Background: The present evaluation study has been conducted with the following objectives: (i) To assess the treatment outcomes of Revised National Tuberculosis Control Program (RNTCP) in five microscopic centers of Kangra district under five tuberculosis units and (ii) To identify gaps and underlying contributing factors. Based upon the findings of (i) and (ii) we suggest appropriate measures to narrow down the existing gaps. Materials and Methods: We identified and interviewed health personnel involved, reviewed the documents and records pertaining to evaluation plan/guidelines, training records and reports generated by the tuberculosis units. We assessed the inputs, processes and outputs of the program across tuberculosis units. We calculated the proportion of staff of various categories trained and internal quality control (case detection); availability of drugs, Directly Observed Treatment Short- course (DOTS) providers and supervision (case management) and Information, Education and Communication (IEC) and funds distribution. (Logic model). Result: Over 90% of staffs of various categories trained with 100% supervisory visits. The total proportions of sputum positivity are 19%; 16% cross checking of the positive slides despite internal quality in place. 73% of the population knows that they should seek treatment for the cough more than three weeks. 89% of the patients have completed their treatment and 89% of the new sputum positive have been cured. Conclusion: RNTCP has successfully achieved all its targets in all the five TUs of Kangra District as per national norms despite several gaps. We recommend (i) filling of vacancies of medics and paramedics with re-orientation trainings/refresher courses; (ii) conduction of supportive supervision by the seniors.

Keywords: Extra pulmonary tuberculosis; Kullu; RNTCP tuberculosis unit.