This document provides an overview of the National Tuberculosis Elimination Programme (NTEP) in India. It discusses that NTEP aims to eliminate TB in India by 2025, five years ahead of the global target of 2030. Key priorities of NTEP include improving active case finding, engaging the private sector, strengthening diagnosis and treatment, addressing comorbidities like HIV and diabetes, and taking a multi-sectoral approach involving other ministries. NTEP utilizes various strategies like digital tools and community involvement to achieve its goals of reducing TB incidence, prevalence, mortality and catastrophic expenditure due to the disease.
Organization Structure of Public Health System in Nepal.
Organization Profile (Structure, Functions, Roles, Responsibilities, ToR): http://bit.ly/HealthsystemsNepal
Organization Structure of Public Health System in Nepal | Health System Nepal | Current Health system of Nepal | Organization Structure of Nepalese Health System | Public Health System | Health Governance System in Nepal |Health Organization Profile | https://publichealthupdate.com |
More updates: https://publichealthupdate.com
WORLD TUBERCULOSIS DAY 2023 AWARENESS.pptxanjalatchi
World TB Day 2023, with the theme 'Yes! We can end TB!', aims to inspire hope and encourage high-level leadership, increased investments, faster uptake of new WHO recommendations, adoption of innovations, accelerated action, and multisectoral collaboration to combat the TB epidemic.
Morbidity has been defined as any departure, subjective or objective, from a state of physiological or psychological well-being. In practice, morbidity encompasses disease, injury, and disability.
Organization Structure of Public Health System in Nepal.
Organization Profile (Structure, Functions, Roles, Responsibilities, ToR): http://bit.ly/HealthsystemsNepal
Organization Structure of Public Health System in Nepal | Health System Nepal | Current Health system of Nepal | Organization Structure of Nepalese Health System | Public Health System | Health Governance System in Nepal |Health Organization Profile | https://publichealthupdate.com |
More updates: https://publichealthupdate.com
WORLD TUBERCULOSIS DAY 2023 AWARENESS.pptxanjalatchi
World TB Day 2023, with the theme 'Yes! We can end TB!', aims to inspire hope and encourage high-level leadership, increased investments, faster uptake of new WHO recommendations, adoption of innovations, accelerated action, and multisectoral collaboration to combat the TB epidemic.
Morbidity has been defined as any departure, subjective or objective, from a state of physiological or psychological well-being. In practice, morbidity encompasses disease, injury, and disability.
After the successful NSP 2017-2025,Goi is lauching NSP 2017-2025 for elimination of TB on 24th march( World TB day ) 2017. Module is on MOHFW site but i have try to keep it brief,hope its ll be useful specially for academic and administrative purposes.
This ppt contains all the information about Revised NationalTuberculosis Control programme (RNTCP) It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
New faces of tuberculosis: new chellenges requiring new solutionsJean Jacques Bernatas
TB reflects poverty, and while it accompanies Humankind for 70,000 years, this disease presents new faces for which new solutions must be implemented to move towards TB elimination by 2030. Finally a better coordination between all stakeholders is instrumental for winning this fight.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Surgical Site Infections, pathophysiology, and prevention.pptx
NTEP.pptx
1. Dr Neha Dhingra
Assistant Professor
Community Medicine
National TB Elimination Programme
Overview - Key Priorities
2. Revised National TB Control Programme
(RNTCP)
renamed as
National Tuberculosis Elimination
Programme
(NTEP)
2
3. What is Tuberculosis?
Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium
tuberculosis (MTB) which generally affects the lungs, but can also affect other parts
of the body
One patient with infectious
pulmonary TB if untreated can
infect 10-15 persons in a year
o Malnutrition
o Diabetes
o HIV infection
o Poor immunity
o Severe kidney disease
o Other lung diseases
e.g. silicosis
o Substance abuse etc.
o Overcrowding
o Inadequate
ventilation
o Enclosed living/
working conditions
o Occupational risks
Risk factors:
5. Objectives
RNTCP
1. To achieve high cure rate of 85% among new smear
positive cases.
2. To detect at least 70% of TB cases
3. To reduce morbidity and mortality by 50% by 2015
These objectives have been replaced by NSP -2017-2025
5
6. • In view of End TB targets, the programme has been
renamed from RNTCP to NTEP.
• Revised National Tuberculosis control Programme to
National Tuberculosis Elimination Programme
6
9. DOTS
1. The heart of DOTS is, treatment by a person who
is not a family member but is accountable,
accessible and acceptable such as health worker.
2. Good quality of Anti TB drugs.
3. Good quality of diagnosis
4. Political and administrative commitment
5. Monitoring
6. Organization
9
10. NTEP
• Key activities include
1. Active TB case finding
2. Newer and shorter regimen
3. Private sector engagement
4. Financial/nutritional support to TB patients
5. IT enabled
• surveillance,
• preventive and
• awareness measures
10
11. • Active Case Finding (ACF):
Active case finding means:
Going out and identifying TB in individuals who don’t come
themselves for health care using community volunteers with
proper training and supervision.
To reach the unreached
11
12. • ACF is to be done in among high-risk groups (HRGs) which
have been identified as:
1. PLHIV (people living with HIV)
2. All contacts of bacteriologically confirmed pulmonary TB
patient
3. Other risk groups (silicosis, immuno-compromised, organ
transplant, hemodialysis, anti TNF-therapy, etc).
4. Migrants
5. People living in
– urban slums,
– construction sites, and
– hard-to-reach areas
12
13. • TB Co-morbidities
(Detecting TB in patients with other Morbidities)
TB and HIV
• HIV Testing for TB Patients (including Presumptive TB
cases)
• Screening for TB among HIV patients (Intensive Case
Finding /ICF)
– using 4 symptom complex
1. Cough of any duration,
2. Fever,
3. Weight loss,
4. Night sweat
• ICF is to be done at ICTC, ART center and Link ART Centers
•
13
14. • Isoniazid preventive treatment (IPT) for all people living
with HIV (PLHIV)
• TB and Diabetes
• Screening of TB patients for Diabetes
– If DM found, then linkage to DM care center
14
16. • Eliminating TB by 2025: India is committed to eliminating
tuberculosis from the country by 2025, five years ahead of
the global target by the World Health Organisation
(WHO) i.e. 2030. (AIM OF National Strategic Plan)
• Targets:
16
1) 80 % reduction in TB incidence
2) 80% reduction of Prevalence
3) 90% reduction in TB mortality
4) 0% patient having catastrophic
expenditure due to TB
18. • DETECT:
All Drug Sensitive Cases (DS-TB) and Drug Resistant TB cases
(DRTB) esp. from Private providers and undiagnosed TB cases
in high-risk groups (prisoners, migrant workers, PLHIV/AIDS,
contacts etc.).
– And report these
• TREAT: Provision of free TB drugs in the form of Daily Fixed
Dose Combinations (FDCs) for all TB cases is advised with
the support of directly observed treatment (DOTS).
– Screening of all patients for Rifampicin resistance
18
19. • PREVENT
– Air-borne infection control measures at health care
facilities
– Treatment for latent TB infection in contacts of
bacteriologically-confirmed cases
– BCG
– Address social determinants of TB through intersectoral
approach
• BUILD: Health system strengthening for TB control
– enabling policies, empowering institutions and human
resources
19
20. Key Services
1. Free diagnosis and treatment for TB patient
2. Public health action- contact tracing, testing for co-
morbidities etc.
3. Treatment adherence support
4. Nutrition assistance to TB patients (DBT-Nikshay
Poshan Yojana)
5. Preventive measures
6. CBNAAT sites
21. NTEP endorsed TB diagnostics
• Smear microscopy for acid fast bacilli
• Culture –( L-J media, Bactec, MGIT etc)
• Line probe assay
• CBNAAT
• Gene Xpert
• Radiography
• Tuberculin sensitive test
21
22. Strengthening Case Finding in the Public Sector
Chest X Ray:
Clinically diagnosed TB
increased from 8.8 lakhs in
2017 to 12.7 lakhs in 2019
Revised Diagnostic
Algorithm for TB: Increase
in DR-TB cases from 38,000
in 2017 to 66,000 in 2019
Upfront Rapid Molecular
Testing: Increased from
5.23 lakhs upfront tests in
2017 (16% yield) to 11.34
lakhs in 2019 (17% yield)
Intensive Case Finding in Health
facilities- Screening for TB
among:
-DM patients increased from
11.5 L in 2018 to ~20 L in 2019
- ICTC/ART referrals increased
from 3.35 L in 2017 to 3.94 L in
2019
Active Case Finding in vulnerable
population: from 5.5 crore
population screened in 2017 to
28 crores screened in 2019. Yield
increasing from ~27,000 to
~63,000 TB patients.
Leveraging Outreach of other
Healthcare Programmes: 8.3
lakhs referrals from Health &
Wellness Centres .
PASSIVE APPROACH TO CASE FINDING
ACTIVE APPROACH TO CASE FINDING
23. Treat
Treatment
Patient Centric Care
Reduce Out-of-pocket
Expenditure
• Daily Regimen
• Shorter Regimen
• Newer Drugs
• IT Enabled Adherence
Support
• Comorbidity
management
• Financial incentives
• Direct Benefit Transfer
24. Direct Benefit Transfer (DBT) schemes
1. Honorarium to Treatment Supporters – For provision of treatment
support to TB patients (Adherence, ADR monitoring, counselling
@Rs.1000/- to Rs.5000/-)
2. Patient Support to Tribal TB Patients (Financial Patient Support
@Rs750/-)
3. Nutritional Support to All TB patients (Financial Support to
Patients @Rs.500/-month)
4. Incentives to Private Providers (Rs.500/- for Notification &
Rs.500/- for reporting of Treatment Outcome
5. Incentives to Informant (Rs. 500/- is given on diagnosis of TB
among referrals from community to public sector health facility)
25. Prevent
• Air borne infection
control measures
• Strengthen Contact
Investigation
• Preventive
treatment in high
risk groups
• Manage Latent TB
Infection
• Address
determinants of
disease
26. Multi-sectoral Engagement
TB care services in
health
infrastructure
Socio-economic
support &
Empowerment
Infection
Prevention
Address
Determinants
Information
Education
Communication
Prevention and
Care at Work Place
Corporate
Social
Responsibility
TB - A social problem & needs multi-sectoral approach
27. Inter-Ministerial Coordination
AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and
Homoeopathy)
•1st meeting of National Technical Expert Group on NTEP-AYUSH Collaboration &
e-consultation of experts held
•2nd draft of Policy Document and Joint Letter drafted
Railways
•Joint Working Group to be formed to monitor implementation
Defence
•Action Plan developed.
•95 Ex- Servicemen Contributory Health Scheme (ECHS) Polyclinics registered in
Nikshay, remaining underway
Labour and Employment
• MoU signed in September 2020
28. Community Engagement
Transformation of TB survivors to TB
champions
Capacity building and mentoring
programme
Engagement of existing community
groups like PRI, SHG, VHSNC, MAS,
Youth Club
Grievance redressal mechanism
Involvement of community
representatives in different forums
TB Forums at the National, State
and District level to provide a
platform for all stakeholders,
including the community, to voice
their views
29. New Initiatives
• NIKSHAY – Case based Web based IT system
• TB Notification
• Ban on TB serology- based on antibody response
• Direct Benefit Transfer
• Universal Drug Susceptibility testing
• Shorter Regimen and Bedaquilin
29
30. Call Centre- Nikshay Sampark
1800-11-6666
Outbound & Inbound
Time – 7 to 11
Languages – 14
100 call centre agents
Pan-India coverage
Citizen – Patient - Providers
Counselling
Treatment
Adherence
Grievance
Redressal
Follow
Up
TB
Notification
Information
Nikshay
Poshan
Yojana
Policy Update in RNTCP, 2018
32. 1. Under reporting and uncertain care of TB patients in
private sector
2. Reaching the unreached – Slums, Tribal, vulnerable
3. Drug Resistant TB
4. Co-morbidities – HIV, Diabetes
5. Undernutrition, overcrowding
6. Lack of awareness and poor health seeking behaviour lead
to delay in diagnosis
Key Challenges
33. Key Take Away
• Improve TB notification rate Ensure mandatory TB
notification from private sector
• Active TB Case Finding to reach the unreached
• Optimum utilization of CBNAAT machines
• Expand Universal Drug Susceptibility Testing coverage
• NIKSHAY Poshan Yojana to every TB patients
• 100% reporting through NIKSHAY
• Collaboration with Line Ministries to tackle social
determinants of TB
• Community participation for TB Elimination
34. Vision: A world free of TB
Zero TB deaths, Zero TB disease, and Zero TB suffering
Goal: End the Global TB Epidemic (<10 cases per 100,000 population)
Sustainable Development Goals (SDG)
INDICATORS
TARGETS
SDG 2030
Reduction in number of TB deaths
compared with 2015 (%)
90%
Reduction in TB incidence (new case) rate
compared with 2015 (%)
80%
TB-affected families facing catastrophic
expenditures due to TB (%)
Zero
35. TB Free India
• India has committed to End TB by
2025, 5 years ahead of the global
SDG target
• Prime Minister of India launched
TB Free India campaign at ‘Delhi
End TB Summit’ on 13th March,
2018
• The campaign calls for a social
movement focused on patient-
centric and holistic care driven by
integrated actions for TB Free
India
1.89 lakhs in 2019- tb through naat upfront
2018-3.35 lakhs referrals from ART
In RNTCP, one of the first health programs to move to DBT, will be using it to transfer monetary benefits to eligible patients and providers. We would be using Nikshay to identify the beneficiaries and the transfer of funds will be through the Public Financial Management System or PFMS