Revised National Tuberculosis Control Programme (RNTCP)
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NTP since 1962 Managerial weakness Inadequate funding Over
reliance on X-ray for diagnosis Frequent interrupted supplies of
drugs Low rates of treatment completion
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1993- RNTCP DOTS Objectives: 1. Achievement of at least 85%
cure rate of infectious cases of TB 2. Quality sputum finding to
detect at least 70% of estimated cases
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Main components of DOTS strategy: 1. Political will and
administrative commitment 2. Diagnosis by quality assured sputum
smear microscopy 3. Adequate supply of quality assured short course
chemotherapy drugs 4. Directly observed treatment 5. Systematic
monitoring and accountability
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Organization State TB OfficeState TB Officer State TB Training
& Demonstration CentreDirector District TB CentreDistrict TB
Officer TB unitMedical Officer-TB Control, STS, STLS Microscopy
Centers, Treatment Centers Dots providers
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Laboratory Network National Reference Lab 1. Tuberculosis
Research Centre, Chennai 2. National Tuberculosis Institute,
Bangalore 3. Lala Ram Sarup Institute of Tuberculosis and Allied
Sciences, New Delhi 4. JALMA institute, Agra
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Initiation of treatment
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Paediatric TB
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Drug Resistance Surveillance (DRS) under RNTCP
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DOTS Plus
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TB-HIV Coordination
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TB free India vision 1. To achieve 90% notification rate for
all cases 2. To achieve 90% success rate for all new and 85% for
retreatment cases 3. To significantly improve the successful
outcomes of treatment of drug resistant TB cases 4. To achieve
decreased morbidity & mortality of HIV associated TB 5. To
improve outcomes of TB care in the private sector
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Achievements of RNTCP Covers the whole country since 2006 March
Treatment success rate raised from 25% in 1998 to 88% in 2010 Death
rate brought down from 29% to 4% 662 DTCs, 2698 TUs, 13,039 DMCs
are functional in the country More than 15 million patients have
been initiated in treatment, saving more than 2.5 million lives 4
Urban DOTS projects