276 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)

276contractual posts of STS (Treatment Supervisor) and STLS (Laboratory Supervisor) each created to strengthen programme supervision and monitoring

1368 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

TB Health visitors provided per 1 Lac urban population  in the state to support the week infrastructure in urban area

Similarly RNTCP has provided Human resources to strengthen the functioning through special contractual staff at

• State TB Cell (Assistant Programme Officer , MO, DEO, Accountant, secretarial Assistant, Data Entry Operator, Driver)
• State TB training and Demonstration centres and IRL, Microbiologist, SA, Pharmacist, Store Assistant )
• All Allopathy Medical Colleges in the state (41) (MO,LT,TBHV)

Treatment of Tuberculosis:In Maharashtra Every Month

>50,000 TB suspects are examined by sputum smear microcopy under RNTCP

>3000 New Smear Positive Patients are initiated on treatment

>8500 TB patients are initiated on treatment.

Annually >1.3 Lac TB patients are initiated on treatment. Thus annually >27000 Additional lives are saved under RNTCP in the state

Services for Management of MDR TB patients started in Nagpur , Akola and Aurangabad divisions alongwith Mumbai, Navi Mumbai, Thane, Ulhasnager, Kalyan Dombiwali, Bhiwandi-Nijampur and Mira Bhayander Corporation. A phase wise expansion to all districts is planned by 2012.

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

Involvement of Medical Colleges: All 41 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

Involvement of NGO and Private practitioners: More than 200 NGO and about 4500 Private practitioners are formally involved under various RNTCP Schemes

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

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

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