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TB India – National Strategic Plan (NSP) 2017 – 2025, private sector care

National Strategic Plan (NSP) 2017 – 2025

The National Strategic Plan (NSP) 2017 – 2025 is the plan produced by the government of India (GoI) setting out the activities which it believes are required to eliminate TB in India. The NSP 2017 – 2025 describes the activities and interventions that the GoI believes will bring about significant change in the incidence, prevalence and mortality from TB. This is in addition to what is already going on in the country.

Visions & Goals of the NSP

The Vision is of a TB free India with zero deaths, disease and poverty due to tuberculosis

The Goal is to achieve a rapid decline in the burden of TB, mortality and morbidity, while working towards the elimination of TB in India by 2025.

TB multimedia campaign in India, INDIAVsTB encourages people to get tested for TB, an important part of the NSP.

TB multimedia campaign in India, INDIAVsTB encourages people to get tested for TB, an important part of the NSP.

Detect – Treat – Prevent – Build

The requirements for moving towards TB elimination in India have been arranged in four strategic areas of Detect, Treat, Prevent & Build.

Detect

Find all drug sensitive TB and drug resistant TB cases in India. The emphasis is to be on reaching TB patients seeking care from private providers and also finding people with undiagnosed TB in “high risk” populations. This is to be done through:

  • Scaling up free, high sensitivity TB diagnostic tests such as CBNAAT;
  • Scaling up private provider engagement approaches;
  • Universal testing for drug resistant TB;
  • & Systematic screening of high risk populations.

This is a major change from the previous approach which was for private providers to direct people to the  RNCTP to receive their care in the public sector. Now the approach is to be for the public sector RNTCP to work with the private sector, assisting the private sector to provide high quality care.

Treat

Initiate and sustain all patients on appropriate anti-tb treatment wherever they seek care. Provide patient friendly systems and social support. This is to be done through:

  • Preventing the loss of TB cases in the cascade of care by providing support systems. The “cascade of care” means every step in the provision of treatment, from when it is first started, to the point at which the patient finishes their treatment and is cured of TB;
  • Providing free TB drugs for all patients with TB;
  • Provide daily TB drugs for all patients with TB and a rapid scale up of short course regimens for drug resistant TB. Provide treatment approaches guided by drug sensitivity testing.
  • Providing patient friendly adherence monitoring and social support in order to sustain TB treatment;
  • & The elimination of catastrophic costs by linking eligible TB patients with social welfare schemes including providing nutritional support.

Prevent

Preventing the emergence of TB in susceptible populations. This is to be done through

  • Scaling up air-borne infection control measures at health care facilities;
  • Providing treatment for latent TB infection for the contacts of people with confirmed TB;
  • & Addressing the social determinants of TB through an approach across different sectors. The social determinants of health are generally considered to be the conditions in which people live and work that affect their health.

Build

Build and strengthen relevant policies. Provide extra capacity for institutions and extra human resources capacity. This is to be done through:

  • Translating high level political commitment into action;
  • Restructuring the RNCTP and other institutional arrangements;
  • Building supportive structures for surveillance, research and innovations. Providing a range of interventions based on the local situation;
  • Scaling up technical assistance at national and state levels;
  • & Preventing the duplication of partners’ activities

The Cost of the NSP 2017 – 2025

The cost of the NSP is going to depend on the pace of implementation of the strategy, the demand from states, and the availability of resources. It is expected that the cost of implementing the new NSP will be Rs 16,649 (USD 2,485 million). This would be a significant increase over the budget for the NSP 2012-2017.

Read more

You can read more about:

TB in India

or TB treatment in India

or TB statistics

Major Source

National Strategic Plan for Tuberculosis Elimination 2017 – 2025 www.tbcindia.nic.in