Amma lights the Kuthuvilakku lamp
A small inaugural function followed to initiate
the program. Dr.Varadhan, the Medical Superintendent welcomed the
gathering. Dr. Raja Shivanandam, Deputy Director (T.B) was the Chief
Guest of honour. He highlighted the importance of the RNTCP in his
brief address and thanked Amma for the many welfare programs being
conducted on a daily basis at the Sri Narayani Peedam.
Devotee bows before Amma
Dr. Raja cuts the ribbon
Dr. Raja is Garlanded
In his address he also gave a bit of history of the
NTCP in the early years as far back as 1962. He also mentioned that
when a review was done in 1992 no considerable advancement had been
achieved in T.B. Control. The program was analyzed to find out why
there was no progress; and in 1993 a revised program came into being
and was called Revised National T.B. Control Program. This was introduced
by the Government on the basis of the following findings:-
Under the previous scheme, a sputum test was conducted only once
per patient which cured only 40% of the TB. It was later realized
that if the sputum test was conducted twice, 70% of the TB may have
been cured and if it was done 3 times 100 % would have been achieved.
Hence in the RNTCP sputum test is now conducted 3 times. Previously,
patients were supposed take drugs for a period of 18 months continuously
and the patients would stop after some months not completing the
course. In the RNTCP it is enough if the patient takes the medicine
for a period of 6 months under supervision of a health personnel.
Dr Raja addresses the gathering
In those days, drugs and instructions were given to the patients.
Most of the patients discontinued using the medications. But under
DOTS, patients are supposed to take the drugs in front of the health
staff. The drugs are also scheduled 3 days per week. After 2 months
of medication, sputum test is conducted and if the sputum is found
to be negative the patient will be monitored for another 4 months
and at the end of the 6th month patient will be discharged from
Dr. Raja during his Speech
Dr. Raja went on to say how dangerous it is to leave even one sputum
positive patient untreated, as even one infectious patient infects
10 to 15 more people. Timely treatment guarantees definite cure.
A recent study shows that only 60% of the population in our country
goes to Government Hospital for treatment; the other 40% approach
private hospitals and nursing homes. In order to reach out to the
other 40%, the Government decided to join hands with private institutions.
This is how the Sri Narayani Hospital & Research Centre has
now become a DOTS centre in this area. Dr.Raja Shivanandam thanked
Sri Sakthi Amma and the Director for their efforts in achieving
this milestone. After his address a memento was presented to Dr.
Doctors with the Hospital Director
Dr. K. R. John, a Professor of Community Medicine at the CHAD Hospital
(a branch of the CMC Hospital) expressed his gratitude at the cooperation
between the Public and Private sector in eradicating T.B. He mentioned
that we borrow Rs.5000/- per patient from the World Bank towards
treatment. This loan will be not only be easily repayable but also
can be grown into a multitude under the DOTS system of treatment.
In the previous program, the patient had to take medicines for 18
months and could not work for the whole period. Under the DOTS program,
the patient can go to work from the 2nd month and not be dependent
The DOTS scheme and the staff are governed under 3 principles.
The patients must accept the staff. The staff must have easy accessibility
with the patients. They are accountable for the drugs they give
to the patients and they are responsible for the patients’
progress. He also thanked our Director Mr. N. Balaji, for his keen
interest in collaborating with the Government as he took the necessary
steps 2 years ago.
Mr. N. Balaji – Hospital Director
The Director thanked Amma first and foremost for giving us this
opportunity. While thanking the Deputy Director (T.B.) and Dr.K.R.John,
he assured the institutions of his extreme cooperation in implementing
the program. Dr. Chandrasekar will be in charge of the program in
our institution and with the help of the Community Health Department
he has already foreseen its success.
Dr. Chandrasekar gave the vote of thanks. In his brief speech,
he gave an example from his own experience how he was able to save
a mother of a 6 months old baby, who was anaemic due to T.B. He
also insisted that we should spread the news that the treatment
of T.B. is readily available and we should encourage suspected patients
to get it treated at our hospital which will be provided free of