Revised National TB Control Program

8/7/2019 Revised National TB Control Program

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Revised National TB Control Program

(RNTCP)


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TB in India Daily

y >5000 develop the disease

y 1000 die of TB

1 death every 1.5 minutes Annually

y 1.8 million cases annually and 0.4 million dieannually

y Rs 12000 crores are lost annually due to TB

y 3 lakh children drop out of school & work because ofparental TB

y 1 lakh women are thrown out of their householdsbecause of social stigma

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Tuberculosis

1. An infectious disease

2. Caused by a tiny micro-organism

Mycobacterium tuberculosis

3. TB can occur in any part of the body.

Pulmonary (Affecting lungs) - 85%

Extra-pulmonary - 15%

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Transmission of TB

TB of lungs spreads by Air

When a TB patient coughs/sneezes, laughs,

TB bacteria spread to the surrounding Air

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When a healthy person breathes this air,

TB bacteria enter in to his/her lungs

Susceptible persons get the infection.


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DOTS Providers

Health system (hospitals, clinics, MPW, ANM, pharmacist

etc.)

Non-governmental organizations, CBOs, PRIs Community volunteers

Religious leaders

Anganwadi workers, Mitanins, Dais, etc.

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Availability of anti-TB drugsy District head quarter hospital, PHCs, CHCs, Govt.

hospitals etc.

y Drugs are provided free of cost, near the house of the

patient.y DOT is given by AWWs, ASHA, ANM, MPW, cured

patients, volunteers etc.

y Non salaried DOT providers like ASHA, AWW,

volunteers are entitled to get Rs 250 on completion of

treatment as per norms.

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Effective monitoring mechanism is the key


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Whats all about National Tuberculosis

Programme?????

y National Tuberculosis Programme(NTP) has been in operation

since 1962.

Long term Objective:-To reduce tuberculosis in the community

to that level when it ceases to be a public health problem.

Operational or short term objectives:-

y To detect maximum no. of TB cases among the outpatients

attending any health institution with symptoms suggestive of

tuberculosis and treat them effectively.

y To vaccinate new borns and infants with BCG.

y To undertake the above objectives in an integrated manner

through all the existing health institutions in the country.

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Why we need RNTCP..?????

y Achievements of at least 85 percent cure rate of

infectious cases through supervised short course

chemotherapy involving peripheral health functionaries.

y Augmentation of case findings activities through qualitysputum microscopy to detect at least 70% estimated

cases.

y Involvement of NGOs : Information ,education and

communication and improved operational research.

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Revised National TB Control ProgramGoalTo decrease mortality and morbidity due to TB, and tointerrupt the chain of transmission in order that TB isno longer a major public health problem in India

Objectives1. To cure at least 85% of new smear positive

pulmonary cases2. To detect at least 70% of estimated new smear

positive cases existing in the community, afterachieving the first objective

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Key Functions of the TU

y Maintain the TB Register which contains

information on the diagnosis and treatment

of every patient

y Ensure effective diagnosis by microscopy and

directly observed treatment

y Complete quarterly reports on diagnosis,

sputum conversion, treatment outcome, and

program management

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Patient-Wise Drug Boxes

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Unique feature of the Indian DOTS program

Simplifies drug procurement and distribution

Assures uninterrupted drug supply for individualpatient

Improves patients confidence in the program

A useful tool for supervision and accountability


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Gaps and Constraints

y Lengthy treatment

y Inadequate coverage and poor access to

health services

y Inadequate community participationy Acceptance of DOTS by the professional

organizations

y Inadequate private sector participation

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Revised National TB Control Program

Documents