Lok Sabha Question No. 148 (STARRED), answered on 2022-12-16
Subject: PM TB Mukt Bharat Abhiyaan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rahul Ramesh Shewale, Pritam Gopinath Munde

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

## LOK SABHA STARRED QUESTION NO. 148 TO BE ANSWERED ON THE 16 TH  DECEMBER, 2022

## PM TB MUKT BHARAT ABHIYAAN

## *148. SHRI RAHUL RAMESH SHEWALE: DR. PRITAM GOPINATHRAO MUNDE:

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

- (a)  whether  the  Government  has  launched  the  Pradhan  Mantri  TB  Mukt  Bharat Abhiyaan  for  eradicating  TB  by  the  year  2030  under  the  Sustainable  Development Goal (SDG) of United Nations and if so, the details thereof;
- (b) whether the Government has conducted/ proposes to conduct any survey to identify the States in which TB crisis still exists, if so, the details and the outcome thereof;
- (c)  whether the Government is aware of the fact that Mumbai is under the grip of a devastating  TB  crisis  and  if  so,  the  details  thereof  and  whether  such  crisis  poses serious challenges to the said Abhiyaan towards making India TB-free by 2025 and if so, the response of the Government thereon;
- (d) whether the rising cases of TB across various cities/States/regions are not a State or National issue, but a global one and if so, the response of the Government thereon; and
- (e) whether most of the people affected by TB come from poor section of society and if  so,  the  details  thereof  along  with  the  action  plan  drawn  by  the  Government  to achieve the targets fixed under UNSDG?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (DR MANSUKH MANDAVIYA)

- (a) to (  e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 148* FOR 16 TH  DECEMBER, 2022

The Government has launched 'Pradhan Mantri TB Mukt Bharat Abhiyaan' for community support to provide TB patients with increased nutritional, diagnostic, and vocational support, delivered within the community. The objectives of the initiative are as below.

- 1) Provide additional patient support to improve treatment outcome of TB patients
- 2) Augment community involvement in TB response
- 3) Leverage Corporate Social Responsibility (CSR) activities

To  assess  burden  of  TB  at  sub-national  levels,  the  Ministry  through  Indian Council of Medical Research (ICMR) has conducted a National TB Prevalence survey in 20 State/group of States which demonstrated the 'Prevalence of all forms of TB for all ages as 312/lakh population' in the country. The details of prevalence of all forms of TB for all ages, in 20 State/group of States/UTs is placed as Annexure-I.

As  per  the  Global  TB  Report  2022  released  by  World  Health  Organisation (WHO), the incidence of TB in India has reduced by 18% from 256/lakh population in 2015  to  210/lakh  population  in  2021,  while  the  global  TB  burden  reduced  by  11% during  the  same  period.  The  estimated  TB  cases  for  the  year  2021  Globally  and  in India is 106 lakhs and 29.5 lakhs respectively.

In Mumbai, the total cases notified has increased from 47317 in 2015 to 53367 in  2022  (Jan  -  Oct),  the  year-wise  (2015-2022)  details  of  numbers  of  TB  cases notification  in  Maharashtra  and  Mumbai  is  placed  at Annexure-II .  The  increase  in number of TB cases notified under NTEP has been due to the increased efforts taken by programme to decentralize TB diagnostics, active case finding, intensified private sector  engagement  and  specific  strategies  to  mitigate  the  impact  of  COVID-19  and reach pre-COVID levels.

Among the TB cases notified under NTEP in 2022, 68% of the cases (for whom status  is  known)  belong  to  Below  Poverty  Line  (BPL)  category.  To  address  the challenges and achieve the Sustainable Development Goals by 2025, five years ahead of the global targets of 2030, the National TB Elimination programme implements key activities as under:

-  State  and  District  Specific  Strategic  plan  for  targeted  interventions  in  high burden areas.
-  Provision  of  free  drugs  and  diagnostics  to  TB  patients  including  for  drug resistant TB.
-  Active TB case finding campaign in key vulnerable and co-morbid population.
-  Integration with Ayushman Bharat - Health & Wellness Centres to decentralize screening and treatment services closer to the community.
-  Private sector engagement including incentives for notification and management of TB cases.
-  Scale up of molecular diagnostic laboratories to sub-district levels.
-  Ni-kshay Poshan Yojana for nutritional support to TB patients.
-  Intensified  IEC  campaigns  to  reduce  stigma,  raise  community  awareness  and improve health seeking behavior.
-  Multi-sectoral response with involvement of line ministries.
-  Scale up TB preventive therapy to contacts of pulmonary TB.
-  Tracking  of  notified  TB  cases  through  a  case-based  web-based  portal  namely Ni-kshay

Annexure-I

| State/State Group wise Prevalence of all forms of TB in Country   | State/State Group wise Prevalence of all forms of TB in Country   | State/State Group wise Prevalence of all forms of TB in Country   |
|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|
| Sr. No                                                            | State/States Group                                                | Prevalence per lakh population (All forms of TB)                  |
| 1.                                                                | Gujarat                                                           | 137                                                               |
| 2.                                                                | Kerala                                                            | 149                                                               |
| 3.                                                                | West Bengal                                                       | 179                                                               |
| 4.                                                                | Maharashtra                                                       | 199                                                               |
| 5.                                                                | Odisha                                                            | 247                                                               |
| 6.                                                                | Bihar                                                             | 261                                                               |
| 7.                                                                | Andhra Pradesh                                                    | 274                                                               |
| 8.                                                                | North East                                                        | 274                                                               |
| 9.                                                                | Jharkhand                                                         | 288                                                               |
| 10.                                                               | Telangana                                                         | 296                                                               |
| 11.                                                               | Karnataka                                                         | 304                                                               |
| 12.                                                               | Punjab                                                            | 314                                                               |
| 13.                                                               | Tamil Nadu                                                        | 322                                                               |
| 14.                                                               | Madhya Pradesh                                                    | 337                                                               |
| 15.                                                               | HP,UK,JK                                                          | 378                                                               |
| 16.                                                               | Uttar Pradesh                                                     | 427                                                               |
| 17.                                                               | Rajasthan                                                         | 432                                                               |
| 18.                                                               | Chhattisgarh                                                      | 451                                                               |
| 19.                                                               | Haryana                                                           | 477                                                               |
| 20.                                                               | Delhi                                                             | 747                                                               |
| 21.                                                               | All India                                                         | 312                                                               |

Year-wise notifications for Maharashtra & Mumbai

| Year           |   Maharashtra |   Mumbai |
|----------------|---------------|----------|
| 2015           |        170845 |    47317 |
| 2016           |        186745 |    56698 |
| 2017           |        193090 |    54930 |
| 2018           |        202630 |    57380 |
| 2019           |        227004 |    61373 |
| 2020           |        160072 |    43400 |
| 2021           |        199969 |    58852 |
| 2022 (Jan-Oct) |        195113 |    53367 |

## Annexure II