National Tuberculosis Programme
The National Tuberculosis Programme (NTP) is fully integrated within the general primary health services. NTP vision, goal, policies and strategy are in line with WHO and international recommendations.
National Tuberculosis Centre (NTC) is the focal point of the NTP. It is responsible for establishment of programme policies, strategy and planning. In addition, NTC also carries out the functions of nati onal referral clinic. Central laboratory at the NTC is the focal point for NTP laboratory network which is responsible for policy and guideline development, training, quality control and supervision. Technical support, monitoring and evaluation, training, supervision, logisti cs, health education, communication, and research are key functions of NTC. Estimation, procurement and supply of anti tuberculosis drugs are key responsibilities of the National Tuberculosis Center. World Health Organization is procuring both first and secondline anti TB drugs for the programme. Drugs are distributed through the Logisti cs Management Division of the Department of Health Services. NTC has established of Programme Management Unit (PMU) at the central level for over all management of the Global Fund grants. This PMU consists an overall Coordination, Finance, Monitoring & evaluation, Sub Recipient Management, Training, Procurement and technical sections for Private Public Partnership, MDR TB Management and Advocacy Communication & Social Mobilization.
At the Regional level, NTP activities are planned and carried out with coordinati on and cooperation of the Regional Health Directorate. The Regional Tuberculosis Centre (RTC) in Pokhara provides technical support to TB control activities in the Western Region in coordinati on with National Tuberculosis Center. At the Regional level fulltime permanent Regional TB Leprosy Officers are appointed. Regional levels are responsible for programme implementation within the Regions. In addition, Regional level is also responsible for training, monitoring & evaluati on and supervision of programme activities. Regional level provides logistical support and supply of TB drugs and other requirement through Regional Logistic Management Division.
At the District level, the District Health Office/District Public Health Office is responsible for planning and implementati on of NTP activities within the district. All 75 districts also have dedicated full ti me District TB Leprosy Officers in place. Within the district, the basic unit of management for diagnosis and treatment are district hospital and the primary health care centers. Directly Observed Treatment is available at Health Post, Sub Health Post and other health insti tuti ons within the district. District level is responsible for supervision, monitoring & evaluati on, training and logistic management within the district.