Revised National Tuberculosis Control Programme- RNTCP / National TB Control Programmes in India.

I. Introduction
• Tuberculosis is one of the major health problems in the developing counties.
• ‘World TB Day’ - ‘24th March’ every year.
TB Control Programmes
• Govt. of India launched NTP (National Tuberculosis Control Programme) in 1962 through
District TB Centers with BCG Vaccination and TB treatment.
II. GLOBAL Scenario.
• ‘WHO TB Report – 2020’, - incidence of ‘10 million’ people per year with TB worldwide.
TB is present in all countries and in all age groups.
• In 2021, World Health Organization (WHO) TB statistics for India - incidence 2.64 million
cases in India
• ‘193/ 100,000’ population per year.
• TB kills an estimated 4,80,000 Indians / year and
III. History –
• The TB picture - clear with the introduction of tuberculin testing in 1907- 08.
• The TB problem in India was first recognized by ‘All India Sanitary Conference’ in 1912.
• The anti-TB movement started by ‘TB Association of India’ in 1939.
• The Bhore Committee Report – Only 6,000 beds for about 2.5 million patients
• Mass BCG vaccination by WHO and UNICEF with low cost in 1951.
• National TB Program – NTP - in 1962
• In 1993, WHO declared ‘TB as a Global Emergency’ in developing countries,
• Govt. of India in 1993, began the Revised National Tuberculosis Control Programme
(RNTCP) In 2020, RNTCP was renamed as ‘National TB Elimination
Program (NTEP)’.
IV. Milestones - RNTCP
 1912- TB problem first recognized in India by ‘All India Sanitary Conference’.
 1939 - The anti-TB movement started by ‘ TB Association of India’.
 1962 – Govt. of India launched NTCP.
 1972 –Introduction of ‘Short Course Chemotherapy’ 1992 - NTP Review
 1993 - WHO declared ‘TB as Global Emergency’
- NTP renamed as RNTCP
 1993 - 1997 – RNTCP pilot project
 1997 – 2006 – RNTCP- Phase I
 2006 - 100% Nation-wide coverage of RNTCP.
 2006 – ‘STOP TB strategy’ by WHO
 2006 – 2011 – RNTCP - Phase II
 2007 – ‘DOTS Plus’
 2012 – 2017 – National Strategic Control Plan
 2017- 2025 - National Strategic Elimination Plan
 2020 - RNTCP renamed as NTEP.
V. Beginning of RNTCP
• In 1993, by renaming NTCP as RNTCP as a ‘pilot project’ (1993-1996) with ‘DOTS strategy’.
Major additions to the RNTCP,
• Establishment of a TB Unit
• Decentralization of TB services
• DOTS strategy introduction
• DOT providers
• Phased manner
• Formation of State and District TB Control Societies.
VI. Goals of RNTCP
1. To decrease the Mortality and Morbidity,
2. To cut down the chain of transmission by DOTS

VII. Objectives of RNTCP
i. Initial objectives:
ii. Later objectives:
1. To achieve 90% notification.
2. To achieve 90% success rate
VIII. Programme Indicators
IX. The Phases of RNTCP
RNTCP was launched in 1993, in a phased manner
 The Pilot Phase – (1993 – 1996)
 The Phase I – (1997 – 2006) / DOTS intensification phase
 The Phase II – (2006 - 2011) / Stop TB strategy Phase
 National Strategy Plan Phase - 2012 – 2017 – Control) and 2017 2025 – Elimination)
A. Pilot Phase – (1993 – 1996)
• As a pilot project,
Pilot Phase I,
Pilot Phase II and
Pilot Phase III
STRATEGIES
1. Passive Surveillance
2. Examination of Sputum.
3. X-ray of patients.
4. Tuberculin test ( MOUNTAX)
5. BCG vaccination
6. Freely supply of Ant TB drugs to TB clinics
7. TB training centre

Activities of RNTCP.
1. Inter-sectoral collaboration including Medical Colleges.
2. Supervision and Monitoring.
3. Expanding services to difficult areas.
4. IEC
5. TB-HIV co-ordination.
6. Drug Resistance Surveillance.
7. Operational research
8. . Others

Thank You.