REVISED NATIONAL TUBERCULOSIS PROGRAMME

1. Revisednational tuberculosiscontrol
programme

2.  Tuberculosis is contagious disease caused by mycobacterium tuberculosis.
 Mycobacterium tuberculosis is carried through the air in infection droplets produced when infected individua
cough.
 Left untreated each person with infection pulmonary T.B between 10 to 15 people every year.
WORLD SCENERIO
In 2009 there were an estimated 9.4 million incident cases of TB globally .
In 2009 estimated 1.3 million incident cases of TB death globally.
INDIAN SCENRIO
India is the highest TB burden country according for more than one fifth of global incidence of 9.4 million
It is estimated 1.98 million cases from India.

3.  NTP has been operated since 1962
 However treatment success rate were unacceptably low and death
and default rates remain high .
 Spread of multidrug resistance TB was threatening to further
worson the situation in 1992
 Government of India along with WHO and SIDA reviewed TB
situation in the country and came up with following conditions .

4. o NTP through technically sound, suffered from
managerial weakness.
o Inadequate finding .
o Over reliance on x-ray for diagnosis .
o Frequent interrupted supplies of drug .
o Low rates of treatment completion

6.  Expanded across the country in phased manner
with support from the world bank and other
developmental partners
 R.N.T.C.P phase 1=1997-2006
 R.N.T.C.P phase 2 =2006-2011

7.  The programme objectives are ;
 Achievement of at least 85% cure rate of infectious
cases of tuberculosis ,through DOTS involving
peripheral health functionaries .
 Augmentation of case finding activities through quality
sputum microscopy to detect at least 70% of estimated
cases.

8. 1. Political and administrative commitment .
2. Diagnosis by quality assured sputum smear microscopy
.
3. Adequqte supply of quality assured short course
chemotherapy drugs .
4. Directly observed treatment .
5. Systematic monitoring and accountability .

9. IN 2006 “STOP TB” STRATEGY WAS
ANNOUNCED BY ‘WHO’ ADOPTED
BY R.N.T.C.P COMPONENT ARE:
I. Pursuing quality DOTS (expansion & enhancement )
II. Addresssing TB ,HIV and MDR- TB .
III. Contributing to health system strengthening .
IV. Engaging all care providers .
V. Empowering patients and communities .
VI. Enabling and promoting research (diagnosis ,treatment
,vaccine)

11.  State tuberculosis office - state tuberculosis officer
 State tuberculosis training & demonstration Centre - Director
 District tuberculosis Centre - District tuberculosis officer
 Tuberculosis unit - Medical officer –T.B control
-senior Treatment supervisor
-Senior TB laboratory supervisor
 Microscopy canters ,Treatment center's
 DOTS provider

15. RNTCP endorsed T.B diagnosis
 Smear microscopy for acid fast bacilli: a) Sputum smear stained ZN Staining
b) Fluorescence Stained under direct or indirect ,with or without LED
Culture: a) Solid Media.
b) Liquid Media.
Rapid diagnostic molecular test :a) PCR based Line Probe Assay for MDR complex.
b) PCR based on Nucleic Acid Amplification Test.
Radiography: Where available.
Tuberculin skin Test.

17. LABROTORY NETWORK
 QUALITY ASSURED LAB SERVICES :
Designated Microscopy Centers (DMCs):- 14,000 over→ 100,000 (Tribal 50,000)
↕supervised
National Reference Laboratories (NRL):- 6th NRL under Research institute
↕supervised
Intermediate reference lab(IRL) :-Training Demonstrating centers and medical college, public health lab doing
this activity
* 69 RNTCP Certified culture and DST lab

18. LABROTORY NETWORK
Solid culture certification: 46 lab C&DST, 6 NRL, 22NRL, 7Medical colleges 5NGO 4 ICMR institute 3
private lab
Liquid culture certification: 4 NRL, 17IRL, 6 Medical colleges, 1NGO, 5private.
Line probe Assay (LPA): Is molecular diagnostic test can be provide DST result in one day RNTCP is
adopted policy in December 2015 in 54 lab include 6 NRL, 24IRL, 17 Medical.
colleges,5 NGO, 6 private lab
Second line DST: December 2017, 27 lab include 5 NRL, 14 IRL, 1 NGO, one private lab performing
Second line DST.
EXPANDING CBNAAT SERVICESS: The test fully automated and provide result in two hours currently
651 machine proving services

36. NEW INITIATIVES

37. FUNCTIONAL COMPONENTS
 Master management , user details registration of diagnosis, DOTS provider, follow-
up, contact tracing, out comes,
 Details of culture
 T.B notification
 Sms alerts to patients and officer.
 Automated periodic reports
 Direct benefits transfer schemes with ADHAR link with PEMS to effectively deliver