Dr Carmelia Basri Dr Nadia Tarmizi National TB

Dr Carmelia Basri Dr Nadia Tarmizi National TB Control Program Indonesia M&E WORKSHOP MEASURE Evaluation, New Delhi, 1 Feb 2006 1

Indonesia : 22 High Burden Countries 1. 2. India China 3. Indonesia 10% China 15% Bangladesh 4% Pakistan 4% India 30% Philippines 3% Nigeria 3% South Africa 2% Russia 1% Other 28% 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Bangladesh Nigeria Pakistan South Africa Philippines Russia Ethiopia Kenya DR Congo Viet Nam UR Tanzania Brazil Thailand Zimbabwe Cambodia Myanmar Uganda Afghanistan Mozambique

CDR Chronology of events leading to rapid scaling up of DOTS Gerdunas* established HRD Program (Dutch) Started 5 YSP Hospital DOTS First Partnership Meeting TBCTA CIDA start-up GFATM Prop Stepwise training TB Partners Forum GDF ISAC Start-up GFATM start-up *Gerdunas = National Integrated Movement to Fight against TB

DOTS Services Population Provinces District/Municipalities 220 Million 33 445 Health Service Unit Total Involved in DOTS Health Center Lung Clinic Lung Hospital District Hospital Provincial Hospital Army Hospital Private Hospital Police Hospital Private Practitioner 7. 356 34 9 340 70 65 724 35 7200 34 9 85 14 20 95 5 ? ? ? (>98%) (100%) (25%) (20%) (28%) (12%) (15%) (piloting 5 provinces)

PREVALENCE Survey 2004

working estimates of incidence to be applied at provincial level. 64 160 107 210 6

Case Detection Rate 2004

180, 000 174, 188 Kasus TB Baru BTA(+) 160, 000 152. 200 Semua tipe 140, 000 120, 000 93. 038 100, 000 84. 591 73. 435 60, 000 40, 000 20, 000 100, 210 74. 738 39. 557 33. 216 29. 781 49. 33 3 52. 338 53. 965 25. 420 1997 1998 1999 2000 2001 2002 2003 Program performance and epidemiologic impact

…road to reach the Global Target by 2005 Progress in 2000 -2001 Progress in 2002 -2003 Success Rate (%) 100 TARGET ZONE 90 2003 2004 2005 2002 80 70 60 Progress in 2001 -2002 2000 2001 50 40 0 20 40 60 80 Case Detection Rate (%) WHO Global TB Report 2005 100