RNTCP Annual Report 2012 - TBC India

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24 TB INDIA 2012 Revised National TB Control Programme: ANNUAL STATUS REPORT tries for identification of patients who are most likely to have MDR-TB, thus allowing the early initiation of standardized 2nd line TB treatment in these patients. At least one 2nd-generation NAAT-based TB diagnostic is now commercially available, the automated Xpert® MTB/RIF by Cepheid® (Sunnyvale, CA, USA). These tests are based on technology platforms that offer the future prospect for multiple uses (e.g. malaria detection, HIV viral load testing), with minimal operator skill requirements and bio-safety risks, allowing for the first time use of advanced diagnostics outside the reference laboratory environment. The Drug resistance of the suspect can be known in one hour. RNTCP has expanded programme targets to achieving 'early and complete' detection of all TB cases, with universal access to drug-resistant TB diagnostic and treatment services. The availability of highly-accurate rapid TB diagnostics suitable for sub-district implementation offers the opportunity to make major progress towards these new and more challenging programme targets. The early initiation of treatment and provision of appropriate TB treatment should lead to decreased transmission and spread of both drug-sensitive and drug-resistant TB. The RNTCP has initiated the evaluation of the Cartridge Based Nucleic Acid Amplification test (GeneXpert TB/ RIF) in line with the global consultation guidelines to gather evidence for use within the country in various settings. Microbiologist performing tests on GeneXpert machine Loop mediated isothermal amplification (LAMP): Lamp is a manual NAAT that can be performed at microscopy level and is being validated by FIND in IGMS Wardha. The introduction of all newer diagnostic tools is being supported by the EXPAND TB project (WHO GLI, UNITAID and FIND) and Global Fund Round 9, which is supporting the National Laboratory Scale up plan for 43 LPA and 33 Liquid Culture units to provide an incremental capacity by 2014 of approximately more than 160000 DSTs and more than 220000 follow-up cultures. S. Name of the States S.No Name of the Laboratories Type of DST Technology No Solid LPA Liquid 1 Andaman & Nicobar 1 RMRC Port Blair A 2 Andhra Pradesh 2 IRL Hyderabad A A A 3 Govt Medical College, Vishakapatnam P A P 4 BPHRC, Hyderabad A P 5 DFIT Lab, Nellore A A 6 SVIMS Medical College, Tirupati P 3 Arunachal Pradesh 7 IRL Naharlagun P 4 Assam 8 IRL Guwahati (Guwahati Medical College) P P P 9 RMRC Dibrugarh P 5 Bihar 10 IRL Patna P P P 11 RMRI Patna P 12 DFIT Lab, Darbhanga P 13 Central Diagnostics, Patna P 6 Chandigarh 14 PGI Chandigarh A A P 7 Chhattisgarh 15 IRL Raipur P A P 8 Delhi 16 LRS, Delhi A A A 17 IRL Delhi (New Delhi TB Centre) A A P 18 AIIMS (Department of Medicine), Delhi A A P 19 AIIMS (Department of Laboratory Medicine), Delhi P A P 20 AIIMS (Department of Microbiology), Delhi P 9 Goa 21 IRL Goa (GMC, Bambolim) P
RNTCP: Implementation status and activities in 2011 S. Name of the States S.No Name of the Laboratories Type of DST Technology No Solid LPA Liquid 10 Gujarat 22 IRL Ahmedabad A A A 23 Govt Medical College, Jamnagar P A 24 Govt Medical College, Surat P 25 Microcare, Surat P 11 Haryana 26 IRL Karnal A P P 27 Quest Diagnostics, Gurgaon P 28 SRL, Gurgaon P 12 Himachal Pradesh 29 IRL Dharampur P P 30 Govt Medical College, Tanda P P P 13 Jammu & Kashmir 31 IRL Jammu (Jammu Medical College) P 32 IRL Srinagar P P 14 Jharkhand 33 IRL Ranchi (Itki TB sanatorium) A A P 15 Karnataka 34 NTI, Bangalore A A A 35 IRL Bangalore P P P 36 KIMS, Hubli P P 37 Manipal Medical College, Mangalore P 38 SRL, Bangalore P 39 JSS Medical college, Mysore P 40 SDM Medical college, Hubli P P 16 Kerala 41 IRL Thiruvananthapuram A A P 42 Calicut Medical College,Calicut P 17 Madhya Pradesh 43 IRL Indore P A P 44 BMHRC (IRL) Bhopal A P 45 Choitram Hospital Indore A 46 RMRCT, Jabalpur A 18 Maharashtra 47 IRL Nagpur A A P 48 IRL Pune P A P 49 PD Hinduja Hospital, Mumbai A A 50 Government Medical College, Aurangabad P P 51 SRL, Mumbai A 52 JJ hospital Mumbai A A P 53 KJ Soumiya Medical college, Mumbai P 19 Manipur 54 IRL Imphal, Manipur P P 20 Meghalaya 55 Nazreth Hospital, Shillong P 21 Nagaland 56 IRL Nagaland P 22 Orissa 57 IRL Cuttack A A P 58 RMRC Bhubaneswar P 23 Puducherry 59 IRL Pondicherry A P P 24 Punjab 60 IRL Patiala (Patiala Government Medical College) P P P 25 Rajasthan 61 IRL Ajmer A A P 62 SMS Jaipur A A P 63 SN Medical college, Jodhpur P 64 DMRC Jodhpur P 65 RNT Medical College, Udaipur P 66 Kota Medical College, Kota P 26 Sikkim 67 IRL Gangtok, Sikkim P P 27 Tamil Nadu 68 NIRT (TRC) Chennai A A A 69 IRL Chennai (Institute of Thoracic Medicine) A P P 70 CMC Vellore A 71 Madurai Medical College, Madurai P 72 PSG Medical College, Coimbatore P 25
Page 2 and 3: This Publication can be obtained fr
Page 5: P. K. PRADHAN Secratary Department
Page 9: Dr. Ashok kumar, M.D Deputy Directo
Page 12 and 13: NSP New Smear Positive NTF National
Page 15 and 16: INDIA Profile North of the equatorb
Page 17 and 18: 2 categories (New and Previously tr
Page 19 and 20: Executive Summary 9. The Zonal Task
Page 21 and 22: Tuberculosis Epidemiology - India E
Page 23 and 24: in the year 2009, the prevalence of
Page 25 and 26: Burden of TB-HIV: TB and HIV act in
Page 27 and 28: The quality of diagnosis of TB pati
Page 29 and 30: strengthened to increase administra
Page 31 and 32: RNTCP: Implementation status and ac
Page 33 and 34: Case detection through Quality Assu
Page 35 and 36: Establishment of accredited C&DST l
Page 37: tion wide roll out of these technol
Page 41 and 42: Procurement & Drug Logistics: Centr
Page 43 and 44: Decentralized procurement: As part
Page 45 and 46: Human Resource Development The ulti
Page 47 and 48: TCs are conducting these trainings
Page 49 and 50: Monitoring and Evaluation System: S
Page 51 and 52: Photo 1 - District TB Officer, Ranc
Page 53 and 54: Newer Initiatives Case Based Web Ba
Page 55 and 56: The PMDT services for quality diagn
Page 57 and 58: UNIT AID through Green Light Commit
Page 59 and 60: Indicator Upto Dec 2010 Upto Dec 20
Page 61 and 62: TB/HIV collaboration: Since the adv
Page 63 and 64: diagnosis of TB among PLHIV and pro
Page 65 and 66: Childhood Tuberculosis Background T
Page 67 and 68: Research Impact assessment : Estima
Page 69 and 70: Table 1. Year The RNTCP is based on
Page 71 and 72: in yield of sputum positive cases w
Page 73 and 74: Study title Source of Previous Trea
Page 75 and 76: develop a Framework rather than Gui
Page 77 and 78: Partnership The programme achieved
Page 79 and 80: microscopy centers, treatment obser
Page 81 and 82: Status of Medical college involveme
Page 83 and 84: is being implemented in 374 Distric
Page 85 and 86: (Community meeting of Axshya) a not
Page 87 and 88: children and teachers, review meeti
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estimated all type of the TB cases
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The second film (named Chaar Kahani
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Gujarat Jharkhand School Based IEC
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Tamil Nadu Punjab (Medical health c
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Initial RNTCP training on TB/HIV Ca
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Supervision, Monitoring, and Evalua
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S.No. 14. 15. 16. 17. Levels PHC le
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Supervision, Monitoring, and Evalua
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District Review of Drug management
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Success Stories Andaman & Nicobor I
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on mobile networks in Muzaffarpur d
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feeling better and re-joined his sc
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Madhya Pradesh: A family saved: Kha
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interest in RNTCP and a trained DOT
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to each of TB patient in the villag
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RNTCP Performance Table 1: TB Case
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RNTCP Performance Table 2: Notifica
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All New (incident) TB Case Notifica
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RNTCP Performance Table 4: Treatmen
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RNTCP Performance Annual Smear Posi
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RNTCP Performance Cure Rate of New
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State Andaman & Nicobar Andhra Prad
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Outcome of Smear Positive Retreatme
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Programme infrastructure,Staffing a
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State District Andaman & Nicobar An
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State District Performance of RNTCP
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State District Assam Dibrugarh Assa
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State District Bihar Rohtas Bihar S
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State District Delhi MNCH Chest Cli
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State District Haryana Bhiwani Hary
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State District Jharkhand Garhwa Jha
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State District Karnataka Mysore Kar
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State District Madhya Pradesh Mandl
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State District Maharashtra Malegoan
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State District Mizoram Aizawl * Miz
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State District Orissa Sambalpur Ori
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State District Rajasthan Jhalawar R
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State District Tamil Nadu Villupura
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State District Uttar Pradesh Kannau
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State District West Bengal Haora We
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S.No Name of the Culture & DST Labo
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State Andaman & Nicobar Andhra Prad
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Treatment Outcome of HIV positive T
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