revised national tb control program
TRANSCRIPT
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Revised National TB Control Program
(RNTCP)
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TB in India Daily
y >5000 develop the disease
y 1000 die of TB
1 death every 1.5 minutes Annually
y 1.8 million cases annually and 0.4 million dieannually
y Rs 12000 crores are lost annually due to TB
y 3 lakh children drop out of school & work because ofparental TB
y 1 lakh women are thrown out of their householdsbecause 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
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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 drugsy District head quarter hospital, PHCs, CHCs, Govt.
hospitals etc.
y Drugs are provided free of cost, near the house of the
patient.y DOT is given by AWWs, ASHA, ANM, MPW, cured
patients, volunteers etc.
y Non salaried DOT providers like ASHA, AWW,
volunteers are entitled to get Rs 250 on completion of
treatment as per norms.
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Effective monitoring mechanism is the key
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Whats all about National Tuberculosis
Programme?????
y 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:-
y To detect maximum no. of TB cases among the outpatients
attending any health institution with symptoms suggestive of
tuberculosis and treat them effectively.
y To vaccinate new borns and infants with BCG.
y 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..?????
y Achievements of at least 85 percent cure rate of
infectious cases through supervised short course
chemotherapy involving peripheral health functionaries.
y Augmentation of case findings activities through qualitysputum microscopy to detect at least 70% estimated
cases.
y Involvement of NGOs : Information ,education and
communication and improved operational research.
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Revised National TB Control ProgramGoalTo decrease mortality and morbidity due to TB, and tointerrupt the chain of transmission in order that TB isno longer a major public health problem in India
Objectives1. To cure at least 85% of new smear positive
pulmonary cases2. To detect at least 70% of estimated new smear
positive cases existing in the community, afterachieving the first objective
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Key Functions of the TU
y Maintain the TB Register which contains
information on the diagnosis and treatment
of every patient
y Ensure effective diagnosis by microscopy and
directly observed treatment
y Complete quarterly reports on diagnosis,
sputum conversion, treatment outcome, and
program management
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Patient-Wise Drug Boxes
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Unique feature of the Indian DOTS program
Simplifies drug procurement and distribution
Assures uninterrupted drug supply for individualpatient
Improves patients confidence in the program
A useful tool for supervision and accountability
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Gaps and Constraints
y Lengthy treatment
y Inadequate coverage and poor access to
health services
y Inadequate community participationy Acceptance of DOTS by the professional
organizations
y Inadequate private sector participation
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