# 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

* District TB Office
* Ayub Teaching Hospital
* Civil Hospital Nathia Gali
* Civil Hospital Sherwaan
* Civil Hospital Boi
* Rural Health Centre Havelian
* Rural Health Centre Lora
* TB Association Centre

### District Battagram

* District TB Office
* Civil Hospital Thakot
* Rural Health Centre Banna
* Rural Health Centre Kooza Banda

### District Bannu

* District Headquarters Hospital
* Rural Health Centre Domail
* Rural Health Centre Kakki
* Rural Health Centre Ghoriwala
* Anti TB Association Geneva Bannu Township

### District Buner

* District Headquarters Hospital Dagar
* Civil Hospital Pacha killi
* Civil Hospital Totalai
* Rural Health Centre Chamla
* Rural Health Centre Nagrai
* Rural Health Centre Juwar
* Noor Medical Centre

### District Charsadda

* District Headquarters Hospital
* Tehsil Headquarters Hospital Tangi
* Civil Hospital Shabqadar
* Rural Health Centre Battagram
* Rural Health Centre Jamalabad
* Rural Health Centre Sherpao
* Basic Health Unit Nisatta
* Basic Health Unit Utmanzai
* PPM /STCP
Rural Health Unit Umer zai

### District Chitral

* District Headquarters Hospital
* Tehsil Headquarters Hospital Daroosh
* Tehsil Headquarters Hospital Booni
* Rural Health Centre Ayun
* Rural Health Centre Garam Chasma
* Rural Health Centre Mastuj
* Rural Health Centre kaghuzi
* Basic Health Unit Arandu
* Boomi Medical Centre
* Family Health Centre Chuinj
* Family Health CentreHarchin
* Family Health Centre Bang
* Family Health Centre Shagram
* Family Health Centre Garam Chashma
* Extended Family Health Centre Shogore

### District Dera Ismail Khan

* District TB Office
* Civil Hospital Daraban Kalan
* Civil Hospital Chaudhwan
* Civil Hospital Kulachi
* Civil Hospital Panyala
* Rural Health Centre Paharpur
* Rural Health Centre Kot Jai
* Rural Health Centre Parowa
* Rural Health Centre Kiri Shamozai
* TB Association Centre

### District Hangu

* District Headquarters Hospital
* Civil Hospital Thall
* Civil Dispensary Doaba
* Rural Health Centre Naryab

### District Haripur

* District Office
* District Headquarters Hospital
* Civil Hospital Khalabat TownShip
* Civil Hospital Rehana
* Central Jail Haripur
* Rural Health Centre Kot Najibulla
* Rural Health Centre Khanpur
* Rural Health Centre Sari Niamat Khan
* Rural Health Centre Sirikot
* Rural Health Centre Ghazi
* Rural Health Centre Nara Amazai

### District Karak

* District TB Office
* District Headquarters Hospital
* Tehsil Headquarters Hospital B.D Shah
* Civil Hospital Takhti Nasrati
* Civil Hospital Bahadar Khel
* Civil Hospital Teri
* Rural Health Centre Ahmad Abad
* Rural Health Centre Nari Panos
* Rural Health Centre Latambar
* Rural Health Centre Sabir Abad

### District Kohat

* District Headquarters Hospital
* Liaqat Memorial Women & Children Hospital
* Civil Hospital Shakardara
* Rural Health Centre Lachi
* Rural Health Centre Gumbat
* Rural Health Centre Ustar Zai
* Rural Health Centre Chor Lakki
* TB Association Centre

### District Kohistan

* District TB Office
* Rural Health Centre Shatyaal
* Rural Health Centre Pattan
* Basic Health Unit Ranoulia

### District Lakki Marwat

* District Headquarters Hospital
* City Hospital
* Rural Health Centre Titter Khel
* Rural Health Centre Sarai Gambila
* Rural Health Centre Sarai Naurang
* Rural Health Centre Landiwah
* Rural Health Centre Tajori
* TB Association Centre
* MMM Hospital

### District Lower-Dir

* District Headquarters Hospital Timergara
* Tehsil Headquarters Chakdara
* Civil Hospital Samar Bagh
* Rural Health Centre Gulabad
* Rural Health CentreTalash
* Rural Health Centre Munda
* Rural Health Centre Lal Qila
* TB Association Centre ouch DOTs facilitator/microscopist nawaz khan cell#0345/9394206
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### District Malakand

* District Headquarters Hospital Batkhela
* Tehsil Headquarters Dargai
* Civil Hospital Thana
* Civil Hospital Totakan
* Rural Health Centre Julagram
* Rural Health Centre Sakhakot
* TB Association Centre Batkhela

### District Manshera

* District TB Office
* District Headquarters Hospital
* Civil Hospital Baffa
* Civil Hospital Battal
* Civil Hospital Gari Habibullah
* Civil Hospital Balakot
* Civil Hospital Oghi
* Civil Hospital Darband
* Rural Health Centre Shinkiari
* Rural Health Centre Chather Plan
* Rural Health Centre Chowki
* Rural Health Centre Lassan Nawab
* Rural Health Centre Oghi Charbagh
* General & Mental Hospital Dadar
* Basic Health Unit Khathai
* Anti TB Association Geneva Ahl

### District Mardan

* District TB Office
* Mardan Medical Complex
* Civil Hospital Lundkhwar
* Civil Hospital Rustam
* Rural Health Centre Katlang
* Rural Health Centre Shahbaz Garhi
* Rural Health Centre Sher Garh
* Rural Health Centre Takht Bhai
* Rural Health Centre Toru
* TB Hospital Baghdada Mardan
* TB Association Centre Takht Bhai
* PPM/STCP

### District Nowshera

* District TB Office
* Emergency Satellite Complex Hospital Pabbi
* Civil Hospital Ziarat Kaka Sahib
* Civil Hospital Akora Khattak
* Rural Health Centre Dak Ismail Khel
* Rural Health Centre Khair Abad
* Rural Health Centre Kheshki
* Rural Health Centre Manki Sharif
* Rural Health Centre Nizampur
* Basic Health Unit Taru Jaba
* PPM /STCP

### District Peshawar

* District TB Office
* Lady Reading Hospital
* Khyber Teaching Hospital
* Hayatabad Medical Complex
* Govt.City Hospital Kohat Road
* Agha Khan Family Hospital
* Cantt. General Hospital
* Civil Hospital Mattani
* Central Jail Hospital
* Federal Government Hospital
* Fauji Foundation Hospital
* Infectious Diseases Hospital Haji Camp
* Kuwait Teaching Hospital
* Kai Japan Hospital
* Mission Hospital
* Police Hospital
* Railways Hospital
* Social Security Hospital
* Wapda Hospital
* TB Centre Ganj
* Rural Health Centre Badaber
* Rural Health Centre Gara Tajak
* Rural Health Centre Nahaqi
* PTCL Dispensary
* Basic Health Unit Budhai
* Green Star (Good life)
* Child Center City Govt Hosp Peshawar
* PPM /STCP

### District Shangala

* District Headquarters Hospital Alpuri
* Civil Hospital Besham
* Civil Hospital Chakesar
* Civil Hospital Puran
* Rural Health Centre Karora
* District TB Office

### District Swabi

* District Headquarters Hospital
* Civil Hospital Topi
* Civil Hospital Kalu Khan
* Rural Health Centre Ambar Kunda
* Rural Health Centre Yar Hussain
* Rural Health Centre Marghuz
* Basic Health Unit Gani Chatra
* Basic Health Unit Tordher
* Basic Health Unit Dobain
* Rural Health Center Yar Hussain

### District Swat

* District Headquarters Hospital Swat
* Tehsil Headquarters Hospital Matta
* Civil Hospital Kalam
* Civil Hospital Madyan
* Civil Hospital Kabal
* Civil Hospital Manglawar
* Civil Hospital Barikot
* Civil Hospital Khawazakhela
* Rural Health Centre Chuprial
* Rural Health Centre Deolai
* Pakistan Anti TB Association Clinic

### District Tank

* Tehsil Headquarters Hospital
* Rural Health Centre Gomal Bazar
* Rural Health Centre Amma Khel
* Christian Hospital

### District Upper-Dir

* District Headquarters Hospital
* Rural Health Centre Barawal Bandai
* Rural Health Centre Wari
* Rural Health Centre Patrak
* Rural Health Centre Bebure