Evaluation of Implementation of Revised National Tuberculosis Control Programme at Urban Primary Health Center, Koparkhairane, Navi Mumbai, Maharashtra

Background: Totally 10.4 million new tuberculosis cases are found during 2016 worldwide and 64 percentage of the cases are from India, Indonesia, China, Philippines, Pakistan, Nigeria and South Africa. From the global perception (SEAR (South East Asian Region)), itis more important because it has 25 percentage of the world population, overall world level it has 30 percentage of poor population, this region is suffering from communicable and non-communicable. Due to the two-sword pandemic resurgence of HIV/AIDS and Tuberculosis, there is an increased mortality and morbidity prevalent worldwide. The Revised National Tuberculosis Control Program (RNTCP), based on the internationally recommended Directly Observed Treatment Short- course (DOTS) strategy, was launched in 1997 and implemented a phased expansion, achieving nationwide program coverage in March 2006 and currently reaches over a billion people in 632 districts/reporting units. Within the RNTCP, both diagnosis and treatment of TB are free. Objective: To examine RNTCP programme and study the challenges faced by the programme init?s implementation. Methodology: A cross sectional quantitative study was conducted. For the purpose of getting data of TB patients, secondary data was used garnered via TB register maintained at UPHC. A complete enumeration sampling technique was employed for collection of data from TB patients via questionnaire. Result: It was found that the number of TB patients from 2015-2018 is almost constant every year. However, the numbers of MDR-TB and XDR-TB patients have increased during the years 2015- 2018. There were certain challenges faced by the programme in its implementation, resulting in increased number of defaulter patients like- shortage of medicines, migration, stigma, addiction habits etc.