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National PMDT Scale-up Plan - India - 2011-12 - TBC India

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<strong>National</strong> <strong>Scale</strong> <strong>up</strong> <strong>Plan</strong> for Programmatic Management of DR TB <strong>2011</strong> - 20<strong>12</strong><br />

The states of Uttar Pradesh, Bihar, Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Rajasthan,<br />

Gujarat, Haryana, Orissa, Punjab and West Bengal have planned DOTS Plus Sites less than their<br />

eligibility based on population norm and hence their plans are expected to evolve over time to meet<br />

this programme guideline.<br />

At the same time, the states of Delhi, Meghalaya, Arunachal Pradesh, Himachal Pradesh, Manipur,<br />

Jammu & Kashmir and Uttarakhand have planned DOTS Plus Sites more than their eligibility based on<br />

population norm; with access difficulties in the North-East and hilly states, additional sites may be<br />

indicated.<br />

8.10. Estimate of <strong>National</strong> Training needs:<br />

The national scale <strong>up</strong> plan will pose a huge demand on the national training activities as seen in the<br />

figure below:<br />

Figure 11: Demand for <strong>National</strong> DOTS Plus Training to meet the scale <strong>up</strong> plan<br />

CTD has worked out the following strategy to meet these demands:<br />

� Developed 4 th <strong>National</strong> <strong>PMDT</strong> Training Centre at Trivandrum, Kerala in Dec ‘10<br />

� Training batches arranged @ 2 per month with batch size ~ 40 (240 trainees / quarter)<br />

� Apart from CTD and <strong>National</strong> Institutes, trainers from experienced states (DP Site Committee,<br />

STDC, and WHO Consultants) identified as national facilitators.<br />

� Developed annual training calendar and monitor progress<br />

<strong>PMDT</strong> training has sharply accelerated. From December 2010 – May <strong>2011</strong>, 9 national training batches<br />

have been arranged where ~ 360 key staffs were trained. The state teams and phase 1 districts of all<br />

remaining preparatory states were trained <strong>up</strong> to Feb ’10, giving each state a decent 10 months time to<br />

roll out services in <strong>2011</strong> as per the RNTCP vision.<br />

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