National Strategic Plan for TB Elimination (NSP 2017-25)
- Posted By
10Pointer
- Categories
National
- Published
17th Feb, 2020
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What is NSP 2017-25?
- The National Strategic Plan (NSP) for Tuberculosis (TB) Elimination (2017–2025) is a statement of commitment to eliminate TB by 2025 by the Ministry of Health and Family Welfare, Government of India.
- The NSP builds on the success and learnings of the last NSP and encapsulates the bold and innovative steps required to eliminate TB in India.
- It is in line with other health sector strategies and global efforts, such as the National Health Policy 2015, the World Health Organization's (WHO) end TB Strategy, and the Sustainable Development Goals (SDGs) of the United Nations.
- It proposes bold strategies with commensurate resources to rapidly decline TB incidence and mortality in India by 2025, 5 years ahead of the global End TB targets and SDGs.
- The NSP 2017–2025 aims to notify 260 lakh TB patients in 8 years, including public and private sector.
- VISION: TB-Free India with zero deaths, disease and poverty due to tuberculosis
- GOAL: To achieve a rapid decline in burden of TB, morbidity and mortality while working towards elimination of TB in India by 2025.
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Why do we need such a programme?
- The WHO's Global TB Report of 2016 mentions India having achieved the Millennium Development Goals related to TB and achieved the set targets to half of the prevalence and mortality rates by 2015 compared with the baseline of 1990.
- However, India still accounts for an estimated 27% of the global incident TB cases (28 lakh) and 27% of the global multidrug-resistant (MDR)-TB cases (1.3 lakh).
- TB kills an estimated 480,000 Indians every year and more than 1,400 every day. India also has more than a million ‘missing’ cases every year that are not notified and most remain either undiagnosed or unaccountably and inadequately diagnosed and treated in the private sector.
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How is it being implemented?
- The implementation of this NSP will be a combined effort of all stakeholders working towards the same goals. A restructured Central TB Department (CTD) at the MoHFW will oversee the implementation of the plan by coordinating the work of the National TB Control Board at the national level. State TB Cells will continue to oversee the work at state and district levels.
- Implementation of the NSP began on 1st April 2017.
- A new scheme, Nikshay Poshan Yojana has been implemented from 1st April 2018, wherein Rs 500 (US$ 7.15) per month is being provided to All TB patients towards nutritional support for the duration of their treatment.
- Tribal patient travel support, wherein Rs 750 (US$ 10.73) is being provided to all TB patients in tribal notified blocks towards travel support is an ongoing scheme since the twelfth plan.
- The Ministry has established an Inter-Ministerial Coordination committee under the chairpersonship of Secretary (Health and Family Welfare) for smooth linkages between linkages between the TB programme and various ministries like Ministry of Tribal Affairs, Ministry of Women and Child Development, Ministry of Social Justice & Empowerment and Ministry of Labor & Employment.
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How it is diagnosed?
- The Technical & Operational Guidelines for TB Control (TOG) describes how various tests should be used to diagnose anyone who has signs and symptoms suggesting that they might have TB.
- The tests to be used are sputum smear microscopy, chest X ray and the new CB-NAAT test.
- The CB-NAAT test is beginning to be made available throughout India.
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What are the targets?
- The targets of the National Strategic Plan are set out as consisting of both outcome and impact indicators.
- There are also four main “thrust” or priority areas in the NSP which are:
- Private sector engagement;
- Plugging the “leak” from the TB care cascade (i.e. people with TB going missing from care);
- Active case finding among key populations; and
- For people in “high risk” groups, preventing the development of active TB in people with latent TB.
- Another “thrust” area is that of the Programmatic Management of Drug Resistant TB (PMDT).
Quick Recap
- National Strategic Plan for TB Elimination (NSP 2017-25)—approved on 8th May, 2017—began on 1st April 2017.
- India accounts for an estimated 27% of the global incident TB cases.
- India is committed to eliminate TB by 2025—global target is 2030.
- Central TB Department (CTD) at the MoHFW will oversee the implementation of the plan.
- Nikshay Poshan Yojana—implemented from 1st April 2018—500 (US$ 7.15) per month to All TB patients—Rs 750 (US$ 10.73) to all TB patients in tribal notified blocks.
- CB-NAAT test to diagnose TB beginning to be made available throughout India.
