Lok Sabha Question No. 4236 (UNSTARRED), answered on 2019-12-13
Subject: Anti-TB Drugs Provided by Private Sector Clinics
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vincent H Pala, Rahul Kaswan

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

## LOK SABHA UNSTARRED QUESTION NO. 4236 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## ANTI - TB DRUGS PROVIDED BY PRIVATE SECTOR CLINI CS

## 4236. SHRI VINCENT H. PALA: SHRI RAHUL KASWAN:

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

- (a) the number of districts that have stocked Government provided anti - TB drugs at private clinics and pharmacies, State/UT - wise;
- (b) whether 80 per cent of patients getting treatment in the private sector are being provided free anti - TB drugs as per the stipulated targets;
- (c) if so, the details thereof along with the mechanisms adopted for the purpose and also the States which have achieved this target;
- (d) if not, the strategies in place for achieving this target; and
- (e) the State -wise number of patients in the private sector who are currently being provided free anti - TB drugs under the TB programme?

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

- (a): Anti - TB drugs have been stocked at public sector health facilities and drug sto For the purpose of provision of free anti - TB drugs to TB patients, dru gs are also supplied to private clinics and pharmacies to dispense.

Annexure 1 Number of districts where Government provided anti TB drugs have been given to TB patients who seek care at private clinics and pharmacies

(b to (d): RNTCP has policy of provision of free drugs  to all TB patients. All  TB patients in public sector avail free anti - TB drug. However, 8% of TB patients notified from private sector availed free anti - TB drugs from the Government.

Mechanism to provide free anti - TB drugs for TB patients include -referral of TB patients to public sector health facility or by dispensing anti - TB drugs at private clinics and pharmacies. Decision on either option of provision of drugs depends on the patients providers' interaction and convenienc e

For  achieving  the  target,  the  programme has  actively  pursued  to  advocate  with private clinics to prescribe free drugs, the supply chain system is strengthen with su the field level staff in the States/ UTs and Civil Society Organizations (CSOs) at places and inventory management sy stem-NIKSHAY Aushadhi is deployed.

- (e): State wise number of patients in the private sector who are currently being pro free anti - TB drugs under TB programme is placed at Annexure 2.

Number of districts where Government provided anti TB drugs have been given to TB patients who seek care at private clinics and pharmacies

| State            |   No. of districts |
|------------------|--------------------|
| Andhra Pradesh   |                 13 |
| Assam            |                 15 |
| Bihar            |                 20 |
| Chandigarh       |                  1 |
| Chhattisgarh     |                 12 |
| Delhi            |                 22 |
| Gujarat          |                 30 |
| Haryana          |                 21 |
| Himachal Pradesh |                  4 |
| Jammu &Kashmir   |                  4 |
| Jharkhand        |                  9 |
| Karnataka        |                 31 |
| Kerala           |                 14 |
| Madhya Pradesh   |                 35 |
| Maharashtra      |                 70 |
| Manipur          |                  3 |
| Meghalaya        |                  2 |
| Mizoram          |                  1 |
| Nagaland         |                  1 |
| Odisha           |                 25 |
| Puducherry       |                  1 |
| Punjab           |                 11 |
| Rajasthan        |                 25 |
| Tamil Nadu       |                 33 |
| Telangana        |                 14 |
| Uttar Pradesh    |                 62 |
| Uttarakhand      |                  5 |
| West Bengal      |                 35 |
| Total            |                519 |

Annexure 2 State / UT wise No. of patients from private sector who are provided anti-TB drugs by the TB program in 2019

| States                   |   No. of patients who are provided anti-TB drugs |
|--------------------------|--------------------------------------------------|
| Andaman& Nicobar Islands |                                                0 |
| Andhra Pradesh           |                                             1856 |
| Arunachal Pradesh        |                                                0 |
| Assam                    |                                              511 |
| Bihar                    |                                            13304 |
| Chandigarh               |                                                5 |
| Chhattisgarh             |                                              853 |
| Dadra &Nagar Haveli      |                                                0 |
| Daman &Diu               |                                                0 |
| Delhi                    |                                              264 |
| Goa                      |                                                0 |
| Gujarat                  |                                             7935 |
| Haryana                  |                                              622 |
| Himachal Pradesh         |                                               75 |
| Jammu &Kashmir           |                                               22 |
| Jharkhand                |                                              352 |
| Karnataka                |                                             2035 |
| Kerala                   |                                              394 |
| Lakshadweep              |                                                0 |
| Madhya Pradesh           |                                             3514 |
| Maharashtra              |                                             3441 |
| Manipur                  |                                               14 |
| Meghalaya                |                                              181 |
| Mizoram                  |                                                4 |
| Nagaland                 |                                              143 |
| Odisha                   |                                              766 |
| Puducherry               |                                               13 |
| Punjab                   |                                             1015 |
| Rajasthan                |                                              445 |
| Sikkim                   |                                                0 |
| Tamil Nadu               |                                             1892 |
| Telangana                |                                              319 |
| Tripura                  |                                                0 |
| Uttar Pradesh            |                                             3975 |
| Uttarakhand              |                                               47 |
| West Bengal              |                                             5053 |
| Grand Total              |                                            49050 |