1. Revised National Tuberculosis Control Programme (RNTCP)

2. NTP since 1962
Managerial weakness
Inadequate funding
Over reliance on X-ray for diagnosis
Frequent interrupted supplies of drugs
Low rates of treatment completion

3. 1993- RNTCP – DOTS
Objectives:
Achievement of at least 85% cure rate of infectious cases of TB
Quality sputum finding to detect at least 70% of estimated cases

4. Main components of DOTS strategy:
Political will and administrative commitment
Diagnosis by quality assured sputum smear microscopy
Adequate supply of quality assured short course chemotherapy drugs
Directly observed treatment
Systematic monitoring and accountability

5. Organization State TB Office State TB Officer
State TB Training & Demonstration Centre
Director
District TB Centre
District TB Officer
TB unit
Medical Officer-TB Control, STS, STLS
Microscopy Centers, Treatment Centers
Dots providers

6. Laboratory Network National Reference Lab
Tuberculosis Research Centre, Chennai
National Tuberculosis Institute, Bangalore
Lala Ram Sarup Institute of Tuberculosis and Allied Sciences, New Delhi
JALMA institute, Agra

8. Initiation of treatment

10. Paediatric TB

12. Drug Resistance Surveillance (DRS) under RNTCP

13. DOTS Plus

14. TB-HIV Coordination

15. ‘TB free India’ vision To achieve 90% notification rate for all cases
To achieve 90% success rate for all new and 85% for retreatment cases
To significantly improve the successful outcomes of treatment of drug resistant TB cases
To achieve decreased morbidity & mortality of HIV associated TB
To improve outcomes of TB care in the private sector

16. Achievements of RNTCP Covers the whole country since 2006 March
Treatment success rate raised from 25% in 1998 to 88% in 2010
Death rate brought down from 29% to 4%
662 DTCs, 2698 TUs, 13,039 DMCs are functional in the country
More than 15 million patients have been initiated in treatment, saving more than 2.5 million lives
4 Urban DOTS projects