Revised National Tuberculosis Control Programme (RNTCP)
was first implemented in Dibrugarh district of Assam
during the year 1998-99. After the successful implementation
in Dibrugarh district, RNTCP programme now covers
all the 23 district of Assam. Currently, there are
68 numbers of Tuberculosis Unit (TU) and 332 numbers
of Designated Microscopy Centres (DMC) to control
Tuberculosis in Assam. More than 5,000 DOT Centers
are running in the state for providing Directly Observed
Treatment Shortcourse(DOTS) to the TB patients.
The analysis of RNTCP indicators reveal that the programme
performance is showing upward trend. The total numbers
of patients initiated on treatment in the year 2005
were 23,435 which increased to 32,111 in the year
2006. The number has gone upto 36,766 in the year
2007. On the other hand, percentage of New Sputum
Smear Positive patients referred for treatment was
55% in the year 2005, it increased to 64% in the year
2006 and has gone upto 74% in the year 2007. Similarly,
the treatment success rate indicators of the last
three years have also gradually shown increasing trend
such as 80% (2005), 82%(2006) and 86%(2007).
Objective :
The basic objective of the RNTCP programme is to ensure
DOTS for all TB patients. The objective of the programme
is to achieve and maintain new case detection of at
least 70 percent TB cases in the population and cure
rate of at least 85 percent among newly detected infectious
(new sputum smear positive) cases..
The Joint Director(TB), Govt. of Assam holds the responsibility
for overall performance of the RNTCP as a State TB
Officer (STO) under the State TB Control Society (STCS)
Assam. The 23 Districts of the state have District
TB Officers (DTO) along with 64 numbers of Medical
Officers- (Tuberculosis). In addition, till date 1800
medical officers both Government and Non-Government
have undergone the training of RNTCP.
The State TB Control Society (STCS) has a contractual
Medical Officer (MO-STCS), a State Information, Education
& Communication Officer, a State Accountant along
with a Secretarial Assistant, a Data Entry Operator,
a Pharmacist and one driver.
All contractual posts are already filled-up which
are as follows - 69 Senior Treatment Supervisors (STS),
71 Senior TB Laboratory Supervisors (STLS), and 34
TB Health Visitors along with 80 Laboratory Technicians
to improve the program performance of the state. All
the DTCS are having one Data Entry Operators and Accountant-
Part time.
Activity Report:
The STO along with MO-STCS, IEC Officer and State
Accountant are regularly touring the districts to
improve the program performance. In the year 2007,
Internal Evaluation (IE) has conducted in eight districts
of the state. The State Review Meetings are held regularly
on each quarter to monitor and supervise the program
performance in the state. The state level training
cum workshops for concerned officers and staffs are
held as per program norms. The districts are also
giving training to the MO-PHI, MPW/MPWS & Community
DOT providers.
IEC activity is an ongoing process- the community
awareness meeting and patients provider interaction
meetings are regularly held as per program norms.
The community awareness activities such as IEC stalls,
radio advertisement, wall paintings, banners, hoardings,
posters are being carried out throughout the year.
It is to be mentioned that the World TB Day is celebrated
on March 24 every year in the state along with the
rest of the country when many special activities are
organized to spread the messages of TB.
The civil works of Intermediate Reference Laboratory
(IRL) is already completed except the construction
of Cold room & Incubator room which needs additional
fund of approximately 7.9 lacs. Functioning of IRL
will boost the RNTCP performance in the state. The
appointment of Microbiologist of IRL will be held
shortly.
On the other hand, State TB-HIV coordination committee
has been formed. All DTOs & i/c ICTCs sensitized
on TB-HIV in Dec.'07. DTOs are reporting suspected
cases to ICTC & vise-versa and the reporting will
be further streamlined in the coming quarters. The
TB/HIV coordinator will be appointed shortly.
The amount sanctioned by Govt. of India during 2006-07
was 4.30 crores & amount sanctioned during 2007-08
is 2.21 crores.
RNTCP performance indicators:
Important: Please give the performance for the last
4 quarters i.e. Oct.'06 to Sept.'07
Name
of
the
District (also
indicate
if it
is
notified
hilly or
tribal
district |
Total
number
of
patients
put on
treat-
ment * |
Annuali
-sed
total
case
detec-
tion
rate(per
lakh pop.)
|
No
of
new
smear
positive
cases
put on
treat-ment
* |
Annual-
ised
New smear positive
case
detection rate (per
lakh
pop) |
Cure
rate
for
cases
detected
in the
last 4
corres-
ponding
quarters |
Plan for
the next year |
Annual-
ized
NSP
case
detection
rate
(per lakh
pop) |
Cure rate
|
| Barpeta |
1539 |
85 |
785 |
43 |
82 |
53 |
85 |
| Bongaigaon |
1076 |
108 |
512 |
51 |
87 |
53 |
85 |
| Cachar |
1839 |
114 |
678 |
42 |
83 |
53 |
85 |
| Darrang |
1893 |
114 |
801 |
48 |
82 |
53 |
85 |
| Dhemaji |
678 |
110 |
333 |
54 |
78 |
60 |
85 |
| Dhubri |
2099 |
117 |
875 |
49 |
83 |
53 |
85 |
| Dibrugarh |
2392 |
185 |
1023 |
79 |
87 |
85 |
90 |
| Goalpara |
837 |
95 |
444 |
50 |
83 |
53 |
85 |
| Golaghat |
1172 |
113 |
580 |
56 |
82 |
60 |
85 |
| Hailakandi |
595 |
99 |
311 |
52 |
77 |
53 |
85 |
| Jorhat |
1315 |
119 |
616 |
56 |
80 |
60 |
85 |
| Karbi-Anglong |
1426 |
178 |
478 |
60 |
75 |
75 |
85 |
| Kamrup |
3441 |
123 |
1305 |
47 |
84 |
53 |
85 |
| Karimganj |
1047 |
96 |
467 |
43 |
85 |
53 |
87 |
| Kokrajhar |
1355 |
132 |
663 |
65 |
86 |
70 |
90 |
| Lakhimpur |
1094 |
105 |
568 |
55 |
86 |
60 |
90 |
| Morigaon |
993 |
116 |
453 |
53 |
85 |
60 |
60 |
| Nagoan |
2861 |
112 |
1408 |
55 |
86 |
60 |
90 |
| Nalbari |
1347 |
108 |
588 |
47 |
88 |
53 |
90 |
| N C Hills |
258 |
129 |
104 |
52 |
87 |
53 |
90 |
| Sivasagar |
1581 |
143 |
622 |
56 |
86 |
60 |
90 |
| Sonitpur |
2857 |
156 |
11615 |
65 |
91 |
65 |
95 |
| Tinsukia |
1964 |
158 |
875 |
70 |
87 |
75 |
90 |
| Total |
35659 |
122 |
26104 |
54 |
84 |
59.48 |
86.17 |
* Patients put on treatment under DOTS regimens only
are to be included.
Section B - List Priority areas at the State level
for achieving the objectives planned:
| Sl No |
Priority
areas |
Activity planned under
each priority area
|
| 1 |
IRL
|
To be functioning
from the 2nd Q08 onwards |
| |
| |
| 2 |
Supervision
& Monitoring |
a) IE to 8 more
district |
| b) Effective
supervision to poor performing districts by the
state staff |
| c) Involvement
of more DOT providers |
| 3 |
Intensive IEC
activities |
a) IEC training
for STS & Communication Facilitators |
| b) Decentralisation
of IEC activities by involving DOT Providers &
ASHA workers |
| c) Collaborate
with NRHM & other Health Programmes to enhance
the IEC activities |
| 4 |
Other Sector
involvement |
a) All TE &
Oil sector to be involved |
| b) All NGOs
working for Health related issues needs to be
involved |
| c) Private sector
involvement for the betterment of the programme |
| 5 |
TB-HIV Coordination
|
a) TB-HIV Coordinator
will be appointed |
| b) DTO, MOTC
& Staff to be trained |
| |
Priority Districts for Supervision and Monitoring
by State during the next year
| Sl No |
District |
Reason for inclusion in
priority list
|
| 1 |
Karbi Anglong
|
Low Performing |
| 2 |
Cachar |
Low performing |
| 3 |
Bongaigaon |
Good performing |
| 4 |
Karimganj |
Low performing |
| 5 |
Hailakandi |
Poor performing |
| 6 |
N.C.Hills |
Low performing |
| 7 |
Sonitpur |
Good performing |
| 8 |
Dibrugarh |
Good performing |
|
