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Revised National TB Control Programme

District/sub-district analysisAll StatesSpecific actions included in Annual Action plan Universal Access for TB CareMajor discussion point in STO's Biannual Review meeting conducted from 29th to 31st January 2010.CTD developed a Guide to programme managers on Universal access for TB care. LinkPriority activities identified by states to increase case detection were reviewed in the STO/Consultants review meeting on 17th and 18th June 10.

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Revised National TB Control Programme

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    1. Revised National TB Control Programme

    3. Human Resources: Still continues as an important issue in most of the states. STO STC DTO Additional contractual posts (Asst programme officer/ Epidemiologist (1per state), DOTS-Plus site MO(1/site), DOTS-Plus site SA(1/site), Sr. LT at IRL (1 per IRL), Store Assistant (SDS) (1 per SDS) , DEO (IRL) (1 per IRL), Sr. DOTS Plus and TB HIV Supervisor (1 per district) 4 states- Gujarat, West Bengal, Delhi and Haryana has appointed. Tamil Nadu, Orissa, Bihar, Uttar Pradesh and J&K has not initiated any actions Other states are at various stages of procurement Action taken Report on the minutes of State Health Secretaries Meeting 15th/16th January 2010- cont..

    4. Training Status under RNTCP. Review of the training status done during the STO/Consultants meeting in January 2010 Detailed plan was prepared by states to strengthen the training activities. Incorporated in the annual action plan. 30% of the trainings planned for the year 2010-11 have been completed by June 2010. STOs were advised to follow the training plan.

    5. Strengthening the supervisory activities at all levels States have reported improved supervisory visits, reviews and Internal evaluations. Link Strengthening involvement of General Health system: GOs to ensure that CMOs review RNTCP, Govt MO don’t prescribe TB drugs outside the programme 9 states already issues GOs (Kerala, Karnataka, UP, MP, Rajasthan, Gujarat, Andhra Pradesh, Mizoram and Uttarakhand) Other states-under process. Action taken Report on the minutes of State Health Secretaries Meeting 15th/16th January 2010- cont..

    6. Universal Access to TB Care

    8. Steps to Universal access Most of the un-notified cases are seeking health care but not being captured by the system. They can be reached by Increasing suspects examination rate National level- 160/lakh/qtr District level- wide variations Ensure adequate infrastructure DMCs-trained LTs TUs Sputum collection and Transport facilities Medical Colleges Involving all departments in Medical Colleges Strengthening Supervision and Monitoring Filling up of vacant posts Proactive programme review at all levels Implementing Tribal Action Plan

    9. Other Health Care providers Other Govt health sectors, corporate sector, ESI, Mines etc NGO/PP involvement IMA, CBCI GF Rd-9 Project- ACSM-374 district IUATLD- (300 districts) World Vision-(74 districts) Steps to Universal access

    10. Contact Tracing Contact tracing of sputum positive patients Intensified case finding activities in High risk population HIV Smokers Diabetes Linking with Anti-natal care services Mothers Child

    13. Finance Financial Status Commodity Assistance

    14. Thank You

    15. States with no full time STO

    16. States with no full time STO cont..

    17. State wise vacancies at State TB Cell

    19. Positions of District TB Officers

    20. Positions of District TB Officers

    21. Key Staff Positions – Vacant, Untrained – 1Q10

    22. State Level RNTCP Reviews in 2009/1st qtr 2010

    24. Internal Evaluation by States in 2009 – 1q10

    25. Internal Evaluation by States in 2009 – 1q10

    26. Issues in TB HIV Co-ordination TB HIV Coordinators not appointed in many states eg. Bihar, HP, Jharkhand, Chattisgarh, Kerala District co-ordination committees not formed in many districts of Bihar and MP Joint supervisory visits by STC & SACS to districts not happening in many states. Expediting district level trainings in Intensified TB/HIV Package in the preparatory states (Rajasthan, Kerala, Assam, WB, Orissa, Punjab and Chandigarh) Expediting state level trainings in Intensified TB/HIV Package, procurement of CPT pouches and printing of modules and registers/referral forms in the newly launched states (UP, MP, Haryana, HP, Uttarakhand, Chattisgarh, Jharkhand, Sikkim, Tripura, Arunachal Pradesh and Meghalaya) Key challenge is to bridge the gap at service delivery level between RNTCP and NACP – By co-locating existing ICTCs and DMCs (AP & Karnataka: In about 33% of the DMCs, ICTC is not co-located. Maharashtra: 65% of the DMCs, ICTC is not co-located) By establishing Facility integrated ICTCs and roll-out of Whole blood testing for HIV. The linkage of the HIV positive TB patients to ART centres is weak in many states and needs to be strengthened.

    29. Jharkhand

    30. Jharkhand

    32. Gujarat

    33. Gujarat

    35. Bihar

    36. Bihar

    37. BIHAR Rate contract for laboratory consumables not finalized since June 2008. Regular shortage of consumables in all districts All state level contractual posts vacant No Deputy STO or MO-STC . STO has multiple charge No printing done in the state for the last 2 ½ years. Shortage of all recording and reporting formats. Districts resorting to photocopying Delay in Contract renewal , payment of remuneration and reimbursement of POL to contractual staff varying from few months to a year. Although 200 laboratory technicians appointed in February 2010 by state health society, only 14 were trained for RNTCP lab work at state level. DOTS PLUS committee not yet formed

    39. Andhra Pradesh

    40. Andhra Pradesh

    42. Arunchal Pradesh

    43. Arunachal Pradesh

    45. Assam

    46. Assam

    48. Chhattisgarh

    49. Chattisgarh

    51. Delhi

    52. Delhi

    54. Goa

    55. Goa

    57. Haryana

    58. Haryana

    60. Himachal Pradesh

    61. Himachal Pradesh

    63. Jammu & Kashmir

    64. J&K

    66. Karnataka

    67. Karnataka

    69. Kerala

    70. Kerala

    72. Madhya Pradesh

    73. Madhya Pradesh

    75. Maharashtra

    76. Maharashtra

    78. Manipur

    79. Manipur

    81. Meghalaya

    82. Meghalaya

    84. Mizoram

    85. Mizoram

    87. Nagaland

    88. Nagaland

    90. Orissa

    91. Orissa

    93. Punjab

    94. Punjab

    96. Rajasthan

    97. Rajasthan

    99. Sikkim

    100. Sikkim

    102. Tamil Nadu

    103. Tamil Nadu

    105. Tripura

    106. Tripura

    108. Uttar Pradesh

    109. Uttar Pradesh

    111. Uttarakhand

    112. Uttarakhand

    114. West Bengal

    115. West Bengal

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