Lok Sabha Question No. 4352 (UNSTARRED), answered on 2019-12-13
Subject: Joint effort for Elimination of TB
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rahul Kaswan, Vincent H Pala

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

## LOK SABHA UNSTARRED QUESTION NO. 4352 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## JOINT EFFORT FOR ELI MINATION OF TB

## 4352. SHRI RAHUL KASWAN: SHRI VINCENT H. PALA:

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

- (a) the impact of the Joint Effort for Elimination of TB (JEET) programme in improving notifications from the private sector;
- (b) the State which has the highest proportion of TB patients being notified from the private sector along with the reasons therefor;
- (c) the number of other Public - Private Mix (PPM) schemes being implemented under the TB programme in various States, State/UT - wise;
- (d) the funds allocated by the Government and each State for such PPM schemes and funds disbursed to each district, State/UT - wise; and
- (e) the details of the new districts where new PPM schemes have been approved and those where it has been initiated/launched, State/UT - wise?

## ANSWER

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

- (a):  JEET Project is implemented in 25 States/UTs with Patient Provider Support Agen (PPSA) in 45 cities and PPSA lite interventions in 385 districts.

The JEET Project has been implemented since May 2018.

In  2019  year,  5.6  lakh  TB  patients  have  been  notified  from  private  sector.    40% notification of TB patients (2,15,145) from private sectors in the country, are contri the PPSA sites of the JEET Project in 2019.

(b):  In 2019, Uttar Pradesh has the highest proportion of total TB patients notifie country from private sector. This is due to its highest population.

- (c):  There are 22 PPM schemes being implemented under the TB programme  in various States/UTs.

No.  of  PPM  scheme  projects,  implemented  under  the  TB  programme  in  various State / UT wise is placed at annexure- I.

- (d):  The funds allocated under NHM,  State/UT wise for such PPM schemes is placed at annexure - II.

Public health being a State subject, the primary responsibility of implementation of RN lies with the State/UT Governments. However, under NHM, financial support is provided to the States/UTs as approved in the PIP plans annually. The details of funds d isbursed by the State / UT to district is not maintained centrally.

(e): The 'Guidance Document on Partnerships under RNTCP' for new PPM schemes has been launched on 16 th November 2019.

## Annexure 1 State-wise details of PPM Schemes (as of 2018)

| State            |   No. of Projects | ACSM at Community level   | ACSM for Youth   | ACSM for PRI   | Designated Microscopy Centre   | Designated Microscopy cum Treatment Centre   | Culture& DST   | DR TB Centre   | Corporate Hospital/ clinics involvement   | TB Control in Urban Slums   | Referral of TB HIV patients   | TB-HIV intervention for High risk groups   | Case Management& Reporting   | Sputum Collection& Sputum Transport   | Contact Tracing   | Adherence of TB cases   | Lab Technician   | Tuberculosis Unit Model   |
|------------------|-------------------|---------------------------|------------------|----------------|--------------------------------|----------------------------------------------|----------------|----------------|-------------------------------------------|-----------------------------|-------------------------------|--------------------------------------------|------------------------------|---------------------------------------|-------------------|-------------------------|------------------|---------------------------|
| Andhra Pradesh   |                14 |                           |                  |                | 2                              | 1                                            | 1              |                |                                           |                             |                               |                                            |                              |                                       |                   |                         | 8                | 2                         |
| Assam            |                13 | 3                         |                  |                |                                | 8                                            |                |                |                                           |                             |                               |                                            |                              | 2                                     |                   |                         |                  |                           |
| Chandigarh       |                 1 | 0                         | 1                | 0              | 0                              | 0                                            | 0              | 0              | 0                                         | 0                           | 0                             | 0                                          | 0                            | 0                                     | 0                 | 0                       | 0                | 0                         |
| Chhattisgarh     |                 7 |                           |                  |                | 3                              |                                              |                |                |                                           |                             |                               |                                            |                              |                                       |                   |                         | 4                |                           |
| Delhi            |                51 |                           |                  |                |                                |                                              |                |                |                                           |                             |                               |                                            |                              |                                       |                   | 51                      |                  |                           |
| Goa              |                 2 |                           |                  |                |                                |                                              |                |                |                                           | 2                           |                               |                                            |                              |                                       |                   |                         |                  |                           |
| Gujarat          |                63 | 30                        |                  |                | 11                             | 5                                            |                |                |                                           | 17                          |                               |                                            |                              |                                       |                   |                         |                  |                           |
| Himachal Pradesh |                30 |                           |                  |                | 24                             | 0                                            |                |                |                                           | 5                           |                               |                                            |                              | 1                                     |                   |                         | 0                |                           |
| Jharkhand        |                10 | 1                         | 1                | 1              | 0                              | 4                                            | 0              | 0              | 0                                         | 0                           | 0                             | 0                                          | 0                            | 2                                     |                   |                         |                  | 1                         |
| Karnataka        |                24 |                           | 3                | 2              | 7                              | 3                                            |                | 2              |                                           | 1                           |                               |                                            |                              | 2                                     |                   |                         | 3                | 1                         |
| Kerala           |                52 | 2                         |                  |                | 37                             | 3                                            |                |                | 5                                         |                             |                               |                                            |                              | 2                                     |                   | 1                       | 2                |                           |
| Madhya Pradesh   |                16 | 2                         |                  |                | 1                              | 4                                            | 1              |                |                                           | 2                           |                               |                                            |                              | 1                                     |                   |                         | 5                |                           |
| Maharashtra      |                32 | 4                         |                  |                | 11                             | 1                                            | 3              | 2              |                                           |                             |                               |                                            |                              | 6                                     | 2                 | 2                       | 1                |                           |
| Manipur          |                 2 |                           |                  |                | 1                              | 1                                            |                |                |                                           |                             |                               |                                            |                              |                                       |                   |                         |                  |                           |
| Meghalaya        |                15 | 2                         | 1                |                | 1                              | 5                                            | 1              |                |                                           |                             |                               | 1                                          |                              | 2                                     |                   | 2                       |                  |                           |
| Mizoram          |                 6 |                           |                  |                |                                | 3                                            |                |                |                                           |                             |                               |                                            |                              | 3                                     |                   |                         |                  |                           |

| State       |   No. of Projects | ACSM at Community level   | ACSM for Youth   | ACSM for PRI   | Designated Microscopy Centre   | Designated Microscopy cum Treatment Centre   | Culture& DST   | DR TB Centre   | Corporate Hospital/ clinics involvement   | TB Control in Urban Slums   | Referral of TB HIV patients   | TB-HIV intervention for High risk groups   | Case Management& Reporting   | Sputum Collection& Sputum Transport   | Contact Tracing   | Chemoprophylaxis   | Adherence of TB cases   | Lab Technician   | Tuberculosis Unit Model   |
|-------------|-------------------|---------------------------|------------------|----------------|--------------------------------|----------------------------------------------|----------------|----------------|-------------------------------------------|-----------------------------|-------------------------------|--------------------------------------------|------------------------------|---------------------------------------|-------------------|--------------------|-------------------------|------------------|---------------------------|
| Nagaland    |                21 | 6                         |                  |                | 2                              |                                              |                |                |                                           |                             | 1                             |                                            | 2                            | 5                                     | 5                 |                    |                         |                  |                           |
| Odisha      |                18 | 2                         |                  |                | 4                              | 2                                            |                |                |                                           | 1                           |                               |                                            |                              |                                       |                   |                    |                         | 9                |                           |
| Puducherry  |                 1 |                           |                  |                |                                |                                              |                |                |                                           |                             |                               |                                            |                              | 1                                     |                   |                    |                         |                  |                           |
| Punjab      |                 3 | 1                         |                  |                | 1                              |                                              |                |                |                                           |                             |                               |                                            |                              |                                       |                   |                    |                         | 1                |                           |
| Rajasthan   |                90 | 4                         |                  |                | 2                              | 2                                            |                |                |                                           | 1                           |                               |                                            | 80                           | 1                                     |                   |                    |                         |                  |                           |
| Tamil Nadu  |                18 | 1                         |                  |                | 12                             | 3                                            | 1              |                |                                           |                             |                               |                                            |                              | 1                                     |                   |                    |                         |                  |                           |
| Telangana   |                11 | 1                         |                  |                |                                | 5                                            | 1              |                |                                           |                             |                               |                                            |                              |                                       |                   |                    | 1                       |                  | 3                         |
| Tripura     |                 1 | 1                         |                  |                |                                |                                              |                |                |                                           |                             |                               |                                            |                              |                                       |                   |                    |                         |                  |                           |
| Uttarakhand |                 5 |                           |                  |                | 1                              | 3                                            |                |                |                                           |                             |                               |                                            |                              | 1                                     |                   |                    |                         |                  |                           |
| West Bengal |               179 | 9                         | 5                |                | 15                             | 13                                           | 2              | 1              |                                           | 13                          |                               |                                            |                              | 49                                    | 16                | 6                  | 1                       | 42               | 7                         |
| Total       |               685 | 69                        | 11               | 3              | 135                            | 66                                           | 10             | 5              | 5                                         | 42                          | 1                             | 1                                          | 82                           | 79                                    | 23                | 6                  | 58                      | 75               | 14                        |

Annexure 2: State/ UT wise approvals of Funds for PPM Schemes

| State /UTs          |   Funds Approved (Rs. In Lakh) |
|---------------------|--------------------------------|
| A& N Islands        |                           0    |
| Andhra Pradesh      |                         959    |
| Arunachal Pradesh   |                           4.18 |
| Assam               |                         168.52 |
| Bihar               |                        2230    |
| Chandigarh          |                          31.5  |
| Chhattisgarh        |                         436.57 |
| Dadar& Nagar Haveli |                           0    |
| Daman& Diu          |                           0    |
| Delhi               |                          79    |
| Goa                 |                          41    |
| Gujarat             |                        1038.91 |
| Haryana             |                         855    |
| Himachal Pradesh    |                          19.38 |
| Jharkhand           |                         511.3  |
| Jammu & Kashmir     |                          54.13 |
| Karnataka           |                         189.84 |
| Kerala              |                         113.54 |
| Lakshadweep         |                           0.6  |
| Maharashtra         |                        1103.01 |
| Manipur             |                          22    |
| Meghalaya           |                          39.95 |
| Mizoram             |                           7.2  |
| Madhya Pradesh      |                         872.29 |
| Nagaland            |                          39.8  |
| Odisha              |                         320.85 |
| Puducherry          |                           2.16 |
| Punjab              |                         113.98 |
| Rajasthan           |                          82.5  |
| Sikkim              |                           0    |
| Tamil Nadu          |                         623.71 |
| Telangana           |                         176.35 |
| Tripura             |                           2    |
| Uttar Pradesh       |                         180.5  |
| Uttarakhand         |                          34.04 |
| West Bengal         |                         955.13 |