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Action Plan Prepared by : Ismat Ara Khusheed Deputy Director,PTP Sindh At JAPAN 2006. SINDH. 100% DOTS Coverage since November 2003. GENERAL FEATURES. Name; city district Government ,Karachi Area ;3527sq.km Population Density;2795 per sq km Average housr hold size ; 7
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Action Plan Prepared by : Ismat Ara Khusheed Deputy Director,PTP Sindh At JAPAN 2006
SINDH 100% DOTS Coverage since November 2003
GENERAL FEATURES • Name; city district Government ,Karachi Area ;3527sq.km Population Density;2795 per sq km Average housr hold size ; 7 Literacy rate ;60% Nos of town ;18 Nos of diagnostic centre ;55 Nos of treatment centres ;111 Average public transport fare ;Rs.10 one way Average time travel ;45 minutes one way by public transport. Large no of migrants who have flocked to karachi in search of opportunities.
Back Ground • Karachi is the largest city of Pakistan and the capital of its southern province of Pakistan karachi is divided in to 18 towns every town is supervised by town health officer. • Mega city is administered by city district Govt. Of karachi (CDGK).which has an elected city council each town has its own council and Nazim. • Mega city like karachi pose a great challenge to community –based urban DOT strategy the public sector cannot achieve the target of detecting all new TB cases hence PTP is in need of building partnership to bridge the gaps between public and private sectors prevailing in the urban DOTS.
Organogram Technical Support from NTP Secretary Health DG Health 4 NPOs and 1 Sociologist Director TB Control Program Deputy Director Hyderabad Deputy Director Larkana Deputy Director Karachi Deputy Director Sukkur
OUT COME • Dots coverage 2003 100% New case detection sspos 52% Case detection of all type 63% Smear conversion 82% Success rate 86% Default rate 14%
Poor capacity of health workers Problem Analysis
Project selection • Provisional tuberculosis programme should emphasize on effective case holding mechanism through health education and capacity building of health workers.
PDM • Project Name: effective case holding mechanism through healtteducation and referral syatem. • Target area:slums of six towns of Karachi city. • Target group:The target population in slums and katchi abadies of six towns ,of karachi isapproximately 3 million • Duration;1-7-2006 TO 31-6-2009 • Date; 23-2-2006.