DR BASHARAT JAVED National Technical Officer NTP

49th IPM, Islamabad June 11-12, 2015

NATIONAL TB DATA Q1-2015(Trends & Analysis)

UPDATE PC-1

PROVINCE/REGION

PC-1DEVELOPED/APPROVED

VOLUME (PKR) DURATION AMOUNTRELEASED

AJK in process of approval 11.7 Millions 2012-16

BALOCHISTAN in process of approval 372.859 Million 2015-18

FATA Approved 186.826 Million 2014-15

KPK Approved 285 Million 2014-17 25 Million

PUNJAB in process of approval 1340.982 Million 2015-18

SINDH Approved 619 Million 2012-15 200.5 Million (2014-15)

GB in process of approval 90 million 2015-18

NTP in process of approval 52,533,064 2014-17

PROFILE - TB CARE FACILITIES

Province/Region

Populatio

nDistricts

Public sector PPM sector

PMDT

Sites

TB HIV

SitesPri

mary

Secondary

Tertiary Total

PPM-1(GP

Clinics)

PPM-2 (NGO run

BMU)

PPM-3

( Pvt Hosp

.)

PPM-4 Other Health Sector

Punjab 97,261,831 36 312 125 18 455 948 31 10 13 312 125

Sindh 43,365,989 23 124 91 8 223 488 37 6 7 124 91

KPK 24,742,592 24 83 40 5 128 201 17 0 11 83 40

ICT 2,000,000 1 3 2 2 7 22 0 2 2 3 2

AJK 4,363,029 10 44 10 1 55 8 0 0 0 44 10

Balochistan 9,561,060 30 56 35 3 94 59 10 0 2 56 35

GB 1,239,086 7 15 7 0 22 1 0 0 0 15 7

FATA 4,339,537 10 17 10 0 27 0 0 0 0 17 10

TOTAL 186,873,124 141 654 320 37 1011 1727 95 18 35 654 320

P u n jab S in d h K P K ICT A JK Balo c h ist an GB FA TA TOTA L0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

4% 4% 4%

29%

2% 3%0% 0%

4%

27%

41%

31%29%

18%

37%32%

37%32%

69%

56%

65%

43%

80%

60%

68%63% 65%

LEVELS INVOLVED IN TB CARETCH SEC PRIM

PROFILE - TB DIAGNOSTICS

Province/Region

Microscopy Centers in

public sector

LED Microscopy

centersPPM Labs

X-pert sites

Culture Labs DST Labs

Punjab 455 69 149 10 2 1

Sindh 223 37 50 16 3 2

KPK 128 38 53 11 2 1

ICT 7 0 0 1 1 1

AJK 55 0 1 0 1 0

Balochistan 94 1 22 1 1 1

GB 22 0 0 0 0 0

FATA 27 0 0 4 0 0

TOTAL 1011 145 275 43 10 6

Punjab

Sindh

KPK

ICT

AJK

Balochistan

GB

FATA

TOTAL

0 50000 100000 150000 200000 250000

191084

158850

158606

181818

79328

90199

56322

160724

161237

POP/BMU

BED ALLOCATION FOR TB – Q1-2015

PROVINCE/REGION

PUBLIC SECTOR PPM SECTOR

Susceptible TB DR-TB Susceptible TB DR-TB

Punjab 603 32 32 8

Sindh 328 98 0 0

KPK 0 12 0 0

ICT 0 0 0 0

AJK 50 0 0 0

Balochistan 0 20 0 0

GB 0 0 0 0

FATA 0 0 0 0

TOTAL 981 162 32 8

BED ALLOCATION FOR TB

PunjabSindh

KPK ICTAJK

Balochist

an GBFA

TATOTAL

PUBLIC SECTOR

Susceptible TB DR-TB

PunjabSindh

KPK ICTAJK

Balochist

an GBFA

TATOTAL

PPM SECTOR

Susceptible TB DR-TB

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Q1-2015

0

20

40

60

80

100

120

140

160

180

5 10 14 20 2641

54 60 59 59 59 62 6270 72

16

3348

6378

112

142 148156 153 151

159167 167 169

f(x) = 4.91812085289654 x + 5.52416113719539

f(x) = 11.3155691691859 x + 26.9207588922479CNR BY TIME

CNR B+ Linear (CNR B+)CNR All Forms Linear (CNR All Forms)

Courtesy-world bank report

2000.5 2001 2001.5 2002 2002.5 2003 2003.50

102030405060

f(x) = 16 x − 31999.6666666667

CNR

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Q1-20150

20

40

60

80

100

120

140

160

180

0%

2%

4%6%

8%10%

12%

14%16%

18%20%

6378

112

142 148 156 153 151 159 167 167 169f(x) = 8.54083805484625 x + 83.207859617335

2% 2% 2%

6% 6%

9% 9%

5%

18% 18%

13% 13%

IMPACT OF GF SUPPORT ON CNR

CNR Linear (CNR) Linear (CNR) % GF SUPPORT

R-2R-3

R-6R-8CG

SSF

2000 2002 2004 2006 2008 2010 2012 2014 20160

50

100

150

200

250

72.3 72.3 83.298

109.5

137.3152.4

170.1 167.9 177.2

213.7224.9 232.3 236.6

1633

4863

78

112

142 148 156 153 151 159 167 167

GDP & CNR

CNR-ALL FORMS GDP (US$ m)

Pakistan Health spending as percent of GDP-The gross domestic product (GDP) measures of national income and output for a given country's economy. The GDP is equal to the total expenditures for all final goods and services produced within the country in a stipulated period of time. Pakistan spends very little of its GDP on health, resulting in an out-of-pocket (% of private) expenditure on health of around 80%.

Courtesy-world bank report

P u n jab S in d h K P K ICT A JK Balo c h ist an GB FA TA

53%

22%13%

1% 2%

5%

1% 2%

62%

21%

12%

0% 1% 2%0%

1%

63%

18%

13%

0%

2%2% 1%

1%

CASE CONTRIBUTION BY PROVINCEPROP TB BURDEN PROP B+ PROP ALL FORMS

NOTIFICATION BY AGE AND SEX – Q1-2015

0-4 5-14 Y 15-24 Y 25-34 35-44 45-54 55-64 >65 TOTAL

56%

40% 43%48% 49%

53% 56%61% 50%

44%

60% 57%52% 51%

47% 44%39% 50%

MALE FEMALE

0-45-14 Y

15-24 Y25-3435-4445-5455-64

>65

2%7%

22%18%

15%14%

12%10%

AGE DIST

AJK Balochistan FATA GB KP Punjab Sindh ICT Pakistan0

50

100

150

200

250

300

350

118

81 72

127

169202

136

75

169

1532 39

84 91

2344

1438

184

11393

155

218

316

194

113

254

CNR >15/<15

CNR (Cummulative) CNR <15 CNR >15

AJK Btan FATA GB KPK Punjab Sindh ICT PAKISTAN5% 14% 21% 25% 21%

5% 13% 7% 9%

95% 86% 79% 75% 79%95% 87% 93% 91%

Q1-2015

<15 >15

AJK B'tan FATA GB KPK PJB SDH ICT Pakistan

35%42%

34%

9%

39% 41% 46%

21%

41%

35%32%

36%

56%

30%

43% 30%

25%

38%

26%24%

24%27%

30%

14%

18%

48%

18%

4% 2% 6% 8%1% 1%

7% 6% 3%

CASE TYPE BY PROVINCE - Q1 2015

B+ B- EP Prev Rx excl R

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Q1-2015

0

10

20

30

40

50

60

42 41 38 41 42 45 46 49 48 50 51 50 49 52 51

PROP OF B+ TO PULMONARY TB (%)

AJK Btan FATA GB KPK Punjab Sindh ICT PAKISTAN0

10

20

30

40

50

60

70

4957

46

13

5748

59

4451

11 1115

4

16 14 146

14

Q1-2015

PROP B+ TO PTB PRESUM POS RATE

AJK Balochistan FATA GB KP Punjab Sindh ICT Pakistan

105

80

44

8399

160

128

68

135

4335

2613

6784

67

17

72

Presumptives identified/100000 CNR B+

A JK Balo c h ist an FA TA GB K P P u n jab S in d h ICT P ak ist an7% 6% 3% 6% 7% 11% 9% 5% 9%

11 11

15

4

1614 14

6

14

SUSPECT MANAGEMENT-Q1 2015% presumptives screened Presumptive Pos Rate

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Q1-2015

0 0 00.2588844433984475.19297043902648

28.866554132532220.8527937330851

13.505586733917219.095664805127219.671467797100119.972004955879418.942512099145116.89708278863220.228166669386820.4024205748865

100 100 10099.741115556601694.8070295609736

71.133445867467879.1472062669149

86.494413266082880.904335194872880.328532202899980.027995044120681.057487900854883.10291721136879.771833330613279.5975794251135

TREND Ppm contributi on B+PPM PUBLIC

CONTRIBUTION BY PROVINCE-Q1 201515

PUNJAB SINDH BAL AJK KPK FATA GB ICT TOTAL

82%

69%

91%97%

78%

100% 100% 100%

80%

18%

31%

9%3%

22%

0% 0% 0%

20%

B+

PUBLIC PPM

PUNJAB SINDH BAL AJK KPK FATA GB ICT TOTAL

77%70%

94% 96%

77%

100% 100% 100%

77%

23%30%

6% 4%

23%

0% 0% 0%

23%

ALL FORMS

PUBLIC PPM

PUNJAB SINDH BAL KPK

96%

87%

98% 98%

4%

13%

2% 2%

PPM - Q1 2015NEW PREV Rx

PUNJAB SINDH BAL AJK KPK TOTAL

43

1

7 8

4

2 1 12

3

2

CASE CONTRIBUTION/GP/Q1 2015ALL B+

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Q1-2015

0

10

20

30

40

50

60

70

80

90

100

77 78 7982 83

8891 91 91 91 92 91

94 93 93

68 66 6570 71

75 76 75 74 75 7572 73 72 71

14 14 13 11 96 4 5 4 4 4 4 4 2 3

TREATMENT OUTCOME BY TIME

TSR % CR % LOST TO FU %

22%

9%

AJK Balochistan FATA GB KPK Punjab Sindh ICT Pakistan

94%

87%93%

100%95% 95%

88%94% 93%

90%

71%

88%

100%

75%72%

64%

80%

71%

1%

10%

2% 0% 2%

3%6%

5%3%5%

2%4% 0% 2%

2% 3% 1%2%

TREATMENT OUTCOME B+

TSR Cure Rate Lost to FU DEATH RATE

24%

22%

AJK Balochistan FATA GB KPK Punjab Sindh ICT Pakistan

96%

89%

100% 100%91%

85%

80%

100%

84%

11%

56%

10%

0%

41%37%

34%

20%

33%

0% 6% 0% 0% 2%7%

12%

0%

9%

2%

5%

0% 0%

6%4% 3%

0%3%

TREATMENT OUTCOME PREV TREATED

TSR Cure Rate Lost to FU DEATH RATE

51%50%

48%

33%

46%

MISSED TB CASESPakistan’s ranking among top ten countries for missed cases has been shifted from 4th in

2012 (after India, SA and Bangladesh) to 3rd in 2013 (after India and Nigeria)

AJK Balochistan FATA GB KP Punjab Sindh ICT Pakistan0%

20%

40%

60%

80%

100%

120%

57%

71% 74%

54%

39%

27%

51%

73%

38%

100%94%

100% 100%

91% 93%

81%

100%

91%

MISSED CASES

Sensitive TB cases DR-TB Cases

Awaran

Barkhan

Bolan

Chaghi

Dera Bugti

Gawada

HARNAI

Jarafabad

Jhal M

agsiKalat

Kech

Kharan

Khuzdar

Killa A

bdullah

Killa Saifu

llah

Kohlu

Lasb

ela

Lora

lai

Mastu

ng

Musa

khail

Nasirabad

NOSHKI

Pishin

Panjgur

Quetta

SHERANISibi

WASHUK

ZhobZiara

t

14%0%

14%29%

14% 14% 14%0%

29%14%

29%

0%14% 14%

0%

29%14%

29%14%

29%14%

29%14%

43%

86%

14%29% 29% 29%

0%

14%

0%

43%14% 29%

14%29%

0%

14%14%

29%

0%

14%0%

0%

43%

29%29%

14%14%

0%0% 14%

29%

86%

14% 0%

29%

0%14%

DISTRICTS PERFORMANCE - BALOCHISTAN

Q1-2014 Q1-2015

Awara

n

Barkhan

Bolan

Chaghi

Dera Bugti

Gawada

HARNAI

Jarafabad

Jhal M

agsiKalat

Kech

Kharan

Khuzdar

Killa A

bdullah

Killa Saifu

llahKohlu

Lasb

ela

Lora

lai

Mastu

ng

Musa

khail

Nasirabad

NOSHKI

Pishin

Panjgur

Quetta

SHERANISibi

WASHUK

ZhobZiara

t0% 0%

13%0% 0% 0% 0%

8%

50%

0% 0% 0% 0%6%

27%

11%14%5% 0% 0%

9% 7%0% 0%

19%

0% 0% 0% 0% 0%0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 2%11%

21%

0%

16%5%

20%

0%10%

0%6%

33%

18%

0% 5% 0% 1% 0%

LOST TO FOLLOW UP

LTFU-2014 LTFU-2015

Abbotabad

Bannu

Batagra

mBuner

Charsada

Chitral

Dera Is

mail Khan

Hangu

Haripur

Karak

Kohat

Kohistan

Lakki M

arwat

Lower D

ir

Malakand

Manse

hra

Mard

an

Nowshera

Peshawar

SanglaSwabi

SwatTank

THOR GHAR

Upper Dir

29% 29%43%

0% 0%14%

29% 29%

0%14%

0% 0%

29%14% 14%

0%

29% 29%43%

0%14%

0%14%

0%

29%

29%43% 29%

14%0%

29%29% 29%

0%0%

0%14%

29%29%

14%

0%

29%

57%29%

0%0%

0%0%

0%

29%

DISTRICTS PERFORMANCE - KP

Q1-2014 Q1-2015

Abbotabad

Bannu

Batagra

mBuner

Charsada

Chitral

Dera Is

mail Khan

Hangu

Haripur

Karak

Kohat

Kohistan

Lakki M

arwat

Lower D

ir

Malakand

Manse

hra

Mard

an

Nowshera

Peshawar

SanglaSwabi

SwatTank

THOR GHAR

Upper Dir

0% 0% 0% 0% 0% 0%2%

0% 0% 0%2% 3%

1% 0% 0%3%

1% 0% 0% 1% 0% 1%3%

0%

9%

2% 1% 1%

6%

3% 2%

6%

2%1% 0%

2%0% 0% 1% 0%

2% 2% 3%0%

2% 1%2% 1%

0%

13%

LOST TO FOLLOW UP

LTFU-2014 LTFU-2015

0%

57%

0%

57%

29%

71%

29%

0%

43%

0% 0% 0%

14%

0% 0% 0%

43%

0%

14%

0%

29%

0%

29%

14%

0%

14%

0% 0%

14%

43%

29%29%

0% 0% 0%

14%

0%

57%

0%

57%

29%

71%

57%

29%

43%

0%

14%14%

71%

29%

0%

57%

43%

14%

29%29%

57%

14%

29%

14%14%

0%

57%

14%

71%

57%57%57%

0%

14%

0%

43%

DISTRICTS PERFORMANCE - PUNJAB

Q1-2014 Q1-215

Attock

Bahawalpur

Bahawal Nagar

Bhakkar

Chakwal

CHINIO

T

Dera G

hazi Khan

Faisa

labad

Gujranwala

Gujrat

Hafizabad

Jhang

Jhelum

Kasur

Khanewal

Khushab

Lahore

Layyah

Lodhra

n

Mandi B

aha ud Din

Mianwali

Multa

n

Muza

ffar Garh

NANKANA SAIB

Narowal

Okara

Pak Pattan

Rahim Yar K

han

Rajan Pur

Rawalpindi

Sahiwal

Sargodha

Sheikhupura

Sialkot

Toba Tek Singh

Vehari

3%1% 2%

0% 0% 0%3% 2% 3%

1%4%

1% 0% 1%5%

1%

10%

0% 1% 1% 1%4%

0% 1%4% 3%

1% 0% 1%

8%

2% 3%0%

2% 2% 3%3% 2% 1% 0%3%

0% 1% 2% 3%1%

4%

1% 2%5% 3%

2%

8%

0%

5%

1% 2% 1% 1%2% 2% 2% 1%

3%0%

6%

2% 2%0% 2% 3% 3%

LOST TO FOLLOW UP

LTFU-2014 LTFU-2015

0%20%40%60%80%

100%120%140%160%

14% 14%29%

14% 14%

71%

29% 29%14% 14%

29%14% 14% 14% 14% 14%

29% 29% 29%14% 14%

29%

71%

14% 14%

29%

14%29%

71%

29% 29%

14%29% 14%

14% 14% 14% 14% 14%

29% 29%14%

14%29%

29%

71%

DISTRICTS PERFORMANCE - SINDH

Q1-2014 Q1-2015

9%12%

6%3% 3%

11% 10%

0%

5% 5%

1%

11%

0%2% 2% 2%

8%11%

1%

9%10% 10%

0%

8%12%

6%

10%

6% 6%8%

0%3%

5%2%

9%

0%2%

5% 6%8%

3%0%

9%11%

9%

4%

LOST TO FOLLOW UP

LTFU-2014 LTFU-2015

PUNJAB BTAN SINDHDISTRICTS MIS-DOTS TB07 DISTRICTS MIS-DOTS TB07 DISTRICTS MIS-DOTS TB07

ATTOCK 929 589 AWARAN 14 14 BADIN 415BAHAWALNAGAR 715 1868 BARKHAN 18 DADU 511BHAKKAR 540 1308 BOLAN 14 12 GHOTKI 374BHAWALPUR 1559 737 CHAGHAI 16 13 HYDERABAD 405 674CHAKWAL 452 452 DERA BUGTI 6 5 JACOBABAD 191CHINIOT 737 472 GAWADR 5 9 JAMSHORO 1119DERA GHAZI KHAN 189 1367 HARNAI 7 KARACHI 2242 4743FAISALABAD 1238 3602 JAFFERABAD 147 125 KASHMORE 156GUJRANWALA 1401 2922 JHAL MAGSI 19 12 KHAIRPUR 306 687GUJRAT 73 885 KALAT 14 LARKANA 519HAFIZABAD 338 422 KECH 63 MATIARI 3 215JHANG 1 1717 KHARAN 21 16 MIRPUR KHAS 310 495JHELUM 753 653 KHUZDAR 135 75 NOSHAHRO FAIROZ 322 557KASUR 815 1587 KILLA ABDULLAH 130 QAMBAR SHAHDAD KOT 555KHANEWAL 945 1271 KILLA SAIFULLAH 47 SANGHAR 842KHUSHAB 333 594 KOHLU 14 SHAHEED BENAZIR ABAD 256 331LAHORE 658 5105 LASBELA 50 107 SHIKARPUR 278LAYYAH 308 667 LORALAI 65 SUKKUR 480LODHRAN 512 771 MASTUNG 27 TAY 113 286M.B.DIN 82 827 MUSA KHAIL 2 THATTA 10 236MIANWALI 7 746 NASEERABAD 89 92 THERPARKAR 304MULTAN 103 2000 NOSHKI 72 63 TMK 266 355MUZAFFAR GARH 760 1937 PANJGUR 12 154 UMEKOT 725

NANKANA SAHIB 226 538 PISHIN 7 11NAROWAL 588 593 QUETTA 3 581 PUNJAB 22545 49775OKARA 1273 1307 SHERANI 22 22 SINDH 4276 15447PAKPATTAN 1161 1042 SIBI 157 109 BALOCHISTAN 917 1949RAHIM YAR KHAN 187 1216 WASHUK 11 11 ICT 43 399RAJAN PUR 281 866 ZHOB 117 117RAWALPINDI 362 3202 ZIARAT 14

SAHIWAL 1254 1450

SARGODHA 1585 2142SHEIKHUPURA 1001 1162

SIALKOT 163 1567

TOBA TEK SINGH 58 761VEHARI 958 1430

NTP STAFF 2014- VISITS ANALYSIS BASED ON REPORT SUBMISSION TO M&E UnitS.# Name Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec TOTAL 1 Abdullah-MDR 0 0 0 3 0 0 0 0 0 1 0 0 42 Dr Adeel-PR 0 0 0 0 0 0 0 0 0 0 0 0 03 Ms Afshan-PIU 3 0 0 0 0 0 0 0 0 0 0 0 34 Dr Ali Raza-HDL 0 0 0 0 0 0 0 0 0 0 0 0 0

5 Dr Amir-TBHIV 1 0 1 0 0 0 0 0 0 0 0 0 2

6 Dr Amjad-I/C 4 0 4 5 1 2 2 0 1 0 0 0 197 Dr Asif-MDR 0 0 0 0 0 0 0 0 0 0 0 0 08 Dr Ayub-PIU 0 0 0 0 0 0 0 0 0 0 0 0 09 Dr Basharat-M&E 2 0 1 0 1 3 0 0 0 0 0 0 7

10 Dr Fakhra-HSS 7 6 1 3 1 0 0 0 0 0 0 0 1811 Dr Farooq-M&E 7 0 0 4 6 1 0 4 0 4 0 0 2612 Dr Furqan-PR 0 0 0 1 0 1 0 0 0 2 0 0 413 Dr Ghouri-PR 0 0 0 0 0 0 0 0 0 0 0 0 014 Dr Hadi-PPM 0 0 0 0 0 0 0 0 0 0 0 0 015 Dr Laeeq-NRL 3 7 2 2 2 6 1 6 2 7 1 0 39

16 Dr Razia-Research 0 0 0 0 0 0 0 0 0 0 0 0 0

17 Dr Sabira-NRL 4 0 5 0 1 0 0 0 1 0 2 0 1318 Dr Waqas-DMU 2 0 3 0 0 1 0 0 0 1 0 1 819 Dr Waseem-NRL 0 0 0 0 0 0 0 0 0 0 0 0 020 Dr Yasir-I/C 3 2 8 1 3 0 0 1 3 2 0 0 23

21 Dr Toor-MDR 9 0 0 0 0 0 12 1 1 0 0 0 23

22 Dr Zia-DMU 0 1 2 2 2 1 2 4 1 4 1 1 21TOTAL 45 16 27 21 17 15 17 16 9 21 4 2 210

JAN FEB MARCH APRIL MAY JUN JUL AUG SEP OCT NOV DEC

59%

25%

0% 0%

28%

9% 5%

53%

0%

80%

14%

0%

f(x) = − 0.00409090909090909 x + 0.254090909090909

ACTUALIZATION RATE- NTP M&E PLANS 2014

Province NPOs BMUs PPM TBDM EQA HDL Meeting IDMS Training ACSMAJK Dr. Muhammad Tariq 17 0 0 0 0 8 0 0GB Dr. Gul Hameed 20 11 0 0 0 3 0 0

Balochistan Dr. Ahmed Wali 17 18 0 0 0 0 0 3Balochistan Dr. Muzahir Ali Baloch 20 7 0 0 0 5 0 3Balochistan Dr. Taj Khosa 22 0 0 0 0 6 0 5Balochistan Dr. Zeenat Shahwwani 29 0 0 0 0 6 0 5Balochistan Dr. Farooq Sarwar 23 0 0 0 0 6 0 5

KPK Dr. Amir Raffiq Khattak 29 11 1 0 0 5 0 0KPK Dr. Syed Naser Shah 33 16 4 4 0 3 0 3KPK Dr. Rashid Hassan Khan 24 8 1 0 0 4 0 0KPK Dr. Shaheen Iqbal 38 13 1 0 0 4 0 0

Punjab Dr. Muhammad Orooj Ashraf 37 15 0 0 0 2 0 0Punjab Dr. Muhammad Zubair 29 22 2 3 0 5 0 1Punjab Dr. Mustaq Sipra 27 22 3 0 0 4 0 2Punjab Dr. Abuzar Sharani 22 10 2 0 0 5 0 0Punjab Dr. Najeeb ullah 14 10 0 0 0 0 0 0Punjab Dr. Awais Arif 17 5 1 0 0 2 0 0Punjab Dr. Abid Usman 34 8 1 0 0 6 0 1Punjab Dr. Nabeel Iqbal Sahi 27 13 3 4 0 3 0 0Punjab Dr. Fawad Hussain 13 13 0 1 1 5 1 0Punjab Dr. Shaid Nawaz Khokhar 41 18 3 0 0 4 0 0Sindh Dr. Aman Ullah Ansari 14 2 1 0 0 2 0 0

SindhDr. Syed Saleem Hassan Kazmi 16 6 1 1 2 4 0 6

Sindh Dr. Muzaffar Ali Khooharo 18 6 1 2 0 2 0 0Sindh Dr. Sri Chand Batra 24 12 0 0 0 4 0 0Sindh Dr. Muhammad Sharif 24 0 0 0 0 4 0 0Sindh Dr. Tariq Hussain Memon 21 3 6 0 0 3 0 0Sindh Dr. Shahid Hussain Khokhar 25 3 0 0 0 5 0 0

ANALYSIS-M&E BY NPO – Q1 2015

ANALYSIS – NPO M&E ACTIVITES / DAY – Q1 2015

Dr. Muhammad TariqDr. Gul HameedDr. Ahmed Wali

Dr. Muzahir Ali BalochDr. Taj Khosa

Dr. Zeenat ShahwwaniDr. Farooq Sarwar

Dr. Amir Raffiq KhattakDr. Syed Naser Shah

Dr. Rashid Hassan KhanDr. Shaheen Iqbal

Dr. Muhammad Orooj AshrafDr. Muhammad Zubair

Dr. Mustaq SipraDr. Abuzar Sharani

Dr. Najeeb ullahDr. Awais Arif

Dr. Abid UsmanDr. Nabeel Iqbal Sahi

Dr. Fawad Hussain Dr. Shaid Nawaz Khokhar

Dr. Aman Ullah AnsariDr. Syed Saleem Hassan Kazmi

Dr. Muzaffar Ali KhooharoDr. Sri Chand Batra

Dr. Muhammad SharifDr. Tariq Hussain Memon

Dr. Shahid Hussain Khokhar

1.320.87

1.101.00

1.061.21

0.942.00

1.661.12

1.751.32

1.631.49

1.631.04

1.471.39

1.321.21

1.611.12

2.001.93

1.482.07

1.531.69

STATUS OF ADVANCE SETTLEMNETS - INTRA/INTER DISTRICT MEETINGS AS ON 10-6-2015PROVINCE Q1-2012 Q2-2012 Q3-2012 Q4-2012 Q1-2013 Q2-2013 Q3-2013 Q4-2013 Q1-2014 Q2-2014 Q3-2014 Q4-2014

PUNJAB-INTRA Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

SOE notReceived

SOE notReceived

SOE notReceived

SOE not Received

PUNJAB-INTER Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

SINDH-INTRA Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

SINDH-INTER Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

KPK-INTRA Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

KPK-INTER Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

BALOCHISTAN INTRA

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

BALOCHISTAN INTER

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Activity cancelled

AJK-INTRA Advance settled

Advance settled.

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Activity cancelled

Advance settled

in settlement process

AJK-INTER Activity cancelled

Activity cancelled

Advance settled

Activity cancelled

Activity cancelled

Advance settled

Advance settled

Advance settled

Activity cancelled

Activity cancelled

Activity cancelled

Activity cancelled

FATA-INTRA Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

FATA-INTER Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

GB-INTRA Advance settled Activity

cancelledAdvance settled

Advance settled

Activity cancelled

GB-INTER Advance settled Activity

cancelledAdvance settled

Advance settled

Activity cancelled

ICT Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

IPM Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

Advance settled

POST 2015 – THE END TB STRATEGY (2016-2035)

STRATEGY Provides a unified response to ending TB deaths, disease, and suffering Builds on 3 strategic pillars underpinned by 4 key principles

VISION A world free of TB – Zero deaths, diseases and sufferings from TB

MILESTONE-2025 INCIDENCE – 50% Reduction, compared to 2015 MORTALITY – 75% Reduction, compared to 2015 No affected families facing catastrophic costs due to TB

MILESTONE-2035 INCIDENCE – 90% Reduction, compared to 2015 MORTALITY – 95% Reduction, compared to 2015 No affected families facing catastrophic costs due to TB

PRINCIPLES

1. Government stewardship and accountability, with M & E2. Strong coalition with CSOs and communities3. Protection and promotion of human rights, ethics and equity4. Adaptation of strategy and targets at country level with global

collaboration

PILLARS1. Innovative TB care2. Bold policies and supportive system3. Intensified research and innovation

WHERE WE ARE HEADING TO???

THNAKS FOR YOUR KIND ATTENTION