National Tuberculosiselimination programme (NIKSHAY)Big Challenge to GOI : Dr Sharda Jain

1. National
Tuberculosis
elimination programme
(NIKSHAY)
Big Challenge to GOI
Dr Sharda Jain

3. High Prevalence and Transmission
The sheer number of TB cases in India, accounting
for approximately 50% of the global burden,
poses a significant challenge.
TB rates remain high, GOI program is NATIONAL
TUBERCULOSIS ELIMINATION PROGRAM
NIKSHAY - dead line is DEC ,2025

4. NTEP
NIKSHAY
UN-SDG  2030
GOI2025
NIKSHAY MITRA SCHEME
NIKSHAY POTION YOJANA -2018

5. High Prevalence and Transmission
The sheer number of TB cases in DELHI is
high 700 / 1 lac population
. TB transmission rates remain high,
especially in densely populated urban
areas and among marginalized
populations.

6. Diagnostic Delays
Delays in diagnosing TB contribute to its
spread and worsen patient outcomes.
In many cases, TB is diagnosed late due to
limited access to healthcare facilities,
inadequate diagnostic infrastructure, and low
awareness among both healthcare providers
and the general population.

7. TB Treatment –very Effective

8. TB Drugs /Drug Resistance
India also faces the challenge of drug-
resistant TB strains, including multidrug-
resistant TB (MDR-TB) and extensively drug-
resistant TB (XDR-TB).
Treating drug-resistant TB is more complex,
time-consuming, and expensive than treating
drug-susceptible TB.

9. Treatment Adherence
Ensuring that TB patients complete their
treatment regimens is crucial for successful
outcomes and preventing the development
of drug resistance. However, factors such
as poverty, stigma, lack of social support,
and side effects of TB medications often
lead to poor treatment adherence.

10. Stigma and Discrimination
TB is still associated with significant stigma
and discrimination in many communities in
India. Stigmatized individuals may delay
seeking diagnosis and treatment, fearing
social isolation and repercussions on their
personal and professional lives.

11. Comorbidity with HIV/AIDS
The high prevalence of HIV/AIDS in certain
regions of India further
complicates TB control efforts. HIV weakens
the immune system, making individuals
more susceptible to TB infection and
increasing the risk of TB-related mortality.

12. Healthcare Infrastructure
India's healthcare infrastructure, particularly in
rural and underserved areas, faces challenges
such as inadequate funding, shortage of
healthcare workers, limited access to diagnostic
facilities and medications, and uneven
distribution of resources

13. Poverty and Social Determinants
Poverty, malnutrition, overcrowded
living conditions, and lack of access to
clean water and sanitation contribute to
the persistence of TB in India. Addressing
these social determinants of health is
crucial for TB eradication efforts.

14. Data Collection and Monitoring
Accurate and timely data collection,
surveillance, and monitoring are essential for
tracking TB cases, identifying hotspots, and
evaluating the effectiveness of control
measures. Strengthening India's healthcare
information systems and surveillance
mechanisms is imperative.

15. Political Will and Funding
Sustained political commitment and adequate funding
are essential for implementing
comprehensive TB control programs, scaling up
interventions, and overcoming the various challenges
outlined above. Securing long-term financial
resources and political support is crucial for achieving
the goal of TB eradication in India by 2025.