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Country profile 2008-2009: SAUDI ARABIA

TB Unit of the WHO Regional Office for Eastern-Mediterranean Region

TB notification rate (per 100 000 population)

20 18 16 14 12 10 8 6 4 2 0

16

16

17

17

16

15

15

14

15

16

16

16

15

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

New and relapse

New smear-positive

Case notifications by type of patients, 2009

New smearnegative 14%

New extrapulmonary 29% Other 3%

Relapse 2%

New smearpositive 54%

Treatment after default 1%

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Notified new smear-positive cases per age groups and sex (rate per 100 000 population), 2009
30 Number of cases per 100 000 population 25 20 15 10 5 0-14 15-24 25-34
Male

35-44

45-54
Female

55-64

65+

Treatment outcomes of new smear-positive cases, 2008 cohort
Completed 7% Died 7% Failed 2% Defaulted 9% Transferred out/not evaluated 13%

Cured 63%

Other 30%

Treatment outcomes of new smear-positive cases

100 80 60 40 20 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Success rate Unfavorable outcomes (died+failed+defaulted+transferred out+non-evaluated)

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IMPLEMENTING THE STOP TB STRATEGY
Impact Incidence (new ss+) Incidence (new and relapse) Prevalence (all forms) Mortality (all forms) Notifications (new ss+) Notifications (all forms) Outcome Case detection rate(ss+) Treatment success rate (ss+) Cure rate (ss+) Death rate Failure rate Defaulter rate Retreatment rate Output Standardized treatment with supervision and patient support % TB cases under DOT with treatment support out of all TB cases Quality-assured diagnosis Number of population per functioning diagnostic laboratory (microscopy) Extent of EQA coverage for direct smear microscopy Proportion of microscopy laboratories that failed to show adequate performance % of laboratory personnel trained out of planned % of laboratories supervisory visits with feedback reports out of planned Primary defaulter rate (patients who are diagnosed but not registered at TB register) % of ss+ out of pulmonary An effective drug supply and management system 2008 2008 1 per 79 000 population 79% 2008 2009 (HCW, family some patients) 2009 1 per 80 000 population 79% 2009 No 2008 No ( rate) 2500 (9.7/100 000) 4700 (19/100 000) 2900 (12/100 000) 30 (1.2/100 000) 2108 (8/100 000) 4025 (16/100 000) 2008 86% 67% 59% 6% 1% 13% 3.6% 2009 No (rate) 2201 (9/100 000)

4093(416/100 000)
2009 61% 54% 6% 2% 8% 3.5%

Stock out of first line anti-TB drugs during the year at central or peripheral level

No

Stock out of second line anti-TB drugs during the year at central or peripheral level Monitoring and evaluation and impact measurement Report completeness % of supervisory visits with feedback reports out of planned Address high risk groups

No

No

2008 100% 2008

2009 2009

Household contact evaluated for TB (all ages)

8749

12298

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Household contacts evaluated for TB (under 5 years of age) household contacts given INH preventive therapy (all ages, no data for the under 5 years of age) (no&%) Ratio of contacts to index cases, smear positive (all ages) Incidence of TB among contacts (all ages) Incidence of TB among contacts (under 5 years old) % of TB patients tested for HIV % of HIV in TB patients % of PLHIV evaluated for TB % TB patients DST tested out of eligible ones MDR-TB among tested TB patients % Laboratory confirmed MDR-TB patients enrolled on second line anti-TB treatment among all laboratory confirmed MDR-TB cases % Laboratory confirmed MDR-TB patients successfully treated among all laboratory confirmed MDR-TB patients enrolled on second-line anti-TB treatment during a specified period Strengthening Health System % of Suspects among outpatient attendees % of Suspects that have had sputum smear examination % of Suspects diagnosed as sputum smear positive TB % of Health facilities with TB suspect register (TBMUs and PHCs) /PAL activity coverage including suspect register Engaging all care providers (PPM) % of Non-NTP facilities engaged out of planned % of TB cases detected by public and private non-NTP providers % of Trained personnel for PPM out of planned ( Advocacy, Communication and Social Mobilization No. of TV or radio announcements, or printed media out of planned 2008 52 Essays, 8 TV spots, 21000 printed materials 2009 62 Essays, 12 TV spots, 21000 printed materials 37(0.4%) 4.15 1729/100 000 population 20 21 20 66 (0.5%)

5.59 1374/100 000 population -

20

66.7% in new; 25% in retreatment

2008 0 2008

2009 0 2009

Proportion of individuals with correct knowledge about TB Proportion of individuals with high stigma related to TB Duration between the onset of symptoms and their first visit to health facilities Proportion of patients that visited OPD of the TBMU or PHCs with onset of symptoms

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% of patients supported by NGO Enhance and promote operational research Number of projects conducted out of planned (no and %) Number of trained personnel out of planned (no and %) Number of research workshops conducted out of planned (no and %) Number of articles published in index journals out of NTP implemented projects 2008 0 2009 1 -