“NTP will strive for TB free Pakistan by reducing 50% prevalence of TB in general population by 2025 in comparison to 2012 through universal access to quality TB care and achieving Zero TB death.”
Pakistan ranks 5th amongst the high burden countries in the world.
The prevalence, incidence and mortality per 100,000 population per year from TB in Pakistan are 340, 265 and 27 respectively.
National TB Control Program (NTP), revived under Ministry of Health subsequent to declaration of TB as national emergency in Pakistan in 2001.
National TB Control Program stands out as one of the public health programs on track towards achievement of MDG targets in 2015.
Act as a collaborating body at the central level for the development of uniform policies and strategies, facilitating the donor liaison at national and international levels.
NTP at this point in time is implementing Global Fund supported grant through a mechanism of Single Stream Funding (SSF) as principal recipient.
To increase the number of notified TB cases from 298,981 in 2013 to at least 420,000 by 2020 while maintaining the treatment success rate at 91%.
To reduce, by at least 5% per year by 2020. the prevalence of MDR-TB among TB patients who have never received any TB treatment.
To strengthen programmatic and operational management capacity of the TB Control Program while enhancing public sector support for TB control by 2020.
Key performance indicators
TB cases (all forms) notified by NTP per 100,000 population annually in Pakistan.
Percent of TB cases treated successfully among notified bacteriologically confirmed cases by NTP in Pakistan.
Number of TB cases counseled and tested for HIV co-infection in sentinel sites 1n Pakistan.
Number of cases enrolled and put on treatment among estimated MDR-TB cases.
Progress and achievements of NTP during 2013-14
Concept note – NFM
Development of concept note of TB on NFM grant for 2015-17.
National Strategic program
“Vision 2020” developed, envisaging W.H.O endorsed Global TB Strategy.
Free of cost diagnosis and treatment through a network of 1,257 TB care facilities.
Ensured EQA and culture DST services in 1355 Peripheral, 112 intermediate, 6 BSL-2, 4 BSL-3, 5 provincial and1 national reference labs. 46 X-pert Installed and 2,170 Lab staff trained.
TB cases managed in 18 PMDT sites and 100% of them were provided social support. 11 hospitals have been upgraded for infection control measures. Drug Resistance survey conducted.
More than 2000 GPs involved m 66 districts contributing towards 20% of TB case notification. MOU’s involving private and other health sectors signed with Pakistan Chest Society, National Rural Support Program and Military Hospitals.
TB/HIV co-infection managed at 16 sentinels with the collaboration of AIDS Control program.
Health System Strengthening
On job training of all tiers of health care staff and health care managers conducted on national guidelines and training material for TS case management.
TB Drug Management
Ensured the country need for anti-TB drugs. District/provincial store upgraded/automated through e-based TB drug management information system.
E-surveillance system implemented to manage online case based data in 114 districts.
Monitoring of program objectives by field officers and international review mission conducted.
Challenges and future plans
Scale up plan of MDR-TB, PPM, Childhood TB, TB/HIV, e-Surveillance and Hospital DOTS linkages.
Approval of legislative bills on TB as notifiable disease.
Approval of legislative bills for a ban on “over the counter” sale of Antitubercular Treatment (ATT) drugs from provincial assemblies.