The Revised National Tuberculosis Control Program (RNTCP) in India, initiated in 1997, aims to reduce TB incidence and mortality while preventing drug resistance and improving outcomes for HIV-infected TB patients. The National Strategic Plan (2017-2025) envisions a TB-free India, focusing on detection, treatment, prevention, and infrastructure building. Recent policy updates include strategies for rapid diagnosis, daily treatment regimens, and collaboration frameworks to improve TB management among HIV patients.

1. RNTCP
REVISED NATIONAL
TUBERCULOSIS CONTROL
PROGRAM

2. INTRODUCTION
•The National Tuberculosis Program (NTP)
of India was initiated in 1962 .
•The Revised National Tuberculosis
Control Program was started in 1997 .

3. OBJECTIVES
• To reduce
incidence
of TB &
mortality .
• To
prevent
further
emergenc
e of drug
resistance
TB .
• To
improve
outcomes
among
HIV –
infected
TB
patients .

4. COMPONENTS OF DOTS
1.Political and administrative commitment
2 . Good quality diagnosis .
3 . Uninterrupted supply of good quality drugs
4 . Directly observed treatment
5 . Systematic monitoring and accountability

5. NATIONAL STRATEGIC PLAN
(2017-25)
VISION - TB free India
with zero
deaths
burden of TB

6. NATIONAL STRATEGIC PLAN
(2017-25)
GOAL - To achieve a
rapid decline of
mortality and
morbidity of TB
in India by 2025

7. FOUR STRATEGIC PILLARS
Detect
Treat
Prevent
Build

8. 1 . DETECT
a. Definitions of presumptive TB
a. Definitions of presumptive TB
b. Diagnostic tools
c. Diagnostic algorithms
d. Active TB case findings

9. 2 . TREAT
a.Case definitions
b.Treatment outcome
definition

10. 3 . PREVENT
a.Health education
b.Isoniazide preventive
therapy

11. 4 . BUILD
a.Case based recording
b.Laboratory surveillance
c.Migrant surveillance
d.Health care workers surveillance

12. RNTCP POLICY UPDATES
2015
1.To reduce the burden of TB among HIV patients ,
comprehensive strategies are implemented-
• Rapid diagnosis with CBNAAT
• Airborne infection control
• ART centre
• FDC therapy

13. RNTCP POLICY UPDATES
2015
2 . Daily regimen for treatment of drug sensitive
TB cases has been introduced 104 districts in 5
states .
3 . Daily dosing regimen using child friendly FDC
has been introduced in the entire country.

14. RNTCP POLICY UPDATES
2015
4 . The new drug Bedaquiline is been introduced
in 6 referral sites.
5 . RNTCP & NPCDCS have joinly developed a
framework for collaboration which aims to
reduce morbidity & mortality by doing screening
and early detection and prompt management of
DM & TB .

15. THANK YOU