Recording and reporting
should be followed as per policies of RNTCP in close co-ordination
with the local RNTCP programme managers. There should be systematic
monitoring of and accountability for the outcome of all patients
begun on treatment, whether or not they are treated under the RNTCP.
Standardized outcome measures, using follow up sputum smears, should
be used to evaluate and improve performance of health facilities.
Data collected should be analyzed with a view to continuously improve
upon services rendered. The facility must be open to monitoring
by RNTCP staff.
to apprise the faculty in the policies and principles of RNTCP should
To ensure greater
awareness, good results and uniformity, technical guidelines and
other RNTCP related literature prepared by the CTD should be widely
displayed in college libraries, Chest medicine including PSM departments.
Greater use of information
technology including e-mails for transmission of data, communication
etc. Medical colleges should have a computer and internet access,
as should all DTCs, in order to facilitate information flow.
Incorporating RNTCP into Medical College curriculum:
The scientific basis,
background, and current status of the programme should be introduced
in the curriculum of medical students at all stages: undergraduate,
internship and post-graduate training through the MCI. This should
be in pharmacology, microbiology, internal medicine, chest, pediatrics,
PSM departments as well as others. At the end of the course, each
graduating student should be able to identify, diagnose, and treat
a patient as per RNTCP principles and guidelines.
Chapters as well
as articles on TB and its control should occupy an important status
in the curriculum. Questions on TB with specific reference to RNTCP
may be frequently asked during examinations to focus attention on
the subject. TB control and RNTCP related topics should be considered
as priority research areas for preparation of dissertations.
Areas which medical
college students should be fully informed include, for example,
magnitude of the problem, case definitions, diagnostic algorithm,
rationale and scientific evidence for intermittent treatment, treatment
regimens and categorization, recording and reporting, field visits,
supervision, and quarterly reports. Additional desirable areas include
HIV-associated TB, childhood TB, complications of TB, social aspects
of TB, and MDR-TB particularly the prevention thereof.