Demographic data (DHT Buhera 2010)

Total population 240.676

Murambinda Growth Point 10.407

Birchenough Bridge Growth Point 12.142

Buhera 8.376

Pop < 1 year (3.1%) 7387

Pop 1-4 year (12.5%) 29787

Pop < 5 years (15.6%) 37174

Pop 5 – 14 years (37%) 88168

Pop > 15 years (47.4%) 112951

WCBA (25.6%) 61003

Expected pregnant women 9531

1094933

11041208

1668

1002

0200400600800

10001200140016001800

9331104

1208

1665 1595 1642

1280

0

200

400

600

800

1000

1200

1400

1600

1800

0%

20%

40%

60%

80%

100%

2005 2006 2007 2008 2009 2010 2011

80% 80% 84% 79% 79% 79% 74%

20% 20% 16% 21% 21% 21% 26%

Staying in Buhera District Staying outside Buhera District

0%

20%

40%

60%

80%

100%

120%

2005 2006 2007 2008 2009 2010 2011

New Cases

Retreatment

June July Aug Sept Oct Nov December Total Percentage

Total screened

4756 2838

4249 42043490 4546 3998 28081

(100%) 100%

Total Symptomatic TB suspects investigated for sputum 185 263

153 195117 131 100 1144

(4%) 4%

Number with smear positive result

14 21

9 139 16 10 92

(8%)

Number with smear negative result

171 242

144 182 108 115 90 1052

(92%)

Total asymptomatic

4571 2575

4096 40093373 4415 3898 26937

(96%) 96%

Year (All)

Place of Smear collection % TotalsMudanda RHC 0.19% 1

Mudawose RHC 0.37% 2Mombeyarara 0.56% 3Bangure RHC 1.49% 8Gombe RHC 1.68% 9

Rambanepasi RHC 2.05% 11Chirozva RHC 2.05% 11Chiweshe RHC 2.24% 12Chiwenga RHC 2.24% 12Murwira RHC 2.80% 15

Nyashanu Clinic 3.17% 17Mutiusinazita RHC 3.36% 18

Zangama RHC 3.36% 18Garamwera RHC 3.36% 18

Chabata RHC 3.36% 18Betera RHC 4.10% 22

Nerutanga RHC 4.29% 23Madzimbashuro RHC 4.85% 26

Mutepfe RHC 5.60% 30Buhera R. hospital 6.16% 33Chapanduka RHC 6.34% 34Muzokomba RHC 7.09% 38

Munyanyi RHC 7.65% 41OI Clinic 21.64% 116

Grand Total 100.00% 536

Item 2008 2009 2010Total

Smear send for culture and sensitivity tests 3 18 11 32

Culture results        

Culture positive 2 8 6 16

Culture negative 1 7 0 8

Waiting for results 0 3 5 8

         

MDR 1 4 3 8

0%

10%

20%

30%

40%

50%

60%

70%

2005 2006 2007 2008 2009 2010 2011

Not Done

Positive

Negative

2006 2007 2008 2009 2010 2011

Pulmonary Smear Positive 44348%

90%

51454%

94%

58147%

113091%

50739%

113187%

39929%

120287%

39834%

102588%

Pulmonary Smear Negative38642%

38540%

54944%

62448%

80358%

62754%

Pulmonary Smear Not Tested

Children <8 years and below

6065%

10%

4784%

6%

6657%

9%

8653%

13%

11157%

13%

4331%

12%

Children & adults 9310%

566%

1159%

16113%

19013%

14212%

TOTAL PTB 756 922 955 1248 1292 1410

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

2005 2006 2007 2008 2009 2010

Cured

Completed

Transferred out

Died

Failure

MDR

Defaulters

2005 2006 2007 2008 2009

Outcome % Total % Total % Total % Total % Totals

cured 48.53% 165 39.95% 177 43.77% 225 55.25% 321 57.99% 294

died 10.00% 34 11.06% 49 9.73% 50 9.47% 55 7.89% 40

MDR 0.00% 0.00% 0.00% 0.17% 1 1.38% 7

transferred out 13.82% 47 16.48% 73 13.42% 69 19.79% 115 8.09% 41

treatment complete 23.82% 81 21.67% 96 27.43% 141 13.43% 78 11.83% 60

treatment failed 0.88% 3 0.45% 2 0.58% 3 1.20% 7 2.17% 11

Defaulters 2.94% 10 10.38% 46 5.06% 26 0.69% 4 10.65% 54

Grand Total 100.00% 340 100.00% 443 100.00% 514 100.00% 581 100.00% 507

2005

2006

2007 2008 2009

Outcome %Tota

l %Tota

l %Tota

l % Total % Totals

died 26.14% 155 26.17% 173 26.66% 185 19.78% 215 19.03% 207

MDR 0.00% 0.00% 0 0.00% 0 0.00% 0 0.09% 1

transferred out 13.32% 79 13.46% 89 11.24% 78 18.22% 198 5.42% 59

treatment complete 57.50% 341 50.98% 337 57.70% 401 58.79% 639 61.95% 674

Defaulters 3.04% 18 9.38% 62 4.32% 30 3.22% 35 13.51% 147

Grand Total 100.00% 593 100.00% 661 100.00% 694 100.00% 1087 100.00% 1088

Month Name

Outcome (Defaulters)

2009 DataPatient’s location (physical address) Totals Percentage (%)

Staying outside Buhera District 103 51.04%

Stay within Buhera District 98 48.96%

Grand Total 201 100.00%

32%

41%

57%62% 65% 65%

0%

10%

20%

30%

40%

50%

60%

70%

2005 2006 2007 2008 2009 2010

% c

o-in

fect

ed

Years

0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%

100.00%

2005 2006 2007 2008 2009 2010

Not Known

Positive

Negative

0%10%20%30%40%50%60%70%80%90%

100%

2005 2006 2007 2008 2009 2010

offered

not offered

refused

*Excludes those known to be HIV positive

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

2005 2006 2007 2008 2009 2010

not known

positive

negative

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

2005 2006 2007 2008 2009

HAART

Cotrimoxazole

Dapsone

Not known

18112445

3115

4444 4251

3244

6087

0

1000

2000

3000

4000

5000

6000

7000

2004 2005 2006 2007 2008 2009 2010

MSF-BTB AlertNACNew start and New lifeDananai, Rujeko and CARC There are other partners involved in prevention and management

We now have 27 OI sites10 were assessed to be stand alone sites but

only 6 passedMSF-B has acquired the Gene Expert

Machine for BBHSupport and supervision visits being

conducted quarterly

High workload versus staff shortageShortage of fuel for support and supervisionManagement of MDR-TBHigh defaulters