New Approach Towards TB Control

Date: May 04, 2016

Tuberculosis MDR-TB TB HIV co-infection

Under the Revised National Tuberculosis Control Programme (RNTCP), prevention and control of Tuberculosis is addressed in a comprehensive manner. RNTCP is being implemented in the country under the umbrella of the National Health Mission (NHM). Strengthening of primary and secondary healthcare systems is a part of NHM and benefits the prevention and control of Tuberculosis. RNTCP strategy is multi-pronged and includes, inter alia, the following:

· strengthening and improving quality of basic DOTS services,
· addressing TB HIV co-infection, other co-morbidities and MDR-TB
· engaging with care providers both in the public and the private sector
· targeted intervention in the vulnerable population and strengthening urban TB control
· integrating newer molecular diagnostics for TB in the health system for early diagnosis of MDR TB
· expansion of Programmatic Management of Drug Resistant Tuberculosis (PMDT) services
· aligning the while Tuberculosis Units with Block Units under National Health Mission (NHM) for rationalizing the available resources and integration of TB services in the general health system
· leveraging of Information Communication Technology for TB notification and strengthening of monitoring.

d

New TB Diagnostic Machines

The Revised National Tuberculosis Control Programme (RNTCP) will benefit from introduction of additional 500 Cartridge Based Nucleic Acid Amplification Test (CBNAAT) machines.

CBNAAT machines enable quick detection of Tuberculosis and resistance to Rifampicin. These machines have high sensitivity and specificity and are also used for detection of Extra Pulmonary TB and in Pediatric TB cases.

TB cases are being treated in the public sector under Revised National Tuberculosis Control Programme and for this purpose guidelines and standards have been prescribed. However, it is necessary that the doctors in the private sector also follow the correct treatment regimen and protocols for dealing with TB cases. Standard for Tuberculosis Care in India were finalized by Government and released in the year 2014.

Newer and cheaper diagnostics, shorter TB drug regimens and less toxic drugs, which are affordable will facilitate efforts for ending Tuberculosis.