Detect-Treat-Prevent-Build: Strategy for TB elimination in India by 2025

• Published in: Indian journal of community medicine Vol. 43; no. 1; pp. 1 - 4
• Main Author: Purty, Anil
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-01-2018; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Antibiotics; Care and treatment; Collaboration; Control; Expenditures; Management information systems; Patients; Prevention; Tuberculosis; India
• ISSN: 0970-0218; 1998-3581
• DOI: 10.4103/ijcm.IJCM_321_17

The program has achieved several milestones related to diagnosis and treatment services of TB since 2006. Since inception in 1997 and up to December 2015, more than 19 million patients were initiated on treatment and more than 3.5 million additional lives have been saved. The NTF has been the voice of the collective opinion of academicians in medical colleges and has contributed in shaping key policy issues, such as, ensuring that teaching and training regarding RNTCP and provision of infrastructural facilities such as DMC and DOT Centre at medical colleges are made mandatory by Medical Council of India; rational use of fluoroquinolone antibiotics in the treatment of respiratory tract infections; Airborne Infection Control Policy, among other. The scheme will have suitable incentives for the private doctors and patients to report TB cases coupled with another scheme to provide free of cost medicines to TB patients going to a private doctor/instituteA robust, modern management information system (MIS) system will be developed to monitor the newly diagnosed as well as existing cases of TB on delivery of the drug kit to the patient, compliance to treatment regimen, etc. The MIS system will have suitable linkages with the private pharmacy on sale of anti-TB drugs, thereby integrating those patients into the MISThe availability of rapid molecular tests will be suitably augmented so that these diagnostic facilities are also made available for patients referred by any private doctor or instituteTo improve the compliance of the TB patients to the treatment regimen, MoHFW will start customized SMS services to the individual patients on regular basis reminding them about the time to consume the drugsThe MoHFW will establish mechanisms for facilitating nutritional support to the TB patients, including financial support through DBT modeThe MoHFW will work on a scheme to provide suitable incentives to the states doing well in RNTCP.