Revised National TB Control Programme

Revised National TB Control Programme
Revised National TB Control Programme

The Minister of State (Health and Family Welfare), Shri Ashwini Kumar Choubey has informed that In absolute numbers, India accounts for 27 percent of World TB Cases in 2017 as per the WHO’s Global TB Report 2018. However, in terms of incidence of TB i.e., number of cases per lakh population, India ranks 35th in the world.

The State/ UT wise number of TB patients’ notification for the last three years is given below:

Statewise Total Notification

S.No. State/UT 2016 2017 2018
1 A&N Islands 534 292 556
2 Andhra Pradesh 74373 83118 91224
3 Arunachal Pradesh 2788 3154 3419
4 Assam 40851 40174 42867
5 Bihar 97001 96489 104886
6 Chandigarh 3413 5930 5704
7 Chhattisgarh 39484 41272 43026
8 Dadra Nagar Haveli 552 963 849
9 Daman & Diu 487 457 499
10 Delhi 62706 65893 93488
11 Goa 1966 1935 2493
12 Gujarat 126665 149061 154622
13 Haryana 47545 40751 65642
14 Himachal Pradesh 14961 16451 16482
15 Jammu & Kashmir 9937 10476 12881
16 Jharkhand 39515 44128 48450
17 Karnataka 68462 81187 83069
18 Kerala 47293 22754 24571
19 Lakshadweep 23 46 19
20 Madhya Pradesh 129915 134333 160119
21 Maharashtra 195139 192458 209574
22 Manipur 2393 2805 2923
23 Meghalaya 4586 3961 4867
24 Mizoram 2205 2245 2567
25 Nagaland 2821 3013 4260
26 Odisha 43851 71131 50314
27 Puducherry 1421 1604 3495
28 Punjab 39836 45313 54504
29 Rajasthan 106756 105953 160085
30 Sikkim 1539 1271 1438
31 Tamil Nadu 96079 93327 105120
32 Tripura 2374 1693 2575
33 Telangana 45003 39223 52314
34 Uttar Pradesh 297746 311041 420236
35 Uttarakhand 15081 16760 22330
36 West Bengal 89656 97297 104169
INDIA 1754957 1827959 2155637

There is no such classification of high risk states under Revised National Tuberculosis Control Programme (RNTCP).

As per the program guideline, review meetings are done on a periodic basis at National, State and District level.

During the review meetings, the performance of the States is analyzed under various thematic areas including Drug Sensitive Tuberculosis (DSTB) services, Drug Resistant Tuberculosis (DRTB) services (diagnostic and treatment), TB Co-morbidities, Infrastructure, Human Resource, Finance, Drugs & Supply chain management, Medical colleges’ contribution, Supervision & monitoring.

Government of India has conducted regional review from November 2018 to May 2019 covering all the States/UTs

As a result, total TB cases reported under RNTCP has increased by 12% to 12.02 Lakhs during Jan to June 2019, as compared to 10.70 Lakhs during Jan to June 2018.

The Ministry has developed the National Strategic Plan (NSP) for Tuberculosis (2017-2025) with the goal of ending TB by 2025.

The key focus areas are:

  • Early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens along with suitable patient support systems to promote adherence.
  • Engaging with the patients seeking care in the private sector.
  • Prevention strategies including active case finding and contact tracing in high risk / vulnerable population
  • Airborne infection control.
  • Multi-sectoral response for addressing social determinants.

Nikshay Poshan Yojana (NPY), a DBT scheme for nutritional support, was introduced in April 2018 by Ministry of Health and Family Welfare (MOHFW), Government of India under the Revised National TB Control Programme (RNTCP). It provides support worth Rs 500/- per month for the duration of treatment to TB patients.

 

As on 23.07.2019, Rs. 377.25 Crore have been paid to 24.46 lakhs beneficiaries through DBT since 1st April 2018

The Government of India has taken following steps:

•Communication campaign aimed at raising levels of awareness, reduction of stigma among community both through mass and mid media.

•Strategies like active case finding and contact tracing to create awareness and early diagnosis.

•Early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens along with suitable patient support systems to promote adherence.

•Engaging with the patients seeking care in the private sector.

•Multi-sectoral response for addressing social determinants.

 

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