IMA GFATM RNTCP PPM: gearing up to face ground realities

To fight the menace of tuberculosis public-private mix model as being nurtured by Central TB Division and IMA may become an appropriate model for the developing and even for developed countries. IMA had sensitised 12147 private practitioners in five target states in India. Also 592 private practitioners have been trained in District Training Programmes. Frequently asked questions in these sensitisation and District Training Programmes are narrated in this article. The whole of India has been covered under DOTS strategy. Case detection rate of 70% is the key factor for the programme to succeed. CTD is able to reach case detection of new sputum positive (NSP) cases up to 55-60%. IMA is expected to fill the gap to reach magical figures of 70% NSP case detection rate. The risk of active tuberculosis with latent infection is increased 100-fold by HIV infection. Treating HIV and tuberculosis together and initiative of HIV treatment as been elaborated. Immune reconstitution inflammatory syndrome (IRIS) is characterised by a clinical worsening of a known condition or the appearance of a new condition after initiating antiretroviral therapy (ART). Details about IRIS have been narrated in this article.