Use of sputum smear microscopy as the Primary method of diagnosis among self reporting patients.
Standardise treatment regimens.
Augmentaion of the Field supervision by creation of a sub-district supervisory unit called TB Unit. The TB unit (TU) is established at existing CHC/Block PHC/Taluka Hospital and they function as a managerial unit of the programme for 5 Lakh population (2.5 Lakh population in tribal area). The TB unit is managed by a designated medical officer Tuberculosis Control (MO-TC) who does tuberculosis work in addition to his routine work. RNTCP has extended support in the form of 2 contractual staff - A senior treatment supervisor (STS) and a senior tuberculosis laboratory supervisor (STLS). To strengthen the supervision further the state has made all the Taluka Health Officer responsible for supervision and monitoring of RNTCP in their respective Talukas.
For diagnosis – A Designated Microscopic centre (DMC) is created for every 1 Lakh population(50 thousand in tribal area). The DMC is located at PHC/ CHC/Taluka hospital. In addition to these DMC are also established in private and NGO health institutions and medical colleges
For accessible treatment the DOT- Centres are located at places convenient to the patients and providers and are generally available at all the subcentre in the health system. Hence no patient has to travel more than 5 km. Efforts are made to make the treatment available near patients residence in his own village/locality
Creation of accredited Culture and DST laboratories for diagnosis of drug resistant TB (IRL Nagpur and Pune)
Category IV treatment for drug resistant TB
Implementation of Intensified TB-HIV Package for effective TB-HIV coordination
Implementation of Revised NGO-PP guidelines for involvement of NGO and PP
Special emphasis on training, ACSM, operational Research