28 Original Article Tuberculosis diagnosed / managed at NGMC, Teaching Hospital, Kohalpur: A joint private-public effort Piryani RM¹, Kohli SC², Shrestha G³, Rawat T ¹Associate Professor, ²Professor, ³Professor & Head of Department, 4 2-3 Department of Medicine, 4 Sister In-charge DOTS Clinic 2-4 Nepalganj Medical College, Teaching Hospital, Kohalpur / Nepalganj, Nepal, 1 KIST Medical College, Lalitpur, Nepal (Formerly Associate Professor of Nepalganj Medical College, Teaching Hospital, Kohalpur / Nepalganj, Nepal), Abstract Introduction: Medical colleges both in public and private sector in Nepal have been supporting national TB control program (NTP) in its effort to control TB and its eventual elimination. Official collaboration between Nepalganj Medical College (NGMC), a private sector medical college and NTP was developed in 2000; a joint private-public initiative to contain TB. Objectives: This study has been done with the objectives a) to review the TB cases diagnosed/managed at NGMC Teaching Hospital (TH), Kohalpur, in Financial Year 2063/2064 (Shrawan 63 Asad 64) and b) to assess the contribution of NGMC, TH, Kohalpur towards TB control. Methodology: This is record based review of TB cases diagnosed, categorized, treated at NGMC TH, Kohalpur and referred to respective health facilities in Financial Year 2063/2064 (Shrawan 63 Asad 64). And case detection with respect to detected TB cases in Midwestern Region and entire country. Results: Around 13% of detected TB cases for Mid Western Region and 1.5 % of detected TB cases at national level were diagnosed at NGMC, TH, Kohalpur. 35% of cases were of pediatric TB; lymph node TB, pleural effusion & abdominal TB were common form of extra pulmonary (EP) TB seen in children. 20.8%, 44.8% and 34.4% of cases in adults were of sputum smear (SS) + pulmonary TB (PTB), SS- PTB & EPTB respectively; pleural effusion, lymph node TB, Miliary & abdominal TB were common form of EPTB seen in adults. Conclusion: Contribution of NGMC, TH, Kohalpur towards case detection seems to be significant. The role of medical colleges in TB control can not be underestimated. Keywords: TB Control, PP Mix, Medical Colleges, Nepalganj Medical College, Nepal ole of private health sector in national disease control has well been recognized globally 1 . Linkages between public and private health sector has been established worldwide for communicable disease control including TUBERCULOSIS (TB) 2, 3 . Medial Colleges / Schools / Institutions both in public and private sector have been contributing to National TB Control Program (NTP) in its efforts to control TB including multi drug resistant (MDR) TB / extensively drug resistant (XDR) TB 4, 5, 6, 7, 8 . Medical colleges both in public and private sector have been supporting NTP, Nepal in diagnosing and managing TB patients, imparting health education, doing advocacy and conducting research 9, 10 . Nepalganj Medical College (NGMC), a private sector medical college established in 1997 has been contributing towards TB control since its establishment. Official collaboration between NTP, Nepal and NGMC was developed in 2000 9 . This study has been conducted to assess the contribution of NGMC, Teaching Hospital (TH), Kohalpur with the objectives: a) to review the TB cases diagnosed/managed at NGMC, TH, Kohalpur, in Financial Year 2063/2064 (Shrawan 63 Asad 64) and b) to assess the contribution of NGMC TH, Kohalpur towards TB control. Methodology This is record based review of TB cases diagnosed, categorized and treated at NGMC TH, Kohalpur and referred to / District Hospital / Health Post / Sub Health Post in Financial Year 2063/2064 (Shrawan 63 to Asad 64). And cases detected by NGMC TH, Kohalpur with respect to the estimated / detected TB cases in Midwestern Region and entire country. Correspondence Dr. Rano Mal Piryani Associate Professor Department of Medicine KIST Medical College, Lalitpur, Nepal Email: r_piryani@yahoo.com R Kathmandu University Medical Journal (2008), Vol. 6, No. 1, Issue 21, 28-32