• Saroj Ragini
• Mrs. Krushna Modi

Tuberculosis (TB) remains a significant public health challenge in India, with both rural and urban areas grappling with the burden of the disease over the past 25 years. This review assesses the tuberculosis control efforts and healthcare management strategies implemented in rural and urban India during this period, with a focus on the Revised National Tuberculosis Control Program (RNTCP). The RNTCP, launched in 1997, has played a crucial role in improving TB detection, treatment, and management across the country. Through a network of designated microscopy centers, directly observed treatment, short-course (DOTS), and the adoption of newer diagnostic tools like GeneXpert, the program has significantly enhanced case detection rates and treatment outcomes. In rural areas, challenges such as limited access to healthcare facilities, inadequate infrastructure, and socioeconomic factors have posed hurdles to effective TB control. However, community health workers, trained under RNTCP, have been instrumental in bridging these gaps by facilitating early diagnosis and treatment initiation. Urban India, characterized by high population density and mobility, has faced unique challenges in TB control, including the emergence of drug-resistant strains. To address this, initiatives like the Programmatic Management of Drug-Resistant TB (PMDT) have been integrated into RNTCP, providing specialized care and treatment for drug-resistant TB cases.

Tuberculosis,Multi-drug resistance, RNTCP, Universal access.

" A comprehensive review of Tuberculosis control and healthcare management In ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 4, page no.p119-p126, April-2024, Available :http://www.jetir.org/papers/JETIR2404G16.pdf

" A comprehensive review of Tuberculosis control and healthcare management In ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 4, page no. ppp119-p126, April-2024, Available at : http://www.jetir.org/papers/JETIR2404G16.pdf