ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a): The Revised National Tuberculosis control programme (RNTCP) has initiated a National Anti-Tuberculosis Drug Resistance Survey in a representative sample of 5280 patients from 120 Tuberculosis Units. As on date 5247 patients have been registered out of which 3238 are new cases and 2009 are previously treated cases, 112 of the 120 Tuberculosis Units have completed the intake.
At this stage of the survey it is not possible to give the findings.
(b)&(c): While RNTCP collects data on women suffering from Tuberculosis, however, in the present compiling system segregated data on the site of disease is not captured. Genital Tuberculosis in females is included in the count of Extra Pulmonary TB.
The details regarding TB and Extra Pulmonary Tuberculosis among women, State/UT-wise for the last 3 years are at Annexure-I & II.
No disparity in the reporting and treatment of women diagnosed with TB has been reported to RNTCP through the health system. Also, there has been no finding in this regard reported by the previous Joint Monitoring Missions or any other expert group in their review of the RNTCP.
The health communication strategies in RNTCP focus on early diagnosis, treatment, prevention, and social aspects of Tuberculosis which also caters to stigma associated with the disease.
(d): The funds are released to the States for implementation of the RNTCP which includes diagnosis and treatment of tuberculosis in women and for related health communication.
The funds released and utilized for States/UTs during the last three years and the current year is at Annexure-III.
(e): The Government has, inter-alia, taken following action under Revised National Tuberculosis Control Programme (RNTCP) during the 12th Five Year Plan:
• RNTCP is being supported under the National Health Mission.
• Maintaining a network of more than 13,000 Designated Microscopy Centers and more than 4,00,000 DOTS Centers.
• Alignment of Tuberculosis Units with Block Programme Management Units under National Health Mission (NHM).
• Diagnosis of Drug Resistant TB undertaken at 64 Culture & drug susceptibility testing (CDST) laboratories, of which 51 laboratories are also equipped with rapid molecular test. Additionally, Cartridge Based Nucleic Acid Amplification (CBNAAT) Test Machines have been installed at 121 sites for early detection of Rifampicin resistance among TB cases.
• Under RNTCP the treatment of drug sensitive and drug resistant TB cases is being provided free of cost.
• To generate awareness and demand amongst the community, audio visual campaigns and other advocacy communication and social mobilization activities, are undertaken.
Annexure I
Total number of Females patients among New Sputum Positive, New Sputum Negative,
New Others and Relapse reported under RNTCP
State 2012 2013 2014
Andaman & Nicobar 299 292 276
Andhra Pradesh 31329 29603 30361
Arunachal Pradesh 820 904 978
Assam 10195 10182 11074
Bihar 21908 19105 19377
Chandigarh 1087 1118 1137
Chhattisgarh 8212 7434 8720
Dadar & Nagar Haveli 101 125 124
Daman & Diu 76 260 93
Delhi 20720 20212 21462
Goa 645 620 564
Gujarat 19669 19769 21560
Haryana 11016 11388 12133
Himachal Pradesh 4520 4578 4856
Jammu & Kashmir 4983 4395 3951
Jharkhand 10052 9481 9666
Karnataka 20727 18562 18514
Kerala 7433 6820 6702
Lakshadweep 7 10 12
Madhya Pradesh 27440 28104 31802
Maharashtra 44612 45595 45512
Manipur 844 702 641
Meghalaya 1810 1775 1713
Mizoram 867 768 728
Nagaland 1181 1193 1156
Orissa 14720 13357 13418
Pondicherry 404 398 434
Punjab 13759 12878 13442
Rajasthan 28223 26066 26098
Sikkim 678 630 613
Tamil Nadu 22147 21834 22679
Tripura 631 599 576
Uttar Pradesh 92004 84976 85214
Uttarakhand 4898 4291 4837
West Bengal 25828 24630 24993
The above data includes the EPTB cases in females
Annexure-II
Revised National Tuberculosis Control Programme
State/UT wise Extra Pulmonary TB Cases in Females
State/Year 2012 2013 2014
Andaman 90 102 93
Andhra Pradesh 6916 6648 7096
Arunachal Pradesh 252 277 316
Assam 2173 2343 2473
Bihar 2185 1626 1894
Chandigarh 507 499 524
Chhattisgarh 1735 1397 1651
Dadar & Nagar Haveli 21 52 49
Daman & Diu 22 110 17
Delhi 9716 9736 10479
Goa 263 248 237
Gujarat 4569 4624 4937
Haryana 3530 3476 3815
Himachal Pradesh 1572 1640 1710
Jammu & Kashmir 1348 1241 1212
Jharkhand 1246 1030 1120
Karnataka 5586 5427 5363
Kerala 2912 2867 2979
Lakshadweep 2 5 2
Madhya Pradesh 5479 6127 7074
Maharashtra 12854 12933 14098
Manipur 277 266 203
Meghalaya 749 749 738
Mizoram 375 394 369
Nagaland 360 356 354
Orissa 4155 3910 3978
Pondicherry 188 190 201
Punjab 4192 3707 3796
Rajasthan 6891 6434 6455
Sikkim 264 230 206
Tamil Nadu 6873 7011 7304
Tripura 178 150 153
Uttar Pradesh 17477 15786 16407
Uttarakhand 1490 1297 1349
West Bengal 7826 7363 7648
ANNEXURE-III
Revised National TB Control Programme
State wise Releases & Expenditure (Cash)
(Rs. in lakhs)
Sl.No. Name of the State / UT 2012-13 2013-14 2014-15 2015-16
Releases Expenditure Releases Expenditure Releases Expenditure Releases (upto 11.12.2015) Expenditure
1 Andhra Pradesh 1612.50 1883.80 1782.22 1620.70 1195.55 1092.37 1363.41 759.99
2 Andaman & Nicobar 33.70 40.38 73.08 57.34 59.37 77.91 65.52 48.87
3 Arunachal Pradesh 387.40 362.33 408.57 441.23 364.51 367.95 371.53 139.04
4 Assam 871.95 876.50 1170.40 1140.93 1796.01 845.25 1020.32 584.27
5 Bihar 1722.51 1511.81 890.04 1605.98 1269.60 1769.56 2126.81 *
6 Chandigarh 71.97 72.12 113.02 123.52 151.66 100.65 109.61 77.8
7 Chattisgarh 317.34 1069.14 788.18 1059.49 1321.91 208.23 0.00 *
8 D & N Haveli 35.86 32.49 51.24 47.39 43.26 49.39 51.45 27.07
9 Daman & Diu 8.45 17.98 24.80 19.58 11.70 20.85 32.66 11.5
10 Delhi 619.10 1084.46 1049.23 947.88 1338.87 844.75 1196.54 630.89
11 Goa 43.19 70.59 91.74 107.48 90.19 60.37 58.25 45.97
12 Gujarat 1583.98 1902.32 1890.13 2262.15 1826.61 2901.59 1665.80 1527.72
13 Haryana 755.59 599.70 451.61 643.73 545.90 839.73 755.45 352.15
14 Himachal Pradesh 259.71 399.57 421.06 405.03 603.31 299.02 438.09 233.05
15 Jammu & Kashmir 359.51 452.09 591.32 556.11 573.00 404.48 703.91 144.9
16 Jharkhand 743.73 817.83 886.63 784.94 424.00 1152.75 1087.07 331.76
17 Karnataka 846.68 1738.52 1695.53 2028.04 1943.99 1543.06 1303.43 1071.31
18 Kerala 536.77 745.65 996.98 811.18 814.55 821.56 928.91 271.07
19 Lakshadweep 15.45 18.45 19.56 15.19 22.85 8.02 28.01 *
20 Madhya Pradesh 1046.78 1407.95 1449.59 1738.69 1382.86 2793.36 2029.83 *
21 Maharashtra 4040.00 4080.51 4983.68 5193.83 5043.57 5050.80 4728.71 2059.01
22 Manipur 218.44 251.31 255.87 311.96 332.49 283.73 310.06 57.53
23 Meghalaya 138.24 207.24 266.88 288.11 433.73 205.45 152.18 161.41
24 Mizoram 277.56 291.65 295.92 358.58 334.23 332.86 261.08 115.02
25 Nagaland 291.74 286.12 233.18 290.43 250.84 237.32 286.06 121.2
26 Orissa 947.72 1015.63 1031.72 1161.32 1562.03 1387.03 1247.84 603.69
27 Puducherry 85.70 106.57 156.71 146.23 133.84 157.48 134.71 67.13
28 Punjab 401.55 742.37 881.29 882.49 871.10 968.42 792.48 301.52
29 Rajasthan 959.81 1076.22 1395.76 1441.93 1056.04 1475.22 1536.85 554.12
30 Sikkim 95.73 117.82 176.59 194.73 164.46 104.97 151.80 79.68
31 Tamilnadu 737.26 1427.87 1666.16 1902.53 2121.49 2349.56 1800.55 915.95
32 Tripura 118.94 111.24 156.03 137.5 105.66 139.78 181.90 78.41
33 Uttar Pradesh 0.00 4320.65 3817.66 5209.21 5628.85 8558.02 4853.47 623.09
34 Uttrakhand 300.80 433.53 381.01 414.18 538.67 564.46 428.85 350.13
35 West Bengal 1986.36 2105.81 1808.91 2698.00 1891.18 1952.50 2156.70 703.75
36 Telangana 1139.24 158.84 0.00 377.98
Total 22472.02 31678.22 32352.30 37047.61 37387.12 40127.29 34359.84 13426.98
*SOE not submitted
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