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Revised National Tuberculosis Control Programme -An Overview

Revised National Tuberculosis Control Programme -An Overview. Central TB Division Ministry of Health & Family Welfare New Delhi. RNTCP.

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Revised National Tuberculosis Control Programme -An Overview

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  1. Revised National Tuberculosis Control Programme-An Overview Central TB DivisionMinistry of Health & Family WelfareNew Delhi

  2. RNTCP • The Revised National TB Control Programme (RNTCP), based on the WHO recommended Directly Observed Treatment Short-course (DOTS) strategy to control TB, was launched in 1997 and expanded in a phased manner to cover the entire country by March, 2006.

  3. RNTCP – Goal and Objectives Goal The goal of TB control Programme is to decrease mortality and morbidity due to TB and cut transmission of infection until TB ceases to be a major public health problem in India. Objectives: To achieve and maintain a case detection of at least 70% of new sputum positive TB patients To achieve and maintain a cure rate of at least 85% in such patients

  4. Structure of RNTCP at State level STO, Deputy STO MO, Accountant, IEC Officer, SA, DEO State TB Cell Nodal point for TB control District TB Centre DTO, MO-DTC, LT, DEO, Driver One/ 5 lakh (2.5 lakh in hilly/ difficult/ tribal area) Tuberculosis Unit MO-TC STS, STLS One/ lakh (0.5 lakh in hilly/ difficult/ tribal area) MO, LT Microscopy Centre DOT Provider – MPW, NGO, PP, ASHA, Comm Vol DOT Centre

  5. Achievements of RNTCP

  6. Achievements under RNTCP 412766 • Since implementation • > 40 million TB suspects examined • > 9 million pts placed on treatment • > 1.6 million lives saved Achievements in line with the global targets

  7. Patient-wise drug boxes A unique feature of RNTCP are the patient-wise drug boxes (for adult and paediatric cases), which improve patient care, adherence, and drug supply and drug stock management

  8. Other Sector involvement >2500 NGOs involved under RNTCP ~18,000 PPs involved New schemes developed for NGO/PP involvement in RNTCP 150 Corporate Houses participating Involvement of professional bodies IAP involved in development of Pediatric guidelines 2005 IMA actively collaborating in 167 districts/ 6 states under Rd 6 GFATM Project Coalition of professional bodies established-IMPACT (2007) Assoc. of Physicians of India (API)/ Indian Academy of Pediatricians (IAP)/ National College of Chest Physicians (NCCP)/ Indian Chest Society (ICS) / Federation of Family Physicians of India (FFPI)

  9. RNTCP Laboratory Network 4 NRLs 27 IRLs ~12,000 DMCs (one per 50,000-100,000 population)

  10. Quality Assurance (QA) of smear microsopy External Quality Assessment (EQA) Internal Quality Assurance (Quality Control) Quality Improvement (QI) • On Site Evaluation (OSE) • Panel Testing • Random Blinded Rechecking (RBRC) • Instrument checks • Reagent quality check • Data Collection • Data Analysis • Solving problems

  11. Decentralized Financial Management Central TB Division Funds released in two installments on receipt of Statements of Expenditure (SOE) Plan of budget State Health Societies (separate account for TB) Funds released quarterly on receipt of SOE giving activity-wise details Plan District Health Societies (separate sub-account for TB)

  12. Programme Surveillance System Peripheral Health Institute (DMC and other PHIs) Monthly PHI Report Tuberculosis Unit System electronic from district level upwards Quarterly CF, SC, RT, PM Reports Quarterly Feedback Additional Feedback District TB Centre Electronic reports) Quarterly Reports CF, SC, RT, PM State TB Cell Central TB Division

  13. EPI-CENTRE: RNTCP Data processing system

  14. RNTCP “Supervision and Monitoring strategy” • Strategy document developed and published in March 2005 • All states and districts implementing the strategy • All state/district programme staff trained in the strategy

  15. RNTCP: Records and Reports Records • Tuberculosis Register • Laboratory Register • Treatment Card • Laboratory Form for Sputum Examination • Supervisory Register • Referral for Treatment Registers/Forms Reports • Quarterly Report on Case finding • Quarterly Report of Sputum Conversion • Quarterly Report on Results of Treatment • RNTCP Report on Programme Management and Logistics • Peripheral Health Institution Level (Monthly) • Tuberculosis Unit Level • District Level • State Level

  16. Key monitoring tools • Reports: Monthly/Quarterly/Annual for all levels of monitoring • Supervisory register at PHIs • Supervisory check list for programme managers • Programme review check list- CMO, DM, DHS/DGHS, HS/PHS • Internal evaluation reports of the districts • Review meeting minutes district/ state level

  17. Thanks www.tbcindia.org

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