Revised National Tuberculosis Control Programme

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

On initiative of the Government of India, Revised National Tuberculosis Control Programme is one of the State run tuberculosis control programme running smoothly since 1st March, 2002.

It incorporates the principle of directly observed treatment short-course (DOTS) which is the global strategy of world Health Organization (WHO).

The total case notification is good in Sikkim. It is more than 203 per lakh population since 2011. However, the treatment success Rate is less than 87% due to higher failure rate (more than 9%). Although, our death and default rate is less than 5%.

District TB officers are personally visiting the patients on a monthly basis and also ensuring timely sputum test for the Chest symptomatic. They also make sure that all registered TB cases are taking DOTs on time and completing the full course to treatment.

The programme provides quality anti – tuberculosis drugs free of cost, which is rendered through various Primary Health Centres across the State.

The RNTCP has recently adopted a new strategy of universal access to quality diagnostic and treatment to all TB patients through installation of Cartridge based Nucleic Acid Amplification Test (CBNAAT)

DOTS and its 5 Components:

Political and administrative commitment

Good quality diagnosis.

Good quality drugs

Supervised treatment to ensure the right treatment.

Systematic monitoring and accountability.

The main objectives of the RNTCP

Early detection and treatment of at least 90% of estimated all types of TB cases in the community (including Drug Resistant and HIV associated TB). To attain the objective of RNTCP, the following infrastructure has been set up.

State TB Cell (STBC): Headed by Additional Director cum STO, oversees the whole RNTCP programmes in the state.

District TB Centre (DTC): Total of five (5) District TB Centers across the State with district TB officers as programme officers to oversee the TB control activities of their respective districts.

Tuberculosis Units (TU): It is a nodal unit in TB control programme where registrations of patients are done. There are five (5) TUs in the state presently.

Microscopy Centres: There are total thirty one (31) Microscopic Centres.

Intermediate Reference Lab. (IRL). The state boasts and IRL where CBNAAT facility and solid C&DST is done.

Catridge Based Nucleic Acid Amplification Test (CBNAAT) centres. There are 4 CBNAAT machines installed in IRL, Gangtok and District Hospitals at Geyzing Mangan and Namchi respectively and is functioning.

Drug Resistant TB Centre. There is one functional Drug Resistant TB centre at STNM complex, Gangtok with 10 beds.

CURRENT STATUS – Financial and Physical

Fund received and Expenditure during 2015 – 2016.

State Plan Fund
Budget2015 -16
Estimate95.47
Expenditure53.63

State Plan Fund

Budget Summary under RNTCP for the year 2015 -16.

Sl.No:ParticularsAmount
1Opening Balance135168
2GOI Grants15180000
3Grant from State Govt. State Share10000000
4Loan from NRHM3,3000,000
5Bank Interest185136
6Other Income13950
Receipt Total22214254
7Expenditure21777402
8Balance436852
9Advance151400

2. Physical Target and Achievement (2015)

Sl.No:IndicatorsTarget2015
1Total TB patients registered for Treatment1508
2NSP CDR75 per lakh population76
(101%)
3Total Case Detection Rate203 per lakh population243
(120%)
4Cure Rate0.00858-0%
5MDR – TB total patients registered199
6MDR-TB cure rate64(67%)
7XDR – TB total patient registered27