WHO-recommended Directly Observed Treatment, Short Course (DOTS) strategy was
launched formally as Revised National TB Control programme in India in 1997
after pilot testing from 1993-1996. Since then DOTS has been widely advocated
and successfully applied.
DOTS is the
most effective strategy available for controlling TB.
key components of DOTS are
Political commitment to control TB;
Case detection by sputum smear
microscopy examination among symptomatic patients;
Patients are given anti- TB drugs
under the direct observation of the health care provider/community DOT
Regular, uninterrupted supply of
anti-TB drugs; and
Systematic recording and reporting
system that allows assessment of treatment results of each and every patient
and of whole TB control programme.
patient is the VIP of the Programme and responsibility of ensuring regular and
complete treatment of the patient lies with the health system.
In 2006, the new stop TB strategy was recommended internationally by WHO. The
components of the new stop TB strategy are the following:
Pursue High quality DOTS expansion
Address TB/HIV, MDR-TB and other
Contribute to health system
Engage all health care providers
Empower people with TB, and
Enable and promote research
RNTCP is already addressing almost all of the components of the stop TB