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 | |
|---|---|
| Budget | 2015 -16 |
| Estimate | 95.47 |
| Expenditure | 53.63 |
State Plan Fund
Budget Summary under RNTCP for the year 2015 -16.
| Sl.No: | Particulars | Amount |
|---|---|---|
| 1 | Opening Balance | 135168 |
| 2 | GOI Grants | 15180000 |
| 3 | Grant from State Govt. State Share | 10000000 |
| 4 | Loan from NRHM | 3,3000,000 |
| 5 | Bank Interest | 185136 |
| 6 | Other Income | 13950 |
| Receipt Total | 22214254 | |
| 7 | Expenditure | 21777402 |
| 8 | Balance | 436852 |
| 9 | Advance | 151400 |
2. Physical Target and Achievement (2015)
| Sl.No: | Indicators | Target | 2015 |
|---|---|---|---|
| 1 | Total TB patients registered for Treatment | 1508 | |
| 2 | NSP CDR | 75 per lakh population | 76 (101%) |
| 3 | Total Case Detection Rate | 203 per lakh population | 243 (120%) |
| 4 | Cure Rate | 0.0085 | 8-0% |
| 5 | MDR – TB total patients registered | 199 | |
| 6 | MDR-TB cure rate | 64(67%) | |
| 7 | XDR – TB total patient registered | 27 |