NTEP (National Tuberculosis Elimination Programme).pptx

National Tuberculosis Elimination Programme

1. Overview – Key Priorities Dr. IMMANUEL JOSHUA Junior Resident-II Dept. of Community Medicine Banaras Hindu University Varanasi-221005

2. 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

3. Catastrophic Expenditure

4. TB type Treatment duration Cost per patient Drug Sensitive TB 6-8 months Rs 2100 Drug Resistant TB 9-11/ 18-20 months Rs 9768-119617

5. 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 13 th March, 2018 The campaign calls for a social movement focused on patient-centric and holistic care driven by integrated actions for TB Free India

6. 1962 1997 2005-11 2012-17 2020 NTEP EVOLUTION 2017-25 Govt. of India launched the National TB Program and set up District TB Centres GoI revised NTP to RNTCP – introduction of DOTS Second phase of RNTCP – Pan India coverage and improved quality and scale up of services National Strategic Plan (2012 -17) - mandatory notification of TB, rapid molecular testing, active case finding and integration of the program with National Health Mission In January 2020, GoI revised RNTCP to National TB Elimination Program (NTEP) NSP (2017 – 25) – patient centric care for TB elimination 2021 TB Mukt Bharat Abhiyaan

7. T reat Prevent Build Detect National Strategic Plan (2017-2025) Find all TB cases with an emphasis on reaching every TB patient in the private sector Treat all TB cases with high quality anti TB drugs Prevent the emergence of TB in susceptible populations and stop catastrophic expenditure Build & strengthen supportive systems including enabling policies, empowered institutions & human resources

8. Scale up molecular diagnostics to the peripheral levels Decentralize TB screening to AB-HWC levels Early detection of DRTB Universal DST Vulnerability mapping & Active case finding Private sector e ngagement DETECT

9. Daily regimen –Fixed Dose Combination Injection free treatment regimens Scale up of Newer drugs/regimens TREAT Sustain treatment success rate of >90%

10. Contact Tracing & TB Preventive Treatment Sustaining COVID appropriate behavior Airborne Infection Control in community & Health Facilities Community Mobilization & People’s Movement PREVENT

11. BUILD Procurement and Supply Chain management IEC Digital Interventions Human Resources Development Surveillance Multisectoral Collaboration Capacity Building

12. TB DISEASE Untreated TB case can transmit disease to at least 10-15 people in a year Contacts of an active case are at 10 to 60 times higher risk of developing the disease

13. Treatment Regimens

14. TB Preventive treatment (TPT)

15. Public Health Action at Health Facility Level Mandatory action at Health Facility Level

16. Mandatory action at community level

17. Connecting patients / citizens with NTEP

18. Call Centre- Nikshay Sampark 1800-11-6666 Outbound & Inbound Time – 7am to 11pm Languages – 14 100 call centre agents Pan-India coverage Citizen – Patient - Providers

19. Honorarium to Treatment Supporters – For provision of treatment support to TB patients (Adherence, ADR monitoring, counselling @Rs.1000/- to Rs.5000/-) Patient Support to Tribal TB Patients (Financial Patient Support @Rs750/- ) Nutritional Support to All TB patients (Financial Support to Patients @Rs.500/-month) Incentives to Private Providers (Rs.500/- for Notification & Rs.500/- for reporting of Treatment Outcome Incentives to Informant ( Rs . 500 /- is given on diagnosis of TB among referrals from community to public sector health facility ) Direct Benefit Transfer (DBT) schemes

20. Community Engagement Transformation of TB survivors to TB champions Capacity building and mentoring programme Grievance redressal mechanism Involvement of community representatives in different forums Engagement of existing community groups like PRI, SHG, VHSNC, MAS, Youth Club

21. MoHFW invites Claims Districts submit claims to State States submit claims to MoHFW Independent Agency (ICMR) verifies claims Successful claims awarded on World TB Day August 31 March 24 Sub National TB Free Certification Community survey to find out incidence & under-reporting Interviews & FGDs with private doctors & chemists to verify drug sale Review of records & patient interviews to verify TB score VERIFICATION

22. Subnational certification of Sonbhadra District

23. Sub-National Disease Certification Award Decline in incidence rate compared to 2015 Monetary Award for District (in Rs .) Bronze 20% 2 lakhs Silver 40% 3 lakhs Gold 60% 5 lakhs TB Free Status 80% 10 lakhs District

24. State Award State/ Uts with pop. <50 lakh State/ Uts ( pop. 50 lakh – 5 Cr State/ Uts pop.> 5 Cr Bronze 10 lakhs 15 lakhs 25 lakhs Silver 20 lakhs 35 lakhs 50 lakhs Gold 40 lakhs 60 lakhs 75 lakhs TB Free 60 lakhs 75 lakhs 1 Crore

25. Policy Update in RNTCP, 2018 State TB Index

26. Diagnosis and treatment through Railway hospitals/ dispensaries Mapping of Railway Health Facilities in Nikshay Use of NTEP IEC Material in Railway premises Support towards upgradation of health infrastructure using MoTA funds Involvement of NGOs under MoTA in TB Joint Tribal Action Plan for TB in notified Tribal districts TB Free Workplace policy Diagnosis and treatment through ESIC hospitals/ dispensaries Network of Training Institutes under MoLE to reach out to work places Proposed Committee under HFM with Ministers of Prioritized Ministries- Sep/Oct 2021 Railways Tribal A f fairs Labour & Empl. Inter Ministerial Collaboration 6 MoUs signed with Railways, Defence, AYUSH, Labour & Employment, CII and DONER

27. The  Corporate TB Pledge (CTP)  program is a joint initiative of the Central TB Division, Ministry of Health and Family Welfare, Government of India and USAID in collaboration with The International Union Against Tuberculosis and Lung Diseases, with the objective to develop a shared vision , in alignment with vision of eliminating TB in India by 2025.

28. The Corporate TB Pledge program was launched in April 2019 and offers a tiered approach for corporates to use their resources (human and financial), to combat TB, raise awareness of TB as a curable disease, and ultimately improve TB health outcomes

29. WORLD TB DAY-2022

30. THANK YOU