Revised National TB Control Programme

1.  Revised National TB Control Programme 

3. Human Resources: Still continues as an important issue in most of the states. STO STC DTO Additional contractual posts (Asst programme officer/ Epidemiologist (1per state), DOTS-Plus site MO(1/site), DOTS-Plus site SA(1/site), Sr. LT at IRL (1 per IRL), Store Assistant (SDS) (1 per SDS) , DEO (IRL) (1 per IRL), Sr. DOTS Plus and TB HIV Supervisor (1 per district) 4 states- Gujarat, West Bengal, Delhi and Haryana has appointed. Tamil Nadu, Orissa, Bihar, Uttar Pradesh and J&K has not initiated any actions Other states are at various stages of procurement Action taken Report on the minutes of State Health Secretaries Meeting 15th/16th January 2010- cont..

4. Training Status under RNTCP. Review of the training status done during the STO/Consultants meeting in January 2010 Detailed plan was prepared by states to strengthen the training activities. Incorporated in the annual action plan. 30% of the trainings planned for the year 2010-11 have been completed by June 2010. STOs were advised to follow the training plan.

5. Strengthening the supervisory activities at all levels States have reported improved supervisory visits, reviews and Internal evaluations. Link Strengthening involvement of General Health system: GOs to ensure that CMOs review RNTCP, Govt MO don’t prescribe TB drugs outside the programme 9 states already issues GOs (Kerala, Karnataka, UP, MP, Rajasthan, Gujarat, Andhra Pradesh, Mizoram and Uttarakhand) Other states-under process. Action taken Report on the minutes of State Health Secretaries Meeting 15th/16th January 2010- cont..

6. Universal Access to TB Care

8. Steps to Universal access Most of the un-notified cases are seeking health care but not being captured by the system. They can be reached by Increasing suspects examination rate National level- 160/lakh/qtr District level- wide variations Ensure adequate infrastructure DMCs-trained LTs TUs Sputum collection and Transport facilities Medical Colleges Involving all departments in Medical Colleges Strengthening Supervision and Monitoring Filling up of vacant posts Proactive programme review at all levels Implementing Tribal Action Plan

9. Other Health Care providers Other Govt health sectors, corporate sector, ESI, Mines etc NGO/PP involvement IMA, CBCI GF Rd-9 Project- ACSM-374 district IUATLD- (300 districts) World Vision-(74 districts) Steps to Universal access

10. Contact Tracing Contact tracing of sputum positive patients Intensified case finding activities in High risk population HIV Smokers Diabetes Linking with Anti-natal care services Mothers Child

13. Finance Financial Status Commodity Assistance

14. Thank You

15. States with no full time STO

16. States with no full time STO cont..

17. State wise vacancies at State TB Cell

19. Positions of District TB Officers

20. Positions of District TB Officers

21. Key Staff Positions – Vacant, Untrained – 1Q10

22. State Level RNTCP Reviews in 2009/1st qtr 2010

24. Internal Evaluation by States in 2009 – 1q10

25. Internal Evaluation by States in 2009 – 1q10

26. Issues in TB HIV Co-ordination TB HIV Coordinators not appointed in many states eg. Bihar, HP, Jharkhand, Chattisgarh, Kerala District co-ordination committees not formed in many districts of Bihar and MP Joint supervisory visits by STC & SACS to districts not happening in many states. Expediting district level trainings in Intensified TB/HIV Package in the preparatory states (Rajasthan, Kerala, Assam, WB, Orissa, Punjab and Chandigarh) Expediting state level trainings in Intensified TB/HIV Package, procurement of CPT pouches and printing of modules and registers/referral forms in the newly launched states (UP, MP, Haryana, HP, Uttarakhand, Chattisgarh, Jharkhand, Sikkim, Tripura, Arunachal Pradesh and Meghalaya) Key challenge is to bridge the gap at service delivery level between RNTCP and NACP – By co-locating existing ICTCs and DMCs (AP & Karnataka: In about 33% of the DMCs, ICTC is not co-located. Maharashtra: 65% of the DMCs, ICTC is not co-located) By establishing Facility integrated ICTCs and roll-out of Whole blood testing for HIV. The linkage of the HIV positive TB patients to ART centres is weak in many states and needs to be strengthened.

29. Jharkhand

30. Jharkhand

32. Gujarat

33. Gujarat

35. Bihar

36. Bihar

37. BIHAR Rate contract for laboratory consumables not finalized since June 2008. Regular shortage of consumables in all districts All state level contractual posts vacant No Deputy STO or MO-STC . STO has multiple charge No printing done in the state for the last 2 ½ years. Shortage of all recording and reporting formats. Districts resorting to photocopying Delay in Contract renewal , payment of remuneration and reimbursement of POL to contractual staff varying from few months to a year. Although 200 laboratory technicians appointed in February 2010 by state health society, only 14 were trained for RNTCP lab work at state level. DOTS PLUS committee not yet formed

39. Andhra Pradesh

40. Andhra Pradesh

42. Arunchal Pradesh

43. Arunachal Pradesh

45. Assam

46. Assam

48. Chhattisgarh

49. Chattisgarh

51. Delhi

52. Delhi

54. Goa

55. Goa

57. Haryana

58. Haryana

60. Himachal Pradesh

61. Himachal Pradesh

63. Jammu & Kashmir

64. J&K

66. Karnataka

67. Karnataka

69. Kerala

70. Kerala

72. Madhya Pradesh

73. Madhya Pradesh

75. Maharashtra

76. Maharashtra

78. Manipur

79. Manipur

81. Meghalaya

82. Meghalaya

84. Mizoram

85. Mizoram

87. Nagaland

88. Nagaland

90. Orissa

91. Orissa

93. Punjab

94. Punjab

96. Rajasthan

97. Rajasthan

99. Sikkim

100. Sikkim

102. Tamil Nadu

103. Tamil Nadu

105. Tripura

106. Tripura

108. Uttar Pradesh

109. Uttar Pradesh

111. Uttarakhand

112. Uttarakhand

114. West Bengal

115. West Bengal