Performance of National Tuberculosis Programme during 1996: a report
Suryanarayana, L.; Rajalakshmi, R.; Jaigopal, M.V. and Radhakrishna, S.G. (1999) Performance of National Tuberculosis Programme during 1996: a report. Indian Journal of Tuberculosis, 46. pp. 11-20.
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The National Tuberculosis Institute (NTI), Bangalore has been monitoring the National Tuberculosis Programme (NTP) performance since 1978. District Tuberculosis Programmes (DTP) in 395 districts are being monitored through the quarterly and annual reports actually received. The percentage of DTPs being monitored accounts for 79% of the total districts in the country, and 61% of the DTPs covered under Short Course Chemotherapy (SCC). In all, 80% and 43% percent of Peripheral Health Institutions (PHIs) have been implemented under the Standard Chemotherapy Regimen (SR) and SCC Regimen respectively. Reporting efficiences of DTPs and PHIs were 80% and 70% respectively during 1996. Only 33% of PHIs were supervised by the respective District Tuberculosis Centres (DTCs), at least once in a quarter, during the year. Smear positivity of sputa examined was 12% and smear confirmation of pulmonary cases diagnosed by x-ray (dependent on quality of radiographs, quality of X-ray reading and of smear examination) was 22%, at DTCs. At PHIs, only 90% of the patients eligible for sputum examination had been offered the test and smear positivity rate at PHIs was 5.8% National level composition of the tuberculosis cases diagnosed in a district was : smear positive cases (B) 20%, X-ray cases (X) 73% and extra-pulmonary cases (E) 7%. As regards treatment, out of only 182 Standard Regimen annual reports received and analysed, just 28% of the patients put on SR completed satisfactory level of treatment. And of the 120 Short Course Chemotherapy annual reports analysed, 58% of the patients put on SCC completed satisfactory level of treatment. Since just 47% of the SR and 58% of the SCC patients completing treatment satisfactorily had been subjected to final follow-up sputum examination, the cure rates could not be calculated. Only 277 DTPs reported on the availability of trained manpower and equipment. District Tuberculosis Officer (DTOs) had been posted in 54.5%, Statistical Assistant (SA) in 43%, Treatment Organizer (TO) in 68%, X-ray Technician in 60% and Laboratory Technician (LT) in 67% of the reporting DTPs. Full complement of trained manpower was available only in 10% of the DTPs. Mass Miniature Radiography (MMR) unit with Odelca Camera was installed in 82% and supervisory vehicle was provided in 66% of the reporting DTPs. While performance in fulfilling the NTP objectives in 1996 was considered to be short of expectations in all aspects, poor performance had remained more or less unchanged over the past five years.
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