RNTCP IN ENGLISH

                                           

                                             RNTCP IN ENGLISH

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RNTCP

INTRODUCTION

Ø The National TB Programme (NTP) was launched by the Government of India in 1962. with the following Objectives-

Ø -To detect maximum number of cases of TB among the patients attending OPD of any health facility

Ø - To vaccinate newborns and infants with BCG vaccine.

Ø - To reduce no of cases infecting by one patient to one only.

Ø - To reduce prevalence of cases of children bellow 14 years of age to one.

 

RNTCP-

Ø Despite full efforts under National Tuberculosis Program (NTP)  the treatment success rates were unacceptably low and the death and default rates remained high. Spread of multidrug resistant TB was threatening to further worsen the situation. In view of this, in 1993 Government of India launched a revised strategy and renamed the program as Revised National Tuberculosis Control Program (RNTCP).

Ø RNTCP activities ere implemented in phased manner. It was started as a pilot project in 1993 in selected districts. Large-scale implementation began in late 1998. The RNTCP has expanded rapidly over the years and 30 percent population was covered by the year 2000, 80 % population was covered by the year 2004 and by the year 2006 whole country was covered under RNTCP

 

OBJECTIVES-

Ø 1. To achieve and maintain a cure rate of at least 85% among newly detected infectious (new sputum smear positive) cases

Ø 2. To achieve and maintain detection of at least 70% of such cases in the population.

Ø 3. To increase community awareness through IEC activities.

 

ACTIVITIES UNDER RNTCP-

           1. Augmentation of organizational support at centre and state level.

            2. Use sputum testing as primary method of diagnosis

           3. Standardized treatment regimen as DOTS

           4. Ensuring regular, uninterrupted supply of Ante TB drugs

           DOTS strategy adopted by Revised National TB Control Programme initially had the following five main components:

           1. Political will and administrative  Commitment for implantation of this program.

           2. Diagnosis of TB by quality assured sputum smear microscopy.

           3. Adequate supply of quality assured short course chemotherapy drugs.

           4. Directly observed treatment through DOTS provider.

           5. Systematic monitoring and accountability at every level.

           Under the RNTCP Case finding is passive. Patients presenting themselves with symptoms suspicious of tuberculosis are screened through 2 sputum smear examinations. Sputum microscopic examination is done in designated RNTCP microscopy centres. After confirmation patient is provided treatment under DOTS treatment system.

           Under DOTS treatment system patients are divided in two categories.

           Cat. 1 (New cases)-

           •New sputum smear positive

           •New sputum smear negative

           •New extra‐pulmonary  and New others

           Cat. 2 (Previously treated cases)-

           •Smear positive relapse

           •Smear positive failure

           •Smear positive treatment after default  and

           • others