ABSTRACT
Despite the great efforts in the past decade to control TB, the disease remains an enormous global health problem. Important goal of the International Standards for Tuberculosis Care ISTC is to promote unified approaches to the diagnosis and management ofTB among all categories of C clinicians. To assess the adherence of National Tuberculosis Programme NTP to ISTCs forTB care. A cross sectional study involved all the 15 District TB Coordinator DTCs in Baghdad from March 1st 2012 to May 30th 2012 through direct interview with their physicians, lab technicians, and treatment providers by a structured questionnaire extracted from the International Standards for Tuberculosis Care ISTC. Standards for diagnosis were implemented by most DTCs except for sputum culture of smear negative and childhood pulmonary tuberculosis 26%, 6% respectively. Standards for treatment also were implemented by the majority; poor implementation was only in tracing defaulters 40%.No incentives were given to patients, and in follow up pulmonary TB only 7% used two specimens of sputum as recommended. Most DTCs implemented standards for HIV in TB patients. Concerning standards for public health, only 33%evaluated all the highest priority contacts. Infection control plan was poorly implemented by most DTCs The NTP are partially adhering to the ISTCs, so we need more effort to promote TB health services