NHM MizoramNATIONAL TB ELIMINATION PROGRAMME
The Government of India has committed to eliminate TB in India by the year 2025 which is 5 years ahead of the global targets of the Sustainable Development Goals 2030. In alignment with the targets and goals of the next few years, the previously named Revised National TB Control Programme (RNTCP) was re-christened National TB Elimination Programme (NTEP) since 1st January 2020.
NTEP is the public initiative of the Government of India that provides technical and managerial assistance for TB activities in India. NTEP offers quality diagnosis and treatment services throughout the country, free of cost through the government health systems as well as selected private facilities across the country.
The State TB Officer (STO) and State TB Cell in Directorate of Health Services, Dinthar, Aizawl is responsible for ensuring smooth and efficient implementation of the programme in the state. Under NTEP, Mizoram has 8 TB districts : Aizawl, Champhai, Kolasib, Lawngtlai, Lunglei, Mamit, Siaha and Serchhip. Each of these districts have a District TB Officer (DTO) and District TB Centre (DTC) that is responsible for ensuring TB operations in their district.
Diagnosis of TB may include sputum examination by microscopy, molecular methods like CBNAAT/Truenat and other supportive tests like X Ray, Tuberculin Skin Tests histopathology techniques etc. Below is a list of the sputum microscopy testing centres known as TB Diagnostic Centre (TDC)
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. Aizawl has 2 CBNAAT facilitites in Falkawn and Civil Hospital.
Champhai District- DTC Champhai, Khawbung MC, Ngopa MC, Khawzawl MC with 1 CBNAAT facility in Champhai Civil Hospital.
Kolasib District - DTC Kolasib, Vairengte MC with 1 CBNAAT facility with 1 CBNAAT facility in Kolasib Civil Hospital.
Lawngtlai District - DTC Lawngtlai, Chawngte MC, Sangau MC with 1 CBNAAT facility in Lawngtlai Civil Hospital.
Lunglei District – DTC Lunglei, Hnahthial TU, Tlabung MC, Serkawn Hospital MC with 1 CBNAAT facility in Lunglei Civil Hospital.
Mamit District - DTC Mamit, Kawrthah MC,W. Phaileng MC leh Marpara PHC with 1 CBNAAT facility in Mamit Civil Hospital.
Saiha District - DTC Saiha, Tuipang MC with 1 CBNAAT facility in Siaha Civil Hospital.
Serchhip District - DTC Serchhip, N.Vanlaiphai MC, Thenzawl MC with 1 CBNAAT facility in Serchhip Civil Hospital.
The End TB 2025 envisages a “World free of TB : Zero deaths, disease and suffering due to TB” It also stipulates that
NTEP is currently adopting the Daily Regimen for TB patients where Fixed Dose Combination Drugs (FDCs) are given to patients on a daily basis as opposed to the older Intermittent Regimen used in the past. All TB patients are also subjected to an additional Rifampicin status testing in the preliminary stages of their disease by either CBNAAT or Truenat called Universal Susceptibility Testing. This will ensure that correct drug susceptibility guided treatments are given for all patients and that MDR TB is not missed in patients. The earlier concept of Cat I, II and III for Drug Sensitive TB and Cat IV, V for Drug Resistant TB is now standardised into Cat I treatment for all DS TB patients and Cat IV for MDR TB patients and Cat V for XDR TB patients only. Other categories are now eliminated.
TB patients are also screened and tested for TB comorbidities like HIV, Diabetes Mellitus and tobacco usage. Alcohol usage and pregnant women are also regularly screened for TB and vice versa.As per the guidelines of the Central TB Division, TB patients are now subjected to a long term follow up check up every 6 months after completion of treatment since most recurrences of TB occur within 2 years of completing treatment.
There are several schemes which aid TB patients during the course of their treatment.
National TB Elimination Programme is also actively engaged with various sectors of both Health and Non Health Departments. Memorandum of Understanding has been signed between various ministries like Labour & Employment, Ministry of Tribal Affairs, Department of Social Welfare etc
Jhpiego (Johns Hopkins Program for International Education in Gynecology and Obstetrics) and Piramal Swasthya are some of the notable partners of NTEP who assist and aid the programme in Mizoram.
|
Sl/No. |
INDICATOR |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
2021
|
2022 |
|
1.
|
Total number of patients examined for TB (Target = 2% of OPD attendance) |
9658 |
8961 |
8129 |
8394 |
17171 |
11756 |
4084 |
17315 |
|
2.
|
Total TB cases notified (Target = 100%) |
2145 |
2186 |
2508 |
2601 |
2980 |
2121
|
1749 |
2081 |
|
3.
|
TB cases notified (Public vs Private) |
2088/57 = 2145 |
2149/37 =2186 |
2459/49 =2508 |
2563/38 =2601 |
2940/40 =2980 |
1990/131 =2121 |
1480/269 =1749 |
1693/388 =2081 |
|
4.
|
Success Rate (Target = 90%) |
85% |
86% |
88% |
85% |
69% |
88% |
84% |
87% |
|
5.
|
% of TB patients tested for HIV (No target applicable. The higher the better) |
80% |
81% |
90% |
92% |
86% |
91% |
99% |
100% |
|
6.
|
Total TB patients positive for HIV (Target not applicable. The lower the better) |
12% |
12% |
7% |
12% |
14% |
13% |
16% |
15% |
|
7.
|
No. of MDR TB tested (Target not applicable) |
442 |
1104 |
2568 |
5832 |
6393 |
7112 |
3378 |
1399 |
|
8.
|
No. of MDR TB put on treatment (Target = 100%) |
47 |
45 |
68 |
69 |
128 |
166 |
114 |
117 |
|
9.
|
Success Rate of MDR TB patients (Not applicable. The higher the better) |
71% |
47% |
25% |
68% |
64% |
72% |
69% |
73% |
|
10.
|
No. of TB deaths (Target not applicable per se. The lower the better)
|
38 |
35 |
29 |
51 |
56 |
50 |
72 |
74 |
|
11.
|
Projected population |
11.66 lakhs |
11.85 lakhs |
12.04 lakhs |
12.23 lakhs |
12.43 lakhs |
12.61 lakhs |
12.80 lakhs |
12.99 lakhs |