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The colleges should participate in identifying problems and helping in improving implementation of the programme. Possible areas for involvement are:

Development of model areas for RNTCP implementation
Patient satisfaction
Drug resistance surveillance as per standard protocols
Training needs assessment
Reasons and prevention of default
HIV-associated TB
Newer methods of diagnosis and treatment
Alternative regimens for patients who fail Category II treatment or who remain smear positive after 3-4 months of this regimen.

It must be ensured that the results of research are widely disseminated and are used to contribute to policy formulation wherever relevant.


Model curricula, case studies, teaching aids, and other materials that promote the effective teaching on TB should be developed and sent to CTD, DGHS for harmonising and updating the RNTCP related literature for wider dissemination in the country.

6. Participation in quality control of sputum microscopy.

Management of complicated cases with drug reactions, sequelae of pulmonary TB, diagnostic dilemmas, complex extra-pulmonary cases, and chronic patients, medical rehabilitation.


Medical colleges should provide services for culture and drug susceptibility testing for patients for whom it is indicated, with quality control to be co-ordinated by TRC.


Quality assessment of the programme at all levels, including participation in quarterly review meeting of the programme.


Demonstration and publication of data on RNTCP for advocacy and programme improvement.


Collaboration of the TB Control Programme with HIV/AIDS control programme at medical colleges and its hospitals to address the needs of HIV-infected TB patients.


Support for IEC activities and mass communication, including World TB Day.

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