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
I am owner of this website and bharatpages.in . I Love blogging and Enjoy to listening old song.
.... Enjoy this Author Blog/Website visit http://twitter.com/bharatpages
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 email@example.com
1. Jeevan Pramaan. Digital Life Certificate for Pensioners Jeevan Pramaan. Digital Life Certificate for Pensioners
Jeevan Pramaan is a biometric enabled digital service for pensioners. Pensioners of Central Government, State Government or any other Government organization can take benefit of this facility.
More than One Crore families in India can be classified as pensioner families, where the pension disbursed by the various government bodies forms the basis for their income and sustainability. There are about Fifty L
2. Prime Minister’s National Relief Fund (PMNRF) Prime Minister’s National Relief Fund (PMNRF)
In pursuance of an appeal by the then Prime Minister, Pt. Jawaharlal Nehru in January, 1948, the Prime Minister’s National Relief Fund (PMNRF) was established with public contributions to assist displaced persons from Pakistan. The resources of the PMNRF are now utilized primarily to render immediate relief to families of those killed in natural calamities like floods, cyclones and earthquakes, etc. and to the victims of
3. 107 Cities Registered For India Cycles 4 change Challenge Ministry of Housing and Urban Affairs has launched the India Cycles4Change Challenge on 25th June, 2020. The Challenge is open to all Indian cities with population above 5 lakhs, capital cities of States/Union Territories (UTs) and Smart Cities.
As on 17th September, 2020, 107 cities have registered for the Challenge. A State-wise list of cities registered for the Challenge is given below. At present, participating cities are undertaking pilot projects, citizen surveys and participating in capa
4. Development in MSME Sector As a measure to help the MSMEs grow, the Government, vide notification no.S.O. 2119 (E) dated 26.06.2020, has notified composite criteria of classification of MSMEs based on investment in plant and machinery or equipment and turnover of the enterprise. The new criteria is effective from 1.7.2020. However, to provide hassle free transition from old system of Udyog Aadhaar Memorandum to Udyam Registration, 31.03.2021 has been fixed as deadline. The New criteria provides that the turnover with respect to ex
5. Government to set up Medical Devices Park in Kerala Kerala will soon house one of the first medical device parks in the country, focusing on the high-risk medical device sector to provide full range of services for the medical devices industry like R&D support, testing, and evaluation.
MedSpark, the medical devices park envisaged as a joint initiative of Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), an autonomous institute of the Department of Science and Technology (DST), Govt. of India, and the Kerala
7. Urea is being provided to farmers at a statutory notified Maximum Retail Price :Shri Gowda The Minister of Chemicals & Fertilizers Shri DV Sadananda Gowda has informed the Rajya Sabha in a written reply today that Government of India has notified fertilizer as an essential commodity under the Essential Commodities Act, 1955(ECA) and notified Fertilizer (Control) Order (FCO), 1985 & Fertilizer (Movement Control) Order, 1973 under the EC Act. He added that State Governments have been adequately empowered to ensure selling of fertilizers at notified MRP besides stopping black
8. Amendments in Public Procurement (Preference to Make in India) Order, 2017 The Government of India has amended the Public Procurement (Preference to Make in India) Order, 2017 on 16.09.2020, enabling nodal Ministries/ Departments to notify higher minimum local content requirement for Class-I & Class-II local suppliers which was earlier fixed at 50% and 20% respectively.
As per the Order, entities of countries which do not allow Indian companies to participate in their Government procurement for any item, shall not be allowed to participate in Government p
9. Benefits of Agricultural Schemes to Farmers Agriculture is a State Subject. Government of India facilitates the State Governments through many Centrally Sponsored and Central Sector Schemes to increase production, to reduce cost of cultivation like Pradhan Mantri Krishi Sinchayee Yojana (PMKSY), Soil Health Card Scheme, Sub Mission on Agricultural Mechanisation etc.
A statement showing the amount of budget allocated and amount spent thereon during the last five years is as under:
10. Various schemes to bridge the demand-supply gap of skilled workers The Government is implementing various sector/group specific schemes for bridging the gap between demand and supply of skilled workers. Ministry of Skill Development and Entrepreneurship (MSDE) has been implementing the following schemes/programmesnamely:
Pradhan Mantri Kaushal VikasYojana (PMKVY) imparts short term skill training to youth and recognition of prior learning of informally trained labour in National Skilled Qualification Framework (NSQF) aligned qualifications through the involvem
11. Various steps to boost export competitiveness Government has taken various steps to boost export competitiveness in Steel sector. These are as under:
(i) Export promotion schemes like Merchandise Exports from India Scheme (MEIS), Market Access Initiative, Export Promotion Council, Advance Authorization, Export Promotion of Capital Goods (EPCG) etc.
(ii) Maintaining very low import duty on critical inputs like coking coa
12. E-Gram Swaraj Portal With a vision to strengthen digitalization in Panchayats for the purpose of empowering rural India, a unified tool e-Gram SWARAJ portal (https://egramswaraj.gov.in/) has been developed by the Ministry for effective monitoring and evaluation of works taken up in the Gram Panchayats.
e-Gram SWARAJ unifies the planning, accounting and monitoring functions of Gram Panchayats. It’s combination with the Area Profiler application, Local Government Directory (LGD) and the Public Financial Managem
13. Make In India Scheme Targets for production of indigenous defence equipment are decided based on requirements of the Armed Forces. Procurement of defence equipment is undertaken from various domestic as well as foreign vendors, based on threat perception, operational challenges and technological changes and to keep the Armed Forces in a state of readiness to meet the entire spectrum of security challenges.
‘Make in India’ is implemented in defence sector through various policy initiatives which promotes
14. Relief Package for Unemployed Labourers The global spread of the corona virus (COVID-19) pandemic followed by lockdowns has affected global economies including India. Covid-19 has resulted in large number of migrant workers going back to their native places. In order to mitigate the adverse impact of COVID-19. Government of India has announced an economic package of Rs. 20 Lakh Crore. Aatmanirbhar Bharat which focuses on Economy, Infrastructure, System, Vibrant Demography and Demand to create jobs for the youth has also been launched.
16. MISSION KARMAYOGI The National Programme for Civil Services Capacity Building (‘NPCSCB’) – “Mission Karmayogi” has been launched with the objective of enhancing governance through Civil Service Capacity Building.Mission Karmayogi will have the following six pillars:-
(i) Policy Framework,
(ii) Institutional Framework,
18. Success Rate of E-NAM Agriculture Marketing being a state subject, wholesale marketing of agriculture produce is generally carried out through a network of regulated Agriculture Produce Market Committee (APMC) markets promoted by respective Government of State/ Union Territories (UTs) under their respective State/UT APMC Act. Central Government plays a supportive role in agricultural marketing. Small and Marginal farmers sometime face difficulty in direct access to markets due to varied reasons like small amount of marketable
19. Beneficial Cropping Patterns The cropping pattern is dependent on various factors viz. agro-climatic conditions of the region, availability of resources, market forces, socio-economic conditions of the farmers, demand and supply of agricultural produce etc. Accordingly, Government of India has been emphasizing promotion of various crops/cropping system viz. rice, wheat, pulses, coarse cereals, nutri cereals& commercial crops under National Food Security Mission (NFSM), oilseeds under NFSM-Oilseeds, horticultural crops under Miss
20. Use of Chemicals and Pesticides for Ripening of Fruits As per the information provided by the Food Safety and Standards Authority of India (FSSAI), Ministry of Health and Family Welfare; sub-regulation 2.3.5 of Food Safety and Standards (Prohibition and Restriction on Sales) Regulations, 2011 is related to “Prohibition of use of Calcium Carbide in ripening of fruits”. According to this sub regulation, “No person shall sell or offer or expose for sale or have in his premises for the purpose of sale under any description, fruits which have be
21. Funds to Boost Agriculture Exports As a part of implementation of the Agriculture Export Policy, a number of States have finalized their respective Action Plans identifying various infrastructure gaps affecting agricultural exports. To address these gaps, the States can avail assistance under the Trade Infrastructure for Export Scheme (TIES) of Department of Commerce and under various existing Schemes of Ministry of Agriculture & Farmers Welfare; Ministry of Fisheries, Animal Husbandry & Dairying; Ministry of Food Processing Indus
22. Shifting of Base to India by MNCs Several multinational companies have evinced their interest to shift their base into India across different States in sectors such as Electronics, Retail, e-Commerce, Automotive, Food Processing, Textiles etc. However, due to sensitivity of information maintained by the companies, the reasons for relocation of operations are not explicitly spelt out. It has been seen that FDI inflows usually helps in augmenting domestic capital and promote employment opportunities across sectors. The FD
24. Rise in Price of Essential Food Items Monthly Average of retail prices in respect of 22 essential commodities monitored by Department of Consumer Affairs (DoCA) from March 2020 to August 2020 indicating the increase in retail prices is as follows-
Department of Consumer Affairs (Price Monitoring Division)
25. Hallmarking of precious metals In view of the Mandatory Hallmarking, the number of jewellers and hallmarking centres applying for Bureau of Indian Standards (BIS) certificate will increase manifold and to deal with increasing number of applications, an online system for issuing BIS certificate has been developed by BIS and launched by the Government on 21.08.2020. The online system enables the jewellers to submit the application for registration and fees online. In this system there will be no human interface in processing the applica
26 Faculty Professor Vacancy Recruitment in AIIMS Rishikesh#Faculty & Teaching33 Days Remaining for Apply Faculty Professor Vacancy Recruitment in AIIMS Rishikesh
Online applications on prescribed format are invited by Director, AIIMS, Rishikesh from suitable candidate for filling up 24 Group-A Faculty Sarkari Naukri vacancy posts Professor in various subjects/disciplines on direct recruitment basis in All India Institute of Medical Sciences (AIIMS), Rishikesh (Uttarakhand) (Advertisement No. 2020/105-128).
28 UPSC Combined Defence Services Examination (CDS) (I) 2021#UPSC2 Days Remaining for Apply The Union Public Service Commission (UPSC) will hold the Combined Defence Services Examination (CDS) (II), 2020 on 7th February 2021 for admission to Indian Military Academy, Dehradun, Naval Academy, Ezihimala, Air force Academy, Hyderabad, and Officers Training Academy, Chennai for the courses (Men and Women) for recruitment of following 345 Sarkari Naukri Vacancy of Officers in Navy, Army, and Indian Air Force. (UPSC Advt. No. 2/2021.CDS-I)
Online application on prescribed format i ...
29 ICMR Scientist-E and Scientist-D Recruitment 2020#Scientist & Research7 Days Remaining for Apply Indian Council of Medical Research (ICMR) under Department of Health Research, Ministry of Health & Family Welfare, Government of India invites online application on prescribed format from Indian nationals for recruitment and filling up these Government Job Vacancy posts of Scientist-E, Scientist-D (Medical/Non-Medical) in various disciplines. (Advertisement No. ICMR/Sc-E & Sc-D/2020/2-Pers.)
ICMR Scientist Recruitment 2020 Vacancies
31 Recruitment of Non-Teaching Vacancy in NIFTEM#Jobs13 Days Remaining for Apply Recruitment of Non-Teaching Vacancy in NIFTEM
NIFTEM invites online application in the prescribed format for the recruitment of the following Non-Teaching Sarkari Naukri vacancy in NIFTEM in various disciplines in the office of NIFTEM. This is Government Job in Haryana State. (Advertisement No. N/HR&/H/2020/31)
32 Combined Higher Secondary (10+2) Level Examination 2020 by SSC#SSC17 Days Remaining for Apply Combined Higher Secondary (10+2) Level Examination 2020 by SSC
The Staff Selection Commission (SSC) will hold an open competitive Computer Based Combined Higher Secondary (10+2) Level (CHSL) Examination 2020 from 12/04/2020 to 17/04/2020 for Recruitment of various Group-C Government Jobs (Sarkari Naukri) Vacancy (Tier-I) for various Ministries/ Departments/ Organizations in the Government of India.
33 ICMR Assistant Vacancy Recruitment 2020 #Scientist & Research5 Days Remaining for Apply Indian Council of Medical Research (ICMR), New Delhi has entered into a memorandum of understanding with the Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh for holding of Computer Based Test (CBT) Recruitment Examination/Test for Sarkari Naukri Vacancy posts of Assistants (Group-B Level-6) of ICMR by PGIMER, Chandigarh.
34 Himachal PSC Principal Officer Recruitment 2020 #Himachal Pradesh6 Days Remaining for Apply Online Recruitment Applications (ORA) are invited by Himachal Pradesh (HP) Public Service Commission (PSC) from desirous and eligible candidates for recruitment to the following Government Job Sarkari Naukri Vacancies of Principal (B.Pharma), Planning Officer, and Veterinary Officer Vacancy under various Departments, Himachal Pradesh (Advertisement No. 07/10-/2020, 09/10-2020 and 10/10-2020).
35 Non-Teaching Vacancy Recruitment in Gujarat Vidyapith 2020#Gujarat7 Days Remaining for Apply Non-Teaching Vacancy Recruitment in Gujarat Vidyapith 2020
Gujarat Vidyapith is looking for qualified, accomplished and committed Non-Teaching Staff who believe in institution building. Online application on prescribed format is invited from the eligible and suitable person for direct recruitment/deputation/tenure basis for various Group-A, Group-B and Group-C Employees category Government Job Vacancies on a regular basis through open competition on all India basis. ...
36 UP PSC Regional Inspector (Technical) Examination 2020#Uttar Pradesh5 Days Remaining for Apply UP PSC Regional Inspector (Technical) Examination 2020
Online applications on the prescribed format are invited by Uttar Pradesh (UP) Public Service Commission (PSC), Prayagraj for Recruitment of Government Job (Sarkari Naukri) Vacancy posts of Regional Inspector (Technical) (सम्भागीय निरीक्षक (प्राविधिक)) under Regional Inspector (Technical) Examination 2020 for Transport Department of Government of Uttar Pradesh (Advt. No.: A- ...
39 UPSC Government Jobs Vacancy Recruitment 14/2020 #UPSC5 Days Remaining for Apply Union Public Service Commission (UPSC), Dholpur House, New Delhi invites Online application on prescribed recruitment form by 03/12/2020 for following Sarkari Naukri Government Jobs vacancy posts especially Specialist (Faculty - Assistant Professor Medical), Nurse, Assistant Director etc. in various Central Government Departments/Organisations in the prescribed online format (UPSC Advt. No. 14/2020).
UPSC Government Jobs Recruitment 14/2020 Vacancies
49 India Post GDS Recruitment 2020 for Jharkhand North-East Punjab states#Jharkhand13 Days Remaining for Apply Online applications in the prescribed format are invited by Jharkhand, North-East, and Punjab Circles of Indian Postal Department from eligible candidates for the recruitment selection and engagement to the Government Job vacancy posts of Gramin Dak Sevak (GDS) under Cycle-III/2020-2021 in the posts offices of the respective circles in the states in Jharkhand, North-East and Punjab states. (Advertisement Numbers - GRAMIN DAK SEVAKS CYCLE – III/2020-2021)
50 2000 Probationary Officer Recruitment in SBI#Bank6 Days Remaining for Apply State Bank of India (SBI) invites Online applications in the prescribed format from eligible Indian Citizens for appointment for the recruitment of the following 2000 Sarkari Naukri vacancy position of Probationary Officers (PO) in State Bank of India (SBI) on regular basis for the year 2020-21. (Advertisement no. CRPD/PO/2020-21/12)
SBI, a Fortune 500 company, has an overseas presence t ...