MOBILE CLINIC VAN FITTED WITH CBNAAT MACHINE, LAPTOP, PRINTER & GENSET. ETC. FOR ACTIVE TB CASE FINDING
Preface
Arunachal Pradesh the land of rising sun is the easternmost state of India and shares international boundaries with three countries viz. China (Tibet) in the North, Myanmar in the East, Bhutan, in the West and with the states of Nagaland and Assam in the south.
Largest amongst the North Eastern states with 83,743 sq km, mostly hilly areas, Arunachal Pradesh is blessed with a delightfully variegated climate, from the snow covered mountains of Tawang to the fertile lands of Lohit, Namsai, East Siang and Lower Dibang Valley. Almost 80% of the total area is covered by green forests of the Eastern Himalayan range.
The state is mostly inhabited by the hill-tribal people with intriguing traditional and cultural life styles. The scenic beauty with flora and fauna has added to the allure of this mysterious land.
Demo-Geographic Statistics
State – Arunachal Pradesh
Area – 83,743 sq km
Population – 15.23 lakh (RNTCP Projected Population)
1. National TB Control Programme in Arunachal Pradesh
National TB Control Programme (NTCP) was implemented in the state (the then North East Frontier Agency) in the year 1967 with only 2 (two) District TB Centres – viz (1) District TB Centre, Pasighat covering the then undivided Kameng District (now Tawang , West Kameng & East Kameng) , Subansiri District (now Upper Subansiri , Lower Subansiri, Kurung Kumey & Papum Pare and Siang District (now East Siang, Upper Siang and West Siang & Siang District) while the (2) District TB Centre , Margherita covering the undivided Lohit District (now Lohit , Anjaw , Dibang Valley and Lower Dibang Valley) and Tirap District (now Tirap , Changlang & Longding Districts). Later on DTC Margherita was shifted to Deomali in Tirap district.
In the year 1974, another 4 (four) District TB Centers i.e., DTC Ziro , DTC Bomdila , DTC Tezu and DTC Aalo were created to increase the population coverage. There were 6 DTCs during this period.
The Short course Chemotherapy (SCC) was introduced in the state during 1983-84. Though SCC regimen proved effective compared to the earlier regimen , acute shortage of drugs and over dependence on X-ray for diagnosis resulting in false positive and false negative diagnosis led to the set back of NTCP in Arunachal Pradesh.
2. Revised National TB Control Programme (RNTCP) in Arunachal Pradesh
As per directive of the CTD, Preparation for RNTCP in Arunachal Pradesh began in the year 1999 with first phase of infrastructure creation like up-gradation of TU and DMCs , and appointment of Contractual human resources like- STS, STLS, DEO, Lab Technicians, Identification of MO-TCs for TUs at the District Level and MO (TB), Accountant, IEC Officer State DEO at the State Level was under taken.
In order to assess the preparatory ground works in the State, Central appraisal team visited Arunachal Pradesh and expressed satisfaction on the preparedness of the districts and recommended service-delivery of RNTCP in the state. The formal service delivery commenced from 20th September 2002 in the entire state under the above mentioned 6 (six) District TB Centres with the dedicated endeavor of the District TB Officers and the TB workers of the State.
In the year 2005, with assistance from the Central TB Division, the following 7 (seven) TB Units in the non-DTC districts were upgraded to DTC. DMC Koloriang has been upgraded as District TB Centre, in 2011, which was functional as DMC Koloriang under DTC Ziro, Lower Subansiri District.
- TU Tawang as DTC Tawang in Tawang District
- TU Seppa as DTC Seppa in East Kameng District
- TU Daporijo as DTC Daporijo in Upper Subansiri District
- TU Yingkiong as DTC Yingkiong in upper Siang District
- TU Roing as DTC Roing in Lower Dibang Valley District
- TU Changlang as DTC Changlang in Changlang District
- TU GH-Naharlagun as DTC Naharlagun in Papum Pare dist.
- DMC Koloriang as DTC Koloriang in Kurung Kumey District.
All the necessary equipments like- Computer, Photocopier, Fax machines and office furniture provided from the State TB Society. As per approval of Ministry of Health, GOI 7 (seven) 4-wheelers (Tata Sumo) were also provided to the new DTCs. Also State TB Training & Demonstration Centre was established to carry out all necessary trainings of DTOs, MO-TCs, LT, STS, STLS and other functionaries.
Later the Govt. of Arunachal Pradesh accorded approval to declare these TB Units as DTC and MOTCs were designated as DTOs with a view to discharge their duties independently in their respective district. The 8 (eight) newly upgraded DTCs started functioning from the first quarter of 2006.
As per the norms under RNTCP, every district should have a District TB Centre (DTC) however due to the sparse 6 new TB Units have been set up at Anini, Hayuliang, Longding, Miao, Namsai & Itanagar.
3. Core activities under RNTCP
- Case detection
- Treatment under DOTS (Directly Observed Treatment Short Course)
- Supervision & Monitoring
- PMDT Services (Programmatic Management of Drug Resistance TB)
- TB/HIV collaboration activities
- Un-interrupted supply of Anti-TB Drug to District Drug Store.
- Public-Private-Mix (PPM)
- IEC/ACSM
- Recording & Reporting on monthly & Quarterly basis.
4. DOTS-Plus/PMDT Services:
The emergence of the Multi-Drug Resistant Tuberculosis in alarming proportion was noted and the DOTS Plus Services was launched under RNTCP to counter it. The DOTS Plus Services was further renamed as Programmatic Management of Drug Resistant Tuberculosis (PMDT) Services. Phase-I of PMDT Services was rolled out in the state in November 2011 after Central Appraisal and for which only two DTCs (Papum Pare and Lower Subansiri) were identified.
All patients falling under Suspect Criteria-B were sent for MDR-TB Diagnosis at LRS Institute of TB & Respiratory Diseases, New Delhi. The first dose of Cat-IV was given to the MDR TB patient at Drug Resistant TB (DR TB) Centre, Naharlagun in a simple ceremony by the Director Health Services Dr. Kartik Nishing on 13th January 2012 in presence of State TB Officer, Chairman DR TB Centre, Medical Superintendant, senior Officials and staff. Currently under Phase-II the whole of Arunachal Pradesh is covered for PMDT Services under suspect Criteria-C. The State now has two DR TB Centres approved by the State Government and CTD, Govt. of India, which are specialized in the treatment of MDR TB Treatment viz. DR TB Centre, State Hospital Naharlagun and DR TB Centre, General Hospital Pasighat.
5. Advocacy Communication and Social Mobilization (ACSM) activities
A.DISTRICT LEVEL
- Outdoor publicity – Hoardings and wall paintings in all prominent locations.
- Exhibition of communication materials – posters, banners & RNTCP Stall during all important occasion.
- Distribution of Communication materials – pamphlets, pocket calendars, caps.
- Community meetings
- Media activities – Television shows and Radio talks
- World TB Day celebration on 24th March every year
- TB awareness public rally
- Seminar on TB
- Social service – cleaning up of public place like market place, public ground.
B. STATE LEVEL
- Outdoor publicity- placement of Hoardings in the state capital
- Display of IEC materials – Posters and Banners, Pocket Calendar & RNTCP Stall during important occasion – Statehood Day, Republic Day & Independence Day.
- Printing of IEC materials – Posters, Wall calendar, Pocket Calendar, TB Information Booklet, Health Provider Guideline, Patient Provider Guidelines.
- Distribution of IEC materials and Caps etc.
- Media activities:
-
- Radio talk on Prasar Bharti, Itanagar
- FM Radio Talk on Ooh! La la! Itanagar
-
- Talk shows on Doordarshan Itanagar
-
- Celebration of World TB Day.
6. Status of State Drug Store
The State Drug Store in the state head quarter has been set up as per CTD norms with adequate space to store RNTCP Drugs both 1st line and 2nd line received from GOI safely and distributed to the districts as per requirement.
Attached to State TB Centre with trained SDS staff.
7. HIV / TB COLLABORATIVE ACTIVITIES
Under this programme the cross-referral between TB and HIV has been intensified. All the diagnosed TB patients will be referred to ICTC and vice-versa. Till date all the DTOs & District PMDT & TB-HIV Coordinator & Supervisory staff have been trained on Intensified HIV-TB Activities, Supervision & Monitoring.
8. Brief RNTCP Profile
| Population |
15.53 (RNTCP Projected Population) |
| State Area |
83,743 Sq. Km |
| No. of Districts covered |
23 |
| District TB Centres |
14 |
| Tuberculosis Units |
20 |
| Designated Microscopy Centres (DMC) |
35 |
| Intermediate Reference Laboratory | Attached with State TB Centre, Naharlagun |
| DR-TB Centres (Drug Resistant TB Centres) |
Tomo Riba Institute of Health & Medical Science, Naharlagun |
| Bakin Pertin General Hospital & Training Centre, Pasighat | |
| CB-NAAT Sites (Cartridge Based Nucleic Acid Amplification Test) |
1 no. at IRL Naharlagun, 10 Nos. at DTCs- Bomdila, Pasighat, Tezu, Aalo, Yingkiong, Roing, Deomali , Changlang, Seppa & Ziro |
| LED Fluorescence Microscopes | 14 nos. at DTCs 1 no at RKM Hospital Itanagar 3 nos. at IRL Naharlagun |
| Mobile Clinic Van fitted with CBNAAT Machine, Laptop, Printer & Genset. | |
9. DISTRICTS TB CENTRES WITH NAME, MOBILE NO. & EMAIL OF DTOs IN THE STATE
|
Name of DTC |
Districts Covered |
Name of Districts TB Officers |
Mobile number |
Email ID |
| Tawang | Tawang | Dr.(Mrs.) Urgen Lamhu |
9436051088 |
DTOARTWN@rntcp.org |
| Bomdila | West Kameng | Dr. R. D. Thongchi |
9436045022 |
DTOARWKA@rntcp.org |
| Seppa | East Kameng | Dr. Nima Bodi |
9402474103 |
DTOAREKA@rntcp.org |
| Naharlagun | Papum Pare | Dr. P. D. Thongchi |
9436052087 |
DTOARPMP@rntcp.org |
| Ziro | L/Subansiri | Dr. H. Nibo |
9436253528 |
DTOARLSU@rntcp.org |
| Koloriang | Kurung Kumey | I/c. DTO Dr. Boni Tuluk |
9436898304 |
DTOARKKM@rntcp.org |
| Kra Dadi | ||||
| Daporijo | U/ Subansiri | Dr. (Mrs) Y. Hanker |
9436224577 |
DTOARUSU@rntcp.org |
| Aalo | West Siang | Dr. Karmar Dirchi |
9436056283 |
DTOARWSI@rntcp.org |
| Lower Siang | ||||
| Yingkiong | Upper Siang | Dr. A. Miyu |
9436058086 |
DTOARUSI@rntcp.org |
| Pasighat | East Siang | Dr. Y. Perme |
9436053117 |
DTOARESI@rntcp.org |
| Siang | ||||
| Roing | L/Dibang Valley | Dr. S. J. Mitapo |
9436048357 |
DTOARDIV@rntcp.org |
| Dibang Valley | ||||
| Tezu | Lohit | Dr. U. K. Nath |
9436056304 |
DTOARLOH@rntcp.org |
| Anjaw | ||||
| Namsai | ||||
| Changlang | Changlang | Dr. (Mrs.) M. Khimhum |
9436057136 |
DTOARCHA@rntcp.org |
| Deomali | Tirap | Dr. (Mrs) J. Thingnok |
9436046118 |
DTOARTRP@rntcp.org |
| Longding | ||||
|
Total – 14 |
20 |
14 |
|
|
INFRASTRUCTURE
10. DTCs, TUBERCULOSIS UNITS & DESIGNATED MICROSCOPY CENTRES
|
Sl. |
Name of DTC |
Tuberculosis Unit |
Designated Microscopic Centre (DMC) |
|
|
1 |
Tawang | TU Tawang |
1 |
DMC Tawang |
|
2 |
DMC Lumla | |||
|
2 |
Bomdila | TU Bomdila |
1 |
DMC Bomdila |
|
2 |
DMC Dirang | |||
|
3 |
DMC Kalaktang | |||
|
4 |
DMC Bhalukpong | |||
|
3 |
Seppa | TU Seppa |
1 |
DMC Seppa |
|
4 |
Naharlagun | TU Naharlagun |
1 |
DMC Naharlagun |
|
2 |
DMC Kimin | |||
| TU Itafort |
3 |
DMC RKMH | ||
|
5 |
Ziro | TU Ziro |
1 |
DMC Ziro |
|
2 |
DMC Yazali | |||
|
6 |
Koloriang | TU Koloriang |
1 |
DMC Palin |
|
2 |
DMC Koloriang | |||
|
7 |
Daporijo | TU Daporijo |
1 |
DMC Daporijo |
|
8 |
Aalo | TU Aalo |
1 |
DMC Aalo |
|
2 |
DMC Basar | |||
|
3 |
DMC Likabali | |||
|
4 |
DMC Mechuka | |||
|
9 |
Pasighat | TU Pasighat |
1 |
DMC Pasighat |
|
2 |
DMC Boleng | |||
|
3 |
DMC Ruksin | |||
|
10 |
Yingkiong | TU Yingkiong |
1 |
DMC Yingkiong |
|
2 |
DMC Tuting | |||
|
11 |
Roing | TU Roing |
1 |
DMC Roing |
| TU Anini |
2 |
DMC Anini | ||
|
12 |
Tezu | TU Tezu |
1 |
DMC Tezu |
| TU Namsai |
2 |
DMC Namsai | ||
| TU Hayuliang |
3 |
DMC Hayuliang | ||
|
13 |
Changlang | TU Changlang |
1 |
DMC Changlang |
|
2 |
DMC Bordumsa | |||
| TU Miao |
3 |
DMC Miao | ||
|
14 |
Deomali | TU Deomali |
1 |
DMC Deomali |
|
2 |
DMC Khonsa | |||
| TU Longding |
3 |
DMC Longding | ||
|
|
14 |
20 |
35 |
|
11. Co-Located DMC-ICTC/FICTC
| Sl.N | Name District | DMCs | ICTC/FICTC/None |
|
1 |
Tawang | DH Tawang |
ICTC |
| PHC Lumla |
None |
||
|
2 |
West Kameng | DH Bomdila |
ICTC |
| CHC Bhalukpong |
ICTC |
||
| CHC Kalaktang |
None |
||
| CHC Dirang |
None |
||
|
3 |
East Kameng | DH Seppa |
ICTC |
|
4 |
Papum Pare | ASH Naharlagun |
ICTC |
| R.K.Mission Hops. Ita |
ICTC |
||
| CHC Kimin |
ICTC |
||
|
5 |
Lower Subansiri | DH Ziro |
ICTC |
| PHC Yazali |
FICTC |
||
|
6 |
Kurung Kumey | DH Koloriang |
ICTC |
| PHC Palin |
None |
||
|
7 |
Upper Subansiri | DH Daporijo |
ICTC |
|
8 |
West Siang | DH Aalo |
ICTC |
| CHC Likabali |
ICTC |
||
| CHC Basar |
ICTC |
||
| CHC Mechukha |
None |
||
|
9 |
East Siang | GH Pasighat |
ICTC |
| CHC Ruksin |
ICTC |
||
| PHC Boleng |
None |
||
|
10 |
Upper Siang | DH Yingkiong |
ICTC |
| CHC Tuting |
None |
||
|
11 |
Lower Dibang Valley | DH Roing |
ICTC |
| DH Anini |
ICTC |
||
|
12 |
Lohit | DTC Tezu |
ICTC |
| CHC Namsai |
ICTC |
||
| CHC Hayuliang |
None |
||
|
13 |
Changlang | DH Changlang |
ICTC |
| CHC Miao |
ICTC |
||
| CHC Bordumsa |
None |
||
|
14 |
Tirap | DH Khonsa |
ICTC |
| CHC Deomali |
ICTC |
||
| CHC Longding |
FICTC |
||
|
Total |
35 |
26 |
12. INVOLVEMENT OF NGOs IN RNTCP IN ARUNACHAL PRADESH Public-Private-Mix (PPM)
|
Sl |
Name of NGO |
Location / Districts |
RNTCP Activity |
Remarks |
|
1 |
Rama Krishna Mission Hospital |
Itanagar, Papum Pare | Designated Microscopy Centre | Functional |
| DOT Centres | ||||
|
2 |
Adi Baptist Union (ABU) |
Pasighat, East Siang | ACSM/Treatment Adherence / Sputum Collection & Sputum Transportation |
Functional |
| 3 | Karuna Trust | Lumla CHC, Tawang | Designated Microscopy Centre | Non Functional |
| Tuting CHC, Upper Siang | Designated Microscopy Centre | |||
| PHC Geying Upper Siang PHC Mengio, Papum Pare PHC Khimyong, Changlang PHC Walong, Anjaw PHC Sangram, K/ Kumey PHC Italin, Dibang Valley SC Arjoo, Dibang Valley PHC Anpum, L/D Valley SC Bizari, L/D Valley SC Paglam, L/D Valley PHC Wakka, Longding |
DOT Centre | Functional | ||
|
4 |
Missionaries of Charity | A-Sector, Naharlagun | DOT Centre | Functional |
| Palin & Sangram, K/Kumey | ||||
| Borduria, Tirap | ||||
|
5 |
Tibetan Refugee Camp |
Tezu, Lohit district | DOT Centre | Functional |
| Miao, Changlang District | ||||
| Tenzing Goan, W/ Kameng | ||||
|
6 |
St. Claret | Boa Simla, Lower Subansiri | DOT Centre | Functional |
|
7 |
Don Bosco | Yachuli, Lower Subansiri | DOT Centre | Functional |
|
8 |
Auxalium Health Care Centre |
Near Hotel Bomdila, Itanagar Papum Pare |
DOT Centre | Functional |
|
9 |
Prem Bhai (Catholic Mission) |
Near Buishi Yada Maruti Workshop Banderdewa, |
DOT Centre | Functional |
|
10 |
NN Charitable Trust | PHC Deed Neelam, L/Subansiri |
DOT Centre | Functional |
13. TB Patient registered under RNTCP from 2011 to 2018
| Year | Total TB Patient Registered |
No. of Pediatric TB Patients (<14 years) |
||||
|
Total No. |
No. of |
New |
No. of |
Re- |
||
|
2011 |
2311 |
854 |
459 |
398 |
600 |
37 |
|
2012 |
2357 |
802 |
535 |
462 |
558 |
59 |
|
2013 |
2500 |
908 |
438 |
530 |
595 |
67 |
|
2014 |
2691 |
938 |
471 |
631 |
674 |
58 |
|
2015 |
2748 |
1039 |
477 |
767 |
660 |
33 |
|
2016 |
2735 |
848 |
520 |
724 |
634 |
55 |
|
2017 |
2628 |
871 |
467 |
707 |
493 |
52 |
|
2018 |
376 |
244 |
198 |
122 |
30 |
79 |
|
Total |
18643 |
6504 |
3565 |
4341 |
4244 |
440 |
14. DTC wise MDR/XDR TB Patient under Treatment
| DR TB Centre | Name of DTC | District | MDR TB | XDR TB |
| DR TB Centre Naharlagun |
Naharlagun | Papum Pare |
257 |
2 |
| Ziro | Lower Subansiri |
13 |
||
| Daporijo | Upper Subansiri |
11 |
||
| Koloriang | Kurung Kumey |
5 |
||
| KraDadi | ||||
| Tawang | Tawang |
3 |
||
| Seppa | East Kameng |
41 |
||
| Bomdila | West Kameng |
3 |
||
| Changlang | Changlang |
5 |
||
| Deomali | Tirap |
3 |
||
| Longding | ||||
| DR TB Centre Pasighat |
Pasighat | East Siang |
24 |
|
| Siang | ||||
| Aalo | West Siang |
11 |
||
| Yingkiong | Upper Siang |
5 |
||
| Roing | Dibang Valley |
6 |
||
| Lower Dibang Valley | ||||
| Tezu | Lohit |
8 |
||
| Namsai | ||||
| Anjaw | ||||
|
Total |
395 |
2 |
||
15. TB-HIV COLLABORATIVE ACTIVITIES STATE LEVEL
|
Sl. No. |
Year |
Total TB patients registered during the year |
Registered TB cases known to be tested for HIV during TB treatment |
Known to be HIV infected |
|
1 |
2011 |
2311 |
1400 |
4 |
|
2 |
2012 |
2357 |
1437 |
6 |
|
3 |
2013 |
2500 |
1770 |
2 |
|
4 |
2014 |
2691 |
2100 |
2 |
|
5 |
2015 |
2748 |
2055 |
1 |
|
6 |
2016 |
2735 |
2246 |
2 |
|
7 |
2017 |
2628 |
2245 |
2 |
|
8 |
2018 |
673 |
278 |
1 |
|
Total |
48643 |
13531 |
20 |
16. Fix Dose Combination – Daily regimen launched on 31st Oct 2017. Patients initiated on FDC-DR
|
Sl. No |
Name of District / DTC |
Number of Patient initiated on FDC-Daily Regimen |
|
1 |
Changlang |
32 |
|
2 |
Dibang Valley |
20 |
|
3 |
East Kameng |
64 |
|
4 |
East Siang |
30 |
|
5 |
Kurung Kumey |
15 |
|
6 |
Lohit |
40 |
|
7 |
Lower Subansiri |
20 |
|
8 |
Papum Pare |
249 |
|
9 |
Tirap |
50 |
|
10 |
Tawang |
16 |
|
11 |
Upper Siang |
6 |
|
12 |
Upper Subansiri |
16 |
|
13 |
West Kameng |
15 |
|
14 |
West Siang |
34 |
|
|
Total |
607 |
17. Nationwide Special TB Campaign for Active Case Finding
Active TB Case finding has been successfully conducted in phase wise in 4 (four Districts of Arunachal Pradesh namely East Siang, Lower Subansiri, Papum Pare & East Kameng in III Phases. (Phase I: 16th – 30th January 2017, Phase II: 17th – 31st July 2017, Phase III: 04th – 18th December 2017).
|
Districts |
Population Mapped/Targeted |
Number Screened |
Presumptive TB Cases Tested |
Diagnosed as TB |
| East Kameng |
9170 |
2090 |
61 |
1 |
| Lower Subansiri |
16480 |
10543 |
287 |
13 |
| Papum Pare |
78788 |
17955 |
1426 |
5 |
| East Kameng |
20339 |
5968 |
211 |
4 |
|
Total |
124777 |
36556 |
1985 |
23 |
18. Status of DBT through Nikshay
|
Scheme Name |
Number of Beneficiaries Processed |
Number of Beneficiaries Paid |
Total Amount Paid |
| NIKSHAY Poshan Yojana TB Patient (Nutrition) |
42 |
23 |
11500.00 |
| TB Patient (Tribal) |
101 |
0 |
|
| TB Treatment Supporter |
58 |
47 |
|
| Private Practitioner |
0 |
0 |
|
20. Activities undertaken during 2017-18
1. Training of DTO, MO-TCs, Lab. Technician, Senior Treatment Supervisor, Senior TB Laboratory Supervisor, District PMDT & TB-HIV Coordinator, on revised ToG for TB Control in India.
2. Training of DTO, MO-TCs, Lab. Technician, Senior Treatment Supervisor, Senior TB Laboratory Supervisor, District PMDT & TB-HIV Coordinator, on revised PMDT Guidelines (RNTCP).
3. Training of District Accountants on PFMS.
4. Conducted Active TB Case Finding (ACF) in 4 (four) districts namely: East Kameng, Papum Pare, Lower Subansiri & East Siang in the year 2017-18.
5. Launching of Fix Dose Daily Regimen (FDC) in all the districts in Arunachal Pradesh
6. Installation of 3 (Three) additional CBNAAT Machine in East Kameng, Lower Subansiri & Changlang Districts.
7. Training on CBMAAT Machine for STLS, LT, & DEOs.
8. Launching of shorter regimen for MDR patients
9. Procurement of Computers for District Accountant for PFMS.
10. Printing of all new modules, recording & reporting formats of revised TOG to roll out daily FDC.
11. Training of DEO on Nikshay DBT-PFMS.
12. Training of Pharmacist on DVDMS.
13. Training on Revised ToG of TBCP Staff, PMDT-TB/HIV Coordinator, STS & SDS Staff.
14. RNTCP Quarterly Review meeting of DTOs & MO-TCs.
Road Map for 2018-19
15. Timely Payment for Nutrition support to TB Patients.
16. Strengthen TB notification from the private sector
17. Schedule H1 implementation.
18. Timely Payment of Incentive for TB Notification.
19. Timely Payment of Honorarium to Treatment Supporter.
20. Procurement of ECG Machine for 12 District TB Centre for smooth rolling of Bedaquilline containing regimen for the DRTB patients.
21. Training / Re-Training of Medical Officer in Revised PMDT Guideline.
22. Establishment of 12 District DR-TB Centre for decentralized DRTB treatment services.
23. Strengthen real-time data entry of all notified TB patients in NIKSHAY portal.
24. Implementation of online drug logistic management system (NIKSHAY Aushadhi).
25. Implementation of Direct Beneficiary Transfer (DBT) through PFMS to TB Patients.
26. Internal Evaluation, Supervision & Monitoring and OSE to be taken up as per guidelines.
21.FINANCIAL STATUS
| Status of fund under A.P. State Health Society (RNTCP) Arunachal Pradesh | |||||
|
Year |
RoP Approval |
Opening balance |
Fund received from GoI |
Total fund available |
Remarks |
|
2017-18 |
709.18 |
19.47 |
709.00 |
728.47 |
|
NOTE:
1. Loan for Rs. 120 lac taken from NHM for payment of Contractual staff salary, Pol, TA/DA, Honorarium to TB Patients/Treatment Supporter etc in the month of March 2018.
2. Loan for Rs. 25 lac taken from NHM for payment of TB Nutrition support for TB Patients in the month of April 2018.