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About National TB Programme of Nepal
Tuberculosis Control Programme was launched by Government of Nepal almost six decades ago. In 1937 ‘Tokha Sanatorium’ situated on the north of Kathmandu city was established. The Central Chest Clinic (CCC) came into existence in 1951 with the facility of diagnosis and treatment services for the TB patients on domiciliary basis.
Similarly, in 1965, TB Control Programme was systematically organized with tripartite agreement between Government of Nepal, WHO and UNICEF. Since then TB Control Programme started on a nation wide basis offering preventive measures such as BCG vaccination, case-findings and distribution of drugs.
Later Central Chest Clinic and TB Control Programme were amalgamated into one centre as National Tuberculosis Centre. As a result the National Tuberculosis Centre in Thimi, Bhaktapur at the central level and Regional Tuberculosis Centre (RTC) at the regional level in Pokhara were established in 1989 with the cooperation of Japan International Cooperation Agency.
Key functions of the National TB Center are as follows:
1. Strategic Function
- Development of National Tuberculosis Programme's (NTP) policy, strategy, procedure and guidelines
2. Management Function
- Need assessment of NTP
- Planning
- Implementation
- Monitoring of the activities
3. Research and Evaluation Function
- Conduct different research activities
- Annual review of NTP
- In-debt review of NTP every 5th years etc.
4. Human Resource Management (HRM)
- Recruitment/ selection
- Carrier development
- Staff security (health hazard)
- Performance appraisal
5. Laboratory Test
- Routine laboratory test
- Drug Sensitive Test (DST) and Culture
6. Management of Out Patient Department (OPD)
- Examine the patient
- Manage referral case
7. Anti-TB Drug Management
- Drug quantification
- Procurement
- Storage
- Distribution
8. Health Promotional Activities
- Development and distribute of information, educating and communication (IEC) materials
- Provision of health education
9. Multi-Drug Resistance (MDR) Management
- Provide NRs 1500 per month/patient as nutritional support
10. Partnerships Development
- Regular coordination with Sub Recipients (Britain Nepal Medical Trust, Netherlands Leprosy Relief, Nepal Anti-Tuberculosis Association, International Nepal Fellowship and Health Research and Social Development Forum)
- Regular coordination with International organizations.
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