Reach the 3 Million Find, Treat, Cure TB BASIC CONTENTS OF RNTCP WEBSITE OF THE DIRECTORATE OF HEALTH SERVICES, ODISHA

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1 BASIC CONTENTS OF RNTCP WEBSITE OF THE DIRECTORATE OF HEALTH SERVICES, ODISHA About us The National Tuberculosis Control Programme (NTP) was implemented in Orissa in the year 1964 with the objective to provide free and domiciliary treatment to the patients detected through passive case finding method. The NTP did not achieve the desired success as a result the programme was revised with the DOTS (Directly Observed Treatment Short Course Chemotherapy) strategy and implemented in our State in the year 1997 with the objective to detect 70% of infectious sputum positive TB cases and cure at least 85% of them. The programme is implemented as per the Technical, Operational and Financial guidelines of Revised National TB Control Programme (RNTCP). The RNTCP was assisted by Danida through Government of India from 1996 to The Global Fund to fight AIDS, TB and Malaria (GFATM) provides financial and technical support to implement the programme in the State from the year 2006 to 2010 through Government of India. The Rolling Continuation Channel (RCC) project of GFATM has been extended till the year The Government of India releases necessary funds to the Director of Health Services, Orissa through the Orissa State Health & Family Welfare Society on the basis of the Statement of Expenditure, Audit report and Annual Action Plan. Govt. of India also provides 100% requirement of anti TB drugs for treatment under RNTCP. The Lepra-India, an international NGO, is also providing support under Axshaya project to IEC-BCC activities in 12 districts of Orissa (Angul, Bhubaneswar, Cuttack, Gajapati, Ganjam, Koraput, Kandhamal, Malkangiri, Mayurbhanj, Puri, Sambalpur and Sundargarh) The Catholic Bishop Conference of India (CBCI) and the Indian Medical Association (IMA) are also involved in RNTCP of the State. Organogram: State TB Officer at Health Directorate, Odisha. District TB Officer at all District Head Quarters & Capital Hospital, Bhubaneswar. Designated Medical Officer at Sub-district (Block level) TB Unit (MO-TU) Medical Officer at Designated Microscopy Centre DOTS Centre

2 Activity Sr. No. RNTCP Performance of Odisha State at a glance (Key indicators) 2014 (Jan - Dec 2014) Indicator Norm Achievement % 1 Population covered (in lacs) % of PHIs referring more than 2% of new Adult OPD for sputum examination 1,976 37% 3 TB Suspects examined per lac population/qtr > Sputum Smear Positive Patients diagnosed 8-12 % 27,966 12% Sputum Smear Positive Patients living in the district and put on DOTS New Sputum Smear Positive Patients put on treatment Annualised New Sputum Smear Positive detection rate per Lac > 95% 23,383 91% >60 /lac/yr and >70% 20, % 8 Total TB Cases put on treatment 9 Annualised Total Case Detection Rate per Lac 230 / lac 45, % of new EP cases out of all new cases 10-15% 24% % of retreatment cases out of all smear positive cases % of new smear positive out of total new pulmonary cases 3 Months Sputum Conversion of New Smear Positive cases registered in the last Quarter Cure Rate of New Sputum Positive Cases registered in corresponding quarter of last year Success Rate of New Sputum Positive Patients registered in corresponding quarter of last year 20-40% 16% 45-70% >90% out of out of % 88% out of >85% % out of >85% %

3 Contacts IMPORTANT CONTACT NUMBERS - RNTCP - ODISHA Sl. No Name Designation ID Mobile Office Dr. (Mrs) Sanjukta Sahoo Dr. Sachidananda Mishra Dr. P.G. DasMahapatra Joint Director TB-cum-STO stoor@rntcp.org Asst. Program Officer cum Epidemiologist stoor@rntcp.org TB HIV Coordinator stoor@rntcp.org MO, State TB Dr. Laxmidhar Pradhan Cell stoor@rntcp.org Phone Name of ATD&TC Officials Designation ID Mobile (Office) Superintendent Dr. Sanjit Pattanaik ATD&TC stdcor@rntcp.org Dr. Gautam Patnaik MO ATD&TC stdcor@rntcp.org Dr. Paresh Nath Mohanty Microbiologist, stdcor@rntcp.org; ATD&TC pareshmohanty67@gmail.com Phone Name of WHO Consultant Region ID Mobile (Office) Dr. Sandeep Kindo Dr. Rajendra Narayan Panigrahi Dr. Balakrishna Panda Western Odisha KindoS@rntcp.org HQ, Odisha PanigrahiR@rntcp.org Southern Odisha pandab@rntcp.org

4 Programmes / Schemes Reach the 3 Million Present Status Since inception of RNTCP in 1997 till 2014, total 6,03,103 TB cases have been detected and treated. Total 4,71,687 cases have been cured & successfully completed treatment and 28,062 cases reported died. Out of the said reported death cases all deaths may not be due to TB. It includes death due to other causes also. In the year 2014, the annualized new sputum positive case detection rate of Orissa was 55% against the norm of 70% and the success rate 86% as against the norm of 85%. The programme is implemented though 31 implementing units, 159 TB Units and 549 Microscopy centers. 48,993 DOT Centres are functioning under the programme to provide DOTS to the registered TB patients. The programme has the following major activities. o DOTS for CAT-I & CAT-II patients o PMDT (Programmatic Management of Drug Resistant TB) for CAT-IV & CAT-V patients (for MDR & XDR TB patients respectively) o Intensified TB-HIV activities to ensure 100% testing for HIV of all diagnosed TB cases & treatment of co-infected patients. o Entry of data in NIKSHAY portal of RNTCP of all diagnosed TB patients. o Notification of all diagnosed and treated TB patients is mandatory for all Laboratories, Private Practitioner and Hospitals. o Medical college involvement Presently 6 out of 7 including AIIMS Bhubaneswar are involved in the program for diagnosis and treatment of TB patients in the Medical colleges The Anti TB Demonstration & Training Centre (ATD&TC) Cuttack is functioning as a training center of RNTCP and conducts External Quality Assessment (EQA) to maintain good quality sputum microscopy. Intermediate Reference laboratory (IRL) at Anti TB Demonstration & Training Centre, Cuttack accredited on 10th Aug 2009 conducting solid culture, Liquid Culture for Culture & DST of M Tb & Line Probe Assay (LPA). It is matter of pride for the State that Regional Medical Research Centre, Bhubaneswar has been declared as a new National Reference laboratory for the Eastern and North Eastern region of India. It has been accredited for culture and Drug Susceptibility Test for solid culture, supporting for follow up cultures from 7 districts (Koraput, Nabarangpur, Kalahandi, Rayagada, Gajapati, Kandhamal & Malkangiri). NRL RMRC Bhubaneswar is also supporting Diagnostic samples of MDR suspects from districts of Nabarangapur, Kalahandi, Rayagada, Gajapati, Malakngiri. PMDT (Programmatic Management of Drug Resistant TB Cases) rolled out in the entire state. Till 3Q14, out of the sputum samples of 5499 Drug Resistant TB (DR-TB) suspects examined, 700 patients have been diagnosed as Drug Registrant TB and out of them 613 patients (88%) have been initiated on treatment since the year 2009 till In addition 21 nos. of XDR TB patients have been detected under RNTCP. All drugs and diagnostics are provided free of cost.

5 Reach the 3 Million Diagnosed DR-TB patients can now be admitted in the existing DR TB wards at SCB, VSS & MKCG Medical College. TB and HIV collaborative services have been strengthened in all districts with the state progressively increasing the proportion of TB patients tested for HIV. The TB HIV Intensive Package is implemented in all the districts since 2010 in collaboration with the OSACS. During the year 2014 out of total registered TB patients, (68.4%) are examined and 628 found TB-HIV co-infected. To further improve TB surveillance in both Private and Public sectors in India, NIKSHAY a real time, online notification, recording and reporting system has been implemented in the state with most of the districts entering data for all the patients registered in Till date 72,541 patients from Govt. Sector have been entered in the Nikshay portal. Block level MIS-Coordinators along with STS play an important role to ensure 100% entry in this portal. TB Notification which has been made mandatory as per GoI notification has been initiated and reporting of TB patients from private Sector started. Our partner Indian Medical Association (IMA), Odisha is fully supporting our efforts. Till date (4Q14) 1111 TB patients had been notified and registered from Private sector in NIKSHAY. The State Task Force (STF) mechanism for the involvement of all Medical Colleges in RNTCP is operational, headed by DMET as STF Chairperson. As such three Govt Medical Colleges of our State and SUM Medical College & Hospital Bhubaneswar have received one LED Microscope each for diagnosis of TB cases. The State has organized National Task Force (NTF) Workshop in the month of March 2014 and Zonal Task Force (ZTF) meeting on January 2015 in Bhubaneswar for active involvement of Medical colleges in RNTCP. State has optimally rolled out Tribal action plan in 11 notified tribal districts catering to 22.47% of tribal population of the State. To further improve TB surveillance in both Private and Public sectors in India, Nikshay a real time, online notification, recording and reporting system has been implemented in the state with most of the districts entering data for all the patients registered in Till date 72,541 patients from Govt. Sector have been entered in the Nikshay portal. School awareness programmes, Patient Provider interaction meeting, PRI Sensitization, Street Play & Folk Dance are conducted at district level to create awareness for early diagnosis and treatment of TB. In addition Swasthya Kantha in all villages is being utilized to disseminate TB messages to the community The programme is also supported by Partners like Axshaya GF-TB Project in 12 districts, Indian Medical Association and Catholic Bishop Conference of India (CBCI) and Red Cross India.

6 Notifications TB has been declared a notifiable disease by the Govt of India and subsequently by the Govt. of Odisha on Advertisements To be updated whenever there is an advertisement. RTI Act Link For any information regarding TB and its control including recent developments in the filed of diagnosis & treatment and achievements of different States etc, the National website of RNTCP can be accessed at News & Updates World TB Day is observed on 24 th March every year to commemorate discovery of TB bacillus by Robert Koch, a German Scientist, in the year This discovery led to inventions of appropriate medications to fight TB. Indian Medical Association (IMA) has made TB notification mandatory and published the said notification in a separate Resolution. The 4 th DR TB Centre has been established at DHH Koraput to diagnose DR TB using CBNAAT (Cartridge Based Nucleic Acid Amplification Test) technique. Archive Section - With administration of DOTS a TB patient has been cured and could be able to lead a happy life and earn his livelihood.

7 - Poster to use DOTS more widely: Reach the 3 Million

8 - Declaration of IMA regarding mandatory notification of TB:

9 - Declaration of Govt. of Odisha regarding notification of TB on :

10 - Govt. of India ban on use of Serodiagnostic kit to diagnose TB:

11 Photo Gallery (RNTCP reviewed by the Secretry Health & FW Odisha) (ASHAs of Baliguda Sub Divison Promising for their active Involvment in TB Case Detection and Cure) (Children Participation in TB Awareness) (TB Awareness Rath) Download Forms (Administering DOTS by ASHA) All forms, modules of RNTCP can be downloaded from the National website