North West Frontier Province is 3rd largest province of Pakistan with projected population 21.664 million for the year 2006 and administratively divided in to 24 districts with wide rural disperse. There are expected 36,726 new ail TB Cases and 16,599 new sputum smear positive cases in the Province each year. The general community receives health care services mainly from public and Private sectors. Private sector mainly delivers curative health care services and is very huge and diverse. There is 100% DOTS in the province in public sector. Program ensures free of cost diagnostic and treatment services to all TB patients in the Province. The programme involved not for profit private sector to partial level in TB care services delivery. Provincial TB control Program provides technical support, TB drugs and lab reagents to the private sector. 147 diagnostic centers are working in public and 29 in private sector. During the first two quarters 2006, in the province all case detection rate was 75 % and new sputum smear positive cases was 59 %. During the same period private sector contribution in case detection was 13 % in all and 10.50 % in new sputum smear positive cases respectively.
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