Transcript Revised National Tuberculosis Control Programme

Revised National Tuberculosis Control
Programme (RNTCP)
 NTP since 1962
 Managerial weakness
 Inadequate funding
 Over reliance on X-ray for diagnosis
 Frequent interrupted supplies of drugs
 Low rates of treatment completion
 1993- RNTCP – DOTS
 Objectives:
Achievement of at least 85% cure rate of infectious cases of
TB
2. Quality sputum finding to detect at least 70% of estimated
cases
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 Main components of DOTS strategy:
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Political will and administrative commitment
Diagnosis by quality assured sputum smear microscopy
Adequate supply of quality assured short course
chemotherapy drugs
Directly observed treatment
Systematic monitoring and accountability
Organization
State TB Office
State TB Officer
State TB Training & Demonstration Centre
Director
District TB Centre
District TB Officer
TB unit
Medical Officer-TB Control, STS, STLS
Microscopy Centers,Treatment Centers
Dots providers
Laboratory Network
 National Reference Lab
Tuberculosis Research Centre, Chennai
2. National Tuberculosis Institute, Bangalore
3. Lala Ram Sarup Institute of Tuberculosis and Allied
Sciences, New Delhi
4. JALMA institute, Agra
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Initiation of treatment
Paediatric TB
Drug Resistance Surveillance (DRS)
under RNTCP
DOTS Plus
TB-HIV Coordination
‘TB free India’ vision
1. To achieve 90% notification rate for all cases
2. To achieve 90% success rate for all new and 85% for
retreatment cases
3. To significantly improve the successful outcomes of
treatment of drug resistant TB cases
4. To achieve decreased morbidity & mortality of HIV
associated TB
5. To improve outcomes of TB care in the private sector
Achievements of RNTCP
 Covers the whole country since 2006 March
 Treatment success rate raised from 25% in 1998 to 88% in
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2010
Death rate brought down from 29% to 4%
662 DTCs, 2698 TUs, 13,039 DMCs are functional in the
country
More than 15 million patients have been initiated in
treatment, saving more than 2.5 million lives
4 Urban DOTS projects