The TB Mukt Panchayat initiative launched by India aims to eliminate tuberculosis (TB) by 2025, leveraging over 2.5 lakh gram panchayats to raise awareness, remove stigma, and improve health service uptake. The initiative includes a certification process based on five key performance indicators to assess progress, with annual awards and training for panchayat members to sustain efforts. Monitoring will involve joint assessments by state and district authorities, with a focus on community mobilization and providing nutritional support to TB patients.

1. TB MUKT PANCHAYAT
ABHIYAAN
Central TB Division

2. 90
%
80
%
0
%
Reduction in number of TB deaths
(compared to 2015)
Reduction in TB incidence rate
(compared to 2015)
TB-affected families facing
catastrophic costs due to TB
On 13 March 2018, India committed to End TB
by 2025, five years ahead of Global SDG target

3. The Prime Minister has launched the TB-Mukt Panchayat initiative to leverage the
support of over 2.5 lakh Gram Panchayats to raise awareness about TB, eliminate the
stigma attached to the disease and help monitor and improve uptake of services.

4. RATIONALE
• ‘Healthy Villages’ has been articulated in achieving Sustainable Development
Goals in Panchayat Raj Institutions.
• Health functionaries at the village and Sub-Centre/HWC levels along with the
support of Gram Panchayats, are making substantial progress towards
elimination of TB.
• The efforts made need to be measured and validated through a certification
process so that panchayats can be declared TB Free.
• The certification process will motivate and empower the Panchayats to
prioritize and undertake the implementation of program activities.

5. OWNERSHIP BY MoPR

6. OBJECTIVES
• To empower the PRIs to realize the extent of problems
associated with TB, take necessary actions towards
solving them
• Create healthy competition among panchayats, and
appreciate their contribution
Panchayati Raj Institutions
A system of rural local self-
government in India
Gram Panchayat
(Village Assembly)
255,586
TB Mukt Panchayat
certification
1 year -- 2 years -- 3 years

7. CERTIFICATION PROCESS
• Under the process, there will be five KPIs with their corressponding targets to assess the progress towards achieving
TB Mukt status.
• These KPIs, with their corressponding targets, will be the same for submission and verification of claims, which
means the same KPIs will be verified by the District TB Team on the basis of which claims will be submitted by
Gram Panchayats.
• All the five targets need to be achieved for submission and verification of claims.
• For claim submission and verification, data will be considered for the current year, which means declaring panchayat
TB Mukt in 2024, data will be evaluated for the year 2023.
• The information/ data on the five KPIs will be captured by Ni-Kshay portal (Central TB Divsion, MoHFW) and shall
flow to e-gramswaraj portal (MoPR) after integration of the two portals.

8. TB Mukt Panchayat – Ni-Kshay eGramswaraj portal integration
Mapping of Ni-Kshay
hierarchies below
district level (upto
village and Panchayat
level) with LGD code to
be maintained in
Ni-Kshay Backend
Form 1- TB Mukt
Panchayat reporting
form: Capture 5 KPIs
monthly at Gram
Panchayat level by
NTEP staff in Ni-Kshay
Form 2 – TB Mukt
Panchayat Claim Form:
Gram Pradhan to submit
claim based on
resolution/declaration of
Gram Sabha in Ni-Kshay
annually
Form 3- TB Mukt
Panchayat verification
form: District TB Team
verifies claim and submit
6 KPIs in NI-Kshay at
Gram Panchayat level
PHI and village level
dropdown enabled
in address section in
enrolment form in
Ni-Kshay
API linkage with eGramswaraj. Sign on
for authentication of Gram Pradhan
KPI & verification
info passed from Ni-
Kshay to
eGramswaraj portal
via API
No. of Panchayats
declared TB Free
annually will be
visible in
eGramswaraj

9. Indicator wise verification of claims
Indicator Formula/ Description Target
Number of
presumptive
TB examination
/1000population
Numerator: Number of presumptive TB persons
examined during the current calendar year x 1000
Denominator: Total population of Panchayat (Current
year)
≥30 per
1000 (for the current calendar year)
population in the panchayat
TB Notification rate
Numerator: Number of TB cases notified (all types)
during the current calendar yearx 1000
Denominator: Total population of panchayat
≤1 per 1000 (for previous calendar year)
populationinthepanchayat
Treatment Success
Rate
Numerator: Number of DSTB patients with treatment
outcome given as success i.e., either cured or treatment
completed x 100
Denominator: Number of DSTB patients notified during
the same period in previous year
More than 85%

10. Indicator wise verification of claims
Indicator Formula/ Description Target
Drug Susceptibility
Test Rate
Numerator: Number of microbiologically confirmed TB
patients with available result of at least Rifampicin in
current year x 100
Denominator: Number of TB patients notified in the
current calendar year
At Least 60%
Nikshay Poshan
Yojana
Numerator: Number of TB beneficiaries paid at least one
instalment under NPY in the current year
Denominator: Number of eligible TB beneficiaries in the
current calendar year in the panchayat
100%
Nutritional support
to TB patients
under PMTBMBA
Numerator: Number of TB patients received nutritional
support under PMTBMBA in the current year
Denominator: Total no. of TB patients provided consent
to receive the nutritional support under PMTBMBA in a
year in the panchayat
100%

11. CERTIFICATE & AWARD
1. Certificates for ‘TB Mukt Panchayat’, with one year validity, will be issued to
qualified Gram Panchayats every year by District Magistrate/District
Collector/Deputy Commissioner on World TB Day (24th March).
2. Along with the Certificate, a small statue of Mahatma Gandhi will be awarded to
‘TB Mukt Panchayat’ to commemorate his vision towards ‘healthy villages’. The
statue is to be of bronze colour for achieving ‘TB Mukt’ status for first year, silver &
gold colour for continuously maintaining the status for two years and three years
respectively.
3. The TB Mukt award is to be displayed in respective Gram Panchayat
Sadan/Bhawan.

12. Monitoring of ‘TB Mukt Panchayat’ initiative
1. State and district need to complete the cascade training of all the members of all Gram
Panchayats & update panchayat-wise status in the capacity building tracker which will be
shared by CTD to all the States.
2. The cascade training should be completed by 31st October 2023.
3. State and district-wise reports of ‘TB Mukt Panchayats’ will be generated by states and
shared with MoPR and CTD by the 15th of March every Year.
4. A quarterly joint monitoring of implementation of ‘TB Mukt Panchayat’ initiative will be done
by MoPR and CTD.

13. Timelines to complete the tasks
Sr. No. Tasks/activities to be done Timeline
1
Training of all the Gram Panchayat members to be completed
by
31st October 2023
2 Submission of TB Mukt Panchayat claims by 15th Jan 2024
3
Verification of submitted /eligible TB Mukt Panchayat claims
to be completed by
28th Feb 2024
4
Submission of final report to district collector/commissioner
by
15th March 2024
5
Distribution of certificates and awards to TB Mukt
Panchayats
On 24th March 2024 (World TB Day)

14. Update on Activities so far…..
Communication sent by MoPR and CTD, MoHFW for joint
execution of TB Mukt Panchayat initiative
Developed Training module for GP members, and Handbook on
TB Mukt Panchayat initiative. States were requested to translate
into local languages for further dissemination
Joint Orientation on the TB Mukt Panchayat initiative were held
in batches from 28th March’23 till 15th April’23. Attended by
STOs, SPROs, DTOs, DPROs and various stakeholders
Mapping of health facilities to villages/panchayats (LGD) is being
carried out in Ni-Kshay

15. TAKE HOME MESSAGES
• Community awareness and mobilization to reduce TB stigma by involving TB Champions and CHOs.
• Decentralize the TB care services up to AB-HWCs level and ensure molecular diagnostics of TB patients to put
on the right regimen and its adherence.
• Adequate Nutritional support to all TB patients – NPY coverage and encourage volunteers to become Ni-kshay
Mitras under PMTBMBA
• Capacity Building and orientation of NTEP staff as well as PRD staff at the District, block level, and below on
TB Mukt Panchayat. All the members of the panchayats are to be sensitized in a very simplified manner.
• Vulnerability Mapping, line listing & TB screening of all Vulnerable populations in the Gram Panchayats
• Ensure budget provision in PIP and PD plans for TB-free panchayats

16. It’s time to come together to end TB
Thank You