, drugs are provided under direct observation and the patients are monitored to facilitate adherence to and completion of treatment.
The current RNTCP
regimens in India are highly effective in the management of tuberculosis patients without HIV infection.
Lastly, efforts should be made to improve the quality of TB care in the private sector through better coordination between the RNTCP
and the private sector (22).
A prospective field trial was initiated at the Tuberculosis Research Centre (TRC), Chennai, Tamil Nadu, using the RNTCP
management guidelines and STR for MDR-TB cases to test their feasibility and effectiveness.
has defined its objective as: "to achieve and maintain cure rate of at least 85 per cent in new sputum positive pulmonary TB patients and to achieve and maintain detection of at least 70 per cent of such cases" (3).
Over 400 healthcare workers across the country have contracted the disease since the inception of the RNTCP
Furthermore, even with the challenges of India's diverse and massive population, the RNTCP
was able to achieve the TB targets of 70 per cent case detection and 85 per cent treatment success rates in 2007 (24,25).
integrates the principles of directly observed treatment-shortcourse (DOTS), which is the international TB control strategy of the World Health Organization.
In India, the Revised National TB Control Programme (RNTCP
) had been recognized for the fastest expansion of DOTS in the world, with over 55-fold expansion in RNTCP
coverage since 1998, leading to total coverage of the country in March 2006 (5).
National Strategic plan (NSP) for control of Tuberculosis during 2012-17 gives the thrust areas and strategies for RNTCP
They were coded and read by technicians as per RNTCP
The smears were graded using 100 x oil immersion objective as per RNTCP
guidelines (1): Scanty = 1- 9 AFB in 100 oil immersion fields (field); 1 + = 10 - 99 AFB in 100 fields; 2+ = 1 to 9 AFB per field in at least 50 fields; 3+ = 10 or more AFB per field in at least 20 fields; Neg = no AFB in 100 fields.