Revised National TB Control

Program
(RNTCP)
 TB in India
 Daily
>5000 develop the disease
1000 die of TB

1 death every 1.5 minutes

 Annually
1.8 million cases annually and 0.4 million die
annually
Rs 12000 crores are lost annually due to TB
3 lakh children drop out of school & work because of
parental TB
1 lakh women are thrown out of their households
because 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

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 drugs
 District head quarter hospital, PHCs, CHCs, Govt.
hospitals etc.
 Drugs are provided free of cost, near the house of the
patient.
 DOT is given by AWWs, ASHA, ANM, MPW, cured

patients, volunteers etc.

 Non salaried DOT providers like ASHA, AWW,
volunteers are entitled to get Rs 250 on completion of
treatment as per norms.

Effective monitoring mechanism is the key

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 What’s all about National Tuberculosis
Programme…?????
 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:-
 To detect maximum no. of TB cases among the outpatients
attending any health institution with symptoms suggestive
of tuberculosis and treat them effectively.
 To vaccinate new borns and infants with BCG.
 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…..?????
Achievements of at least 85 percent cure rate of
infectious cases through supervised short course
chemotherapy involving peripheral health
functionaries.
Augmentation of case findings activities through
quality sputum microscopy to detect at least 70%
estimated cases.
Involvement of NGO’s : Information ,education
and communication and improved operational
research.
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Revised National TB Control Program
Goal
To decrease mortality and morbidity due to TB, and to
interrupt the chain of transmission in order that TB is
no longer a major public health problem in India
Objectives
1. To cure at least 85% of new smear positive
pulmonary cases
2. To detect at least 70% of estimated new smear
positive cases existing in the community, after
achieving the first objective

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 Key Functions of the TU
Maintain the TB Register which contains
information on the diagnosis and treatment
of every patient

Ensure effective diagnosis by microscopy and

directly observed treatment

Complete quarterly reports on diagnosis,

sputum conversion, treatment outcome, and
program management
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 Patient-Wise Drug Boxes
 Unique feature of the Indian DOTS program
 Simplifies drug procurement and distribution
 Assures uninterrupted drug supply for individual
patient
 Improves patient’s confidence in the program
 A useful tool for supervision and accountability

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 Gaps and Constraints
Lengthy treatment
Inadequate coverage and poor access to
health services
Inadequate community participation
Acceptance of DOTS by the professional
organizations
Inadequate private sector participation

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