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© 2002, CARE USA. All rights reserved.
DOTS TB PatientsPanchayati Raj &
RNTCPInitiative to Manage People Centered Alliances
in Control of Tuberculosis (IMPACT)
CARE India (West Bengal)
Khrist Roy
CORE GroupWashington DC 14 October 2011
© 2005, CARE USA. All rights reserved.
IMPACT Project Area
© 2005, CARE USA. All rights reserved.
Partners of IMPACT
India’s Revised National TB Control Program (RNTCP),
Bengal Network of Positive people (BNP+)
Corporate partners – Eli Lilly
National AIDS Control Program (NACP)
Partner NGO- GLRA & SHIS
Local NGO partners
© 2005, CARE USA. All rights reserved.
Problems with Compliance
© 2005, CARE USA. All rights reserved.
© 2005, CARE USA. All rights reserved.
© 2005, CARE USA. All rights reserved.
Welfare Schemes Identified to aid TB patients
Identification of GOI and GOWB welfare schemes that could possibly be channeled to benefit the poor TB patients
GP – educated and encouraged to use mechanism of these schemes to give benefits to TB patients. Different GPs used different schemes
1) Antyodya
2) Backward Region Grant Fund
3) 12th Finance Commission Fund
4) National Rural Employment Guarantee Scheme
5) Panchayat Rogi Kalyan fund and Economic Rehab fund
© 2005, CARE USA. All rights reserved.
Results
© 2005, CARE USA. All rights reserved.
Results
1054
310
728
423
934
Bardhaman Haora Hugli Malda Mursidabad
Poor TB Patients linked up with Social welfare schemes(till March 2011)
3449 TB patients linked up
© 2005, CARE USA. All rights reserved.
Improved Treatment Success Rates
District Name
Patient Type Number Registered for 2009/2010
Numbers who received PRI help
TSR for those who received PRI help
TSR for those who did not receive PRI help
Bardhaman New 3945 711 648 (91%) 3381 (86%)
Retreatment 840 190 154 (81%) 302 (70%)
Murshidabad New 1648 253 238 (94%) 1465 (88%)
Retreatment 391 61 51 (83%) 291 (74%)
© 2005, CARE USA. All rights reserved.
Success
1) Central TB Division, GOI, New Delhi – Acknowledges success and shares it country wide for possible replication.
http://www.tbcindia.org/pdfs/RNTCP%20TB%20India%202011.pdf2) GOWB State TB Officer has issued GO for non-
CARE districts to adopt this measure3) CARE using this method for MDR-TB patients