National
Tuberculosis
Control
Programme
Objectives:-
The objectives of NTCP are as follows:
1) To deal with the problem of tuberculosis
through integrated heal...
In 1992 Govt. of India along with WHO & SIDA
received the TB situation in the country & came up
with following conclusio...
Objectives:
The objectives of RNTCP are:
Achievement of at least 85% cure rate of
infectious cases of tuberculosis; th...
ORGANIZATION:-
The profile of RNTCP in a state is as follows:
State Tuberculosis Office State Tuberculosis Officer
Stat...
By the end of 1998, only 2% of total population
of India was covered by RNTCP. Large scale
implementation began in late ...
DOT THERAPY
 Direct Observed Treatment is WHO recommended
strategy emphasizes for global T.B. control.
This strategy ...
BENEFITS:-
Dots more than doubles the accuracy of TB
diagnosis.
Dots results in success rates upto 95%.
Dots prevent t...
Contd…
Dots improve the quality of care and
overcomes stigma.
Dots prevents treatment failure and the
emergence of MDR...
Treatment under DOTS:-
The WHO recommended treatment regimen for
DOTS short course chemotherapy. It is divided into
two...
Category of
Treatment Type of Patient
Regimen
Categry-1
New sputum smear positive.
Seriously ill sputum smear
negati...
ROLE OF NURSE IN CARE OF T.B. PATIENT
Tuberculosis is a social problem. A T.B.
patient and family are very sensitive and...
• Motivate the patient to take regular treatment,
when the patient defaults in taking drugs, a visit
must be paid and re...
Contact Examination:-
• All household contact must be advised for
screening for exposure by the X-ray chest, sputum
tes...
BIBLIOGRAPHY:-
1. Park.K, “Parks Text Book of preventive and social
medicine”, 22nd edition,Banarsidas bganot
Publisher...
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
National tuberculosis control programme
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National tuberculosis control programme

National tuberculosis control programme
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - National tuberculosis control programme

  • 1. National Tuberculosis Control Programme
  • 2. Objectives:- The objectives of NTCP are as follows: 1) To deal with the problem of tuberculosis through integrated health services. 2) To give priority to the reduction of pool of infection, to case detection, treatment of cases and drug distribution. 3) To give BCG vaccination to susceptible.
  • 3. In 1992 Govt. of India along with WHO & SIDA received the TB situation in the country & came up with following conclusions: NTP though technically sound, suffered from managerial weakness. Inadequate funding. Over reliance on X-ray for diagnosis. Frequent interrupted supply of drugs. Low rate of treatment completion.
  • 4. Objectives: The objectives of RNTCP are: Achievement of at least 85% cure rate of infectious cases of tuberculosis; though DOTS involving peripheral health functionaries. Augmentation of case finding activities through quality sputum microscopy to detect at least 70% of estimated cases.
  • 5. ORGANIZATION:- The profile of RNTCP in a state is as follows: State Tuberculosis Office State Tuberculosis Officer State Tuberculosis Training Director & Demonstration Centre District Tuberculosis Centre District Tuberculosis Officer Tuberculosis Unit Medical Officer- TB Control Senior Treatment Supervisor Senior TB laboratory supervisor
  • 6. By the end of 1998, only 2% of total population of India was covered by RNTCP. Large scale implementation began in late 1998. The RNTCP has rapidly over the years and since March 2006, it covers the whole country. DOTS strategy adopted by Revised National TB Control Programme.
  • 7. DOT THERAPY  Direct Observed Treatment is WHO recommended strategy emphasizes for global T.B. control. This strategy emphasizes adequate and efficient diagnosis and treatment. It means short course chemotherapy given under direct observation to at least all identified smear positive T.B. cases. Globally the DOT strategy has been recognized as the best approach to achieve a decrease in the disease burden and a reduction in the spread of infection.
  • 8. BENEFITS:- Dots more than doubles the accuracy of TB diagnosis. Dots results in success rates upto 95%. Dots prevent the spread of tuberculosis bacilli, thus reducing the incidence and prevalence of TB. Dots helps in alleviating poverty by saving lives, reducing the duration of illness and presenting new infectious case.
  • 9. Contd… Dots improve the quality of care and overcomes stigma. Dots prevents treatment failure and the emergence of MDR-TB by ensuring patient adherence and an un interrupted supply of Anti-TB drug. Dots lends credence to TB control efforts. Dots provides a model for strengthening health services.
  • 10. Treatment under DOTS:- The WHO recommended treatment regimen for DOTS short course chemotherapy. It is divided into two phases the intensive and continuation phase.  In intensive phase(2-3 months), each dose given thrice a week is administered under direct observation.  In the continuation phase(4-5 months), at least one of thrice a week doses is administered under direct observation. The actual treatment regimen and duration depend on the category of treatment of patient.
  • 11. Category of Treatment Type of Patient Regimen Categry-1 New sputum smear positive. Seriously ill sputum smear negative Seriously ill extrapulmonary 2(HRZES)3 4(HR)3 Category-2 Previously treated Sputum smear +ve relapse Sputum smear –ve failure Sputum smear+ve treated After default 2(HRZES)3/ 1(HRZE)3/ 5(HRE)3 Category-3 New sputum smear –ve not seriously ill extrapulmonary Not seriously ill. 2(HRZ)3/ 4(HR)3
  • 12. ROLE OF NURSE IN CARE OF T.B. PATIENT Tuberculosis is a social problem. A T.B. patient and family are very sensitive and do not wish their neighbours to know about the presence of T.B. in the family. T.B. is a chronic long lasting disease, hence most of the cases are treated at home. A nurse must keep in mind the principles of home visiting and priortising the case selection and care of the patient at home.
  • 13. • Motivate the patient to take regular treatment, when the patient defaults in taking drugs, a visit must be paid and repeated till the patient becomes regular • In case of newly diagnosed patients, visit the home for initial motivation, instituting procedures designed to care for the patient and to prevent the spread of infection. • Frequent visit to the patients to ensure the proper disposal of sputum and precautions regarding protection of other members.
  • 14. Contact Examination:- • All household contact must be advised for screening for exposure by the X-ray chest, sputum test and Mantaux test. • If the members do not show any infection, they can be given BCG and those who show early sign of infection, may be treated by small dose of Isoniazid(INH) and thiacetazone etc.
  • 15. BIBLIOGRAPHY:- 1. Park.K, “Parks Text Book of preventive and social medicine”, 22nd edition,Banarsidas bganot Publishers,(M.p.) India, Pp-394-400 2. Gulani K.K , “Community Health Nursing”, 2nd edition,Kumar Publishing Home,Delhi,Pp-673-683. 3. Swarnkar Keshab , “Community Health Nursing, 2nd edtion, N.R. Publishers, Pp-612-615. 4. www.tbcindia.com

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