This is a review of the manner in which the Revised National Tuberculosis Control Programme (RNTCP) is being implemented, with a focus on the attention being paid to ethical principles and the incorporation of these into the programme. The article elucidates how ethical principles can be applied to protect the rights of the potential beneficiaries of the RNTCP. The authors consider the RNTCP in the light of a framework that is usually applied in research to evaluate ethical principles in public health practice. The three key principles of the framework are: respect for persons, beneficence and justice. The authors propose that this framework be used to make an ethical evaluation of other public health programmes at several levels, since this could bring far- reaching benefits to society .
With public spending on health care insufficient, around 40 per cent of patients have to either sell off assets or borrow heavily for treatment and end up slipping below the poverty line every year
Giridhar R Babu 