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Revised National TB Control programme

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New Delhi: As per the Global TB Report 2015, the targets for Millennium Development Goals (MDGs) for India has been achieved.The Ministry has targeted 2025 for the elimination of TB. As per the Global TB Report 2017, the incidence of TB has reduced from 217 per lakh per year in 2015 to 211 per lakh per year in 2016 and mortality has reduced from 36 per lakh per year in 2015 to 32 per lakh per year in 2016.

The details of funds allocated and utilized under the Program, (State/UT wise) during the last three years and current year (till 30/11/2017) is given below:

Revised National TB Control Programme

State wise Allocation and Utilization (Cash & Kind)

(Rs. In lakhs)
 
Sl.
No.
Name of the State / UT
2014-15
2015-16
2016-17
2017-2018 (till 30.11.2017)
Allocation
Utilization
Allocation
Utilization
Allocation
Utilization
Allocation
Utilization
1
Andhra Pradesh
2861.96
2308.49
2200.34
2002.85
2194.68
2043.35
2514.13
1982.48
2
Andaman & Nicobar
87.15
88.34
90.90
110.86
90.90
110.48
100.02
57.73
3
Arunachal Pradesh
565.36
580.95
552.32
585.22
564.48
644.34
532.69
343.94
4
Assam
4303.74
1549.79
2527.13
2622.95
2776.33
2897.69
2686.39
1244.12
5
Bihar
4094.59
2589.91
2963.81
2757.19
2962.00
2268.8
3414.67
2398.39
6
Chandigarh
154.54
140.70
156.14
144.07
156.14
148.01
171.40
188.98
7
Chattisgarh
1440.6
1540.53
1401.08
1587.32
1398.15
2169.45
1603.87
1253.66
8
D & N Haveli
68.05
50.68
72.03
67.59
72.03
62.65
79.20
66.47
9
Daman & Diu
43.47
21.77
45.98
43.21
45.98
39.28
50.53
42.75
10
Delhi
1820.02
1350.22
1705.12
1605.19
1018.43
1694.01
2968.43
2292.23
11
Goa
116.34
104.74
127.78
105.25
127.61
121.87
146.78
113.21
12
Gujarat
4857.52
4698.01
3298.04
5056.34
3282.10
5100.79
3732.47
2612.70
13
Haryana
1292.26
1419.57
1207.93
1093.27
1204.96
1206.81
1380.86
1086.47
14
Himachal Pradesh
581.22
515.31
837.57
834.98
833.82
974.19
949.33
583.13
15
Jammu & Kashmir
943.43
552.05
1038.26
892.45
1036.78
700.61
1192.09
917.06
16
Jharkhand
1783.56
1583.85
1512.16
1302.31
1511.23
1366.24
1742.07
67.98
17
Karnataka
3195.23
2683.65
3186.19
3591.43
3177.65
4006.63
3638.79
2875.87
18
Kerala
1440.91
1253.73
1395.33
1056.88
1393.01
1082.1
1600.44
1237.91
19
Lakshadweep
35.39
8.33
37.95
27.31
37.95
24.22
41.85
35.46
20
Madhya Pradesh
3081.84
3893.81
2880.71
3287.48
2878.14
3089.98
3314.81
2521.87
21
Maharashtra
6657.74
9695.28
8085.75
8058.82
8059.40
8143.71
9215.12
6733.37
22
Manipur
657.22
398.06
524.57
398.77
548.31
485.79
520.94
20.51
23
Meghalaya
550.67
457.57
427.62
441.28
453.95
523.35
433.80
226.31
24
Mizoram
414.39
385.20
392.75
341.42
402.29
452.72
379.25
242.88

 

25 Nagaland 596.41 364.14 460.49 445.42 477.38 520.47 452.13 271.21
26 Orissa 2141.81 1856.30 1991.54 2053.24 1986.79 2524.08 2276.98 1790.30
27 Puducherry 183.56 172.27 187.88 163.47 110.57 206.31 225.57 208.77
28 Punjab 1207.19 1511.48 1273.22 1135.85 1270.01 1028.68 1455.13 1145.71
29 Rajasthan 3653.38 3375.79 2792.23 2741.05 2781.23 2842.78 3172.06 2558.18
30 Sikkim 242.98 428.77 426.92 442.29 474.88 511.46 461.48 156.38
31 Tamilnadu 3131.84 3850.35 3367.31 4028.96 3353.00 4191.06 3820.34 2902.65
32 Tripura 583.71 172.88 290.20 259.18 300.38 322.72 284.32 190.39
33 Uttar Pradesh 7631.54 10785.86 7350.90 11610.11 7337.90 13863.35 8432.42 4676.26
34 Uttrakhand 661.14 852.15 651.62 930.21 650.44 707.86 746.93 530.50
35 West Bengal 3834.82 3253.00 3187.70 3513.61 3183.10 4128.96 3659.55 1991.23
36 Telangana 2045.38 814.87 1672.53 2462.18 1667.00 2040.75 1905.16 1526.60
Total 66960.96 65308.40 60320.00 67800.01 59819.00 72245.55 69302.00 47093.66  

Under RNTCP, Drug Resistant TB (DRTB) activities are being undertaken to manage DRTB effectively. These activities are as under:-

  • Nationwide Drug Resistance Survey was completed in 2015-16.
  • For DRTB diagnosis, 628 CBNAAT machines have been installed so far and additional 500 machines are being planned.
  • Universal Drug Susceptibility Testing (UDST) has been initiated in 19 States and soon it will be expanded to rest of the States.
  •  Regional Programmatic management of drug resistant tuberculosis (PMDT) review activitiesare being planned where in the States are reviewed in depth on the DRTB activities and their implementation status.
  • The PMDT guidelines have been updated with respect to the End TB strategy in 2017.
  • States are being monitored for their CBNAAT utilization and reaching towards UDST.
  • Newer drugs like bedaquiline has been introduced in 5 States and preparatory activities are being undertaken to expand it further.
  • Expansion of DRTB services and management upto the district/ sub district level through district DRTB centres.
  • All DRTB centres are infection control compliant.
  • Patients are being counselled on the cough etiquette.

In addition to the existing strategies under RNTCP, the NSP focusses on:

  • early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens.
  • suitable patient support systems to promote adherence.
  • engaging with the patients seeking care in the private sector.
  • prevention strategies including active case finding
  • contact tracing in high risk / vulnerable  population.
  • airborne infection control and
  • Multi-sectoral response for addressing social determinants.

The Minister of State (Health and Family Welfare), ShAshwini Kumar Choubey stated this in a written reply in the LokSabha here today.

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