The Revised National TB Control Programme (RNTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, was launched in 1997 expanded across the country in a phased manner with support from World Bank and other development partners.

1. PRESENTED BY PAWAN
SUBJECT :- COMMUNITY HEALTH NURSING - II
B.SC NURSING

2.  TUBERCULOSIS IS A CHRONIC INFECTION
DIEASES IS CAUSED BY MYCOBACTERIUM
TUBERCULOSIS WHICH WAS DISCOVERED
BY ROBERT KOCH
 ALSO KNOWS AS KOCHS BACILLUS
 THE MOST COMMON ORGAN INVOLVED
IS LUNGS (>80%) BUT IT CAN INVOLVE
ANY ORGAN OF THE HUMAN BODY
(EXCEPT – HAIR AND NAIL ).

3. CLASSIFICATION
PULMONARY
(85%-90%)
EXTRA
PULMONARY +
(10%-15%)
LYMPH NODE
JOINT
SPINAL TRACT INTESTINE

4.  1962 – NATIONAL TB PROGRAMME (NTP)
 1992- PROGRAMME REVIEW
 1993 – RNTCP PIOLT BEGAN (MEANS START
AS A SMALL PROJECT )
 1997 – RNTCP LARGE SCALE IMPLIMETATION
(AS A BIG PROJECT )
 2002 – 700 MILLION POPULATION COVERED
 2004 – >80% OF COUNTRY COVERED
 2006 – ENTIRE COUNTRY COVERED BY RNTCP
 2012-2019 – NATIONAL STRATEGIC PLAN

5.  THE NATIONAL TB PROGRAMME (NTP) WAS
STARTED IN 1962 FOR TB CONTROL IN
INDIA
 THIS PROGRAMME WAS NOT ABLE TO GIVE
EXPECTED RESULT IN INDIA THEN
 THE NTP WAS REVIEWED IN1992

6.  EXAMINATION OF THE PATIENT
 EXAMINATION OF THE SPUTUM
 X-RAY OF THE PATIENT
 TUBERCULIN TEST ( MONTAX )
AND GIVING BCG VACCINE

7.  NTCP UNABLE TO MAKE AN IMPROVEMENT
THEREFORE IN1993, REVISED NATIONAL TB
CONTROL PROGRAMME WAS LAUNCHED
RNTCP AND DOTS STRATEGY WAS ADAPTED
MEANS RNTCP WITH DOTS STRATEGY
 UNDER THE PROGRAMME DIAGNOSIS AND
TREATMENT FACILITIES ARE PROVIDED FREE
OF COST TO ALL TB PATIENT

8.  THE GOAL OF RNTCP IS TO
DECREASE IS THE MORTALITY AND
MORBIDITY RATE DUE TO
TUBERCULOSIS
 CUT DOWN THE CHAIN OF
INFECTION

9.  TO REDUCE THE INCIDENCE OF
MORTALITY DUE TO TB
 TO IMPROVE THE OUTCOME OF TB
CARE IN THE PRIVATE SECTOR
 TO ACHIVE AND MAINTAIN A CASE
DETECTION OF AT LEAST 70% OF NEW
SPUTUM POSITIVE TB PATIENT

10.  TO ACHIVE THE CURE RATE OF
NOTLESS THAN 85% THROUGH SHORT
COURSE CHEMOTHERAPY
 TO DETECT MAXIMUM OF TB CASES
AND TREATED EFFECTIVELY

11. NTCP (1962) RNTCP(1993)
OBJECTIVE- EARLY
DIAGNOSIS AND
TREATMENT
OBJECTIVE – BREAKING
CHAIN OF
TRANSMISSION
TARGET – NOT
DEFINED
CARE RATE > 85%
CASE FINDING > 70%
DIAGNOSIS - ON X-
RAY
MAINLY SPUTUM
MICROSCOPY

12.  IMMUNIZE WITH BCG AT BIRTH
 CASE FINDING BY INVESTIGATION ,
HISTORY AND CLINICAL SIGNS AND
SYMPTOM
 CONVEY THE MESSAGE THAT TB IS
CURABLE AND FREE TREATMENT
FACILITY AVILABLE

13.  HELP TO REMOVE FEARS
 ADVICING TO TAKE PROPER
BALANCED DIET TO PROTECT FROM
INFECTION
 SELECTION OF DOTS CENTERS
 DISTRIBUTION OF DRUGS BY DOTS
TEAM IN THE DOT CENTERS

14.  HEALTH EDUCATION REGARDING
COUGH
 TEACH PROPER DISPOSAL OF SPUTUM
 TEACH GOOD PRACTICS LIKES –
CLOSING THE MOUTH AND SPEAKING
MAINTAING PHYSICAL DISTANCE TO
AVOID SPREADING OF SALIVA TO
OTHERS

15. THANK YOU