Background: Tuberculosis remains a major cause of morbidity & mortality in many countries & a significant public health problem worldwide.TB kills more adults in India than any other infectious diseases. Controlling it in India is a tremendous challenge & the burden is still staggering. Aims & Objectives: To study the status of RNTCP at Handignur PHC- Belgaum District. Materials and Methods: Present study is a retrospective study. The data was collected from the records maintained at PHC Handignur from 2004 to 2009 (6 years) and analysed.The results were compared with performance of RNTCP at National level figures. Results: PHC Handignur covers a population of  25,606 & prevalance of TB in this PHC during last 6 yrs has ranged from 2.6% to 7.7% average being 5.5% .Out of total 166 TB patients 103 were males & 63 females( sex ratio of 1.6:1). Amongst the total OPD patients 3.3% has been symptomatic cases who were subjected to sputum examination, amongst them the prevalance of sputum positive cases has been 2.6%. 2/3rd  of the cases i.e. 65.7% belonged to category-I,17.4% category- 2 & 16.9% category- 3. Overall compliance for treatment has been 90.3%.The case fatality amongst these patients was 8.4%.Although the mortality was more in males (11.6%) than in females ( 4.7%) it was not statistically significant with Z score 1.51 & p>0.05. (95% CI for difference in mortality rate is -3.9% to 15.9%). HIV screening was started from 2008, out of 57 cases 5 were HIV-TB coinfected 7 deaths were reported in these 2 years. Out of which 3 were HIV infected . This difference in mortality between HIV & non HIV TB cases was statistically significant with Fischer exact P=0.011. Conclusion: The prevalance of TB was more in males than females . In spite of compliance being as high as 90% the mortality has been high. Reasons for mortality need to be studied by doing prospective studies.

Keywords: RNTCP; HIV-TB Co-infection; TB mortality.