District
TB Control Society Patiala
PROFILE
Tuberculosis (TB) is an infectious
disease caused by Mycobacterium
tuberculosis. It is spread through
the air by a person suffering from
pulmonary TB. A single Sputum +ive
Patient can infect 10-15 people in a
year if not treated. India contribute
1/3rd global burden of TB and TB has
been declared a Global Emergency.
In India there are 14 million TB
patients, 2 million new TB patients
are added every year of which 1
million are of infectious type.
More
adults die from TB than from any
other infectious disease in India,
more than 1000 every day and 1 every
minute. TB kills women more than all
causes of maternal mortality combined
and every year in India 300000
children leave school on account of
their parents TB. TB is the most
common opportunistic disease in
people living with HIV.
TB is major
barrier to economic development
costing India Rs. 12,000 crore a
year. RNTCP has covered almost whole
of the country’s population. It
has saved about 5 Lac lives in India
since its implementation.
Directly Observed Treatment, Short
course (DOTS) is a comprehensive and
cost effective strategy for TB
control. This strategy has proven
effective in controlling TB on a mass
basis.
In Punjab pilot project was
launched in 2001 in district Patiala
on World TB Day ie. March 24th 2001.
RNTCP is being implemented through
Distt. TB Control Society. Investigations
like Sputum Examination is done free
of cost at all the Microscopy
Centres(MC). Any Chest
Symptomatic case having cough more
then 3 weeks is referred for sputum
examination to nearest MC. Each MC
covers a population of 1lakh. To a TB
Patient full course of medicines
under DOTS is given free of cost.
Medicines are given by the DOTS
provider under his/her direct
observation on every alternate day in
the DOT center nearby to the
residence of the patient. Complete
record of the patient’s
treatment is kept for further
quarterly analysis.
In Patiala there are 18 Microscopy
Centres, 4 TB Units & 889 DOTS
centres. Almost all Medical Officers,
659 DOTS Providers, 46 Lab.
Technicians and contractual staff
under RNTCP which includes one MO,
STS, STLS, LT & DEO have been
imparted training. In August 2002 a
seminar was held in Govt. Rajindra
Hospital Patiala in which Private
Practitioners of IMA were Involved
and in Oct,2002 a CME was held
involving faculty of Govt. Medical
College Patiala. In May2005 a
conference of RNTCP was held in Govt.
Medical College Patiala in which
faculty of Medical Colleges of
Punjab, DTO’s, MOTC’s were
the participants. Since August 2005
TB Awareness camps are being held in
Distt. Patiala particularly in SLUM
Areas.
During 2005 total of 952 DOTS
centers (Urban - 825 & Rural -
127) are involved in RNTCP where
Anganwari workers Private
Practitioners and paramedical staff
is acting as DOTS Provider for TB
Patients. IMA, Ayurvedic and
Homeopathic doctors and NIMA
(National Integrated Medical
Association) have also been involved
in RNTCP. Involvement of PP in RNTCP
is very important because nearly half
of the TB cases consult them .
Various Schemes
for PP’s
- Scheme 1 - Referral Services
of Chest Symptomatic
- Scheme 2 - Provision of DOTS
by PP
- Scheme 3a - Designated paid
MC – microscopy only
(Charge for services)
- Scheme 3b - Designated paid
MC – Microscopy &
treatment (Charge for both)
- Scheme 4a - Designated MC
– microscopy only
- Scheme 4b - Designated MC
– Microscopy &
treatment
GOAL of RNTCP:-
- Cure at least 85% of the
registered New Sputum
Positive Cases
- Detect at least 70% of the
estimated New Sputum Positive
cases existing in the
community (67-95 cases per
lac/year)
| S No |
Indicators |
Expected Value/Range |
| 1 |
Chest Symptomatic among
Total Adult OPD |
2%-3% |
| 2 |
Positive cases to be
found in chest symptomatic
cases examined |
8%-12% |
| 3 |
Annualized Total Case
Detection Rate(ACDR) |
180–257
cases/Lac/Year |
| 4 |
Annualized New Sputum
Positive Case Detection Rate |
67–95 cases/Lac/year |
| 5 |
Conversion rate of New
Sputum Positive Cases at 3
months |
>90% |
| 6 |
Cure Rate Among New
Sputum Positive Cases |
>85% |
| 7 |
Death Rate among NSP
Cases |
<4% |
| 8 |
Default rate |
<5% |
| 8 |
Failure Rate among NSP
Cases |
<4% |
Progress
of RNTCP – Distt. Patiala
| Year |
Cases put on DOTS |
ACDR |
| 2001 |
636 |
46/Lac |
| 2002 |
1377 |
75/Lac |
| 2003 |
2381 |
128/Lac |
| 2004 |
2601 |
137/Lac |
| 2005 |
3009 |
153/Lac |
No poor TB patient should be
denied the benefit of free diagnosis
and free treatment services under
RNTCP.
Let us all put our efforts to
fight against this dreaded disease
and make INDIA TB free
District
Tuberculosis Control Society, Patiala
| 1 |
Name of the District |
Patiala |
| 2 |
Population (extrapolated)
as of 1.1.2006 |
App. 19,76590 |
| 3 |
Date of start of service
delivery |
24.03.2001 |
| 4 |
Name of the DTO &
Posted Since |
Dr. Bhupinder Singh
August 2002 |
| 5 |
Trained in RNTCP Y/N |
Yes, State Level Training |
| 6 |
Name of the CMO |
Dr. VS Mohi |
| 7 |
Contact details &
posted since when |
August , 2005,
Resi:- Residence Medical
College Patiala.
Ph- 0175-2351594 (O)
Mob. 98147-00002 |
| 8 |
Name of the Collector |
Sh. Tejveer Singh, I.A.S. |
| 9 |
Contact details &
posted since when |
4/2002
Resi:- DC House,
opp. Leela Bhawan
Market,Patiala
Ph. 0175-2367070(O),
0175-2212101(R),
Mob. 98141-29893 |
| 10 |
Name of the Consultant
|
Dr. K.P.Singh |
| 11 |
Date of Posting In the
district |
June, 2002 |
| 12 |
Number of TUs
(public/private) |
Four (Govt. Public) |
| 13 |
Number of MCs
(public/private) |
18(Govt. Public) |
| 14 |
M.O. RNTCP Govt. Medical
College |
One, since Jan,2004 |
| 15 |
No. of
STS/STLS(contractual/regular) |
STS- 4} Contractual
STLS-5} |
| 16 |
No. of LT’s
(contractual/regular/private) |
46 Regular
6 Contractual |
| 17 |
TBHV’s appointed
(1/1.5 urban population Y/N |
Yes (regular employees of
State Govt. & one
contractual) |
| 18 |
Data Entry Operator |
One |
| 19 |
Any vacancies |
TBHV - Two |