Tb india -_copy

TUBERCULOSIS FROM MANAGEMNENT PERSPECTIVE

MOST ANCIENT DISEASE

PANDEMIC: 1/3 WORLD AFFECTED

GLOBAL BURDEN

GLOBAL PERSPECTIVE: 42%DALY

INDIA ACCOUNTS FOR 30% OF THE

WORLD’S GLOBAL BURDEN OF DISEASE

AFFECTING HEALTH AND DEVELOPMENT

TUBERCULOSIS FROM MANAGEMNENT PERSPECTIVE

INDIAN PERSPECTIVE: VEDAS & AYURVEDIC

MANAGEMENT: EARLY PERIOD

(SANATIRIUM MOVEMENT)

POST-INDEPENDENCE

(DTC & CT) NTCP

ONGOING WHO ASSISTED TB CONTROL PROG

DOTS STRATEGY

TUBERCULOSIS FROM MANAGEMNENT PERSPECTIVE

DOTS Expansion, India (1993-2015)

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Actual DOTS coverage Planned DOTS coverage Rapid scale-up in population coverage since late 1998The DOTS coverage as per the plans and on occasions even more rapidTotal of 850 million population covered under RNTCP and INDIA 2015Actual and Planned DOTS coverage coincideYearly total population projected from 2011 census

TUBERCULOSIS FROM MANAGEMNENT PERSPECTIVE

State TB Cell

District TB Centre

Tuberculosis Unit

Microscopy Centre

DOT Centre

Around 1700 already established

Around 8000 already established

DOT Provider – MPW, NGO, PP, Comm Vol

Nodal point for TB control

One/ 0.5 m (.25 m in hilly/ difficult/ tribal area)

One/ 0.1 m (0.05 m in hilly/ difficult/ tribal area)

Organization Structure

Around 450 units

Central Level

Drug Management System

Feedback

Peripheral HealthInstitute

District TB Centre

Central TB Division State TB Cell

Tuberculosis Unit

Monthly Report

Quarterly Report within 7 days of end of quarter

Quarterly Report within 20 days

Feedback

More than 90% of reports received electronically at CTD

SUCCESS TILL DATE830 million population covered by DOTS

Treatment success exceeded global target of 85%

Case detection in DOTS areas recently attained global target of 70%

Nearly 3 million patients put on treatment, 900,000 in 2003 alone

Cure rate more than doubled vs. non-DOTS areas

Deaths reduced 7-fold vs. non-DOTS areas

Over 500,000 lives saved

Recent baseline ARTI survey completed - repeat survey at 3-5 years intervals planned

TUBERCULOSIS FROM MANAGEMNENT PERSPECTIVE

WAY FORWARD MILES TO GO BEFORE I SLEEP DOTS TO BE MADE MORE EFFECTIVE MAINTAIN QUALITY WHILST RAPID EXPANSION STRENGTHEN PARTNERSHIPS WITH PRIVATE SECTOR CAPACITY BUILDING OF STATES STRICT IMPLEMENTATION IN URBAN AREAS INTENSIFICATION OF IEC ADDRESSING ISSUES ON:

HUMAN RESOURCE DEVELOPMENTTB-HIVMULITDRUG-RESISTANT TB (MDR & XDR- TB)

ENSURING LONG TERM FUNDING FOR SUSTAINABILITY

WAY FORWARD THREE PRONGED APPROACH TO BE ADOPTEDWORK PLACE/UNIONSSCHOOLSVILLAGE TB COMMITTEE------CHILDERNWOMEN INCLUDING OLD AGE

THANK YOU