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TB Treatment Adherence

Patient Support

About ADR

Describe

1. The various Anti TB Drugs that are in use in NTEP
2. The various types of formulations (single drug and FDC and simple tablet, dispersible and inejctions)

Discuss the inclusion of TB as a notifiable disease and related details including when, by whom and the methods to notify. Attach the relevant documentation. Discuss the importance of this policy.

Describe the contextual scenario when the M.TB was detected by Robert Koch.

The National TB Elimination program is embedded under the National Health Mission.

It is led at the central government level by the Central TB Division, Ministry of health and Family Welfare.

At the state level the State TB Cell manages the TB program, while at the District level it is managed by the District TB Centre.

Below the district level, service delivery points are organized under the Tuberculosis Units, operating at a administrative Block level.

Mycobacterium TB are rod shaped, Acid Fast Bacteria causing Tuberculosis.

Once a person is infected, the further course of the disease progression depends on host factors, and in majority of cases may remain dormant. Disease breakdown happens when there is a reduction in host immunity.

Without treatment the TB patient's clinical condition may deteriorate and eventually leading to death.

Epidemiology of TB is described using time, place and person variation of

• burden of TB infection and disease,
• mortality due to TB
• determinants and risk factors that increase the vulnerability to disease and infection 

Discuss the epidemiological triad in relation to TB.

1. Organised efforts to control TB started in India in 1962.
2. TB declared as a global emergency in 1991.
3. DOTS strategy was launched in 1995. RNTCP adopted DOTS Strategy.
4. Stop TB Strategy evolved to achieve MDGs.
5. SDGs and END TB Strategy
6. Need for transforming to NTEP