Lok Sabha Question No. 1963 (UNSTARRED), answered on 2017-12-29
Subject: Revised National TB Control Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAHUL RAMESH SHEWALE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1963 TO BE ANSWERED ON 29 th DECEMBER, 2017

## REVISED NATIONAL TB CONTROL PROGRAMME

## 1963. SHRI RAHUL SHEWALE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  has achieved  targets  under  the  Revised National  TB  Control Programme (RNTCP), if so the details thereof;
- (b) the details of funds allocated and utilised under the scheme, State/UT - wiseduring each of last three years and current year;
- (c)  whether  the  Government  has  any proposal  to  review  the  RNTCP  to  control the  Drug Resistant TB effectively across the country;
- (d) if so, the details thereof; and
- (e) the othe r measures taken to eradicate TB from the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Yes. As per the Global TB Report 2015 the targets for Millennium Development Goal (MDGs) for I ndia has been achieved.

The Ministry has targeted 2025 for the elimination of TB. As per the Global TB Re 2017, the incidence of TB has reduced from 217 per lakh per year in 2015 to 211 per lak year in 2016 and mortality has reduced from 36 per lakh per year in 2015 to 32 per lakh per year in 2016.

- (b): The details of funds allocated and utilized under the Program, (State/UT wise) duri last three years and current year (till 30/11/2017) is at Annexure.

( c)& (d): Yes, Under RNTCP,Drug Resistant TB (DRTB) activities are being undertaken to manage DRTB effectively . These activities are as under: -

- Nationwide Drug Resistance Survey was completed in 2015 - 16.
- For DRTB diagnosis, 628 CBNAAT machines have been installed so far and addition al 500 machines are being planned.
- Universal Drug Susceptibility Testing (UDST) has been initiated in 19 States and so will be expanded to rest of the States.
- Regional Programmatic  management  of  drug  resistant  tuberculosis (PMDT)  review activities  are  being  planned  where  in  the  States  are  reviewed  in  depth  on  the activities and their implementation status.
- The PMDT guidelines have been updated with respect to the End TB strategy in 2017.
- States are being monitored for their CBNAAT utilization and reaching towards UDST.
- Newer drugs like bedaquiline has been introduced in 5 States and preparatory activit being undertaken to ex pand it further.
- Expansion of DRTB services and management upto the district/ sub district level thr district DRTB centres.
- All DRTB centres are infection control compliant.
- Patients are being counselled on the cough etiquette.

(e): The National Strat egic Plan (NSP) for Tuberculosis (2017 - 25) has been formulated by the Ministry of Health and Family Welfare. In addition to the existing strategies under RNTC NSP focusses on:

- early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens.
- suitable patient support systems to promote adherence.
- engaging with the patients seeking care in the private sector.
- prevention strategies including active case finding
- contact tracing in high risk / vulnerable  pop ulation.
- airborne infection control and
- Multi - sectoral response for addressing social determinants.

## Revised National TB Control Programme State wise Allocation and Utilization (Cash & Kind)

(Rs. In lakhs)

| Sl.N o.   | Name of the State / UT   | 2014-15     | 2014-15      | 2015-16     | 2015-16      | 2016-17    | 2016-17      | 2017-2018 (till 30.11.2017)   | 2017-2018 (till 30.11.2017)   |
|-----------|--------------------------|-------------|--------------|-------------|--------------|------------|--------------|-------------------------------|-------------------------------|
| Sl.N o.   | Name of the State / UT   | Allocati on | Utilizati on | Allocati on | Utilizati on | Allocation | Utilizati on | Allocati on                   | Utilizati on                  |
| 1         | Andhra Pradesh           | 2861.96     | 2308.49      | 2200.34     | 2002.85      | 2194.68    | 2043.35      | 2514.13                       | 1982.48                       |
| 2         | Andaman & Nicobar        | 87.15       | 88.34        | 90.90       | 110.86       | 90.90      | 110.48       | 100.02                        | 57.73                         |
| 3         | Arunachal Pradesh        | 565.36      | 580.95       | 552.32      | 585.22       | 564.48     | 644.34       | 532.69                        | 343.94                        |
| 4         | Assam                    | 4303.74     | 1549.79      | 2527.13     | 2622.95      | 2776.33    | 2897.69      | 2686.39                       | 1244.12                       |
| 5         | Bihar                    | 4094.59     | 2589.91      | 2963.81     | 2757.19      | 2962.00    | 2268.8       | 3414.67                       | 2398.39                       |
| 6         | Chandigarh               | 154.54      | 140.70       | 156.14      | 144.07       | 156.14     | 148.01       | 171.40                        | 188.98                        |
| 7         | Chattisgarh              | 1440.6      | 1540.53      | 1401.08     | 1587.32      | 1398.15    | 2169.45      | 1603.87                       | 1253.66                       |
| 8         | D & N Haveli             | 68.05       | 50.68        | 72.03       | 67.59        | 72.03      | 62.65        | 79.20                         | 66.47                         |
| 9         | Daman & Diu              | 43.47       | 21.77        | 45.98       | 43.21        | 45.98      | 39.28        | 50.53                         | 42.75                         |
| 10        | Delhi                    | 1820.02     | 1350.22      | 1705.12     | 1605.19      | 1018.43    | 1694.01      | 2968.43                       | 2292.23                       |
| 11        | Goa                      | 116.34      | 104.74       | 127.78      | 105.25       | 127.61     | 121.87       | 146.78                        | 113.21                        |
| 12        | Gujarat                  | 4857.52     | 4698.01      | 3298.04     | 5056.34      | 3282.10    | 5100.79      | 3732.47                       | 2612.70                       |
| 13        | Haryana                  | 1292.26     | 1419.57      | 1207.93     | 1093.27      | 1204.96    | 1206.81      | 1380.86                       | 1086.47                       |
| 14        | Himachal Pradesh         | 581.22      | 515.31       | 837.57      | 834.98       | 833.82     | 974.19       | 949.33                        | 583.13                        |
| 15        | Jammu & Kashmir          | 943.43      | 552.05       | 1038.26     | 892.45       | 1036.78    | 700.61       | 1192.09                       | 917.06                        |
| 16        | Jharkhand                | 1783.56     | 1583.85      | 1512.16     | 1302.31      | 1511.23    | 1366.24      | 1742.07                       | 67.98                         |
| 17        | Karnataka                | 3195.23     | 2683.65      | 3186.19     | 3591.43      | 3177.65    | 4006.63      | 3638.79                       | 2875.87                       |
| 18        | Kerala                   | 1440.91     | 1253.73      | 1395.33     | 1056.88      | 1393.01    | 1082.1       | 1600.44                       | 1237.91                       |
| 19        | Lakshadwe ep             | 35.39       | 8.33         | 37.95       | 27.31        | 37.95      | 24.22        | 41.85                         | 35.46                         |
| 20        | Madhya Pradesh           | 3081.84     | 3893.81      | 2880.71     | 3287.48      | 2878.14    | 3089.98      | 3314.81                       | 2521.87                       |
| 21        | Maharashtr a             | 6657.74     | 9695.28      | 8085.75     | 8058.82      | 8059.40    | 8143.71      | 9215.12                       | 6733.37                       |
| 22        | Manipur                  | 657.22      | 398.06       | 524.57      | 398.77       | 548.31     | 485.79       | 520.94                        | 20.51                         |
| 23        | Meghalaya                | 550.67      | 457.57       | 427.62      | 441.28       | 453.95     | 523.35       | 433.80                        | 226.31                        |
| 24        | Mizoram                  | 414.39      | 385.20       | 392.75      | 341.42       | 402.29     | 452.72       | 379.25                        | 242.88                        |

## ANNEXURE

| 25    | Nagaland      |   596.41 |   364.14 |   460.49 |   445.42 |   477.38 |   520.47 |   452.13 |   271.21 |
|-------|---------------|----------|----------|----------|----------|----------|----------|----------|----------|
| 26    | Orissa        |  2141.81 |  1856.3  |  1991.54 |  2053.24 |  1986.79 |  2524.08 |  2276.98 |  1790.3  |
| 27    | Puducherry    |   183.56 |   172.27 |   187.88 |   163.47 |   110.57 |   206.31 |   225.57 |   208.77 |
| 28    | Punjab        |  1207.19 |  1511.48 |  1273.22 |  1135.85 |  1270.01 |  1028.68 |  1455.13 |  1145.71 |
| 29    | Rajasthan     |  3653.38 |  3375.79 |  2792.23 |  2741.05 |  2781.23 |  2842.78 |  3172.06 |  2558.18 |
| 30    | Sikkim        |   242.98 |   428.77 |   426.92 |   442.29 |   474.88 |   511.46 |   461.48 |   156.38 |
| 31    | Tamilnadu     |  3131.84 |  3850.35 |  3367.31 |  4028.96 |  3353    |  4191.06 |  3820.34 |  2902.65 |
| 32    | Tripura       |   583.71 |   172.88 |   290.2  |   259.18 |   300.38 |   322.72 |   284.32 |   190.39 |
| 33    | Uttar Pradesh |  7631.54 | 10785.9  |  7350.9  | 11610.1  |  7337.9  | 13863.4  |  8432.42 |  4676.26 |
| 34    | Uttrakhand    |   661.14 |   852.15 |   651.62 |   930.21 |   650.44 |   707.86 |   746.93 |   530.5  |
| 35    | West Bengal   |  3834.82 |  3253    |  3187.7  |  3513.61 |  3183.1  |  4128.96 |  3659.55 |  1991.23 |
| 36    | Telangana     |  2045.38 |   814.87 |  1672.53 |  2462.18 |  1667    |  2040.75 |  1905.16 |  1526.6  |
| Total | Total         | 66961    | 65308.4  | 60320    | 67800    | 59819    | 72245.6  | 69302    | 47093.7  |