai
4. Rural Health Centre Chamla
5. Rural Health Centre Nagrai
6. Rural Health Centre Juwar
7. Noor Medical Centre

District Charsadda

1. District Headquarters Hospital
2. Tehsil Headquarters Hospital Tangi
3. Civil Hospital Shabqadar
4. Rural Health Centre Battagram
5. Rural Health Centre Jamalabad
6. Rural Health Centre Sherpao
7. Basic Health Unit Nisatta
8. Basic Health Unit Utmanzai
9. PPM /STCP

Rural Health Unit Umer zai

District Chitral

1. District Headquarters Hospital
2. Tehsil Headquarters Hospital Daroosh
3. Tehsil Headquarters Hospital Booni
4. Rural Health Centre Ayun
5. Rural Health Centre Garam Chasma
6. Rural Health Centre Mastuj
7. Rural Health Centre kaghuzi
8. Basic Health Unit Arandu
9. Boomi Medical Centre
10. Family Health Centre Chuinj
11. Family Health CentreHarchin
12. Family Health Centre Bang
13. Family Health Centre Shagram
14. Family Health Centre Garam Chashma
15. Extended Family Health Centre Shogore

District Dera Ismail Khan

1. District TB Office
2. Civil Hospital Daraban Kalan
3. Civil Hospital Chaudhwan
4. Civil Hospital Kulachi
5. Civil Hospital Panyala
6. Rural Health Centre Paharpur
7. Rural Health Centre Kot Jai
8. Rural Health Centre Parowa
9. Rural Health Centre Kiri Shamozai
10. TB Association Centre

District Hangu

1. District Headquarters Hospital
2. Civil Hospital Thall
3. Civil Dispensary Doaba
4. Rural Health Centre Naryab

District Haripur

1. District Office
2. District Headquarters Hospital
3. Civil Hospital Khalabat TownShip
4. Civil Hospital Rehana
5. Central Jail Haripur
6. Rural Health Centre Kot Najibulla
7. Rural Health Centre Khanpur
8. Rural Health Centre Sari Niamat Khan
9. Rural Health Centre Sirikot
10. Rural Health Centre Ghazi
11. Rural Health Centre Nara Amazai

District Karak

1. District TB Office
2. District Headquarters Hospital
3. Tehsil Headquarters Hospital B.D Shah
4. Civil Hospital Takhti Nasrati
5. Civil Hospital Bahadar Khel
6. Civil Hospital Teri
7. Rural Health Centre Ahmad Abad
8. Rural Health Centre Nari Panos
9. Rural Health Centre Latambar
10. Rural Health Centre Sabir Abad

District Kohat

1. District Headquarters Hospital
2. Liaqat Memorial Women & Children Hospital
3. Civil Hospital Shakardara
4. Rural Health Centre Lachi
5. Rural Health Centre Gumbat
6. Rural Health Centre Ustar Zai
7. Rural Health Centre Chor Lakki
8. TB Association Centre

District Kohistan

1. District TB Office
2. Rural Health Centre Shatyaal
3. Rural Health Centre Pattan
4. Basic Health Unit Ranoulia

District Lakki Marwat

1. District Headquarters Hospital
2. City Hospital
3. Rural Health Centre Titter Khel
4. Rural Health Centre Sarai Gambila
5. Rural Health Centre Sarai Naurang
6. Rural Health Centre Landiwah
7. Rural Health Centre Tajori
8. TB Association Centre
9. MMM Hospital

District Lower-Dir

1. District Headquarters Hospital Timergara
2. Tehsil Headquarters Chakdara
3. Civil Hospital Samar Bagh
4. Rural Health Centre Gulabad
5. Rural Health CentreTalash
6. Rural Health Centre Munda
7. Rural Health Centre Lal Qila
8. TB Association Centre ouch DOTs facilitator/microscopist nawaz khan cell#0345/9394206

PPM/ACD public private mix private labs 1, TBC Ouch Lab 2, lifecare lab timergara 3, Qazi lab timergara 4, fazal rahim lab timergara 5, alfalah lab timergara 6, musarat/shawkat HC PPM GPs/ Doctors Dr, Qazi ikram timergara, Dr, sanaullah ouch, Dr, shahzad khan ouch, Dr, shakirullah asbanr, Dr, M R Shaheen chakdara, Dr, fazal baseer gulabad, Dr, khaista rahman talash, Dr, sameullah chakdara Dr, Fahad talash, Dr, Mehbob khan munda, Dr, ashfaq ur rahman timergara, Dr, tariq hasan timergara, Dr, shawkat ali timergara, Dr, noor Islam timergara, Dr nisar ahmad timergara, Dr, M Tahir timergara, Dr. Fida mohd timergara, Dr. Hafiz ur rahman timergara

District Malakand

1. District Headquarters Hospital Batkhela
2. Tehsil Headquarters Dargai
3. Civil Hospital Thana
4. Civil Hospital Totakan
5. Rural Health Centre Julagram
6. Rural Health Centre Sakhakot
7. TB Association Centre Batkhela

District Manshera

1. District TB Office
2. District Headquarters Hospital
3. Civil Hospital Baffa
4. Civil Hospital Battal
5. Civil Hospital Gari Habibullah
6. Civil Hospital Balakot
7. Civil Hospital Oghi
8. Civil Hospital Darband
9. Rural Health Centre Shinkiari
10. Rural Health Centre Chather Plan
11. Rural Health Centre Chowki
12. Rural Health Centre Lassan Nawab
13. Rural Health Centre Oghi Charbagh
14. General & Mental Hospital Dadar
15. Basic Health Unit Khathai
16. Anti TB Association Geneva Ahl

District Mardan

1. District TB Office
2. Mardan Medical Complex
3. Civil Hospital Lundkhwar
4. Civil Hospital Rustam
5. Rural Health Centre Katlang
6. Rural Health Centre Shahbaz Garhi
7. Rural Health Centre Sher Garh
8. Rural Health Centre Takht Bhai
9. Rural Health Centre Toru
10. TB Hospital Baghdada Mardan
11. TB Association Centre Takht Bhai
12. PPM/STCP

District Nowshera

1. District TB Office
2. Emergency Satellite Complex Hospital Pabbi
3. Civil Hospital Ziarat Kaka Sahib
4. Civil Hospital Akora Khattak
5. Rural Health Centre Dak Ismail Khel
6. Rural Health Centre Khair Abad
7. Rural Health Centre Kheshki
8. Rural Health Centre Manki Sharif
9. Rural Health Centre Nizampur
10. Basic Health Unit Taru Jaba
11. PPM /STCP

District Peshawar

1. District TB Office
2. Lady Reading Hospital
3. Khyber Teaching Hospital
4. Hayatabad Medical Complex
5. Govt.City Hospital Kohat Road
6. Agha Khan Family Hospital
7. Cantt. General Hospital
8. Civil Hospital Mattani
9. Central Jail Hospital
10. Federal Government Hospital
11. Fauji Foundation Hospital
12. Infectious Diseases Hospital Haji Camp
13. Kuwait Teaching Hospital
14. Kai Japan Hospital
15. Mission Hospital
16. Police Hospital
17. Railways Hospital
18. Social Security Hospital
19. Wapda Hospital
20. TB Centre Ganj
21. Rural Health Centre Badaber
22. Rural Health Centre Gara Tajak
23. Rural Health Centre Nahaqi
24. PTCL Dispensary
25. Basic Health Unit Budhai
26. Green Star (Good life)
27. Child Center City Govt Hosp Peshawar
28. PPM /STCP

District Shangala

1. District Headquarters Hospital Alpuri
2. Civil Hospital Besham
3. Civil Hospital Chakesar
4. Civil Hospital Puran
5. Rural Health Centre Karora
6. District TB Office

District Swabi

1. District Headquarters Hospital
2. Civil Hospital Topi
3. Civil Hospital Kalu Khan
4. Rural Health Centre Ambar Kunda
5. Rural Health Centre Yar Hussain
6. Rural Health Centre Marghuz
7. Basic Health Unit Gani Chatra
8. Basic Health Unit Tordher
9. Basic Health Unit Dobain
10. Rural Health Center Yar Hussain

T.B Chest Clinic Kalu Khan

District Swat

1. District Headquarters Hospital Swat
2. Tehsil Headquarters Hospital Matta
3. Civil Hospital Kalam
4. Civil Hospital Madyan
5. Civil Hospital Kabal
6. Civil Hospital Manglawar
7. Civil Hospital Barikot
8. Civil Hospital Khawazakhela
9. Rural Health Centre Chuprial
10. Rural Health Centre Deolai
11. Pakistan Anti TB Association Clinic

District Tank

1. Tehsil Headquarters Hospital
2. Rural Health Centre Gomal Bazar
3. Rural Health Centre Amma Khel
4. Christian Hospital

District Upper-Dir

1. District Headquarters Hospital
2. Rural Health Centre Barawal Bandai
3. Rural Health Centre Wari
4. Rural Health Centre Patrak
5. Rural Health Centre Bebure