Revised National Tuberculosis Control Programme

Revised National Tuberculosis Control Programme (RNTCP)NTP since 1962

Managerial weaknessInadequate fundingOver reliance on X-ray for diagnosisFrequent interrupted supplies of drugsLow rates of treatment completion1993- RNTCP DOTSObjectives:Achievement of at least 85% cure rate of infectious cases of TBQuality sputum finding to detect at least 70% of estimated casesMain components of DOTS strategy:Political will and administrative commitmentDiagnosis by quality assured sputum smear microscopyAdequate supply of quality assured short course chemotherapy drugsDirectly observed treatmentSystematic monitoring and accountabilityOrganization State TB OfficeState TB OfficerState TB Training & Demonstration CentreDirectorDistrict TB CentreDistrict TB OfficerTB unitMedical Officer-TB Control, STS, STLSMicroscopy Centers, Treatment CentersDots providersLaboratory NetworkNational Reference LabTuberculosis Research Centre, ChennaiNational Tuberculosis Institute, BangaloreLala Ram Sarup Institute of Tuberculosis and Allied Sciences, New DelhiJALMA institute, Agra

Initiation of treatment

Paediatric TB

Drug Resistance Surveillance (DRS) under RNTCPDOTS PlusTB-HIV Coordination

TB free India visionTo achieve 90% notification rate for all casesTo achieve 90% success rate for all new and 85% for retreatment casesTo significantly improve the successful outcomes of treatment of drug resistant TB casesTo achieve decreased morbidity & mortality of HIV associated TBTo improve outcomes of TB care in the private sectorAchievements of RNTCPCovers the whole country since 2006 MarchTreatment success rate raised from 25% in 1998 to 88% in 2010Death rate brought down from 29% to 4%662 DTCs, 2698 TUs, 13,039 DMCs are functional in the countryMore than 15 million patients have been initiated in treatment, saving more than 2.5 million lives4 Urban DOTS projects