IEC / BCC


JSSK

Kutsil

NAS

TB (RNTCP)

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

The Revised National Tuberculosis Control Program was launched in India in 1992. The focus of TB treatment shifted from the patient to the caregiver. Sputum microscopy became the Gold Standard of TB diagnosis and Directly Observed Treatment Shortcourse (DOTS) became an essential component of RNTCP. Mizoram implemented RNTCP in 2003 and Programmatic Management of Drug Resistant Tuberculosis (PMDT) erstwhile DOTS Plus in 2011.

The goal of RNTCP is to reduce the mortality and morbidity associated with TB until it ceases to be a public problem and to cut the chain of transmission. These goals are achieved by the following objectives:

  • To achieve and maintain Cure Rate of 85% among New Smear Positive patients.
  • To achieve and maintain a Case Detection Rate of at least 70% of the expected New Smear Positive pulmonary TB cases among the community.

In basic RNTCP services, diagnosis is made by Sputum Microscopy. In Mizoram there are a total of 34 places where sputum can be examined. For PMDT services, diagnosis is made by a molecular method known as Cartridge Based Nucleic Acid Amplification Test (CBNAAT) which is placed in DR-TB Centre, Falkawn. This type of test takes approximately 2 hours only. The then TB Hospital located in Zemabawk has now been shifted to DR-TB Centre, Falkawn. However, only MDR-TB and XDR-TB patients are admitted because domiciliary treatment has been found to be as effective as sanatorium treatment for other TB patients except these two.

Aizawl District - DTC Aizawl, Presbyterian Hospital (Durtlang) MC, Aibawk MC, Sialsuk MC, Lengpui MC, Thingsulthliah MC, Saitual TU, Darlawn TU, Sakawrdai MC, Suangpuilawn MC, Kulikawn Hospital TU leh Aizawl Hospital MC.

Mamit District - DTC Mamit, Kawrthah MC,W. Phaileng MC leh Marpara PHC.

Kolasib District - DTC Kolasib, Vairengte MC.

Serchhip District - DTC Serchhip, N.Vanlaiphai MC, Thenzawl MC

Lunglei District – DTC Lunglei, Hnahthial TU, Tlabung MC, Serkawn Hospital MC

Lawngtlai District - DTC Lawngtlai, Chawngte MC, Sangau MC.

Saiha District - DTC Saiha, Tuipang MC

Champhai District- DTC Champhai, Khawbung MC, Ngopa MC, Khawzawl MC

The different treatment regimens for Tuberculosis include the following categories:

  • Category I : For New cases.
  • Category II : For Previously Treated cases.
  • Category IV : For Multi Drug Resistant TB (MDR-TB) cases.
  • Category V : For Extensively Drug Resistant TB (XDR-TB) cases.

RNTCP offers a variety of honorarium to patients who have successfully completed treatment as well as to the voluntary DOT Providers who have diligently ensured that patients are taking regular treatment.

Provider Amount
Cat-I Rs1000/-
Cat-II Rs1500/-
Cat-IV Rs5000/- (IP-2000,CP-3000)
Beneficiary Amount
Patients on completion of treatment Rs 750/-
Travel cost of MDR-TB to DR-TB center(outside district) Upto Rs 1000/-
Travel cost of MDR-TB to DR-TB center (within district) Upto Rs 400/-
Injection Prick Rs 25/injection
Volunteers for sputum transport Rs 25/sputum

As per the Government of India’s order issued on 7th May 2012, TB is a NOTIFIABLE DISEASE and every private practitioner and health establishment must notify the Government about the patients they are diagnosing and treating outside RNTCP through the concerned District’s District TB Officer. Mizoram has issued order for the same notification of TB on 27 th Sept 2013. All concerned personnel are requested and informed to adhere to the existing orders of the Government. NIKSHAY is an online portal of TB Notification in recent years accessible through www.tbcindia.com where notification of patients taking treatment outside RNTCP can be easily done. The performance of Mizoram in Basic services as well as PMDT is as follows:

STATE PERFORMANCE

(Expected New Smear Positive Case Detection Rate : 70%, Cure Rate : 85%)

Year New Smear Positive registered New Smear Negative registered Extra Pulmonary registered Total Case registered NSP Case Detection Rate Cured Cure Percentage
2005 551 564 502 1937 87% 508 85.5%
2006 548 449 591 1913 86% 501 91%
2007 689 510 631 2173 96% 497 91%
2008 799 628 714 1776 104% 660 92%
2009 570 751 772 2538 77% 702 91%
2010 497 591 613 1701 62% 393 91%
2011 495 595 768 2300 61% 409 86%
2012 566 570 803 2337 68% 435 88%
2013 706 337 807 2005 59.5% 500 89%
2014 511 358 759 1993 59.5% 449 90%

During 2014:

  • The number of TB patients co-infected with HIV was 180.
  • The number of patients less than 14 years old (Pediatrics age group) was 151.
  • The number of deaths from TB was 77.
  • The number of MDR-TB patients diagnosed was 48 out of which 47 were put on treatment.
  • The number of deaths among MDR-TB patients undergoing treatment was 6.