• 9964432222
  • Mail Us
  • Appointment
  • Locate Us
  • Chat Now
  • Courses
  • Login
  • Register
Manifest IAS
JournalsOfIndia
Advertisement
  • Home
  • SNIPPETSfor Prelims
  • ARTICLESfor Mains
  • BROWSEBY SOURCE
  • DOWNLOADS
No Result
View All Result
  • Home
  • SNIPPETSfor Prelims
  • ARTICLESfor Mains
  • BROWSEBY SOURCE
  • DOWNLOADS
No Result
View All Result
JournalsOfIndia
No Result
View All Result
Home Society

Revised National Tuberculosis Control Programme

September 12, 2019
in Society
Reading Time: 6 mins read
0
466
VIEWS
Share on WhatsAppShare on TelegramShare on Facebook
image_pdfMake PDF

Source: National Health Portal & Ministry of Health and Family Welfare

Timeline of the TB programme in India

  • The National TB Programme (NTP) was launched by the Government of India in 1962 in the form of the District TB Centre model involved with BCG vaccination and TB treatment. 
  • In 1978, BCG vaccination was shifted under the Expanded Programme on Immunisation. A joint review of NTP was done by the Government of India, the World Health Organization (WHO) and the Swedish International Development Agency (SIDA) in 1992 and some shortcomings were found in the programme.
  • Around the same time in 1993, the WHO declared TB as a global emergency, devised the directly observed treatment – short-course (DOTS) and recommended to follow it by all countries. 
  • The Government of India revitalized NTP as the Revised National TB Control Programme (RNTCP) in the same year(1993). 
  • DOTS was officially launched as the RNTCP strategy in 1997 and by the end of 2005, the entire country was covered under the programme.
  • During 2006–11, in its second phase RNTCP improved the quality and reach of services, and worked to reach global case detection and cure targets. These targets were achieved by 2007-08. Despite these achievements, undiagnosed and mistreated cases continued to drive the TB epidemic.
  • During this period for the achievement of the long term vision of a “TB free India”, National Strategic Plan for Tuberculosis Control 2012-2017 was documented with the goal of ‘universal access to quality TB diagnosis and treatment for all TB patients in the community’.
  • Significant interventions and initiatives were taken during NSP 2012-2017 in terms of mandatory notification of all TB cases, integration of the programme with the general health services (National Health Mission), expansion of diagnostics services, programmatic management of drug-resistant TB (PMDT) service expansion, single-window service for TB-HIV cases, national drug resistance surveillance and revision of partnership guidelines.
  • However, to eliminate TB in India by 2025, five years ahead of the global target, 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 is formulated by RNTCP as National Strategic Plan for Tuberculosis Elimination 2017-2025.

Key Highlights of the revised programme

Objectives of RNTCP

  • To achieve and maintain a cure rate of at least 85% among newly detected infectious (new sputum smear positive) cases 
  • To achieve and maintain detection of at least 70% of such cases in the population.

Revised Strategy

  • Augmentation of organizational support at the centre and state level. 
  • Use sputum testing as a primary method of diagnosis 
  • Standardized treatment regimen 
  • Ensuring regular, uninterrupted supply of drugs 
  • Emphasis on training, IEC, operational research & NGO involvement. 
  • Increased budget outlay

National strategic plan for tuberculosis elimination 2017-2025 and RNTCP

RNTCP has released a ‘National strategic plan for tuberculosis 2017-2025’ (NSP) for the control and elimination of TB in India by 2025. According to the NSP TB elimination has been integrated into the four strategic pillars of “Detect – Treat – Prevent – Build” (DTPB).

Vision, Goals, and Targets of NSP

The NSP proposes bold strategies with commensurate resources to rapidly decline TB incidence and mortality in India by 2025, five years ahead of the global End TB targets and Sustainable Development Goals to attain the vision of a TB-free India. 

Vision: TB-Free India with zero deaths, disease and poverty due to TB 

Goal: To achieve a rapid decline in the burden of TB, morbidity, and mortality while working towards the elimination of TB in India by 2025. 

Pillars of NSP: Explaining the DTPB approach of NSP 2017 -2025

DETECTHOW DO THEY DO IT?
Find all DS-TB(drug-susceptible tuberculosis) and DRTB(Drug-resistant TB) cases with an emphasis on reaching TB patients seeking care from private providers and undiagnosed TB in high-risk populations
  • Scale-up free, high sensitivity diagnostic tests and algorithms 
  • Scale-up effective private provider engagement approaches 
  • Universal testing for drug-resistant TB 
  • Systematic screening of high-risk populations 
T R E A THOW DO THEY DO IT?
Initiate and sustain all patients on appropriate anti-TB treatment wherever they seek care, with patient-friendly systems and social support.
  • Prevent the loss of TB cases in the cascade of care with support systems 
  • Free TB drugs for all TB cases 
  • Universal daily regimen for TB cases and rapid scale-up of short-course regimens for drug-resistant TB and DST guided treatment approaches. 
  • Patient-friendly adherence monitoring and social support to sustain TB treatment 
  • Elimination of catastrophic costs by linking eligible TB patients with social welfare schemes including nutritional support 
P R E V E N THOW DO THEY DO IT?
Prevent the emergence of TB in susceptible populations 
  • Scale up air-borne infection control measures at health care facilities 
  • Testing and treatment for latent TB infection in contacts of bacteriologically-confirmed cases and in individuals at high risk of getting TB disease 
  • Address social determinants of TB through intersectoral approach
B U I L DHOW DO THEY DO IT?
Build and strengthen enabling policies, empowered institutions, human resources with enhanced capacities, and financial resources to match the plan. 
  • Translate high level political commitment to action through supportive policy and institutional structures:     
  1. National TB Elimination Board with 4 divisions instead of the current administrative set up at the national level and matching structures at state level 
  2. National TB Policy and Act 
  • Restructure RNTCP management structure and implementation arrangement: Substantially augmented HR and HR reforms to include unified programme supervisory cadre (merger of STS/STLS/TBHV) and dedicated staff for TB surveillance network in the country 
  • Scale up Technical Assistance at national and state levels.
  • Align and harmonize partners’ activities with programme needs to prevent duplication

NIKSHAY and RNTCP

  • NI-KSHAY-(Ni=End, Kshay=TB) is the web enabled patient management system for TB control under the Revised National Tuberculosis Programme (RNTCP). It is developed and maintained by the Central TB Division (CTD), Ministry of Health and Family Welfare, Government of India, in collaboration with the National Informatics Centre (NIC), and the World Health Organization Country office for India.
  • Nikshay is used by health functionaries at various levels across the country both in the public and private sector, to register cases under their care, order various types of tests from Labs across the country, record treatment details, monitor treatment adherence and to transfer cases between care providers. 
  • It also functions as the National TB Surveillance System and enables reporting of various surveillance data to the Government of India.

Status of TB in India

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., the number of cases per lakh population, India ranks 35th in the world.

image_pdfMake PDF
Tags: Prelims

Related Posts

Hatti community of Himachal Pradesh

Hatti community of Himachal Pradesh

April 29, 2022
De-notified, nomadic and semi-nomadic tribes

De-notified, nomadic and semi-nomadic tribes

April 6, 2022
Darlong community

Darlong community

April 6, 2022
State of World Population Report 2022

State of World Population Report 2022

March 31, 2022
World Tuberculosis (TB) Day, 2022

World Tuberculosis (TB) Day, 2022

March 25, 2022
Ol Chiki script

Ol Chiki script

March 22, 2022
World Happiness Report, 2022

World Happiness Report, 2022

March 21, 2022
Maternal mortality in India

Maternal mortality in India

March 16, 2022
International Women’s Day, 2022

International Women’s Day, 2022

March 8, 2022
Kuki tribe

Kuki tribe

March 7, 2022
Please login to join discussion

Our Offline Classroom Student

PRELIMS 2021 POLITY QUESTIONS ANALYSED

https://youtu.be/5q8hBcRGhAs

PRELIMS 2021 HISTORY QUESTIONS ANALYSED

https://youtu.be/v0SIZ7SUybg

CONGRATULATIONS TO 2020 TOPPERS !!!

Rank 25 Vaibhav Rawat 

Rank 218 Kankanala Rahul Reddy
Rank 385 Sagar A Wadi
Rank 504 Malashree MV
Rank 573 Shridevi B V
Rank 707 Mamatha G

COURSES OFFERED

PRELIMS SURESHOTS

May 2022
MTWTFSS
 1
2345678
9101112131415
16171819202122
23242526272829
3031 
« Apr    

Browse by Category

  • Agriculture
  • Disaster Management
  • Economy
  • Environment
  • Ethics
  • Foreign Affairs
  • Geography
  • Governance
  • History
  • Law & Policy
  • Opinion
  • People in News
  • Places in News
  • Science & Tech
  • Security
  • Society
  • Sports
  • Uncategorized

Browse by Tags

AIR BBC Business Standard CNN Deccan Herald DownToEarth Down to Earth DTE Economic Times ET GS-1 GS-2 GS-3 GS-4 Hindustan Times IE India & the world Indian express India today Indiatoday Kurukshetra LiveMint Mains News News Paper Newspaper PIB PIB & The Hindu pre Prelims PRS India RSTV Science Reporter Survey The Hindu The Hindustan Times The India Express The Indian Express The New Indian Express Times of India TOI TOPPERS UNDP website Wikipedia Yojana
JournalsOfIndia

Our vision is to orient the readers to grasp the facts objectively and analyse critically. In the rush of reaching first to the readers, the websites miss the balanced opinion, which is the need of the hour. We aim to reach the readers with more crispness, preciseness and relevance. We bring the articles in UPSC way for the civil services aspirants and the Wisest Way for general readers.

Categories

  • Agriculture
  • Disaster Management
  • Economy
  • Environment
  • Ethics
  • Foreign Affairs
  • Geography
  • Governance
  • History
  • Law & Policy
  • Opinion
  • People in News
  • Places in News
  • Science & Tech
  • Security
  • Society
  • Sports
  • Uncategorized

Browse by Tag

AIR BBC Business Standard CNN Deccan Herald DownToEarth Down to Earth DTE Economic Times ET GS-1 GS-2 GS-3 GS-4 Hindustan Times IE India & the world Indian express India today Indiatoday Kurukshetra LiveMint Mains News News Paper Newspaper PIB PIB & The Hindu pre Prelims PRS India RSTV Science Reporter Survey The Hindu The Hindustan Times The India Express The Indian Express The New Indian Express Times of India TOI TOPPERS UNDP website Wikipedia Yojana

Newsletter

The most important UPSC news and events of the day.

Get Journals daily newsletter on your inbox.

© 2020 JournalsOfIndia - A free initiative by Manifest Team.

  • Login
  • Sign Up
  • Home
  • SNIPPETS
  • ARTICLES
  • BROWSE
  • DOWNLOADS
No Result
View All Result

© 2020 JournalsOfIndia - A free initiative by Manifest Team.

Welcome Back!

Login to your account below

Forgotten Password? Sign Up

Create New Account!

Fill the forms bellow to register

All fields are required. Log In

Retrieve your password

Please enter your username or email address to reset your password.

Log In