Revised National TB Control Programme

District TB Control Society Patiala

PROFILE

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. It is spread through the air by a person suffering from pulmonary TB. A single Sputum +ive Patient can infect 10-15 people in a year if not treated. India contribute 1/3rd global burden of TB and TB has been declared a Global Emergency.

In India there are 14 million TB patients, 2 million new TB patients are added every year of which 1 million are of infectious type.

More adults die from TB than from any other infectious disease in India, more than 1000 every day and 1 every minute. TB kills women more than all causes of maternal mortality combined and every year in India 300000 children leave school on account of their parents TB. TB is the most common opportunistic disease in people living with HIV.

TB is major barrier to economic development costing India Rs. 12,000 crore a year. RNTCP has covered almost whole of the country’s population. It has saved about 5 Lac lives in India since its implementation.

Directly Observed Treatment, Short course (DOTS) is a comprehensive and cost effective strategy for TB control. This strategy has proven effective in controlling TB on a mass basis.

In Punjab pilot project was launched in 2001 in district Patiala on World TB Day ie. March 24th 2001. RNTCP is being implemented through Distt. TB Control Society. Investigations like Sputum Examination is done free of cost at all the Microscopy Centres(MC). Any Chest Symptomatic case having cough more then 3 weeks is referred for sputum examination to nearest MC. Each MC covers a population of 1lakh. To a TB Patient full course of medicines under DOTS is given free of cost. Medicines are given by the DOTS provider under his/her direct observation on every alternate day in the DOT center nearby to the residence of the patient. Complete record of the patient’s treatment is kept for further quarterly analysis.

In Patiala there are 18 Microscopy Centres, 4 TB Units & 889 DOTS centres. Almost all Medical Officers, 659 DOTS Providers, 46 Lab. Technicians and contractual staff under RNTCP which includes one MO, STS, STLS, LT & DEO have been imparted training. In August 2002 a seminar was held in Govt. Rajindra Hospital Patiala in which Private Practitioners of IMA were Involved and in Oct,2002 a CME was held involving faculty of Govt. Medical College Patiala. In May2005 a conference of RNTCP was held in Govt. Medical College Patiala in which faculty of Medical Colleges of Punjab, DTO’s, MOTC’s were the participants. Since August 2005 TB Awareness camps are being held in Distt. Patiala particularly in SLUM Areas.

During 2005 total of 952 DOTS centers (Urban - 825 & Rural - 127) are involved in RNTCP where Anganwari workers Private Practitioners and paramedical staff is acting as DOTS Provider for TB Patients. IMA, Ayurvedic and Homeopathic doctors and NIMA (National Integrated Medical Association) have also been involved in RNTCP. Involvement of PP in RNTCP is very important because nearly half of the TB cases consult them .

Various Schemes for PP’s

  • Scheme 1 - Referral Services of Chest Symptomatic
  • Scheme 2 - Provision of DOTS by PP
  • Scheme 3a - Designated paid MC – microscopy only (Charge for services)
  • Scheme 3b - Designated paid MC – Microscopy & treatment (Charge for both)
  • Scheme 4a - Designated MC – microscopy only
  • Scheme 4b - Designated MC – Microscopy & treatment

GOAL of RNTCP:-

  • Cure at least 85% of the registered New Sputum Positive Cases
  • Detect at least 70% of the estimated New Sputum Positive cases existing in the community (67-95 cases per lac/year)
S No Indicators Expected Value/Range
1 Chest Symptomatic among Total Adult OPD 2%-3%
2 Positive cases to be found in chest symptomatic cases examined 8%-12%
3 Annualized Total Case Detection Rate(ACDR) 180–257 cases/Lac/Year
4 Annualized New Sputum Positive Case Detection Rate 67–95 cases/Lac/year
5 Conversion rate of New Sputum Positive Cases at 3 months >90%
6 Cure Rate Among New Sputum Positive Cases >85%
7 Death Rate among NSP Cases <4%
8 Default rate <5%
8 Failure Rate among NSP Cases <4%

Progress of RNTCP – Distt. Patiala

Year Cases put on DOTS ACDR
2001 636 46/Lac
2002 1377 75/Lac
2003 2381 128/Lac
2004 2601 137/Lac
2005 3009 153/Lac

No poor TB patient should be denied the benefit of free diagnosis and free treatment services under RNTCP.

Let us all put our efforts to fight against this dreaded disease and make INDIA TB free

District Tuberculosis Control Society, Patiala

1 Name of the District Patiala
2 Population (extrapolated) as of 1.1.2006 App. 19,76590
3 Date of start of service delivery 24.03.2001
4 Name of the DTO &
Posted Since
Dr. Bhupinder Singh
August 2002
5 Trained in RNTCP Y/N Yes, State Level Training
6 Name of the CMO Dr. VS Mohi
7 Contact details & posted since when August , 2005,
Resi:- Residence Medical College Patiala.
Ph- 0175-2351594 (O)
Mob. 98147-00002
8 Name of the Collector Sh. Tejveer Singh, I.A.S.
9 Contact details & posted since when 4/2002
Resi:- DC House,
opp. Leela Bhawan Market,Patiala
Ph. 0175-2367070(O),
0175-2212101(R),
Mob. 98141-29893
10 Name of the Consultant Dr. K.P.Singh
11 Date of Posting In the district June, 2002
12 Number of TUs (public/private) Four (Govt. Public)
13 Number of MCs (public/private) 18(Govt. Public)
14 M.O. RNTCP Govt. Medical College One, since Jan,2004
15 No. of STS/STLS(contractual/regular) STS- 4} Contractual
STLS-5}
16 No. of LT’s (contractual/regular/private) 46 Regular
6 Contractual
17 TBHV’s appointed (1/1.5 urban population Y/N Yes (regular employees of State Govt. & one contractual)
18 Data Entry Operator One
19 Any vacancies TBHV - Two