IJCM_223A: Assessment of the Tuberculosis Surveillance System in Amethi district of Uttar Pradesh, India, 2023

Abstract

Background: Tuberculosis (TB) continues to be one of the leading global causes of death. In 2022, globally 10.6 million TB cases were estimated, 28% from India. Uttar Pradesh (UP) has TB incidence rate of 210 per 100,000 population. Amethi district has a population of 21 lakhs and 10 TB units. We assessed the TB surveillance system in Amethi for its attributes and to provide recommendations for improvement. Objective: To describe and evaluate tuberculosis surveillance system in Amethi (UP) Recommendation to strengthen TB surveillance system. Methodology: We evaluated the timeliness and completeness of surveillance data of Amethi from the January to June 2023 through the online Nikshay portal. We assessed the timeliness for treatment started within three days of diagnosis and flow of monthly reports at every level. We assessed the data quality by completeness of information of the enrolled patients. We interviewed the Frontline Health Workers (FLW) from each blocks as per their availability during the time of filed visit regarding the knowledge about TB, symptoms, modes of spread and treatment selected. Results: Nikshay portal data had 1500 patient entries for Amethi during Jan- June 2023. The median age of the patients was 37 (range: Conclusion: The Amethi TB surveillance has a good timeliness and completeness in initiating TB treatment to those diagnosed; however, requires improvement for health workers awareness and reporting in the blocks. We recommended district to conduct yearly capacity building of FLW and conduct monthly review.

Keywords

• tuberculosis
• nikshay
• capacity building