Evaluation of revised national tuberculosis control programme in rural Puducherry

Surendar Rangasamy, Arthi Marimuthu, Rajkumar Subramanian, Narayan K. A.


Background: WHO estimates that annually 3 million deaths occurs due to tuberculosis and will reach to more than one billion in 2020. In India, more than 40% of population is infected. The revised national tuberculosis control programme (RNTCP) uses directly observed treatment, short-course (DOTS) therapy strategy to reduce mortality and morbidity, reduce transmission. Compliance to DOTS therapy is one of the important factors that affect the treatment outcome. Hence this study was done to assess the drug compliance rate of adults registered under RNTCP in the past one year and first three months after starting the study and to explore the factors associated with drug compliance.

Methods: A longitudinal study was done in Bahour Commune Panchayat with subjects registered under RNTCP from January 2011 to March 2012. They were followed-up by house visit, interviewed using a semi-structured questionnaire.

Results: The mean age was 44±13 years, 35 (68.6%) males were illiterate. About 60 (85.7%) belong to Class IV socio-economic status; 15 (29.4%) and 33 (64.7%) of adults had smoking and alcohol intake respectively; 03 (04.3) were diabetic. The treatment compliance rates were cured 64.3% (45/70), completed 27.1% (19/70), default 2.9% (02/70), failure 5.7% (04/70).

Conclusions: Male being diseased in the productive age-group, will not only affect the health of the patient but also affect the family’s economic status. Most of the males gave history of alcohol intake, for which they require constant motivation for compliance to the treatment.


TB, RNTCP, Compliance

Full Text:



Park K. Park’s Textbook of Preventive and Social Medicine. 20th ed. Jabalpur, India: Banarsidas Bhanot; 2009: 596.

TB India 2017. Revised National Tuberculosis Control Programme. Technical and operational guidelines for tuberculosis control, Central TB Division Directorate General of Health Services Ministry of Health and Family Welfare. Annual Status Report. Nirman Bhavan, New Delhi: 2005: 1-2.

Managing the Revised National Tuberculosis Control Programme in your area. Training course module 1-4, New Delhi, India: Central TB Division; 2005: 19.

Agarwal SP, Chauhan LS. Tuberculosis control in India. New Delhi, India: Revised National TB Programme Directorate General of Health Services Ministry of Health and Family Welfare; 2005: 1.

Global Tuberculosis Control: Epidemiology, Strategy, Financing: WHO report 2009. WHO/HTM/TB/2009.411. Geneva, Switzerland: WHO, 2009: 6.

Government of India. Provisional Population Totals, 2011. Office of the Registrar General and Census Commissioner; India, 2012. Available at Accessed 10 September 2013.

Government of Puducherry. List of village panchayats. Puducherry, 2010. Available at Accessed 23 November 2011.

Nagpal M, Devgun P. Socio epidemiological parameters influencing the treatment outcome in newly diagnosed smear positive cases under DOTS in District Amritsar. Natl J Community Med. 2013;4(2):256-60.

Pithadia PR, Lodhiya KK, Parmar DV, Yadav SB. Evaluation of Performance of Revised National TB Control Programme in Jamnagar District, Gujarat. Natl J Community Med. 2012;3(4):612-6.

Central TB Division, TB India 2012. Revised National TB Control Programme. Annual Status Report, New Delhi: Central TB Division, Ministry of Health and Family Welfare, Government of India; 2013.

Jaggarajamma K, Sudha G, Chandrasekaran V, Nirupa C, Thomas A, Santha T, et al. Reasons for non-compliance among patients treated under Revised National Tuberculosis Control Programme (RNTCP), Tiruvallur District, South India. Indian J Tuberc. 2007;54:130-35.

Finlay A, Lancaster J, Holtz TH, Weyer K, Miranda A, Vander WM. Patient and provider-level risk factors associated with default from TB treatment, South Africa, 2002: a case-control study. Bio Med Central. 2012;12:56.