FINAL TB_Mukt_Bharat_Microplanning_-1.pptx

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1. TB Mukt Bharat Abhiyan Microplanning NAGPUR RURAL 30/06/2025

2. CONTENTS Situation Analysis Strategy for Screening & Diagnosis District wise Screening & Testing Plan MMU &Outreach Plan Nikshay Mitra(NM) Initiatives & District wise Engagement Resource Planning Janbhagidari & Community Planning IEC & Media Plans Urban TB Monitoring District MicroplanTimelines Facility Level Microprocesses Monitoring &Evaluation Challenges & Support Required

3. Situation Analysis Summary of TB incidence (current vs 2015 baseline) Vulnerable groups identified (urban/rural/tribal/congregate settings) GIS-based vulnerability mapping status Priority high-risk populations/settings for intervention *Jan – April 2025 @ District wise GIS based mapping (If available) # State/District specific priority HRG

4. SN Objective Status As on 2015 Achievement 2024 Target 2025 1 80% of reduction in TB Incidence Rate [as compared to 2015 levels] 208 Per lakh Population per year as per estimated incidence of GoI 126 Per lakh Population per year as per current notification data in Ni- kshay (39 % reduction in TB incidence Rate) 42 Per lakh Population 2 90% reduction in TB Mortality Rate [as compared to 2015 levels] 6.45 deaths per lakh population as per programme data 2.3 deaths per lakh population as per programme data (64% reduction in TB Mortality Rate) 0.6 deaths per lakh population 3 INR 0 Catastrophic expenditure due to TB Data Not Available Provision of free diagnostics / free medicine/ Nutrition support through DBT/Travel support for each patient (Public & private Sector) Provision of free diagnostics / free medicine/ Nutrition support through DBT/Travel support for each patient (Public & private Sector) District Strategic Plan

5. DISTRICT WISE SCREENING&TESTING PLAN District ACF Period Target Population for ACF PCF Plan X-Ray Availability NAAT Availability Presumptive TB Cases Expected NAAT Capacity/Day Gaps Identified Mitigation Plan NAGPUR RURAL July 25 to Dec 25 444518 Sensitize PHCs/ ASHAs,IEC + Nikshay alerts 14 21 (48) 444518 144 Lack of Manpower Dedicated LT’s not available at RH & PHC Level . Under NTEP , there are 10 Sanctioned LT post but out of 10 ,4 posts are vacant. Under DM Enterprises 3 LT posts are vacant. STS post are vacant B) Insufficient stock of TRUNAAT & CBNAAT . C) IEC materials required. Additional Charges given to other STS/STLS. Demand given to State Drug Store.

6. District-Wise AAM Microplanning Progress Overview District Total AAMs % Vulnerability Mapping % ASHAs Trained % CHOs Trained % Risk Population Screened % Linked to X-ray % Linked to NAAT % Sample Transport Plan % Nikshay Entry % Monthly Reviews Remarks / Gaps NAGPUR RURAL 292 100 100% 100 100 100 Required Fund For Training. IEC Materials required. Requirement of Lab Materials e.g. Sputum Cups, Lab Forms, Thermocol Box.

7. District wise MMU & Outreach Plan District Population Estimate MMU Availability Deployment Dates Outreach Team (HR) Coverage/Day Remarks / Issues NAGPUR RURAL 444518 3 July 2025 to Dec 2025 ( ANM,PO , Driver , Vehicle ) 2500 Requirement of HR ( LT,STS,STLS,Counceller )

8. Accelerating Nikshay Mitra Initiative Steps taken to ensure foodbasket distribution : (involvement of corporates, NGOs, SHG, volunteers etc. with numbers and proportions/plan ) engagement of Ministry of Panchayati Raj for involvement of PRIs and Ministry of Education for involvement of schools, colleges and universities Mapping Nikshay Mitras to patients Creating corpus fund for all donations Supplying EDNS packets

9. District wise Ni- kshay Mitra Engagement No. of patients needing support Mapping of patients to Mitras Mechanism for food basket delivery & tracking District No. of PwTB No. of PwTB Mapped to NMs Are family members of PwTB provided nutrition support Mechanism of distribution in place YES/NO Nagpur Rural 1291 1230 No Yes

10. Resource Planning Availability and gap analysis HR,IEC,CSR,MMU,Pathodetect,Drugs, Lab consumables etc District Resource Type () Required (A) Available (B) Gap (A - B) Remarks / Mitigation Plan Nagpur Rural HR ( Trained CHOs) 317 156 161 HR (LT) (NTEP) 70 63 07 H R ( Medical Officers) 185 185 Field Mobilizers/ANM/MPW/HA/LHV 1052 788 264 IEC Materials (sets) 442 442 Required Sputum Collection Containers 8 Lakh 80,000 7,20,000 Required MMU Vehicles 3 3

11. Janbhagidari & Community Mobilization List and details of planned monthly activities ( June –December 2025 ) e.g.State level stakeholder meetings, Workshops etc Community partners: PRIs, schools, youth, NG Os etc ( which community partners and plans of involving them )

12. State-Level Media & IEC Planning under TB Mukt Bharat Abhiyan Activity Category Specific Activity Target Audience Platform / Medium Timeline Responsible Dept/Agency Remarks / Status Social Media Daily awareness posts General Public, Youth Twitter, Facebook, Instagram Daily (Aug–Dec 2025) State IEC Cell Use influencers for TB stories Mid-media Nukkad Nataks on TB Rural & Urban Markets, Haats Bi-weekly (Aug–Oct) Local NGOs + ASHAs Tie-up with theater groups Journalist Sensitization Media workshop Print & Digital Journalists State Health Directorate 1-day in Sept 2025 SPMU + IEC Cell Include TB kits & patient stories TV/Radio TB awareness talk show General Public All India Radio, DD Sept–Oct 2025 (weekly) NHM + AIR/DD TB Champions as guests Other Campaigns Bus panels for TB info Commuters City Buses Oct–Nov 2025 ULB + RTO Target high-density routes

13. Timeline of District Microplan Implementation Gantt chart or timeline table ( Jul 2025 to Dec 202 5 )

14. Activity Responsible Level Jun Jul Aug Sep Oct Nov Dec Vulnerability Mapping District ✅ ✅ Microplanning Finalization State + District ✅ ✅ HR Planning & Resource Mobilization State ✅ ✅ ✅ Cascade Training (District & Sub-district Staff) District ✅ ✅ Community Sensitization & Janbhagidari Events District ✅ ✅ ✅ ✅ ✅ Outreach + ACF Screening District ✅ ✅ ✅ ✅ ✅ TB Testing (X-ray, NAAT) District ✅ ✅ ✅ ✅ ✅ Media & IEC Rollout State ✅ ✅ ✅ ✅ ✅ ✅ Mid-media / Local Campaigns District ✅ ✅ ✅ ✅ ✅ Journalist Sensitization + Field Stories State ✅ ✅ ✅ ✅ Data Review & Monitoring State + District ✅ ✅ ✅ ✅ ✅ Saturation + Mop-up of Left-out Populations District ✅ ✅ ✅ Submission of Progress Reports to National State ✅ ✅

15. Facility Level Key Microplanning Activities Timeline Remarks / Status Sub-Centre/AAM - ASHA-wise line-listing of vulnerable population- Scheduling of screening June 2025 To be verified by PHC Primary Health Centre - Compilation from SHCs- Forecasting HR and logistics needs June 2025 Logistics plan linked with DTC Block Level - Consolidation of vulnerable populations- MMU/X-ray linkage planning June 2025 Coordinate with mobile teams District Level - Resource mapping (HR, NAAT, X-ray)- Timeline finalization for ACF rounds June 2025 Approval to be obtained from State State Level - Consolidation of district microplans- Allocation of MMUs & funds June 2025 Final plan submission to CTD Facility Level Micro plan Processes

16. Triaging and Differentiated Care Plan – State Format Component Details to be Filled by State 1. Who will conduct triaging? e.g., CHO, MO at PHC, STLS, Medical College staff 2. Where will triaging be done? e.g., AAM/PHC/UPHC/CHC/SDH/DH 3. Process of triaging and documentation e.g., checklist, risk factors, comorbidity symptoms 4. Referral linkage process e.g., e-referral, referral slips, MO-specialist coordination 5. Higher facility referral points e.g., DH, NCD Clinic, Medical College, CoE 6. Feedback mechanism from referred facility e.g., diagnosis, treatment initiation, outcome updates 7. Person responsible for follow-up and record update e.g., CHO, STS, TBHV, DTO office 8. Documentation platform or tools used e.g., Nikshay, paper register, digital tracker

17. State Monitoring Format for Functionary Deployment District No. of ASHA/CVs Deployed No. of CHOs Engaged % Given Written Roles & Responsibilities Orientation / Training Completed (Y/N) Roles in Supervision Checklist (Y/N) Roles Reviewed During Visits (Y/N) Nagpur Rural 1814 156 100% Yes No No Roles of ASHA/CV and CHOs Include: - Mapping & Line Listing - Screening Mobilization - Sample Collection & Transport - Treatment Initiation & Adherence Monitoring - Contact Tracing & TPT Support - Awareness Generation & Nutrition Support

18. Supervision Plan Summary (To be Filled by State) 1 . Supervisory Visit Frequency and Duration: (Weekly/designated days of the week ) State to Districts District to Blocks Block to PHIs Facility Level : The nodal officer should visit TB laboratory and TB drug dispensation facility every week in PHC, CHC, and SDH . 2. Team Composition (list roles/orgs involved at each level): - State level team: ___________________________ - District level team: _________________________ - Block level team: ___________________________ - Facility level responsible officer: ___________

19. Visit Prioritization & Monitoring Approach 1. Criteria for Prioritizing Visits: (enumerate whether visits will be based on High burden / poor-performing areas / HR - infrastructure - logistics or fund issues ) 2. Methods of Monitoring: (enumerate all methods to be used like interactions/interviews/observations/ performance review / stock validation (kits, drugs, NPY, etc.) / Use of Ni- kshay analytics)

20. Feedback Mechanism and Review Schedule 1. Written Feedback Schedule: - State to District: Last Friday of the Month : (Weekly) - District to Blocks: Every Tuesday & Friday : (Biweekly) - Blocks to PHIs: Every Tuesday & Friday :(Biweekly) 2. Review Meeting Frequency: ( plan a roster such that early mornings and late evening hours could be utilized with the field staff) -DTO with DTC staff: Every Monday : (Weekly) -BMO/MO-TC: Every Friday : (Weekly) - CHO/ Health facility/AAM Staff: Every Friday : (Weekly) 3. Use of Ni- kshay : Key dashboards/tools used: __________________ * In case of public holidays, then the next working day

21. Timeline of Activities under TB Mukt Abhiyan Timeline Expected Activities State-Level Timeline & Remarks June 2025 Cascade training of all district & sub-district level healthcare workers; Mobilization of X-ray & NAAT Microplanning at Panchayat/Block level, Mapping and Line listing of all vulnerables through AAM centres [To be filled by State] June–July 2025 Sensitization of MPs/MLAs; Orientation of Jan Bhagidari Stakeholders; Media Campaigns Screening & testing of vulnerable populations; PRI workshops; Jan Bhagidari activities Aug–Nov 2025 Screening & testing of vulnerable populations in phases: workplaces, congregate settings, youth, Saturation of all vulnerable population, AAM Saturation Dec 2025 Mop-up activities

22. Challenges & Support Required Key operational/HR/logistics challenges Support required from National level

23. THANK YOU