The National Strategic Plan For Tuberculosis Elimination 2017–2025 is a framework to guide the activities of all stakeholders including the national and state governments, development partners, civil society organizations, international agencies, research institutions, private sector, and many others whose work is relevant to TB elimination in India.
As per the Global report 2017 of the World Health Organisation (WHO), India accounts for 1,47,000 estimated MDR-RR cases which is 24% of the Global cases. The Government launched the National Strategic Plan (NSP) to control cases of Tuberculosis in the country during the period 2017-2025. The Central TB Division (CTD), Ministry of Health and Family Welfare, Government of India is implementing the scheme
Vision and Goals of NSP
The Vision of NSP for TB elimination 2017–25 is TB-Free India with zero deaths, disease and poverty due to tuberculosis. The goal of NSP for TB elimination 2017–25 is to achieve a rapid decline in burden of TB, morbidity and mortality while working towards elimination of TB in India by 2025.
Key Components of National Strategic Plan For Tuberculosis Elimination 2017–2025
The key components of the NSP (2017-2025) are:
- Eearly diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens
- Suitable patient support systems to promote adherence.
- Engaging with the patients seeking care in the private sector.
- Prevention strategies including active case finding and contact tracing in high risk / vulnerable population
- Airborne infection control.
- Multisectoral response to address social determinants.
- Advocacy, Communication and Social Mobilization activities to promote awareness regarding TB among all the sections of the society.
Strategic pillars of NSP for TB elimination 2017–25
The requirements for moving towards TB elimination have been integrated into the four strategic pillars of “Detect – Treat – Prevent – Build” (DTPB).
- DETECT – Find all TB cases with an emphasis on reaching TB patients seeking care from private providers and undiagnosed TB in high-risk populations.
- TREAT – Initiate and sustain all patients on appropriate anti-TB treatment wherever they seek care, with patient friendly systems and social support.
- PREVENT -Treatment for latent TB infection in contacts of bacteriologically-confirmed cases.
- BUILD – Build and strengthen enabling policies, empowered institutions and human resources with enhanced capacities.
Budgetary Allocation for NSP 2017-25
The implementation of National Strategic Plan for TB Elimination (NSP 2017-25) has started in January 2017 and the funds allocated for FY 2018-19 is Rs.2770.91 crore which includes funds for cash transfers and social welfare schemes.
NI-KSHAY-(Ni=End, Kshay=TB) is the web enabled patient management system for TB control under the National Tuberculosis Elimination Programme (NTEP). It is developed and maintained by the Central TB Division (CTD), Ministry of Health and Family Welfare, Government of India, in collaboration with the National Informatics Centre (NIC), and the World Health Organization Country office for India.
Nikshay is used by health functionaries at various levels across the country both in the public and private sector, to register cases under their care, order various types of tests from Labs across the country, record treatment details, monitor treatment adherence and to transfer cases between care providers. It also functions as the National TB Surveillance System and enables reporting of various surveillance data to the Government of India.
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