Dr (Mrs) Sophia Vijay, Sr TB Specialist, NTI.
Dr Vandana Joshi & Dr H.R Raveendra, WHO RNTCP Medical Consultants.

Adherent to the policy as far as diagnosis and treatment.
Role model for RNTCP.
If medical colleges follow RNTCP regimen all the others also will follow the same.

Train all the medical fraternity.

Sensitise the professional colleagues.

Reorienting the Private Medical Practitioners.

Training of the MO of PHCs and other MOs of district.

Training of LT and STLS.

Identification of the nodal departments (Community Medicine or Chest and TB) who can co-ordinate

with the training activities in the respective districts under RNTCP.

Training of IMA/IAP/API/other formal bodies.

Resource allocation for the training purposes.

Recommendations: Medical College representation in the DTCs/ STCs.

Intra and inter departmental link person.

Medical college can work as a liaison between community and the programme.

Identifications of zones and identification of Medical college as a nodal centre to co-ordinate with the other medical colleges of the zone. These nodal centres will be selected by the GOI with the help of other medical colleges.

Demarcation of the area to be covered/ co-ordinated by each medical college. This should be done in consultation with STCs.

Five departments are the major pillars of the programme (Chest & TB, Medicine, PSM, Paediatrics and Microbiology). These should go together in the implementation of the programme and they will be strengthening the programme.

Medical College Professors should influence/help the other Medical College Professors.
Group of trainers from the nodal agency of medical colleges will be selected and they will train the other medical college faculty.

Link between the NGOs and the programme.

Operational and applied research:

Newer diagnostic tools and newer therapeutic regimens.

Research on problem cases.

Demonstration of model area.

Research in training needs assessment.

Research in advocacy.

Study of psychological behaviour of the defaulters.

Psychometric analysis of TB patients.

Pattern of disease in HIV positive patients.

Study of effect/ efficacy of tuberculin test in paediatrics.

Promoting research by giving topics on RNTCP/TB to PG students.

Cost effectiveness and efficacy studies.

Research in BCG/Tuberculin test.

Identify the Hightech methods of identification of protein of organism/human body (research to
evaluate the Cat II failure).

Impact of socio-economic factor on RNTCP.

Study of man days/work days lost.

Recommendations: Grants to researches related to the disease or programme.

TYPES:
a) Statistical evaluation: magnitude of the problem, pre & post programme.
b) Epidemiological evaluation: disease trend.
c) Manpower evaluation: status of manpower.
d) Training evaluation: quality of training and training needs assessment.
e) Cost effective evaluation.

Medical colleges can act as external evaluators for each other. They can undertake the evaluation of districts of own and other states as well.
Adoption of the district in the state and evaluate the activity status.

Part of central appraisal committee:
Quarterly programme review can be done from the nodal team selected for this purpose.

Adopt and set up a model village under RNTCP.

Demonstration of success stories.

Publication of research data on RNTCP for advocacy.

Development of the groups of treated patients and promote the advocacy activities through them.

Key person identification and organising group discussion for them.

Formation of common interest groups. (PLWHIV, Cured/Treated Patient).

MDR.

HIV-TB patient.

Providing facility for culture sensitivity testing in some nodal centres.

Managing the sequela in pulmonary TB.

Provision of special tools/facilities for diagnosis of extra pulmonary cases at nodal centres.

Lab activities.

DOT Providers.

Compliance of patients.

Services under RNTCP.

Human resources.

Drug supply and delivery system.

Incentives to the well performing units.

IEC activities:

Mass communication – TV, News Papers, Radio, Cable, posters and banners.

Celebration of World TB Day and RNTCP Week.

Preparation of IEC material.

Exhibition.

Essays and slogan writing competitions.

Quiz programme.

Seminars/symposium/workshop/CME.

Street plays and Role play.

Rehabilitation.

Identifying NGOs for social rehabilitation.

Medical colleges for medical rehabilitation.