Government of Sri Lanka · Ministry of Health

National Programme for Tuberculosis Control & Chest DiseasesMinistry of HealthNational Programme for Tuberculosis Control & Chest Diseases

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Organisational structure

TB services run along two administrative lines. The line ministry setup carries NPTCCD and the National Hospital for Respiratory Diseases under separate Deputy Directors General; the provincial health setup carries the district chest clinics through the PDHS and RDHS.

2Administrative lines: line ministry and provincial
2Chest clinics reporting directly to NPTCCD
26District chest clinics island-wide

Lines of reporting

Line ministry setup and provincial health setup

  • Ministry & DGHS
  • Programme management
  • NHRD
  • Service delivery
  • Provincial political level
Minister of Health
Secretary
DGHS
DDG (PHS) I
Director, NPTCCD
Deputy Director
NPTCCD
Central Unit
Consultant Microbiologist → NTRL
Chief Pharmacist → Central Drug Stores
MOIC / DTCO → DCC Colombo
Sub Chest Clinics and Branch Clinics
Microscopy Centres
DTCO → DCC Gampaha
Branch Clinics
Microscopy Centres
DDG (MS) II
Director, NHRD
Deputy Director
NHRD
Provincial Health Setup
Provincial Health Minister
Provincial Health Secretary
PDHS
RDHS
DTCO — District Chest Clinic
Branch Clinics
Microscopy Centres

Scroll the chart sideways on narrow screens. DGHS — Director General of Health Services · DDG (PHS) — Deputy Director General (Public Health Services) · DDG (MS) — Deputy Director General (Medical Services) · NHRD — National Hospital for Respiratory Diseases · NTRL — National Tuberculosis Reference Laboratory · PDHS / RDHS — Provincial / Regional Director of Health Services · DTCO — District Tuberculosis Control Officer · MOIC — Medical Officer in Charge · DCC — District Chest Clinic.

Line ministry setup

Reporting from the Minister of Health to service delivery

  • Minister of Health → Secretary → DGHSPolitical and administrative leadership of the health sector.
  • DDG (PHS) IDeputy Director General, Public Health Services — the line under which NPTCCD sits.
  • Director and Deputy Director, NPTCCDNational policy, planning, coordination and monitoring of TB and chest disease control.
  • Central UnitPlanning, monitoring and evaluation, training, health education and programme coordination.
  • Consultant Microbiologist — NTRLNational Tuberculosis Reference Laboratory: culture, drug susceptibility testing and laboratory quality assurance.
  • Chief Pharmacist — Central Drug StoresForecasting, storage and distribution of anti-TB drugs to clinics.
  • MOIC / DTCO — DCC ColomboReports directly to NPTCCD; oversees sub chest clinics, branch clinics and microscopy centres.
  • DTCO — DCC GampahaReports directly to NPTCCD; oversees branch clinics and microscopy centres.
  • DDG (MS) IIDeputy Director General, Medical Services — the line under which NHRD sits.
  • Director and Deputy Director, NHRDNational Hospital for Respiratory Diseases, Welisara — inward and tertiary respiratory care.

Provincial health setup

The line every district outside Colombo and Gampaha follows

  • Provincial Health MinisterPolitical head of health services within the province.
  • Provincial Health SecretaryAdministrative head of the provincial health ministry.
  • PDHSProvincial Director of Health Services — provincial oversight of all health institutions.
  • RDHSRegional Director of Health Services — district-level administration, including the chest clinic.
  • DTCO — District Chest ClinicHeads the district TB programme; diagnosis, registration, treatment and reporting.
  • Branch clinics and microscopy centresDirectly observed treatment and sputum smear microscopy close to where patients live.

How the two lines work together

NPTCCD holds the national mandate — policy, guidelines, anti-TB drugs and the reference laboratory — under DDG (Public Health Services) I. Inward and tertiary care sits with the National Hospital for Respiratory Diseases under DDG (Medical Services) II. The Colombo and Gampaha district chest clinics report directly to NPTCCD; every other district chest clinic reports to its RDHS in the provincial setup while taking technical direction from the central unit.

  1. 01Policy, guidelines and treatment regimens are issued by NPTCCD under DDG (PHS) I.
  2. 02Anti-TB drugs are held at Central Drug Stores and distributed free of charge to clinics.
  3. 03The NTRL provides culture, DST and quality assurance for the whole laboratory network.
  4. 04District chest clinics notify, register and report treatment outcomes back to the central unit.

Who holds these posts?

The team page lists every officer at the central unit, the NTRL, the Colombo and Gampaha chest clinics and central drug stores.

Our teamContact directory

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© 2026 National Programme for Tuberculosis Control & Chest Diseases · Ministry of Health, Sri Lanka

Content last reviewed 2026.09.16 · Maintained by NPTCCD Health Information Unit

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