educratsweb logo


RNTCP - Government TB Treatment Education & Care NSP
The RNTCP in India

The large scale implementation of the Indian government’s Revised National TB Control Program (RNTCP) (sometimes known as RNTCP 1) was started in 1997. The RNTCP was then expanded across India until the entire nation was covered by the RNTCP in March 2006. At this time the RNTCP also became known as RNTCP II. RNTCP II was designed to consolidate the gains achieved in RNTCP I, and to initiate services to address TB/HIV, MDR-TB and to extend RNTCP to the private sector.

RNTCP uses the World Health Organisation (WHO) recommended Directly Observed Treatment Short Course (DOTS) strategy and reaches over a billion people in 632 districts/reporting units. The RNTCP is responsible for carrying out the Government of India five year TB National Strategic Plans.
An RNTCP centre

An RNTCP centre

With the RNTCP both diagnosis and treatment of TB are free. There is also, at least in theory, no waiting period for patients seeking treatment and TB drugs.

The initial objectives of the RNTCP in India were:

    to achieve and maintain a TB treatment success rate of at least 85% among new sputum positive (NSP) patients.
    to achieve and maintain detection of at least 70% of the estimated new sputum positive people in the community.

New sputum positive patients are those people who have never received TB treatment before, or who have taken TB drugs for less than a month. They have also had a positive result to a sputum test, which diagnoses them as having TB.1

There is more information about the current provision of TB treatment in India and the Testing & diagnosis of TB in India.
National Strategic Plan (NSP) 2012 - 2017

There have been a number of five year National Strategic Plans (NSP)s since the start of the RNTCP. The NSP 2012 - 2017 had the aim of achieving universal access to quality diagnosis and treatment. Before this there was little treatment available through the RNTCP for the treatment of drug resistant TB.

A number of significant improvements were made during the five years of the plan. These included:
Complete geographical coverage
Calls for improved treatment and care for TB in India

Calls for improved treatment and care for TB in India

Complete geographical coverage for diagnostic and treatment services for multi-drug resistant TB was achieved in 2013. A total of 93,000 people with MDR TB were diagnosed and had been given treatment for drug resistant TB by 2015. Also, the National AIDS Control Organisation (NACO) had collaborated with the RNTCP and had made HIV-TB collaboration effective. Most TB patients registered by the RNTCP were receiving HIV screening and 90% of HIV positive TB patients were receiving antiretroviral treatment.
Notification by the private sector

A government order in May 2012 made it compulsory for health care providers to notify every TB case diagnosed. This was done with the aim of improving the collection of patient care information. It meant that in future all private doctors, caregivers and clinics treating a TB patient had to report every case of TB to the government.

Comments made in response to this move included concerns about enforcement of notification by private practioners;

    “This is definitely a positive step forward. But, I am skeptical about the practical possibility in implementing the policy. Most private practioners consider themselves unaccountable to the government. .. The government should be clear about the action that will be taken in case of non compliance of the private practioners.”

There was also concern about whether when people are referred to the RNTCP from the private sector there would be a good enough service, and whether in practice TB treatment would be available.
Banning of sero-diagnostic tests

In June 2012 the GoI prohibited the import and sale of serodiagnostic tests for TB. It is now believed that this has saved countless people from having inaccurate results.
Development of Nikshay

The Central TB Division developed a case based and web based system called “Nikshay”. This helped with the reporting of all TB cases. It was scaled up nationally.
Standards for TB Care in India

The Standards for TB Care in India was also developed and it was published in 2014. The Standards describe what should be done, and the TB treatment and care that should be provided throughout India, including what should be provided in the private sector.
Budget Cuts for the NSP 2012 - 2017

The overall budget required in 2012 - 2017 to achieve the Universal Access vision, to save 750,000 lives from TB, and to control MDR TB, was estimated to be Rs. 5825 crore ($1.17 billion) over the period 2012 - 2017. However, the Planning Commission of India only approved Rs. 4500 crore ($900 million). These budget cuts were widely criticised and in January 2015 a warning letter was submitted to the government signed by TB officers of all states and Union territories. One doctor said:

    “There is always a shortage of TB drugs, lack of labs, slow diagnostic tools, inadequate management of treatment and lack of trained personnel. Moreover, since we have failed to give the existing staff their salary dues they are demoralised” 2

The Joint TB Monitoring Mission (JMM)
Members of the Joint Monitoring Mission of the RNTCP 2015

Members of the Joint Monitoring Mission of the RNTCP 2015

Meanwhile the Joint TB Monitoring mission (JMM) of the RNTCP had brought together a number of national and international experts and organisations in 2014. They were to generally review the progress, challenges, plans and efforts of the RNTCP to control TB. The implementation of the NSP 2012 - 2017 was one of the areas looked at.
The Implementation of the NSP 2012 - 2017

The JMM acknowledged India’s remarkable achievements in TB control over the previous ten years. This included testing more than 80 million people, detecting and treating 15 million TB patients, and saving millions of lives as a result of the efforts of the RNTCP. However, they also said that overall:

    “the implementation of the NSP for 2012 - 2017 is generally not on track: projected increases in case detection by the RNTCP have not occurred, vital procurements are delayed and many planned activities have not been implemented. Also, of the recommendations made by the JMM 2012, about two thirds have not been fully implemented.”

Recommendations made by the JMM report

The report gave extensive recommendations for each part of the report, and these included:

    A significant increase in government funding for TB control. RNTCP will need 1500 crores/year to achieve the targets of the NSP and achieve the goals of the END TB strategy.
    All patients should receive care based on the “Standards for TB Care in India”.
    The Ministry of Health should ensure that private sector TB patients receive early TB detection, appropriate treatment, sustained adherence support and a reduction of their out of pocket expenses.
    There is a need for a high level sustained national campaign on TB: “TB Free India/TB Mukt Bharat”.

Reaching the private sector

Towards the end of the period of the plan, and despite the improvements that had already been made:

    There had continued to be concern about the standard of care provided in the private sector. Delays in diagnosis, the use of multiple non standard regimens for inappropriate lengths of time, the lack of a way to ensure the full course of treatment was being taken, and the recording of treatment outcomes were just some of the issues.

Revised Technical & Operational Guidance

So in 2016 the RNTCP published revised technical and operational guidance. The new guidelines, the RNTCP Technical and Operational Guidelines for Tuberculosis Control in India 2016, did not replace the previous guidance (the Standards of TB Care in India), but they provide updated recommendations. They also make it absolutely clear that the guidance applies to the private sector as well as the public sector.

    The strategic vision of the RNTCP is to lay down guidelines and norms for TB care in the country. So the principle of the RNTCP is that they should extend public services to privately managed patients.

Instead of the requirement being that patients receiving care from a private provider should be referred to the RNTCP. Now the aim was that the patient should be able to stay with the private provider but be able to receive RNTCP services.

The decision was also made to introduce a daily TB treatment regimen. The new anti TB drug bedaquiline for the treatment of drug resistant TB was also to be made available initially in five states.

For diagnosis the GoI set up more than 600 CB-NAAT laboratories, and enhanced their capacity with highly sensitive diagnostic services. CB-NAAT is the name given in India to Cartridge Based Nucleic Acid Amplification tests such as Genexpert and TrueNat.
Launch of the NSP 2017 - 2025

In 2017 it was announced that the national goal was now the elimination of TB in India by 2025. At the same time the launch took place of the next 5 year plan, the NSP 2017 - 2025.

There is much more about the National Strategic Plan 2017 - 2025
Would you like to send us a comment about this page?

2015 report on Indian Revised National TB Control Programme from Joint Monitoring Mission www.tbcindia.nic.in

Revised National Tuberculosis Control Programme National Strategic Plan NSP-2012-2017

Standards for TB Care in India Standards-TB-Care-India

TB India 2017 Revised National TB Control Programme Annual Status Report, New Delhi, 2017 TB India 2017 TB-India-2017

Contents Sources https://www.tbfacts.org/rntcp/

RNTCP - Government TB Treatment Education & Care NSP
Contents shared By educratsweb.com

No New Schemes To Be Launched Till March 2021
Published on Friday June 5 2020
if you have any information regarding Job, Study Material or any other information related to career. you can Post your article on our website. Click here to Register & Share your contents.
For Advertisment or any query email us at educratsweb@gmail.com

RELATED POST
2 De​en Dayal SPARSH(Scholarship for Promotion of Aptitude & Research in Stamps as a Hobby) Yojana​
3 Scheme for formalisation of Micro Food Processing Enterprises (FME)
4 6.8 Crore free LPG cylinders distributed among the PMUY beneficiaries so far
5 Special Liquidity Scheme for NBFCs/HFCs to address their Liquidity Stress
6 Pradhan MantriVayaVandanaYojana
7 Cabinet approves additional funding of up to Rupees three lakh crore through introduction of Emergency Credit Line Guarantee Scheme (ECLGS)
8 Government has allocated Rs.500 crore towards Beekeeping under Atma Nirbhar Abhiyan: Shri Narendra Singh Tomar
9 Pradhan Mantri Matsya Sampada Yojana for boosting fisheries sector
10 AtmaNirbhar Bharat Package for allocation of foodgrains to the migrants / stranded migrants
11 Pradhan Mantri Matsya Sampada Yojana – A scheme to bring about Blue Revolution through sustainable and responsible development of fisheries sector in India
12 ATAL PENSION YOJANA (APY) – Completion of 5 years
13 Government e-Marketplace (GeM) : Procurement Made Smart
14 Date of Filing Electronic Challan Cum Return (ECR) for Wage Month March, 2020 Extended Up to 15.05.2020 from 15.04.2020
15 PM-KMY Registrations open check other details
16 How to Get E-Pass for Lockdown in Your State
17 Direct cash transfer to women PMJDY account holders under PM Garib Kalyan Package for the month of April 2020 in the light of COVID-19 pandemic
18 Pradhan Mantri Rojgar Protsahan Yojana (PMRPY)
19 Atal Bhoojal Yojana – Water Conservation Scheme by Narendra Modi Govt.
20 Pradhan Mantri Jan Arogya Yojana (PM-JAY)
21 Pradhan Mantri Innovative Learning Programme - DHRUV
22 List of Important Schemes launched by the Modi Government
23 PM-KMY Registrations open check other details
24 Uttar Pradesh : Apex Bodies and Departments
25 Digital India
26 Rajiv Awas Yojana (RAY)
27 Sabla or Rajiv Gandhi Scheme for Empowerment of Adolescent Girls nutrition and health
28 Pradhan Mantri Gram Sadak Yojana (PMGSY)
29 DEENDAYAL ANTYODAYA YOJANA - NRLM
30 National Literacy Mission Programme
31 Pradhan Mantri Jan-Dhan Yojana (PMJDY)
32 Rashtriya Swasthya Bima Yojana
33 Pooled Finance Development Fund Scheme (PFDF)
34 Pradhan Mantri Adarsh Gram Yojana
35 Atal Mission for Rejuvenation and Urban Transformation
36 Swarnajayanti Gram Swarozgar Yojana
37 One platform where you can lodge your grievances for quick redress
38 Rashtriya Krishi Vikas Yojana
39 Sampoorna Grameen Rozgar Yojana
40 Bachat Lamp Yojana (BLY) CDM Based CFL Scheme
41 The Kishore Vaigyanik Protsahan Yojana (KVPY)
42 Udisha, the new dawn for young women and children
43 Integrated Rural Development Program
44 Swabhimaan
45 India BPO Promotion Scheme (IBPS)
46 Jawaharlal Nehru National Urban Renewal Mission
47 Antyodaya Anna Yojana (AAY)
48 Pradhan Mantri Suraksha Bima Yojana
49 Saksham – Rajiv Gandhi Scheme for Empowerment of Adolescent Boys
50 Scheme of Grant in Aid to Voluntary Organisations working for Scheduled Castes
51 Beti Bachao, Beti Padhao Scheme
We would love to hear your thoughts, concerns or problems with anything so we can improve our website educratsweb.com ! visit https://forms.gle/jDz4fFqXuvSfQmUC9 and submit your valuable feedback.
Save this page as PDF | Recommend to your Friends

http://educratsweb(dot)com http://educratsweb.com/content.php?id=199 http://educratsweb.com educratsweb.com educratsweb