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Revised National Tuberculosis Control Programme BY Hariom Mehta

The document summarizes India's Revised National Tuberculosis Control Programme (RNTCP). It was established in 1992 to reduce mortality and morbidity from TB and interrupt transmission. The strategy includes achieving at least 85% cure rates for infectious cases and detecting at least 70% of estimated cases. Treatment is provided free of cost via directly observed treatment short course (DOTS) centers. The program has expanded in phases and aims to achieve 90% notification and treatment success rates by 2017. It also coordinates with HIV/AIDS programs to reduce co-infection. Major achievements include reducing the death rate seven-fold.

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Srilekha Maruthaiyan
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102 views

Revised National Tuberculosis Control Programme BY Hariom Mehta

The document summarizes India's Revised National Tuberculosis Control Programme (RNTCP). It was established in 1992 to reduce mortality and morbidity from TB and interrupt transmission. The strategy includes achieving at least 85% cure rates for infectious cases and detecting at least 70% of estimated cases. Treatment is provided free of cost via directly observed treatment short course (DOTS) centers. The program has expanded in phases and aims to achieve 90% notification and treatment success rates by 2017. It also coordinates with HIV/AIDS programs to reduce co-infection. Major achievements include reducing the death rate seven-fold.

Uploaded by

Srilekha Maruthaiyan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REVISED NATIONAL

TUBERCULOSIS CONTROL
PROGRAMME

BY
HARIOM MEHTA
Introduction
 Tuberculosis is one of the leading causes of
mortality in india- killing -2 persons every three
minute, nearly 1,000 every day.
 tuberculosis is a chronic infectious disease
caused by mycobacterium tuberculosis which was
discovered by ROBERT KOCH also known as koch’s
bacillus.
 it left untreated, a person with sputum positive
TB will infect an average of 10-15 people in a
year.
Conti..
 1962 – national TB Program (NTP)
 1992 – revised national tuberculosis control
program
World Scenario
• TB continues to be one of the most important
public health problem worldwide.
• in 2014 an estimated 9.6 million people
developed TB and 1.5 million died from the
disease, 4,00000 of whom were HIV positive.
• In 2014 an estimated 3.2 million cases were
women.
• Globally about 1.1 million new cases and
1,30,000 deaths occur annually due to TB among
children ( acc. to global TB report 2015)
Indian Scenario
• India is the highest TB burden country
according for more than one fifth of the global
incidence.
• everyday about 20,000 people become
infected, 5000 develop TB and more than
1000 die due to the disease.
• In simple terms, 2 persons become sputum
infected for the TB and almost 1 person is
killed every minute due to the disease.
Revised National Tuberculosis Control
program(1992)
The government of india, WHO and world
bank together reviewed the NTP in the year
1992. based on the findings a revised strategy
for NTP was evolved.
GOAL:-
-To reduce mortality and morbidity from TB.
-To interrupt chain of transmission.
STRATEGY :-
 Achievement of at least 85% cure rate of
infectious cases.
Detection of at least 70% of estimated cases.
Information, education, communication and
improved operation research activities.
• ORGANIZATION-PROFILE AT STATE LEVEL

STATE TUBERCULOSIS
OFFICE - STATE TUBERCULOSIS
OFFICER

STATE TUBERCULOSIS
TRAINING &
DEMONSTRATION CENTRE - DIRECTOR

DISTRICT TUBERCULOSIS
CENTRE (DTC) - DISTRICT TUBERCULOSIS
OFFICER
TUBERCULOSIS UNIT - MEDICAL OFFICER
- SENIOR TREATMENT
SUPERVISOR(STS)
- SENIOR TB LAB SUPERVISOR(STLS)

MICROSCOPY CENTRES AND TREATMENT CENTRES

DOTS PROVIDERS
TREATMENT
• Provide drug free of cost
• Three components:-
- appropriate medical treatment
- supervision and motivation
- monitoring of the disease status
DOTS depend on the five components
Good quality sputum microscopy
Uninterrupted supply of good quality drugs
Directly observed treatment
Accountability
Political commitment
DOTS PROVIDER:-
o May be a peripheral health staff or voluntary
workers (teachers, social workers, anganwadi
workers, Ex-patient ,etc.)
o They are known as “DOTS AGENT”
o Paid an incentive of rs. 150 per patent
completing the treatment.
DOTS DRUG AND DOSASE
RIFAMPICIN - 450mg (10mg/kg)
ISONIAZID - 600mg (10-15mg/kg)
STREPTOMYCIN - 750mg (15mg/kg)
PYRAZINAMIDE - 1500mg (30-35mg/kg)
ETHAMBUTOL - 1200mg (15mg/kg)
RNTCP PHASE I (1997-2006)
• To ensure high quality DOTS expansion in the
country, addressing the five primary
components of the DOTS strategy
• Political and administrative commitment
• Good quality diagnosis through sputum
microscopy
• Directly observed treatment
• Systematic monitoring
RNTCP PHASE II (2006-2011)
AIMS :-
 Consolidate the achievements of phase I
 Maintain its progressive trend and effect
further improvement in its functioning.
• TB HIV CO-ORDINATION
• RNTCP AND NACO – “JOINT ACTION PLAN”
• OBJECTIVE
 TO REDUCE TB ASSOCIATED MORBIDITY AND MORTALITY IN TB-HIV
PATIENTS
 FOR EFFECTIVE PREVETION AND CONTROL OF BOTH THE DISEASES

• PHASE I
 2OOI
 IN 6 HIGH HIV PREVALENT STATES(AP, KARNATAKA, MAHARASHTRA,
MANIPUR, NAGALAND, TN)

• PHASE II
 2003
 8 ADDITIONAL STATES(DELHI, GUJARAT, HP, KERALA, ORISSA,PUNJAB,
RAJASTHAN, WB)
 PLAN TO BE EXTENDED TO ALL OTHER STATES IN DUE COURSE
TARGETS (2012-2017)

• Early detection and treatment of at least 90


%of estimated TB case in the community,
including HIV-associated TB
• Initial screening of all re treatment smear
positive cases for drug resistant TB &
appropriate treatment
• Offer of HIV counseling and testing for all TB
patients and linking HIV-infected TBpatients
to HIV care and support

• Successful treatment of at least 90 percent


of all new TB patients

• Extend RNTCP services to patients diagnosed


and treated in the private sector
• PROGRAMME ACTIVITIES
NECESSARY TO ACHIEVE RNTCP
(2012-2017) TARGETC
• THE NATIONAL STRATEGIC PLAN
2012-2017
• Strengthening and improving the
quality of basic DOTS services

• Further strengthen and align with


the health system under National
Rural Health Mission (NRHM)
• Improve communication and
outreach and social mobilization

• Promote research for development


and implementation of improved
tools and strategies
OBJECTIVES
• To achieve 90% notification rate for all
cases.

• To achieve 90% success rate for all new


& 85% for re treatment cases.
• To achieve decreased morbidity & mortality if
HIV associated TB.

• To improve outcomes of TB care in private


sector.

• To significantly improve the successful


outcomes of treatment for drug resistant
cases.
ACHIEVEMENTS
• Death rate has been brought down seven
folds (29% to 4%).

• The programme involves more than 1971


NGOs, >10894 private practitioners, >297
medical colleges & >150 corporate health
facilities are involved

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