Control Program
Source: WHO Geneva; WHO Report 2008: Global Tuberculosis Control; Surveillance, Planning and Financing
23%
23%
Case detection
Case treatment
Health education
BCG vaccination
Microscopy
Directly observed treatment
Negative Positive
For TB
Anti-TB Treatment
Non-TB Smear-Negative TB
Anti-TB Treatment
03/23/17 Dr. KANUPRIYA CHATURVEDI
Classification of Patients in
Categories for Standardized
Treatment Regimen
Category Type of Patient Regimen Duration
in months
Category I New Sputum Positive 2 (HRZE)3, 6
Seriously ill sputum 4 (HR)3
negative, Seriously ill
extra pulmonary,
Color of
box: RED
Category II Sputum Positive relapse 2 HRZES)3, 8
Sputum Positive failure 1 (HRZE)3
Color of Sputum Positive
5 (HRE)3
box: BLUE treatment after default
Color of
box:
GREEN
Health Secretary
State TB Cell
State Training and Demonstration
Center (TB) Deputy STO, MO, Accountant,
Director, IRL Microbiologist, MO, IEC Officer, SA,
Epidemiologist/statistician, IRL LTs etc., DEO, TB HIV Coordinator etc.,
Corporate sector
~150 Corporate Houses participating
Conclusions
JMM 2000
RNTCP is succeeding and its results have been
excellent
JMM 2003
Extra-ordinarily rapid expansion of the programme
& highly economical
JMM 2006
Excellent system of recording & reporting with
indicators for monitoring & evaluation; well
integrated into general health system
Future plan
JMMs planned in 2009 and 2012
PGI, Chandigarh
Symptomatic screening + Sputum
AIIMS, New Delhi Smear + Culture
JALMA, Agra
RMRCT, Jabalpur
RNTCP era
Since implementation
> 40 million TB suspects examined
> 9 million patients placed on treatment
> 1.6 million lives saved (deaths averted)
Achievements in line with
the global 03/23/17
targets Dr. KANUPRIYA CHATURVEDI
Progress Towards Millennium
Development Goals
Indicator 23: between 1990 and 2015 to halve
prevalence of TB disease and deaths due to TB
Indicator 24: to detect 70% of new infectious
cases and to successfully treat 85% of detected
sputum positive patients
The global NSP case detection rate is 61%
(2006) and treatment success rate is 85%
RNTCP consistently achieving global bench
mark of 85% treatment success rate for NSP;
and case detection rate 70% (2007)
03/23/17 Dr. KANUPRIYA CHATURVEDI
Cost Effectiveness of Program in
India*
Total costs of TB control per capita is US $
0.1 (2007)