Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead

Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Cont...

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Main Authors: Surendra K Sharma, Alladi Mohan, L S Chauhan, J P Narain, P Kumar, D Behera, K S Sachdeva, Ashok Kumar, Task Force for Involvement of Medical Colleges in the Revised National Tuberculosis Control Programme
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Medical Research
Subjects:
Online Access:http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2013;volume=137;issue=2;spage=283;epage=294;aulast=Sharma
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spelling doaj-cbc21dfb582d4c4481ed9f6d4901dba22020-11-24T23:44:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Research0971-59162013-01-011372283294Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges aheadSurendra K SharmaAlladi MohanL S ChauhanJ P NarainP KumarD BeheraK S SachdevaAshok KumarTask Force for Involvement of Medical Colleges in the Revised National Tuberculosis Control ProgrammeMedical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ′new smear-positives′ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement.http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2013;volume=137;issue=2;spage=283;epage=294;aulast=SharmaControl - India - medical colleges - MDR-TB - XDR-TB - Revised National Tuberculosis Control Programme (RNTCP) - tuberculosis
collection DOAJ
language English
format Article
sources DOAJ
author Surendra K Sharma
Alladi Mohan
L S Chauhan
J P Narain
P Kumar
D Behera
K S Sachdeva
Ashok Kumar
Task Force for Involvement of Medical Colleges in the Revised National Tuberculosis Control Programme
spellingShingle Surendra K Sharma
Alladi Mohan
L S Chauhan
J P Narain
P Kumar
D Behera
K S Sachdeva
Ashok Kumar
Task Force for Involvement of Medical Colleges in the Revised National Tuberculosis Control Programme
Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
Indian Journal of Medical Research
Control - India - medical colleges - MDR-TB - XDR-TB - Revised National Tuberculosis Control Programme (RNTCP) - tuberculosis
author_facet Surendra K Sharma
Alladi Mohan
L S Chauhan
J P Narain
P Kumar
D Behera
K S Sachdeva
Ashok Kumar
Task Force for Involvement of Medical Colleges in the Revised National Tuberculosis Control Programme
author_sort Surendra K Sharma
title Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
title_short Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
title_full Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
title_fullStr Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
title_full_unstemmed Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
title_sort contribution of medical colleges to tuberculosis control in india under the revised national tuberculosis control programme (rntcp): lessons learnt & challenges ahead
publisher Wolters Kluwer Medknow Publications
series Indian Journal of Medical Research
issn 0971-5916
publishDate 2013-01-01
description Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ′new smear-positives′ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement.
topic Control - India - medical colleges - MDR-TB - XDR-TB - Revised National Tuberculosis Control Programme (RNTCP) - tuberculosis
url http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2013;volume=137;issue=2;spage=283;epage=294;aulast=Sharma
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