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Revised National Tuberculosis Control Program (RNTCP) is the state-run tuberculosis (TB) control initiative of the Government of India. As per the National Strategic Plan 2012–17, the program has a vision of achieving a "TB free India", and aims to achieve Universal Access to TB control services. The program provides, various free of cost, quality tuberculosis diagnosis and treatment services across the country through the government health system. == History == India has had an ongoing National TB Program since 1962. In order to overcome these lacunae, the Government decided to give a new thrust to TB control activities by revitalising the NTP, with assistance from international agencies, in 1993. The Revised National TB Control Programme (RNTCP) thus formulated, adopted the in- ternationally recommended Directly Observed Treatment Short-course (DOTS) strategy, as the most systematic and cost-effective approach to revitalise the TB control programme in India. Political and administrative com- mitment, to ensure the provision of organised and com- prehensive TB control services was obtained. Adoption of smear microscopy for reliable and early diagnosis was introduced in a decentralized manner in the general health services. DOTS was adopted as a strategy for provision of treatment to increase the treatment comple- tion rates. Supply of drugs was also strengthened to pro- vide assured supply of drugs to meet the requirements of the system. Large-scale implementation of the RNTCP began in 1997 Expansion of the Programme was undertaken in a phased manner with rigid appraisals of the districts prior to starting service delivery. The initial 5-year project plan was to implement the RNTCP in 102 districts of the country and strengthen another 203 Short Course Chemotherapy (SCC) districts for introduction of the revised strategy at a later stage. The Government of India took up the massive chal- lenge of nationwide expansion of the RNTCP and cov- ering the whole country under RNTCP by the year 2005, and to reach the global targets for TB control on case detection and treatment success. The structural arrange- ments for funds transfer and to account for the resources deployed were developed and thus the formation of the State and District TB Control Societies was under- taken. The systems were further strengthened and the programme was scaled up for national coverage in 2005. This was followed up with RNTCP phase II, developed based on the lessons learnt from the implementation of the programme over a 12-year period. The design of the RNTCP II remained almost the same as that of RNTCP I but additional requirements of quality assured diagno- sis and treatment were built in through schemes to in- crease the participation of private sector providers and also inclusion of DOTS+ for MDR TB and also offer- ing treatment for XDR TB. Systematic research and evi- dence building to inform the programme for better de- sign was also included as an important component. The Advocacy, Communication and Social Mobilization were also addressed in the design. The challenges imposed by the structures under NRHM were also taken into account. India achieved country wide coverage under RNTCP in March 2006. The RNTCP was built on the infrastructure and systems built through the NTP. Major additions to the RNTCP, over and above the structures established under the NTP, was the establishment of a sub-district supervisory unit, known as a TB Unit, with dedicated RNTCP supervi- sors posted, and decentralization of both diagnostic and treatment services, with treatment given under the sup- port of DOT (directly observed treatment) providers. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Revised National Tuberculosis Control Program」の詳細全文を読む スポンサード リンク
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