Lok Sabha Question No. 5514 (UNSTARRED), answered on 2019-07-26
Subject: Revised National Tuberculosis Control Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Balashowry Vallabbhaneni, Shobha Karandlaje, Bharti Pravin Pawar

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

## LOK SABHA UNSTARRED QUESTION NO. 5514 TO BE ANSWERED ON 26 TH JULY, 2019

## REVISED NATIONAL TUB ERCULOSIS CONTROL PR OGRAMME

## 5514. SHRI BALASHOWRY VALLABHANENI: KUMARI SHOBHA KARANDLAJE: DR. BHARATI PRAVIN PAWAR:

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

- (a) whether the Government is aware of recent WHO's Global TB Report which indicates that India ac counts for 27 per cent of World TB Cases in 2017, if so, the reaction of the Gover thereto;
- (b) the details of TB Cases registered in the country during the last three years, Stat - wise indicating the high risk States;
- (c) whether the Governmen t has reviewed the status of Revised National Tuberculosis Contro Program (RNTCP) recently, if so, details and outcome thereof;
- (d) whether the Government has formulated a strategy for TB free India by 2025 and if s details thereof;
- (e)  whether the  Government  has  launched  the  DBT  Scheme  for  nutritional  support  to Tuberculosis patients and if so, the details thereof; and
- (f) the further steps initiated to remove stigma and to create awareness about the symp TB?

## ANSWER THE MINISTER OF STA TE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): Yes, in absolute numbers, India accounts for 27 percent of World TB Cases in 2017 per the WHO's Global TB Report 2018. However, in terms of incidence of TB i.e., number of cases per lakh population, India ranks 35 th in the world.
- (b): The State/ UT wis e number of TB patients' notification for the last three years is nclosed at Annexure.

There is no such classification of high risk states under Revised National Tuberc Control Programme (RNTCP) .

(c) : Yes, As  per  the  program  guideline,  review meetings  are done  on  a  periodic  basis  at National, State and District level.

During  the  review  meetings,  the  performance  of  the  States  is  analyzed  under  var thematic  areas  including  Drug  Sensitive  Tuberculosis  (DSTB)  services,  Drug  Resist Tuberculosis  (DRTB)  services  (diagnostic  and  treatment),  TB  Co - morbidities,  Infrastruct ure, Human Resource, Finance, Drugs & Supply chain management, Medical colleges' contribution, Supervision & monitoring.

Government of India has conducted regional review from November 2018 to May 2019 covering all the States/UTs

As a result, total TB c ases reported under RNTCP has increased by 12% to 12.02 Lakhs during Jan to June 2019, as compared to 10.70 Lakhs during Jan to June 2018.

(d) : Yes,  The  Ministry  has  developed  the  National  Strategic  Plan  (NSP)  for  Tuberculo (2017- 2025) with the goal of ending TB by 2025.

The key focus areas are:

- Early  diagnosis  of  all  the  TB  patients,  prompt  treatment  with  quality  assured  drug treatment regimens along with suitable patient support systems to promote adherence.
- Engaging with the patients seeking c are in the private sector.
- Prevention  strategies  including  active  case  finding  and  contact  tracing  in  high vulnerable population
- Airborne infection control.
- Multi - sectoral response for addressing social determinants.

(e): Yes, Nikshay PoshanYojana (NPY), a DBT scheme for nutritional support, was introduced in April 2018 by Ministry of Health and Family Welfare (MOHFW), Government of India under the Revised National TB Control Programme (RNTCP). It provides support worth Rs 500/ -per month for th e duration of treatment to TB patients.

As on 23.07.2019, Rs. 377.25 Crore have been paid to 24.46 lakhs beneficiaries through DBT since 1st April 2018

## (f): The Government of India has taken following steps:

·Communication  campaign  aimed  at  raising levels  of  awareness,  reduction  of  stigma  among community both through mass and mid media.

·Strategies like active case finding and contact tracing to create awareness and early diagnosis.

·Early  diagnosis  of  all  the  TB  patients,  prompt  treatment  with  quali ty  assured  drugs  and treatment regimens along with suitable patient support systems to promote adherence.

·Engaging with the patients seeking care in the private sector.

·Multi - sectoral response for addressing social determinants.

## Statewise Total Notification

| S.No.   | State/UT           |    2016 |    2017 |    2018 |
|---------|--------------------|---------|---------|---------|
| 1       | A&N Islands        |     534 |     292 |     556 |
| 2       | Andhra Pradesh     |   74373 |   83118 |   91224 |
| 3       | Arunachal Pradesh  |    2788 |    3154 |    3419 |
| 4       | Assam              |   40851 |   40174 |   42867 |
| 5       | Bihar              |   97001 |   96489 |  104886 |
| 6       | Chandigarh         |    3413 |    5930 |    5704 |
| 7       | Chhattisgarh       |   39484 |   41272 |   43026 |
| 8       | Dadra Nagar Haveli |     552 |     963 |     849 |
| 9       | Daman & Diu        |     487 |     457 |     499 |
| 10      | Delhi              |   62706 |   65893 |   93488 |
| 11      | Goa                |    1966 |    1935 |    2493 |
| 12      | Gujarat            |  126665 |  149061 |  154622 |
| 13      | Haryana            |   47545 |   40751 |   65642 |
| 14      | Himachal Pradesh   |   14961 |   16451 |   16482 |
| 15      | Jammu & Kashmir    |    9937 |   10476 |   12881 |
| 16      | Jharkhand          |   39515 |   44128 |   48450 |
| 17      | Karnataka          |   68462 |   81187 |   83069 |
| 18      | Kerala             |   47293 |   22754 |   24571 |
| 19      | Lakshadweep        |      23 |      46 |      19 |
| 20      | Madhya Pradesh     |  129915 |  134333 |  160119 |
| 21      | Maharashtra        |  195139 |  192458 |  209574 |
| 22      | Manipur            |    2393 |    2805 |    2923 |
| 23      | Meghalaya          |    4586 |    3961 |    4867 |
| 24      | Mizoram            |    2205 |    2245 |    2567 |
| 25      | Nagaland           |    2821 |    3013 |    4260 |
| 26      | Odisha             |   43851 |   71131 |   50314 |
| 27      | Puducherry         |    1421 |    1604 |    3495 |
| 28      | Punjab             |   39836 |   45313 |   54504 |
| 29      | Rajasthan          |  106756 |  105953 |  160085 |
| 30      | Sikkim             |    1539 |    1271 |    1438 |
| 31      | Tamil Nadu         |   96079 |   93327 |  105120 |
| 32      | Tripura            |    2374 |    1693 |    2575 |
| 33      | Telangana          |   45003 |   39223 |   52314 |
| 34      | Uttar Pradesh      |  297746 |  311041 |  420236 |
| 35      | Uttarakhand        |   15081 |   16760 |   22330 |
| 36      | West Bengal        |   89656 |   97297 |  104169 |
| INDIA   | INDIA              | 1754957 | 1827959 | 2155637 |

## Annexure