Prevention of mdr tb dots the best option the key to the successful prevention of the emergence of drug resistance is adequate case finding, prompt and correct diagnosis, and effective treatment of infected patients. Os and dots providers have been annexed in appendices 1, 2 and 3. The rntcp is responsible for carrying out the government of india five year tb national strategic plans. From 1955 to 1958, india conducted a national survey, which documented the burden of tuberculosis and the urgent need. Daily regimen in firstline tb treatment under rntcp page 3 1. Observational analysis from mayapuri slum, new delhi jennifer sault jennifer sault is currently finishing her b. The revised national tuberculosis control program rntcp is the largest tuberculosis tb control program in the world based on directly observed treatment shortcourse dots strategy.
The rntcp dots program has achieved a treatment success rate of over 85% among new smearpositive patients. The basic objective of rntcp is to provide free and quality services to all tb patients throughout the state. Outcome of cases under revised national tuberculosis control programme at designated microscopy centre of a tertiary level hospital and medical college at kanpur, u. Dmpq briefly outline the features and need of the revised. Revised national tuberculosis control programme rntcp based on directly observed treatment shortcourse dots strategy has been made available in. Operational handbook on advocacy, communication, and. Overview of drug resistant tb in india and national scale. Without prevention programming, is dots enough to reduce.
Good quality diagnosis, primarily by sputum smear microscopy 3. Tuberculosis tb disease burden prevalence and mortality in india has reduced significantly when compared to 1990 levels, and india is on track to achieve the tb related millennium development goals. Pdf revised national tuberculosis control programme. The study revealed that tb and dots have a large impact on patients lives, which is often extended to the family and caretakers. Extends from the 28th week of gestation or more than grams to the. Revised national tuberculosis control programme national. Addressing this dual burden has been a key priority for the. Since the inception of the programme it has emphasised to reach the unreached by decentralizing dots directly observed treatment shortcourse services. A free powerpoint ppt presentation displayed as a flash slide show on id. Vacant positions in the health system, including lab technicians and integrated counseling and testing center counselors, were filled with qualified new staff. Tuberculosis, treatment, dots, outcome verma ak, mishra m, singh a, chaudhri s, pandey s. Study of adverse drug reactions in tuberculosis patients.
Siddaraju national health programmes perinatal period. Revised national tuberculosis control programme dotsplus. Tuberculosis prevention and care shops plus project. At least 1 year of work experience under rntcp salary. The interviews were recorded using a voice recorder and data audio files were labeled, transcribed and translated wherever applicable into english and typed into ms word files for further. Rapid assessment of facilitators and barriers related to. Dots is a measure implemented under rntcp with stop tb strategy to control the rise of incidences of all types of tuberculosis cases. Rearrange individual pages or entire files in the desired order. Tb continues to remain as the most common opportunistic infection among people living with hiv.
Rntcp response to challenges of drug resistanttbin india. Aphl submission of sputum specimens for tb testing 2 a key role of the public health laboratory is to provide specialized testing for low incidence, high risk diseases such as tuberculosis tb. Performance of revised national tuberculosis control. It comprises of multidrug regimen treatment for longer duration of time. As a passionate humanitarian, she hopes to continue her career. Handbook on advocacy, communication, and social mobilization for rntcp 9 about this handbook clinical approaches alone are not enough to achieve the goals of tuberculosis tb prevention and cure. Yet this represented only half of the story of tb in india. Equitable access, implying a preference for the most hardtoreach groups particularly for tribal areas, is a major concern for rntcp.
Revised national tuberculosis control programme rntcp. Any bachelors degree from recognized university or institution. India bears a disproportionately large burden of the worlds tuberculosis rates, as it continues to be the biggest health problem in india. Final evaluation report of initiative to manage people alliances in control of tuberculosis impact a project implemented in 28 tuberculosis units across 5 districts of west bengal state in india from september 2009 to september 20 to support the revised national tuberculosis control programme, covering a population. Under the revised national tuberculosis control program rntcp, designated government health facilities provide the directly observed treatment shortcourse dots services free of cost. The central tb division has released only the is t installment of 20152016 amounting to rs 2,86,06000 to the state govt. We conducted a qualitative study to explore the experience and consequences of having tb on patients enrolled in dots and their caretakers in tumkur district, located in a. Between 2006 and 2014, the disease cost indian economy approximately usd 1 billion. Pdf treatment outcome of tuberculosis patients under. The countrys massive scaleup and implementation of directly observed treatment short course dots therapy under the revised national tuberculosis control program rntcp was lauded internationally as a global model of excellence.
Tuberculosis tb is a major health challenge in india having more than onefifth of the global burden of disease. Partnership in tuberculosis control through involvement of. Mdrtb is defined as resistance to at least isoniazid and rifampicin two of the most potent first line antitb drugs, with or without resistance to other firstline drugs. In india, the revised national tb control programme rntcp offers free diagnosis and treatment for tuberculosis tb, based on the directly observed treatment short course dots strategy. Programmatic management of drug resistant tb pmdt in india began in 2007 and nationwide coverage was achieved in early 20. Associated socioeconomic status with illness behavior in. Coping with tuberculosis and directly observed treatment. Dots is the treatment of choice intermittent scc is effective national policy is to provide rntcp cat. Without prevention programming, is dots enough to reduce the incidence of tuberculosis. Revised national tuberculosis control programme an. Rntcp implements tribal action plan tap for tribal patients. This public health problem is the worlds largest tuberculosis epidemic. A prevention and care initiative oommen george, project leader, shops india, abt associates training of university of manitoba fellowship students on application of program science approach in a developing country setting khpt, bangalore, september 45, 2014. Dots plus pmdt under rntcp dotsplus is an integral component of rntcp to manage mdrtb to be implemented through indias public health and programmeinfrastructure.
Unacceptable treatment outcomes and associated factors. Overview of drug resistant tb in india and national scale up of mdr tb diagnosis and treatment dr. Ppt national health programmes powerpoint presentation. Rntcp uses the world health organisation who recommended directly observed treatment short course strategy and reaches over a billion people in 632 districts reporting units. The phase ii 20062012 of the revised national tuberculosis control programme rntcp has been successful in achieving its objectives. A report on 3 cases sir, one of the most important land mark in the history of tuberculosis control is the introduction and implementation of the dots directly observed treatment shortcourse.
Senior dots plus and tb hv supervisor 4 essential qualifications 1. These guidelines promote full integration of dots and dotsplus activities under the rntcp, so that patients with mdrtb are both correctly identified and properly managed under the recommendations set out in this document. Poor initial microbiological outcomes under the revised national tuberculosis control programme rntcp prompted detailed analysis. Background the revised national tuberculosis control programme rntcp was launched in india in 1997 based on world health organization endorsed directly observed treatment shortcourse dots strategy, employing the thrice weekly treatment regimen. Indent form pes indent form pes treatment referral form pes lab. The success of the rntcp administration of the worlds largest dots program is clear at the district level in kolar and the state level of karnataka. Globally, most countries have been using a daily regimen and in india a shift towards a daily regimen for tb treatment has already begun. National health mission, punjab department of health. Psychiatric social workers gopal bari counsellor art ravinder gavade counsellor art hanumant shinde counsellor art amrapali alte. Traditionally, dotsplus refers to dots programmes that add components for mdrtb diagnosis, management and treatment. The revised national tuberculosis control programme rntcp provides free diagnostic and treatment services to all tuberculosis tb patients registered under it. Chemotherapy dots, strategy shifts the responsibility to patient cure from the patient to the health care system. Final evaluation report of initiative to manage people.
The role of advocacy, communication, and social mobilization acsm is widely recognized. India rntcp status report prepared by the government of. New vision for revised national tuberculosis control. Daily regimen in firstline tb treatment under rntcp page 1. History of dots the essential principles of dots are the products of indias long and distinguished tradition of tuberculosis research. The national tb programme ntp was launched by the government of india in 1962 in the form of district tb centre model involved with bcg vaccination and tb treatment. Pdf on jan 1, 2019, gayadhar mallick and others published revised national tuberculosis control programme rntcp tribal action plan fund utilisation. Rntcp designed based on i t ti ll d d dots t tinternationally recommended dots strategy.
Political and administrative commitment, to ensure the provision of organised and comprehensive tb. In india, tuberculosis remains as a major public health problem amongst the tribal population. Components of dots dots is a systemic strategy to control tb diseases. Integrating hiv and tuberculosis services in karnataka. The nsp for tb elimination 201725 is a framework to guide the activities of all stakeholders including the national and state governments, development partners, civil society organizations, international agencies, research institutions, private sector, and many others whose work is relevant to tb elimination in india. Rntcp ii was designed to consolidate the gains achieved in rntcp i, and to initiate services to address tbhiv, mdrtb and to extend rntcp to the private sector. Certificate course in computer operations minimum 6 months 4. The revised national tb control programme rntcp thus formulated, adopted the internationally recommended directly observed treatment shortcourse dots strategy, as the most systematic and costeffective approach for tb control in india. Data was analyzed using a thematic approach with the support of nvivo9. Dots plus dots plus refers to a dots program that adds components for mdr tb diagnosis. Compress pdf reduce pdf size easily free pdf compressor. Background globally, india has the worlds highest burden of multidrugresistant tuberculosis mdrtb. We conducted 33 indepth interviews on a purposive sample of tb patients from three groups.
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