Infrastructure support for TB Diagnosis and treatment: |
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255 TB units established for drug storage and programme supervision and monitoring across the state (1 every 5 lac in plains and 2.5 lac in hilly, tribal and difficult areas)
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255 contractual posts of STS (Treatment Supervisor) and STLS (Laboratory Supervisor) each created to strengthen programme supervision and monitoring |
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>1250 Designated Microscopy Centres created to enhance access of laboratory diagnostic services across the state (1 every 1 lac population in plains and 50000 population in hilly and tribal areas |
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TB Health visitors provided per 1 Lac urban population (421) in the state to support the week infrastructure in urban area |
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Similarly RNTCP has provided Human resources to strengthen the functioning through special contractual staff at
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State TB Cell (Epidemiologist, MO, DEO, Accountant)
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State TB training and Demonstration centres and IRMO, Microbiologist, SA, Pharmacist)
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All Allopathy Medical Colleges in the state (41) (MO,LT,TBHV)
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Treatment of Tuberculosis:In Maharashtra Every Month |
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>50,000 TB suspects are examined by sputum smear microcopy under RNTCP |
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>3000 New Smear Positive Patients are initiated on treatment |
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>8500 TB patients are initiated on treatment. |
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Annually >1.3 Lac TB patients are initiated on treatment. Thus annually >27000 Additional lives are saved under RNTCP in the state |
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Services for Management of MDR TB patients started in Nagpur (2008) and Akola divisions (2009). A phase wise expansion to all districts planned by 2011 |
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Mechanism for Effective collaboration with AIDS Control Programme established at the state, division and district levels
- Intensified TB-HIV Package being implemented effectively to link TB patients to HIV Care and Support
- Intensified TB case finding at HIV care facilities including the ART centre and CCC being strengthened
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Involvement of Medical Colleges: All 40 Medical Colleges in the state (includes all Government and private colleges) involved in RNTCP as a DMC and DOT centre. Contributes about 25% of TB case detection in the state |
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Involvement of NGO and Private practitioners: More than 400 NGO and about 2000 Private practitioners are formally involved under various RNTCP Schemes |
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IMA GFATM RNTCP PPM project: Maharashtra is among the selected states who implement the IMA GFATM PPM project for systematic involvement of IMA through CME programmes and trainings of IMA leaders and members |
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Robust recording and reporting system: RNTCP has a very systematic and robust recording and reporting system.
- Each and every TB patient registered under the programme is followed upto treatment completion and evaluated
- A sophisticated software “Window based Epi-centre” is installed in all the districts of the state and
- All Reports are received quarterly electronically and within the schedule
- All communications in the programme are made electronically
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Systematic review and evaluations:
- Regular Internal and external Evaluations of the state and district programme is conducted by teams from State TB cell and central TB division
- Regular programme review at State level quarterly
- Quarterly feedback provided to all districts on the status of programme performance and actions to be taken for improvement
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