Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges
India initiated National Tuberculosis Control Program (NTCP) in 1962. After reviewing NTCP and realizing its shortcomings, the Government of India evolved and adopted a revised strategy - the directly observed treatment short course (DOTS) - under Revised National Tuberculosis Control Program (RNTCP...
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Format: | Article |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Medical Journal of Dr. D.Y. Patil University |
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Online Access: | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=1;spage=5;epage=12;aulast=Khedkar |
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author | Devidas Trimbak Khedkar Udaykumar Bhaskar Chitnis Jitendra Shyamsundar Bhawalkar Megha Sunil Mamulwar |
author_facet | Devidas Trimbak Khedkar Udaykumar Bhaskar Chitnis Jitendra Shyamsundar Bhawalkar Megha Sunil Mamulwar |
author_sort | Devidas Trimbak Khedkar |
collection | DOAJ |
description | India initiated National Tuberculosis Control Program (NTCP) in 1962. After reviewing NTCP and realizing its shortcomings, the Government of India evolved and adopted a revised strategy - the directly observed treatment short course (DOTS) - under Revised National Tuberculosis Control Program (RNTCP) with the goal of reducing TB burden and the twin objective of 70% case detection and 85% cure rates. RNTCP was launched in 1993, in a phased manner to be evolved through pilot phase (1993-1996), DOTS intensification phase (1997-2006), Stop TB strategy (2007-2011), and currently the Universal Access or National Strategic Plan (2012-2017). RNTCP has been progressing successfully toward its goal and achieving its objectives since 2007. This addresses the Millennium Development Goal (MDG) and target to be achieved by 2015 and the Stop TB Partnership targets to be achieved by 2015 and by 2050. By 2011, the RNTCP has treated more than 14.2 million TB patients and saved 2.6 million additional lives using the DOTS strategy. The spread of human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), emergence of multidrug resistant TB (MDR-TB) and the unregulated and underutilized vast private sector using anti-TB regimes different from those under RNTCP pose additional challenges in the control of tuberculosis.
For this review, information has been collected from official websites of World Health Organisation (WHO) Geneva, WHO South East Asia Regional Office (SEARO) New Delhi, Ministry of Health and Family Welfare; Government of India and published literature, through search engines like Google, Google Scholar and Pub Med using MeSH Terms "DOTS" and "Tuberculosis Control." |
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format | Article |
id | doaj.art-0d055d5c18ed4d4bb7935d5443bfe041 |
institution | Directory Open Access Journal |
issn | 0975-2870 |
language | English |
last_indexed | 2024-12-10T15:25:43Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Medical Journal of Dr. D.Y. Patil University |
spelling | doaj.art-0d055d5c18ed4d4bb7935d5443bfe0412022-12-22T01:43:33ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702014-01-017151210.4103/0975-2870.122753Revised National Tuberculosis Control Program: Evolution, Achievements, and ChallengesDevidas Trimbak KhedkarUdaykumar Bhaskar ChitnisJitendra Shyamsundar BhawalkarMegha Sunil MamulwarIndia initiated National Tuberculosis Control Program (NTCP) in 1962. After reviewing NTCP and realizing its shortcomings, the Government of India evolved and adopted a revised strategy - the directly observed treatment short course (DOTS) - under Revised National Tuberculosis Control Program (RNTCP) with the goal of reducing TB burden and the twin objective of 70% case detection and 85% cure rates. RNTCP was launched in 1993, in a phased manner to be evolved through pilot phase (1993-1996), DOTS intensification phase (1997-2006), Stop TB strategy (2007-2011), and currently the Universal Access or National Strategic Plan (2012-2017). RNTCP has been progressing successfully toward its goal and achieving its objectives since 2007. This addresses the Millennium Development Goal (MDG) and target to be achieved by 2015 and the Stop TB Partnership targets to be achieved by 2015 and by 2050. By 2011, the RNTCP has treated more than 14.2 million TB patients and saved 2.6 million additional lives using the DOTS strategy. The spread of human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), emergence of multidrug resistant TB (MDR-TB) and the unregulated and underutilized vast private sector using anti-TB regimes different from those under RNTCP pose additional challenges in the control of tuberculosis. For this review, information has been collected from official websites of World Health Organisation (WHO) Geneva, WHO South East Asia Regional Office (SEARO) New Delhi, Ministry of Health and Family Welfare; Government of India and published literature, through search engines like Google, Google Scholar and Pub Med using MeSH Terms "DOTS" and "Tuberculosis Control."http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=1;spage=5;epage=12;aulast=KhedkarRevised National Tuberculosis Control Program (RNTCP)Directly Observed Treatment Short course (DOTS) StrategyStop TB StrategyUniversal AccessNational Strategic Plan (NSP)Multidrug Resistant Tuberculosis (MDR-TB) |
spellingShingle | Devidas Trimbak Khedkar Udaykumar Bhaskar Chitnis Jitendra Shyamsundar Bhawalkar Megha Sunil Mamulwar Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges Medical Journal of Dr. D.Y. Patil University Revised National Tuberculosis Control Program (RNTCP) Directly Observed Treatment Short course (DOTS) Strategy Stop TB Strategy Universal Access National Strategic Plan (NSP) Multidrug Resistant Tuberculosis (MDR-TB) |
title | Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges |
title_full | Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges |
title_fullStr | Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges |
title_full_unstemmed | Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges |
title_short | Revised National Tuberculosis Control Program: Evolution, Achievements, and Challenges |
title_sort | revised national tuberculosis control program evolution achievements and challenges |
topic | Revised National Tuberculosis Control Program (RNTCP) Directly Observed Treatment Short course (DOTS) Strategy Stop TB Strategy Universal Access National Strategic Plan (NSP) Multidrug Resistant Tuberculosis (MDR-TB) |
url | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=1;spage=5;epage=12;aulast=Khedkar |
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