The document discusses tuberculosis (TB), a chronic infection caused by Mycobacterium tuberculosis, highlighting its impact primarily on the lungs and various other organs. It outlines the history of TB control in India, including the inception of the National TB Programme in 1962 and its subsequent revisions, leading to the launch of the Revised National TB Control Programme in 1993. The RNTCP aims to reduce mortality and morbidity associated with TB through early diagnosis, treatment, and health education, free of cost for patients.

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