Annexure | Group 1a | Group 1b  

Annexure - A : Group Work
Implementation of RNTCP in Medical Colleges

Group 1b


List of Group Members

Sl. No. Name College
1 Dr Shivarama Krishna Gandhi Medical College, Hyderabad
2 Dr Alak Baruah Assam Medical College, Dibrugarh
3 Dr A.K Mahto Rajendra Medical College, Ranchi
4 Dr Nandini Sharma Maulana Azad Medical College, New Delhi
5 Dr Thankam Alappuzha Medical College, Alappuzha
6 Dr Kurian Thomas Medical College, Trichur
7 Dr Yashodhara Medical College, Coimbatore
8 Dr Rama Ram Kolkata National Medical College, Kolkata
9 Dr R.N Solanki BJ Medical College, Ahmedabad
10 Dr Ajay Mahen Command Hospital, Bangalore

Rapporteurs :

Dr V.H Balasangameshwara, CMO, NTI.
Dr Rajendra Yadav & Dr Premila Borah, WHO RNTCP Medical Consultants.


Infrastructure and Staffing

Medical College can function as TB Unit or Microscopy Center, which may be located in Medicine/Chest Medicine/PSM Dept.

Separate Laboratory for Sputum AFB Microscopy.

Separate Lab Technician, preferably contractual.

Logistics and training by DTCs


Doctors in outdoor and indoor should be sensitized to refer chest symptomatics for sputum microscopy and use correct diagnostic algorithm.

This can be done through: circulars, posters, seminars, workshops, inter and intra departmental meetings (funded by DTCs and other sources)


One trained MO, preferably contractual, can act as a co-ordinator of RNTCP for categorization and monitoring of treatment.

Medical College Teachers can also be categorized after getting trained in RNTCP, if they so desire.

Directly Observed Treatment

For patients from the locality of the Medical College: A TB-HV (contractual) can administer DOT at the College.

For patients from distant places: Directory and map (including that of neighboring states) should be provided to the RNTCP-Coordinator for referral to appropriate MC/DOT-Centers (RNTCP) and DTCs (non-RNTCP).

Treatment of Indoor Patients

If the patient is from a RNTCP area: Start “intermittent” RNTCP regimen (CAT I, II or III) under the direct observation of ward nurse.

If the patient is from a non RNTCP area: Start “daily” SCC regimen (e.g. 2HRZE + 6HE) under the direct observation of ward nurse.

Recording and Reporting

Existing formats of records and reports can be used.

The supervisors from the DTCs can co-ordinate the recording and reporting.

The reports may be communicated to the CTD, preferably electronically.

Co-ordination between Medical Colleges and RNTCP.

One Medical College, preferably a PG Medical College, should be selected for co-ordination of RNTCP work in Medical Colleges of the State.

This college can help in conducting “sensitization seminars/workshops” in all the Medical Colleges of the State, using funds from STCs.

Annexure | Group 1a | Group 1b