Revised National Tuberculosis Control Programme RNTCP in India:

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Revised National Tuberculosis Control Programme
(RNTCP) in India
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India accounts for nearly one third of the global
TB burden
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DOTS Expansion, India (1993-2005)
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Organization Structure
Central Level
State TB Cell
Nodal point for TB control
District TB Centre
Around 450 units
One/ 0.5 m (.25 m in hilly/ difficult/ tribal
area)
Around 1700 already established
Tuberculosis Unit
Around 8000 already established
One/ 0.1 m (0.05 m in hilly/ difficult/ tribal
area)
Microscopy Centre
DOT Provider MPW, NGO, PP, Comm Vol
DOT Centre
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Drug Management System
Feedback
More than 90 of reports received electronically
at CTD
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Patient Wise Box (PWB)

• Choice of Drugs in India PWB
• Improved Blister Packs in patient-wise boxes
  introduced have proved to be very effective
• Makes calculations, management distribution
  much easier for the programme officers vis-à-vis
  the loose drugs
• Makes sure full course of treatment is available
  for each patient who is initiated on treatment
  resulting in development of improved confidence
  of the patient in the public health system.
• Regimen 3 categories of treatment identified
  depending on the type of patient, period of
  treatment being 6-8 months thrice weekly
• Presentation The drugs are blister packed with
  IP and CP pouches in a PWB containing whole
  course of treatment for each patient.

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Achievements of RNTCP

• 830 million population covered by DOTS
• Treatment success exceeded global target of 85
• Case detection in DOTS areas recently attained
  global target of 70
• Nearly 3 million patients put on treatment,
  900,000 in 2003 alone
• Cure rate more than doubled vs. non-DOTS areas
• Deaths reduced 7-fold vs. non-DOTS areas
• Over 500,000 lives saved
• Recent baseline ARTI survey completed - repeat
  survey at 3-5 years intervals planned

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Challenges

• Expansion of DOTS to the entire country by 2005
• Maintain quality whilst rapid expansion
• Strengthen partnerships with ESIS, Railways, TB
  hospitals, Medical colleges, Private sector
• Capacity building of States for decentralization
  of programme and financial management and
  monitoring
• Improve quality of implementation in urban areas
• Intensification of IEC
• Addressing issues on
• Human resource development
• TB-HIV
• Drug resistance
• Ensuring long term funding for sustainability

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• THANK YOU