Mandatory Establishment of DR-TB Centres in All Medical Colleges

In view of the availability of expertise in medical colleges, there is a felt need to leverage their strength to improve clinical, Adverse Drug Reactions (ADRs) and comorbidity management of patients with Drug-resistant Tuberculosis (DR-TB) across India. 

• Expansion of DR-TB services in the medical colleges will be helpful for enhancing the quality of care, treatment success and survival of these difficult-to-treat patients. 
• National Medical Commission (NMC) issued a gazette notification in October 2020, mandating all medical colleges to establish a facility for the management of DR-TB by the time of 3rd renewal (admission of 4th batch of MBBS students). 
• Private and Non-government Organisation (NGO) medical college hospitals are considered to serve as Nodal (N)/ District DR-TB Centre (DDR-TBC) at places where there is a need, either due to additional workload, non-availability of an appropriate public facility or preference of patients in the area. 
• Terms and conditions for establishing that centre may be arrived at the local level as per the prevailing market rates in concurrence of the state/ district health society of the National Health Mission (NHM).

Resources

• Guidelines for Programmatic Management of Drug Resistant TB in India, 2021. 
• Guidance Document of Partnerships, 2019.
• National Medical Commission, Gazette Notification, Government of India, 2020.

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