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National TB Elimination Programme (NTEP)

Apr 2, 2024

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Targets

National Strategic Plan for TB Elimination

Case Detection

Active case Detection

Passive case detection

Presumptive TB case

Categories of TB treatment 

Incentives under TB

Nikshay Poshan Yojana

Incentives to treatment supporters

Incentives for private practitioners

Other Technology based Initiatives

National TB Elimination Programme

National Tuberculosis Elimination Programme (NTEP), previously named as Revised National Tuberculosis Control Programme (RNTCP) is the Public health initiative by Government of India that has a mission to eliminate TB by 2025. RNTCP (1997) was changed to NTEP in 2020. The tagline of the Programme is “ TB Harega Desh Jeetega”.


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Targets

  • Elimination of TB by 2025
  • To reduce mortality of TB by 90%
  • To reduce incidence of TB by 80%

Also Read: Asha: Accessibility, Functions, Obligations, Compensation, Benefits And Facilitators of Asha

National Strategic Plan for TB Elimination

  • This plan was launched in 2017 and the target is to eliminate TB by 2025.
    • Vision
    • TB free India
    • 0-death, 0-disease, 0-poverty.
  • Strategy
    • Detect- Treat- Prevent
    • Efforts are made to universalize the CB-NAAT. If there is anyone with history of cough >2 weeks will be called as presumptive TB case and CB-NAAT is done at baseline.
    • TRUENAT developed by ICMR is an Indian version of CB-NAAT . This test gives results for Rifampicin resisitance within 1 hour.
    • New drugs like Bedaquiline and Delamanid are introduced.
    • Shorter and Longer oral MDR/XDR regimens are introduced.
  • JEET strategy (Joint Effort for Elimination of Tuberculosis)
    • The main reason for starting this is, non-notification by private practitioners and TB is still not completely eliminated.
    • The strategy is to increase the notification rates of TB by private practitioners.
    • Indian organizations, Ministry, NGO’s and International organizations are working together to eliminate TB.

Also Read: Screening of Disease


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Case Detection

Active case Detection

  • House to house search for TB cases
  • ASHA workers are invloved and will get incentive of Rs.500 for finding a presumptive case.
  • Any member in the community who helps finding a presumptive case gets an incentive of Rs.500.
  • Vulnerable groups are slum dwellers, prisoners, difficult to reach population , Migrants, tribals, Shelter homes etc.

Intensified case finding

  • Provider initiated screening of TB symptoms in OPD.
  • Patients presented to the health facilities with other comorbidities will be screened for TB.

Community based Screening

  • ASHA worker fills a community based assessment checklist (CBAC) form, asking the risk factors for diabetes along with TB.
  • She gets Rs. 10 per form filled.

Passive case detection

  • Passive Surveillance from the hospital reports.

Presumptive TB case

  • Any person with cough >2 weeks duration or more.
  • Negative test-repeat testing till 2 months and confirm HIV status by 2 years.
  • An individual having fever or night sweats or appreciable weight loss of 2 weeks or more.
  • Contacts of a smear positive TB patient having a cough of any duration.
  • Suspected / confirmed extra pulmonary TB having cough of any duration.
  • HIV positive patients having coughs of any duration.

Also Read: Classification Of Epidemiological Studies

Categories of TB treatment 

  • Category I - Newly and previously treated TB patients.
  • Category 4 - Multi Drug Resistant TB patients.
  • Category 5 - Extensive Drug Resitant TB patients.

Incentives under TB

Nikshay Poshan Yojana

  • Nutritional incentives of Rs.500/month given to all notified TB cases/patients.
  • An Aadhar linked transfer.
  • Includes patients notified by private practitioners also
  • For tribal patients, incentive is Rs.750.

Incentives to treatment supporters

  • DOTS provider who ensures treatment completion of New and previously treated case, Rs 1000 is given and for Drug Resistant TB case, Rs.5000 is given.

Incentives for private practitioners

  • On notifying a case of TB - Rs.500
  • On notifying treatment completion - Rs.500
  • Total incentives for complete case is Rs.1000
  • Can notify a TB case upto 30 days.
  • If fails , it is punishable offense under IPC 269 and 270.

Other Technology based Initiatives

  • NIKSHAY- An online software, for reporting and compliance of treatement.
  • DOTS-99
  • MERM Container Box- GPS enabled box . It detects when the patient has taken the medicine and informs the NIKSHAY portal.

Also Read: The Spectrum of Disease and The Iceberg Phenomenon

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