SNC Verification details

1. Sub-National Certification of Progress
Towards TB Free Status

2. Vision: TB Free
13 March 2018:
India committed to End TB by 2025,
five years ahead of Global SDG target
Indicators
(compared to 2015)
Global
End TB
Targets
Global
SDG TB
Targets
TB Free India Targets
1. Reduction in number
of TB deaths
95% 90%
90%
(3 per 1,00,000
population)
2. Reduction in TB
incidence rate
90% 80%
80%
(44 per 1,00,000
population)
3. TB-affected families
facing catastrophic
costs due to TB
0% 0%
0%
(Zero catastrophic costs due
to TB )

3. Rationale for the Initiative
• Currently certification of elimination of the disease is done only at national
level, by WHO
• Targeted initiatives required at State & District levels for disease
elimination
• Different epidemiological scenario across country demands a differential
strategy to reach to the elimination targets & sub-national measurements
• Incentivizing and rewarding well performing states & districts:
• Achieving target that are within their control and capacity,
• Motivation to prioritize and undertake implementation of programme
to achieve milestones towards TB Free district
• Generates sense of healthy competition among States/Districts.

4. Award Details
Awards Bronze Silver Gold TB Free
Criteria
(Incidence decline
compared to 2015)
🡻20% 🡻40% 🡻60% 🡻80% /
≤ 44/Lakh
State Rs. 25 lakhs Rs. 50 lakhs Rs. 75 lakhs Rs. 100 lakhs
District Rs. 2 lakhs Rs. 3 lakhs Rs. 5 lakhs Rs. 10 lakhs

5. Process
Submission of Claim by District/State/UT
Preparation for verification and data availability
Verification of claim by Independent Agency
Distribution of award
Release of award money
24th March

6. Pre-requisites for Submission of Claims (District/State/UT)
Decline in patient months from 2015
(based on drug consumption / sales data)
≥20%
Increase in Number Needed to Test to diagnose 1 TB
patient
≥20%
TB score for the latest year ≥80%

7. Methodology for Verification
• Review of records
• Patient & other stakeholder interviews
Verification of TB Score &
NNT
• Review of drug sale/consumption reports/records
• Interviews & discussions with Private Practitioners,
Chemists, Drug Inspectors, etc
Verification of Drug
Sale/Consumption Data
• Community Survey using inverse sampling
methodology
• Mapping of incident TB patients on Nikshay
Estimation of TB incidence
and under-reporting at
community level

8. Key Stakeholders
• National Level – NHM, CTD, WHO, ICMR -NIRT, ICMR-NIE, SNC Task
Force, Partner Organizations
• State Level
• State NHM, State TB Cell & STDC
• Medical colleges
• State Drug Controller
• Clearing & Forwarding Agency(Drugs), Drug Distributors,
• Private Healthcare Providers/Chemist Associations
• District Level
• District Collector/Magistrate
• Medical College
• NHM & DTC, MOTCs, STS, STLS, Labs
• Drug inspectors
• Private Healthcare Providers & associations
• Chemists

9. Advantages of Submitting Claims
Understanding of TB Disease
Burden in the geography
Successful Not
Successful

10. Thank You