Lok Sabha Question No. 2283 (UNSTARRED), answered on 2023-12-15
Subject: Fight against Tuberculosis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pradeep Kumar Singh, Janardan Mishra, Durga Das Uikey, Pushpendra Singh Chandel, Prathap Simha

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE

## DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA

## UNSTARRED QUESTION NO. 2283 TO BE ANSWERED ON 15 th DECEMBER, 2023

## FIGHTAGAINSTTUBERCULOSIS

## 2283. SHRI PRADEEP KUMAR SINGH:

SHRI JANARDAN MISHRA:

SHRI DURGADAS (D.D.) UIKEY:

SHRI KUNWAR PUSHPENDRASINGH CHANDEL:

SHRI PRATHAPSIMHA:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

- (a) whether it is a fact that the Government has received international recognition in its fight against Tuberculosis in the country;
- (b) if so, the details thereof; and
- (c) the steps taken/proposed to be taken by the Government in its fight against Tuberculosis during the last nine years, State/UT-wise and year-wise?

## ANSWER THE MINISTER OFTHE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (b) As per the Global TB Report 2023, published by the World Health Organisation, the incidence rate of TB in India has shown a 16% decline from 237 per 100,000 population in 2015 to 199 per 100,000 population in 2022. During the same period, the TB mortality rate has shown a 18% decline from 28 per lakh population in 2015 to 23 per lakh population in 2022. The efforts taken by India have been appreciated in multiple international forums
- (c) The State/UT-wise data for number of TB cases notified in the country for last nine years and current year for is placed at Annexure-I (I/A&I/B).

Further to achieve SDGs related to TB by 2025, the National TB Elimination Programme (NTEP) implements key activities across all State/UTs as under:

- 1) State and District Specific Strategic plan for targeted interventions in high-burden areas.
- 2) Provision of free drugs and diagnostics to TB patients including for drug-resistant TB.
- 3) Active TB case-finding campaign in key vulnerable and co-morbid populations.
- 4) Integration with Ayushman Arogya Mandir to decentralize screening and treatment services closer to the community.
- 5) Screening of vulnerable population during Ayushman Bhavah health camps through Ayushman Arogya Mandir.
- 6) Private sector engagement including incentives for notification and management of TB cases.
- 7) Scale up of molecular diagnostic laboratories to sub-district levels.
- 8) Ni-kshay Poshan Yojana for nutritional support to TB patients.
- 9) Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
- 10) Multi-sectoral response with involvement of line ministries.
- 11) Scale up TB preventive therapy to contacts of pulmonary TB.
- 12) Track notified TB cases through a case-based web-based portal namely Ni-kshay
- 13) Pradhan Mantri TB Mukt Bharat Abhiyan (PMTBMBA):
14.  launched by the Ministry on 9th September 2022 for community support to TB patients with the objective to provide people with TB with additional nutritional, diagnostic and vocational support
15.  Ni-kshay 2.0 portal has been developed and made available in public domain for facilitating the community to register as Ni-kshay Mitra
16.  Guidance documents have been developed and shared with all State/UTs to implement the initiative
17.  Periodic reviews are done to monitor the progress of the initiative at National and State/UT levels

Annexure-I/A STATE/UT-WISE NUMBER OF TB CASES NOTIFIED IN THE COUNTRY FOR 2015-2019

| State/UT                                 | 2015   | 2016   | 2017   | 2018   | 2019   |
|------------------------------------------|--------|--------|--------|--------|--------|
| Andaman &Nicobar Islands                 | 584    | 534    | 292    | 558    | 587    |
| Andhra Pradesh                           | 61758  | 74373  | 83118  | 91124  | 98869  |
| Arunachal Pradesh                        | 2748   | 2788   | 3154   | 3419   | 2938   |
| Assam                                    | 38014  | 40851  | 40174  | 42896  | 48669  |
| Bihar                                    | 64928  | 97001  | 96489  | 104930 | 122671 |
| Chandigarh                               | 3143   | 3413   | 5930   | 5696   | 7026   |
| Chhattisgarh                             | 29950  | 39484  | 41272  | 43031  | 43718  |
| Dadra and Nagar Haveli and Daman and Diu | 771    | 1039   | 1420   | 1346   | 1497   |
| Delhi                                    | 55260  | 62706  | 65212  | 93580  | 107982 |
| Goa                                      | 1599   | 1966   | 1935   | 2492   | 2410   |
| Gujarat                                  | 82585  | 126665 | 149061 | 154551 | 159158 |
| Haryana                                  | 40913  | 47545  | 40751  | 65748  | 73997  |
| Himachal Pradesh                         | 14333  | 14961  | 16451  | 16485  | 17446  |
| Jammu &Kashmir                           | 9873   | 9937   | 10476  | 12895  | 11860  |
| Jharkhand                                | 34792  | 39515  | 44128  | 48488  | 56632  |
| Karnataka                                | 59932  | 68462  | 81187  | 83094  | 91703  |
| Kerala                                   | 22785  | 47293  | 22754  | 24557  | 25617  |
| Ladakh                                   | NA     | NA     | NA     | NA     | NA     |
| Lakshadweep                              | 40     | 23     | 46     | 19     | 15     |
| Madhya Pradesh                           | 103108 | 129915 | 134333 | 160144 | 187407 |
| Maharashtra                              | 130874 | 195139 | 192458 | 209642 | 227348 |
| Manipur                                  | 1881   | 2393   | 2805   | 2927   | 2553   |
| Meghalaya                                | 4674   | 4586   | 3961   | 4867   | 5528   |
| Mizoram                                  | 2088   | 2205   | 2245   | 2570   | 2944   |
| Nagaland                                 | 3316   | 2821   | 3013   | 4269   | 4794   |
| Odisha                                   | 45814  | 43851  | 71131  | 50303  | 53612  |
| Puducherry                               | 1288   | 1421   | 1604   | 3489   | 4606   |
| Punjab                                   | 38625  | 39836  | 45313  | 54401  | 58204  |
| Rajasthan                                | 90296  | 106756 | 105953 | 160168 | 175218 |
| Sikkim                                   | 1400   | 1539   | 1271   | 1438   | 1432   |
| Tamil Nadu                               | 80543  | 96079  | 93327  | 104917 | 110845 |
| Telangana                                | 39498  | 45003  | 39223  | 52330  | 71655  |
| Tripura                                  | 7394   | 2374   | 1693   | 2579   | 2761   |
| Uttar Pradesh                            | 246589 | 297746 | 311041 | 420434 | 486385 |
| Uttarakhand                              | 14317  | 15081  | 16760  | 22362  | 26060  |
| West Bengal                              | 87468  | 89656  | 97297  | 104145 | 110668 |

Source: Ni-kshay

Annexure-I/B STATE/UT-WISE NUMBER OF TB CASES NOTIFIED IN THE COUNTRY FOR 2020-2023

| State/UT                                 |   2020 |   2021 |   2022 |   2023 (Jan. -Nov.) |
|------------------------------------------|--------|--------|--------|---------------------|
| Andaman &Nicobar Islands                 |    478 |    507 |    534 |                 424 |
| Andhra Pradesh                           |  64065 |  86832 |  92187 |               80016 |
| Arunachal Pradesh                        |   2522 |   2724 |   2863 |                2087 |
| Assam                                    |  35261 |  37641 |  47822 |               45259 |
| Bihar                                    |  98994 | 131703 | 161165 |              166465 |
| Chandigarh                               |   4294 |   4720 |   6066 |                5262 |
| Chhattisgarh                             |  29339 |  32416 |  38521 |               33215 |
| Dadra and Nagar Haveli and Daman and Diu |    965 |   1013 |   1399 |                 932 |
| Delhi                                    |  86842 | 103038 | 106731 |               85898 |
| Goa                                      |   1660 |   2018 |   2091 |                1657 |
| Gujarat                                  | 120560 | 144731 | 151912 |              129782 |
| Haryana                                  |  62697 |  69083 |  75838 |               70393 |
| Himachal Pradesh                         |  13424 |  14492 |  16089 |               14089 |
| Jammu &Kashmir                           |   8830 |  10826 |  11804 |               10213 |
| Jharkhand                                |  45505 |  52179 |  57320 |               53543 |
| Karnataka                                |  65785 |  72435 |  80416 |               72622 |
| Kerala                                   |  20835 |  21872 |  23388 |               19093 |
| Ladakh                                   |    239 |    291 |    320 |                 246 |
| Lakshadweep                              |     20 |     12 |     11 |                   5 |
| Madhya Pradesh                           | 137648 | 166346 | 186293 |              163571 |
| Maharashtra                              | 159663 | 199976 | 234105 |              191155 |
| Manipur                                  |   1563 |   1793 |   2554 |                1864 |
| Meghalaya                                |   4139 |   4152 |   4989 |                4242 |
| Mizoram                                  |   2334 |   1749 |   2085 |                1792 |
| Nagaland                                 |   3487 |   3648 |   4125 |                3454 |
| Odisha                                   |  45628 |  52381 |  60372 |               54592 |
| Puducherry                               |   2762 |   3444 |   3835 |                4225 |
| Punjab                                   |  46198 |  50142 |  55150 |               47553 |
| Rajasthan                                | 137343 | 149225 | 169522 |              143254 |
| Sikkim                                   |   1326 |   1373 |   1395 |                1138 |
| Tamil Nadu                               |  70304 |  82823 |  93879 |               87013 |
| Telangana                                |  63209 |  60714 |  72941 |               63679 |
| Tripura                                  |   2071 |   2543 |   3024 |                2784 |
| Uttar Pradesh                            | 366641 | 453712 | 522850 |              551372 |
| Uttarakhand                              |  20000 |  22789 |  27553 |               23365 |
| West Bengal                              |  79039 |  90487 | 100972 |               91324 |

Source -Ni-kshay