REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

The Revised National Tuberculosis Control Program was launched in India in 1992. The focus of TB treatment shifted from the patient to the caregiver. Sputum microscopy became the Gold Standard of TB diagnosis and Directly Observed Treatment Shortcourse (DOTS) became an essential component of RNTCP. Mizoram implemented RNTCP in 2003 and Programmatic Management of Drug Resistant Tuberculosis (PMDT) erstwhile DOTS Plus in 2011.

The goal of RNTCP is to reduce the mortality and morbidity associated with TB until it ceases to be a public problem and to cut the chain of transmission. These goals are achieved by the following objectives:

  • To achieve and maintain Cure Rate of 85% among New Smear Positive patients.
  • To achieve and maintain a Case Detection Rate of at least 70% of the expected New Smear Positive pulmonary TB cases among the community.

In basic RNTCP services, diagnosis is made by Sputum Microscopy. In Mizoram there are a total of 34 places where sputum can be examined. For PMDT services, diagnosis is made by a molecular method known as Cartridge Based Nucleic Acid Amplification Test (CBNAAT) which is placed in DR-TB Centre, Falkawn. This type of test takes approximately 2 hours only. The then TB Hospital located in Zemabawk has now been shifted to DR-TB Centre, Falkawn. However, only MDR-TB and XDR-TB patients are admitted because domiciliary treatment has been found to be as effective as sanatorium treatment for other TB patients except these two.

Aizawl District – DTC Aizawl, Presbyterian Hospital (Durtlang) MC, Aibawk MC, Sialsuk MC, Lengpui MC, Thingsulthliah MC, Saitual TU, Darlawn TU, Sakawrdai MC, Suangpuilawn MC, Kulikawn Hospital TU leh Aizawl Hospital MC.
Mamit District – DTC Mamit, Kawrthah MC,W. Phaileng MC leh Marpara PHC.
Kolasib District – DTC Kolasib, Vairengte MC.
Serchhip District – DTC Serchhip, N.Vanlaiphai MC, Thenzawl MC
Lunglei District – DTC Lunglei, Hnahthial TU, Tlabung MC, Serkawn Hospital MC
Lawngtlai District – DTC Lawngtlai, Chawngte MC, Sangau MC.
Saiha District – DTC Saiha, Tuipang MC
Champhai District– DTC Champhai, Khawbung MC, Ngopa MC, Khawzawl MC

The different treatment regimens for Tuberculosis include the following categories:

  • Category I : For New cases.
  • Category II : For Previously Treated cases.
  • Category IV : For Multi Drug Resistant TB (MDR-TB) cases.
  • Category V : For Extensively Drug Resistant TB (XDR-TB) cases.

RNTCP offers a variety of honorarium to patients who have successfully completed treatment as well as to the voluntary DOT Providers who have diligently ensured that patients are taking regular treatment.

Provider

Amount

Cat-I

Rs1000/-

Cat-II

Rs1500/-

Cat-IV

Rs5000/- (IP-2000,CP-3000)

Beneficiary

Amount

Patients on completion of treatment

Rs 750/-

Travel cost of MDR-TB to DR-TB center(outside district)

Upto Rs 1000/-

Travel cost of MDR-TB to DR-TB center (within district)

Upto Rs 400/-

Injection Prick

Rs 25/injection

Volunteers for sputum transport

Rs 25/sputum

STATE PERFORMANCE 2003-2016

Year

New Sputum Positive registered

New Sputum Negative registered

New Extra Pulmonary registered

Total Case registered

NSP Case Detection Rate

Cured

Cure Percentage

No. Of Death

2003

520

484

374

1511

87%

-

2004

591

626

513

2035

98%

446

86%

-

2005

551

564

502

1937

87%

508

85.5%

15

2006

548

449

591

1913

86%

501

91%

48

2007

689

510

631

2173

96%

497

91%

53

2008

799

628

714

1776

104%

660

92%

59

2009

570

751

772

2538

77%

702

91%

66

2010

497

591

613

1701

62%

393

91%

68

2011

495

595

768

2300

61%

409

86%

79

2012

566

570

803

2337

68%

435

88%

72

2013

711/497

337

807

2005

59.5%

500

89%

73

2014

738/511

358

759

1993

59.5%

449

90%

74

2015

765/518

465

767

2088

59%

427

84%

38

2016

557

421

780

2148

63%

456

88%

29