Rntcp programme

The Revised National TB Control Programme (RNTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, was launched in 1997 expanded across the country in a phased manner with support from World Bank and other development partners.

1. RNTCP PRESENTED BY PAWAN SUBJECT :- COMMUNITY HEALTH NURSING - II B.SC NURSING

2. TUBERCULOSIS IS A CHRONIC INFECTION DIEASES IS CAUSED BY MYCOBACTERIUM TUBERCULOSIS WHICH WAS DISCOVERED BY ROBERT KOCH ALSO KNOWS AS KOCHS BACILLUS THE MOST COMMON ORGAN INVOLVED IS LUNGS (>80%) BUT IT CAN INVOLVE ANY ORGAN OF THE HUMAN BODY (EXCEPT – HAIR AND NAIL ). INTRODUCTION OF TUBERCULOSIS

3. CLASSIFICATION

4. 1962 – NATIONAL TB PROGRAMME (NTP) 1992- PROGRAMME REVIEW 1993 – RNTCP PIOLT BEGAN (MEANS START AS A SMALL PROJECT ) 1997 – RNTCP LARGE SCALE IMPLIMETATION (AS A BIG PROJECT ) 2002 – 700 MILLION POPULATION COVERED 2004 – >80% OF COUNTRY COVERED 2006 – ENTIRE COUNTRY COVERED BY RNTCP 2012-2019 – NATIONAL STRATEGIC PLAN ENHANCEMENT OF TB CONTROL PROGRAM

5. THE NATIONAL TB PROGRAMME (NTP) WAS STARTED IN 1962 FOR TB CONTROL IN INDIA THIS PROGRAMME WAS NOT ABLE TO GIVE EXPECTED RESULT IN INDIA THEN THE NTP WAS REVIEWED IN1992 NATIONAL TB PROGRAMME

6. EXAMINATION OF THE PATIENT EXAMINATION OF THE SPUTUM X-RAY OF THE PATIENT TUBERCULIN TEST ( MONTAX ) AND GIVING BCG VACCINE STRATEGY OF NTCP

7. NTCP UNABLE TO MAKE AN IMPROVEMENT THEREFORE IN1993, REVISED NATIONAL TB CONTROL PROGRAMME WAS LAUNCHED RNTCP AND DOTS STRATEGY WAS ADAPTED MEANS RNTCP WITH DOTS STRATEGY UNDER THE PROGRAMME DIAGNOSIS AND TREATMENT FACILITIES ARE PROVIDED FREE OF COST TO ALL TB PATIENT CONT….

8. THE GOAL OF RNTCP IS TO DECREASE IS THE MORTALITY AND MORBIDITY RATE DUE TO TUBERCULOSIS CUT DOWN THE CHAIN OF INFECTION GOAL OF RNTCP

9. TO REDUCE THE INCIDENCE OF MORTALITY DUE TO TB TO IMPROVE THE OUTCOME OF TB CARE IN THE PRIVATE SECTOR TO ACHIVE AND MAINTAIN A CASE DETECTION OF AT LEAST 70% OF NEW SPUTUM POSITIVE TB PATIENT OBJECTIVES OF RNTCP

10. TO ACHIVE THE CURE RATE OF NOTLESS THAN 85% THROUGH SHORT COURSE CHEMOTHERAPY TO DETECT MAXIMUM OF TB CASES AND TREATED EFFECTIVELY CONT….

11. NTCP (1962) RNTCP(1993) OBJECTIVE- EARLY DIAGNOSIS AND TREATMENT OBJECTIVE – BREAKING CHAIN OF TRANSMISSION TARGET – NOT DEFINED CARE RATE > 85% CASE FINDING > 70% DIAGNOSIS - ON X- RAY MAINLY SPUTUM MICROSCOPY DIFFERENCE BETWEEN NTP AND RNTP

12. IMMUNIZE WITH BCG AT BIRTH CASE FINDING BY INVESTIGATION , HISTORY AND CLINICAL SIGNS AND SYMPTOM CONVEY THE MESSAGE THAT TB IS CURABLE AND FREE TREATMENT FACILITY AVILABLE ROLE OF NURSE

13. HELP TO REMOVE FEARS ADVICING TO TAKE PROPER BALANCED DIET TO PROTECT FROM INFECTION SELECTION OF DOTS CENTERS DISTRIBUTION OF DRUGS BY DOTS TEAM IN THE DOT CENTERS CONT…

14. HEALTH EDUCATION REGARDING COUGH TEACH PROPER DISPOSAL OF SPUTUM TEACH GOOD PRACTICS LIKES – CLOSING THE MOUTH AND SPEAKING MAINTAING PHYSICAL DISTANCE TO AVOID SPREADING OF SALIVA TO OTHERS CONT…

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