SURUCHI INSTITUTE OF NURSING LUCKNOW

LESSION PLAN
ON

RNTCP
BY:
Mr. MD. Danish Rizvi
M.sc nursing year
Assistant professor
Community health nursing (HOD)
Suruchi institute of nursing

SUBMISSION ON –
SUBJECT – COMMUNITY HEALTH NURSING - II

 TOPIC – REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

 PARTICIPANTS – BSC. (N) 4th YEAR

 NO. OF STUDENTS –

 DATE – 01-08-18

 TIME – 2PM TO 3PAM

 VENUE – SURUCHI INSTITUTE OF NURSING 4 TH YEAR CLASS

 A. V. AIDS – PPT , HAND OUTS AND CHART

 METHOD OF TEACHING – LECTURE, DISCUSSION, EXPLANATION

GENERAL OBJECTIVES –
By the end of the class the student will be able to understand the topic of RNTCP and its definition, history, funding and function etc..

SPECIFIC OBJECTIVE- At the end of the class the students will be able to-
- Introduce the RNTCP
- Abbreviations of RNTCP
- Defied the RNTCP.
- Discus the History of RNTCP.
- List out the goal and objective of RNTCP.
- Discus the strategies of RNTCP.
- Discus the RNTCP.
- Enlist the funding of RNTCP.
- List out the function of RNTCP.
- Enlist the role of nurse in RNTCP.
- Discus the achievement of RNTCP.
- Enlist the future plan of RNTCP.
S. NO. LEANING CONTENT TEACHIN A.V. ASSES
OF OBJECTI G
HOUR VE AIDS MENT
NO LEARNIG
ACTIVITY

1. 1 min SELF MY SELF- Danish Rizvi, MSC NURSING , Assistant professor

INTROD
UCTION

2. 4 min
To
introduce LECTURE PPT
INTRODUCTION DISCUSSION What are
RNTCP
you
National Tuberculosis Programme (NTP) has been in operation since 1962. However, the know
treatment success rates were unacceptably low and the death and default rates remained
about
high. Spread of multidrug resistant TB was threatening to further worsen the situation. In
view of this, in 1992 Government of India along with WHO and SIDA reviewed the TB RNTCP?
situation in the country and came up with following conclusions: 

 NTP, though technically sound, suffered from managerial weaknesses 

 Inadequate funding 
 Over-reliance on X-ray for diagnosis Frequent interrupted supplies of drugs
 Low rates of treatment completion 

In 1993 in order to overcome these lacunae, the Government of India decided to give a
new thrust to TB control activities by revitalizing the NTP, with the assistance from
international agencies. The Revised National TB Control Programme (RNTCP) thus
formulated, adopted the internationally recommended Directly Observed Treatment Short-
course (DOTS) strategy, as the most systematic and cost-effective approach to revitalize
the TB control programme in India.
3. List out
the DISCUSSION
1 min LECTURE What is
abbreviat ABBREVIATIONS the full
ion PPT form
RNTCP - Revised National TB Control Programme SIDA
DOTS - Directly Observed Treatment Short-course

SIDA – Swedish International Development Cooperation Agency

WHO – World Health Organization

GFATM - Global Fund to fight AIDS, TB & Malaria

4.
Defied DISCUSSION
RNTCP DEFINITION LECTURE What is
5 min PPT definition
Revised National Tuberculosis Control Program (RNTCP) is the state-run tuberculosis
of
(TB) control initiative of the Government of India. As per the National Strategic Plan RNTCP?
2012–17, the program has a vision of achieving a "TB free India", and aims to achieve
Universal Access to TB control services.

Tbcindia.in
5. Discuss
the
history of
5 min RNTCP DISCUSSION PPT
HISTORY LECTURE
Which
1906 First open air TB sanatorium founded in India  year TB
Founded
1939 TB association of India in India?

 expert advice on the development of standard methods to deal with the disease;
 setting up model institutions for training TB workers;
 education of the public regarding preventive measures; 
 conceived the idea of domiciliary Rx of TB in 1940 

 2007 DOTS plus services for management of MDR-TB patients have been rolled
out in the states of Gujarat and Maharashtra 
 2009: Prevalence of all forms of TB down from 338 per 100,000 population (1990)
to 249 per 100,000 population and TB mortality in the country down from over 42
per 100,000 population in 1990 to 23 per 100,000 population (WHO global TB
6. Discuss report 2010) 
the  May 2012Notification of TB is made mandatory by GOI 
RNTCP Hand
DISCUSSION out
REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME  LECTURE
What is
4 min
The National TB Programme (NTP) was started in 1962 for TB control in India. This RNTCP?
programme was not able to give expected results in India 

The NTP was reviewed in 1992 

As a result of the review and pilot studies in 1993, the DOTS strategy was adopted in India
under the Revised National TB control Programme RNTCP 
 The programme was implemented in a phase manner and by 24th March 2006, the entire
country was covered under the programme 

k. park
7. List out
the goal
and
objective Goal PPT
of DISCUSSION
4 min RNTCP The goal of RNTCP is to decrease the mortality and morbidity due to tuberculosis and cut LECTURE
down the chain of transmission of infection until.  What is
goal of
RNTCP?

OBJECTIVES
1. Achievement of at least 85 per cent cure rate of infectious cases of tuberculosis,
through DOTS. 
2. Augmentation of case finding activities through quality sputum microscopy to
detect at least 70 per cent of estimated cases. 
3. Information, education, communication and improved operational research
activities.

The revised strategy was introduced in the country in a phased manner as Pilot Phase I,
Pilot Phase II and Pilot Phase III. By the end of 1998 only 2 per cent of the total population
of India was covered by RNTCP. Large-scale implementation began in late 1998 The
RNTCP has expanded rapidly over the years and since March 2006 it covers the whole
country.

8.
List out
 Ageing PPT
Family
National Strategic Plan (2012-2017) 
DISCUSSION
With progress in achieving objectives in the 11th Five Year Plan and defining newer LECTURE What is
4 min targets of universal access to TB care, newer strategies have been developed as a strategic
comprehensive National Strategic Plan under the 12th Five Year Plan. The following thrust plan in
areas were identified ;  RNTCP?

 Strengthening and improving the quality of basic DOTS services. 

 Further strengthen and align with health system under NRHM. 
 Deploying improved rapid diagnosis at the field level. 
 Expand efforts to engage all care providers. 
 Strengthen urban TB control. 
 Expand diagnosis and treatment of drug resistant TB. 
 Improve communication and outreach. 
10.  Promote research for development and implementation of improved tools and
Enlist PPT
strategies. 
funding
K. park How
many
FUNDING  DISCUSSION funding
LECTURE in
3 min  100 % central government sponsored  RNTCP
 The program is assisted by World Bank and The Department for International by
Development (DFID)  DANID
A?
 Other supporting agencies are :
 Global TB Drug Facility (GDF)
List out  Global Fund to Fight AIDS, TB, Malaria (GFATM) 
 United States Agency for International Development (USAID)  PPT
11. the
function
 of  Danish International Development Agency (DANIDA) 
RNTCP

FUNCTION DISCUSSION What is

3 min LECTURE the
The program initially adopted the Directly observed treatment, short-course strategy function
which consisted of the five components of strong political will and administrative of
commitment, diagnosis by quality assured sputum smear microscopy, uninterrupted supply RNTCP?
of quality assured Short Course chemotherapy drugs, Directly Observed Treatment (DOT)
and systematic monitoring and Accountability.

 Case finding and diagnostics

 Patient friendly treatment services
 Scale-up of Programmatic Management of Drug Resistant TB
Discuss
the  Scale-up of joint TB-HIV collaborative activities
12.  Control TB: compared to today's activities, success will
treatment chart

How
TREATMENT CATEGORIES AND DRUG REGIMENS DISCUSSION
4 min LECTURE many
Standardized treatment regimens are one of the pillars of the DOTS strategy. Isoniazid drugs
Rifampicin Pyrazinamide Ethambutol and Streptomycin are the primary ant tubercular use in
drugs used. Most DOTS regimens have thrice-weekly schedules and typically last for six DOTS?
to nine months, with an initial intensive phase and a continuation phase.
Based on the nature/severity of the disease and the patient's exposure to previous anti-
tubercular treatments, RNTCP classifies tuberculosis patients into two treatment
categories.
 New Previously treated

New sputum smear-positive, Sputum smear-positive relapse,

New sputum smear-negative, Sputum smear-positive failure,
New extra pulmonary tuberculosis, Sputum smear-positive treatment after default,
Others Others

2H3 R3 Z3 E3 + 4H3 2H3 R3 Z3 E3 S3 + 1H3 R3 Z3 E3 + 5H3 R3 E3

2 months intensive phase + 4 months 3 months intensive phase + 5 months

continuation phase continuation phase

Four drugs at Thrice-weekly Schedule Five drugs at thrice-weekly Schedule for

for 2 months Intensive phase Two initial 2 months followed by Four drugs for
drugs at Thrice-Weekly Schedule for next 1 month Intensive phase. Three drugs at
remaining 4 months continuation Thrice-weekly Schedule for remaining 5
phase. months continuation phase.

H: Isoniazid (300 mg), R: Rifampicin (450 mg), Z: Pyrazinamide (1500 mg),

E: Ethambutol (1200 mg), S: Streptomycin (750 mg) PPT
List out
13. the role of
nurse in 1. Patients who weigh 60 kg or more receive additional Rifampicin 150 mg.
RNTCP 2. Patients who are more than 50 years old receive Streptomycin 500 mg. Patients
who weigh less than 30 kg receive drugs as per Pediatric weight band boxes
according to body weight.
 What is
ROLE OF NURSE DISCUSSION The of
LECTURE nurse in
3 min RNTCP?
Building a clearer picture

Asking nurses:-

Workshop discussions, Role survey, Consultation,

Observation:-

Technical assistance visits, Research studies.

Discuss Variety of nurses PPT

the
achieveme Patient care, Health education (patient, family and community), Treatment observation,
14. nt of Sputum collection, Management/ co- ordination, Contact tracing/screening, Research,
RNTCP Teaching.

Achievements of RNTCP 
How
2 min The RNTCP covers the whole country since March 2006. Phase II of the RNTCP has been DISCUSSION many
launched in the country from 1st October 2006. LECTURE achievem
ent of
The treatment success rate has more than trebled from 25 per cent in 1998 to 88 per cent in RNTCP?
2015.Death rate has been brought down seven folds from 29 per cent to 4 per cent. 731
DOTCs, 4,888 TB Units and 13.886 DMCs are functional in the country.

 The programme involves more than 1,813 NGOs, more than 13,926 private
practitioners, over 319 medical colleges and more than 150 corporate health
facilities. More than 13,309 peripheral laboratories Designated Microscopy Centres
 have been established.
 More than 6 lacs public health care providers have been trained under the
programme.
 Master trainers on TB HIV have been trained on TB HIV related issues in 12 states. PPT
 More than 16 million patients have been initiated in treatment, saving almost 2.8
Enlist the million lives.
future
plan of
 Four urban DOTS projects have also been launched to solve the problems of
RNTCP inaccessibility of TB care faced by urban poor utilizing GFATM (Global Fund to
15. fight AIDS, TB & Malaria) support in Mumbai, Hyderabad, Varanasi and
Chennai. 

FUTURE PLAN
What is
DISCUSSION the future
 The Government of India announced its plan to eliminate tuberculosis (TB) by
2 min LECTURE of
2025 during the Union Budget address last month. RNTCP?

 The declaration is extraordinarily ambitious, considering that India accounts for

27% of the world's 10.4 million new TB cases, and 29% of the 1.8 million TB
deaths globally.
 India also accounts for 16% of the estimated 480 000 new cases of multidrug-
resistant TB.

 The End TB Strategy by WHO aims to end the global TB epidemic, with targets to
reduce TB deaths by 95% and to cut new cases by 90% by 2035.
SUMMARY

Today I have discussed about RNTCP. Students will be able to gain knowledge on this
topic.

CONCLUSION
RNTCP immediate and long- term benefits for students.

BIBLIOGRAPHY
  Park K. Textbook of PREVENTIVE AND SOCIAL MEDICINE 24rth edition JP publisher. Page no. 445-451.
 Swarnkar KESHAV N.R.BROTHERS 2nd edition community health nursing Page no. 89.
 Basavantappa B.T community health nursing. Page no. 75.
 Mahjan gupta, textbook of preventive & social, Medicine, JAYPEE PUBLICATION. Page no. 109.
 Gulani K. community health nursing: principle and practices. Latest edition page no. 70.

NET REFERENCE

 www.MOH.gov.in
 www.tbcindia.gov.in
 https://en.wikipedia.org/wiki/Revised_National_Tuberculosis_Control_Program