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RNTCP Annual Report 2012 - TBC India

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P. K. PRADHAN<br />

Secratary<br />

Department of Health & FW<br />

Tel: 23061863 Fax 23061252<br />

e-mailL: secyhfw@nic.in<br />

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Government of <strong>India</strong><br />

Ministry of Health & Family Welfare<br />

Nirman Bhavan, New Delhi-110108<br />

<strong>India</strong> has the highest burden of Tuberculosis in the world with over two million incident cases amounting to<br />

more than fifth of global burden. Tuberculosis has been known to have devastating effects on the socioeconomic<br />

development especially in the developing countries due to its association with dreaded disease like HIV/AIDS and<br />

malnutrition in the poorest of the poor. Drug resistance, diabetes, smoking and other associated factors complicate TB<br />

scenario further making it difficult to control tuberculosis.<br />

Having treated 14.2 million TB cases, saving additional 2.6 million lives, Revised National Tuberculosis Control<br />

Programme has moved beyond the objectives of 70% case detection rate and 85% cure rate in new smear positive<br />

patients and has set new objective of 'Universal access to TB Care'.<br />

After achieving complete nationwide coverage for implementation of DOTS in 2006, TB-HIV intensified<br />

package, for management of TB-HIV co infected cases, has been made available to total population across the country<br />

2011.<br />

While, key focus of the programme is to prevent the emergence of drug resistance by provision of quality<br />

DOTS services, the management of Multi Drug Resistant-TB (MDR-TB) patients is now an integral component of<br />

<strong>RNTCP</strong>. 37 Culture and DST laboratories have been accredited nationwide to provide quality diagnostic services for<br />

drug resistant TB cases. All 35 States/UTs have introduced Programatic Management of Drug-resistant TB Services<br />

(PMDT) services in some districts with variable access and are being scaled up to achieve complete geographical<br />

coverage by end of <strong>2012</strong>.<br />

Dramatic growth in information communication technology allows unprecedented opportunities to ensure<br />

that TB cases are promptly diagnosed and optimally treated. This opportunity builds upon an existing strength of the<br />

Programme in rigorous data collection and analysis, a spectrum of ongoing activities. Case based web enabled system<br />

for recording and reporting of the TB case is being developed to enable better surveillance and tracking of TB cases.<br />

Rational use of anti-TB drugs by every health care provider needs to be ensured. This responsibility when<br />

exercised properly will prevent development of drug resistant Tuberculosis and will accelerate TB Control. The Govt<br />

of <strong>India</strong> is committed for providing requisite resources for fighting both stigma and disease due to TB.<br />

National Rural Health Mission<br />

P. K. Pradhan

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