Tuberculosis remains a major public health problem in India. Every year approximately 18 lakh people develop TB and about 4 lakh die from it. India accounts for one fifth of global incidence of TB and tops the list of 22 high TB burden countries. Unless sustained and appropriate action is taken, approximately 20 lakh people in India are estimated to die of TB in next five years.  TB kills more adults in India than any other infectious disease.

In India, EVERY DAY:

• More than 40,000 people become newly infected with the tubercle bacilli.

• More than 5000 develop TB disease

• More than 1000 people die of TB (i.e. 1 death every 1¹/2 minutes)

            Despite the existence of a National Tuberculosis Programme since 1962, there was little impact on the TB burden till 1992. This programme could not achieve the objectives because of low priority, managerial weaknesses, over dependence on X-rays for diagnosis and inadequate funding. Incomplete treatment was the norm rather than exception due to low rates of treatment adherence and lack of supervision.

            Tuberculosis is a barrier to socio-economic development and costs the country more than Rs.12, 000 crore per year. The greatest burden of tuberculosis incidence and mortality in India is in adults aged 15 to 60 years, which include the most productive members of society. TB kills more women than all causes of maternal mortality.

Every year due to TB:

           • More than 17 crore work-days are lost

           • Nearly 3 lakh school children dropout from the schools

           • More than 1 lakh women are rejected by their families

             The goal of RNTCP is to decrease mortality and morbidity due to TB and cut transmission of infection until TB ceases to be a major public health problem. The goal is achieved through the objectives: - The objective of RNTCP  are to achieve and maintain at least 85 % cure rate of new sputum smear-positive patients and to achieve and maintain detection of at least 70 % of such cases in the population.

          The Revised National Tuberculosis Control Programme (RNTCP) uses the DOTS (Directly Observed Treatment Short course Chemotherapy) strategy, which is based on Tuberculosis research done in India. “The DOTS Strategy” is globally accepted standard for diagnosis and treatment of Tuberculosis.  

ADVANTAGE OF DOTS METHOD

Þ   Directly observed.

 Short Course. 

Þ    Near the door steps. 

Þ    Full course of treatment in a single pack for a single patient.

 Sputum Follow-up examination at intervals. 

Þ    Good quality drugs. 

Þ    Free of cost. 

Þ    Not required to come frequently to Hospitals.

             However, DOT is not supervised swallowing but a service to the patient. It helps to develop  a human  bond, between the patients and the treatment observer, which increases the probability of

the patient completing treatment with short course chemotherapy it is earlier to prevent drug  resistance by using directly observed  treatment and achieve high cure rate.

ORAGANIZATIONAL ASPECTS OF RNTCP

DISTRICT TUBERCULOSIS CENTER

District Tuberculosis Officer (Nodal Officer)

Dhenkanal TU                                       K.Nagar TU                    Hindol TU

        M.O TU                                                 M.O TU                             M.O TU

        S.T.S                                                    S.T.S                                 S.T.S

        S.T.L.S                                                 S.T.L.S                              S.T.L.S

     ( D.M.C)                                                (D.M.C)                             (D.M.C)

Designated Microscopic Centre                 Designated Microscopic Centre               Designated Microscopic Centre

               Dhenkanal                                                   K.Nagar                                              Hindol

                   Beltikiri                                                       Analaberini                                         Rasol

                   Sriramchandrapur                                      Mathakaragola                                   Khajuriakata

                                                                                       Bhuban                                               Odapada

                                                                                       Birasal                                               

                                                                                       Parjang

BASIC INFORMATION

Total   Population (2009 estimated Mid year)               11, 64,411

S C population                                                                      2, 12, 997

S T population                                                                      1, 57,996

Programme Started on:                                                     10.11.2003

No. of trained DOTS Providers                                          1566

PHYSICAL ACHIEVEMENTS:

 FLOW CHART OF TREATMENT