Revised National Tuberculosis Control Programme (RNTCP)

1. Revised National Tuberculosis Control Programme (RNTCP)

2. NTP since 1962 • Managerial weakness • Inadequate funding • Over reliance on X-ray for diagnosis • Frequent interrupted supplies of drugs • Low rates of treatment completion

3. 1993- RNTCP – DOTS • Objectives: • Achievement of at least 85% cure rate of infectious cases of TB • Quality sputum finding to detect at least 70% of estimated cases

4. Main components of DOTS strategy: • Political will and administrative commitment • Diagnosis by quality assured sputum smear microscopy • Adequate supply of quality assured short course chemotherapy drugs • Directly observed treatment • Systematic monitoring and accountability

5. Organization

6. Laboratory Network • National Reference Lab • Tuberculosis Research Centre, Chennai • National Tuberculosis Institute, Bangalore • Lala Ram Sarup Institute of Tuberculosis and Allied Sciences, New Delhi • JALMA institute, Agra

8. Initiation of treatment

10. PaediatricTB

12. Drug Resistance Surveillance (DRS) under RNTCP

13. DOTS Plus

14. TB-HIV Coordination

15. ‘TB free India’ vision • To achieve 90% notification rate for all cases • To achieve 90% success rate for all new and 85% for retreatment cases • To significantly improve the successful outcomes of treatment of drug resistant TB cases • To achieve decreased morbidity & mortality of HIV associated TB • To improve outcomes of TB care in the private sector

16. 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