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|Key note address on Medical
Colleges and TB Control: Current status, policies,
potential collaborations and perspectives
Dr S.P. Agarwal,
Director General of Health Services,
Govt. of India, New Delhi
TB and its control are
vitally important to the health of this country. The NTP was reviewed
by a team of national and international experts in 1992. The team concluded
that the earlier programme failed to make an epidemiological impact as
the stress was on case finding and the outcome of patients put on treatment
was not systematically monitored. Low priority to the programme, lack
of regular supply of drugs, and undue stress on radiography rather than
sputum microscopy were identified as major problems, amongst several others.
The RNTCP, which is based on the DOTS strategy, was designed to overcome
these shortcomings. The RNTCP was pilot tested in 1993 and currently over
425 million of the population in 188 districts is covered under the programme.
Cohort analysis of the patients put on treatment in the latest quarter
has shown an average success rate of 83% and 3 month sputum conversion
rate of 88%. Quality of diagnosis has remained excellent.
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