REVISEDNATIONALTUBERCULOSISCONTROL分析.pptVIP

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME Facts about TB: One third of the worlds population is affected by TB Every year eight million people become sick with TB; of these 95 percent are in the developing world 26 percent of the avoidable adult deaths in the developing world are due to TB 40 percent of the worlds TB cases lives in WHOs South-East Asia region TB kills 2-3 million people each year; nearly 1 million deaths take place in South-East Asia TB causes more deaths than AIDS, malaria and diarrhoea combined TB kills more women than all cases of maternal mortality put together TB is the leading infectious killer of people living with HIV/AIDS More than 100,000 children die from TB every year Up to 50 million people are likely to be infected with drug-resistant TB. Reason for failure of National tuberculosis control programme Completion rate of treatment was 30% ?? Inadequate budgetary outlay ?? Shortage and irregular supply of anti-tuberculosis drugs ? Undue emphasis on x-ray diagnosis ? Poor quality of sputum microscopy ?? More emphasis on case detection rather then cure ? Poor organizational setup and support ?? Multiplicity of treatment regimes ?? Poor awareness of TB patients about the disease Non availability of trained staff Revised strategy: Augmentation of organizational support Increased budgetary outlay Use of sputum as a primary method of diagnosis Standardize treatment regimens Augmentation of the peripheral level supervision Ensuring a regular, uninterrupted supply of drugs up to the periphery health unit Emphasis on training, IEC, and Operational research “WHO” goals for 2005: To ensure that 70 per cent of TB cases?would be detected. 2. 85 per cent would be treated successfully PROGRAM REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME RNTCP-TARGET IN INDIA 2001- 430 million population in 190 districts were covered 2004- 800 million should be covered 2005- the whole country s