Maharashtra
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REVISED NATIONAL TUBERCULOSIS.
CONTROL PROGRAMME (NTCP)
National Tuberculosis
Control Programme is implemented in the State since 1962. The programme is
monitored by the Deputy Director of Health Services (T.B.,B.C.G.) located at
Mumbai.
The District Tuberculosis Centre (DTC) is the
basic unit of the control programme. There are 29 D.T.C.s and 1995 Peripheral
Health Institutions (PHI) in the State.
These Centres are performing following
activities.
- Case finding.
- Early and regular treatment.
- Case holding.
- Management.
- Recording and Reporting.
The above activities are carried out
by integration with general Health Services in Rural and Urban areas. There is
facility of Indoor admission for complicated cases, for which 20 bedded wards
are available at every DTC. In addition, there are 7 T.B. Hospitals / Sanatoria.
There is one Tuberculosis Control and Training Centre at Nagpur, for training
the peripheral staff.
The RNTCP is implemented in the State as per
the guidelines of Govt. of India since 1998-99.
Objectives
- To cure 85% newly detected sputum positive cases through Directly Observes
Treatment Short course chemo therapy (DOTS)
- To detect at least 70%of estimated sputum cases
Strategy
- To Use sputum microscopy for diagnosis.
- To use Standardized treatment regimen under DOTS.
- To strengthen peripheral supervision through Sub-District Units.
- To ensure regular drug supply.
- To strengthen State level infrastructure.
- To give priority for training, IEC, Operational Research and NGO involvement.
To implement this programme effectively, "Maharashtra State
T.B. Society" has been formed and registered in 1998.
The Phasewise coverage of districts is as follows:
PHASE - I: 1998-99 The districts included are Raigad, Pune and Mumbai, Pimpri
Chinchwad
and Pune Municipal Corporations. This area covers 208.29 lakh population.
PHASE -II: Phase II includes 7 districts namely Thane, Nasik, Ahmednagar, Aurangabad, Sangli, Satara and Kolhapur. The 8 Corporations are Thane, Nasik, Aurangabad, Sangli, Kolhapur, New Mumbai, Kalyan-Dombivali and Ulhasnagar. The population covered is 262,63
lakhs.
PHASE - III: The districts included in Phase III i.e. 3rd year of the project are Ratnagiri, Sindhudurga, Jalna, Osmanabad, Latur, Solapur, Dhule-Nandurbar, and Beed. The
Corporation included is Solapur.
PHASE -IV: ln the Phase 4, remaining 14 districts namely Akola,
Amravati, Bhandara, Gondia, Chandrapur, Gadchiroli, Nagpur, Nanded, Wardha,
Yavatmal, Washim, Parbhani, Buldhana, & Hingoli will be covered. The Corporations included are Nanded, Nagpur, & Amravati. The
population coverage will be 262.7 lakhs.
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