Role of other sectors

Involvement of ESIS
ESIS caters to large number of beneficiaries (over 40 lakhs including insured persons & their family members)
ESIS involvement enable access to diagnosis & treatment services under DOTS free of cost
There will be universality in management of TB patients in the Government sector -will prevent default from the treatment

Current status
Directives issued by ESIS-Commissioner for involvement of all ESIS health facilities in RNTCP.
Sensitization of ESIS -Commissioner, Director & all chest physicians & Medical Superintendents completed

Medical College involvement - Present Status
38 Medical Colleges involved in RNTCP
Medical Colleges with TU - 3
Medical Colleges with MC cum DOT center - 32
Medical Colleges with DOT center -3

Activities initiated

	First zonal workshop for involvement of Medical Colleges was held at LTM Medical College, Mumbai
	State Task force established & first meeting held in July 2003
	All Medical Colleges formed Core committees
	Training/Sensitization of Core team members begun & will be completed before December 2003
	All District TB Officers to visit medical Colleges in their area, appraise core team members for establishing Microscopy cum DOT Center

What core committees will do?

	Core committee will meet once in a month & co-ordinate with RNTCP to ensure
	Establishment of microscopy & DOT center in all the Medical Colleges
	Practice of 3 sputum examinations for all chest symptomatics referred
	Maintaining only one laboratory register
	Up-gradation of laboratory through DTCS wherever required
	Orientation & sensitization of faculty members to ensure internal referrals of all chest symptomatics for diagnosis & treatment as per RNTCP guidelines
	Training of program staff whenever required
	Involvement in quality assurance network through Microbiology department
	Consultation & management of difficult cases
	Ensure availability of DOT directory of district & TU directory of state at the DOT Center for prompt & accurate referral of cases
	Display of IEC material at OPD's & Health education to all patients attending OPD
	Teaching & training of paramedical staff, NGO'S, Railways, Private practitioners etc
	Ensure Co-ordination between Voluntary Counselling and Testing Centre (VCTC) & MC cum DOT Center