I Hate PSM

RNTCP Structure

RNTCP Structure
The structure of RNTCP comprises of 5 levels

  1. National
  2. State
  3. District
  4. Sub – District
  5. Peripheral health institutions

1. National: Central TB Division

  • Programme Manager/DDG(TB)
  • Plans/Supervises/Monitors/Evaluation
  • National Committee on TB Diagnosis and Treatment
  • National Laboratory Committee
  • National Technical Working Group for TB/HIV
  • National Institutes Etc.

2. State: State TB Cell: State TB Officer

  • State TB Training and Demonstration Centre
  • State drug store etc.

3. District: District TB Center:
District Tuberculosis Officer

  • Drug resistant TB centers

4. Sub-District: Tuberculosis Unit: (TU) 1 per 1.5 to 2.5 lac population
Created for augmentation of peripheral level supervision- sub district supervisory unit
a) Medical Officer – TB control (MO-TC): has overall responsibility of management of RNTCP assisted by STS and STLS
b) ensures regular supply of drugs in the sub-district
c) Responsible for preparing quarterly reports on case finding, sputum conversion, results of treatment outcome
d) Senior Treatment supervisor
e) Senior TB Lab supervisor - one for 5 DMC’s S/V
f) TU is the nodal point for TB control activities in the sub-district

5. Peripheral health institutions: PHCs/ CHCs/ dispensaries/ hospitals within the district

  • Designated Microscopy Centers (DMC)
    • 1 per 1 lac population
    • 1 per 0.5 lac population in tribal, hilly and difficult areas
    • Medical Colleges, Corporate hospitals, ESI, Railways, NGOs, private hospitals
  • Treatment centers
    • Responsible for accurate maintenance of TB register and timely submission of quarterly reports to the district level.
  • DOTS Providers

References:

  • Park’s Textbook of Preventive and Social Medicine, Ed. 24th
  • GOI 2010, DOTS-Plus Guidelines, Revised National Tuberculosis Control Programme. Ministry of Health & Family Welfare, New Delhi