Lok Sabha Question No. 361 (STARRED), answered on 2024-12-20
Subject: Morbidity and Mortality of TB Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri  Selvaganapathi T.M.

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA

## STARRED QUESTION NO. 361 TO BE ANSWERED ON THE 20 TH DECEMBER, 2024

## MORBIDITY AND MORTALITY OF TB PATIENTS

## *361. SHRI SELVAGANAPATHI T.M.:

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

- (a) whether it is a fact that Tuberculosis (TB) kills an estimated 4,80,000 Indians every year or over 1,400 patients every day in the country and if so, the details thereof;
- (b) whether it is also a fact that the country also has more than a million missing TB cases annually that are not notified and if so, the details thereof;
- (c) whether it is true that most of the TB patients remain either undiagnosed or unaccountably and inadequately diagnosed and treated in the private sector and if so, the details thereof;
- (d) whether the goal of the Government to achieve a rapid decline in the burden of TB morbidity and mortality while working towards the elimination of TB by 2025 has plateaued and if so, the details thereof; and
- (e) whether it is also true that the Government is considering reworking on the protocol to tackle the disease, specifically TB medication and its duration to reboot the TB-free initiative with Zero deaths, disease, and poverty resulting from the disease and if so, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 361 FOR 20 TH DECEMBER, 2024

(a) to (e) The National TB Elimination Programme (NTEP) is implemented under the aegis of the National Health Mission (NHM). As per Global TB Report, 2024 published by the World Health Organisation (WHO), the incidence rate of TB in India has reduced by 17.7% from 237/lakh population in 2015 to 195/lakh population in 2023 and the TB deaths has reduced by 21.4% from 28/lakh population in 2015 to 22/lakh population in 2023.

The concerted efforts of NTEP has caused considerable reduction in the missing cases from 15 lakh in 2015 to 2.5 lakh in 2023.

The notification of TB cases from private sector has increased from 1 lakh in 2015 to 9.32 lakhs in 2023 through a focused and targeted engagement with the private sector. The overall annual notification of TB cases has increased from 16.08 lakh in 2015 to 25.5 lakh in 2023, against the WHO ' s estimate of 28 lakh cases.

The steps taken by the Government to accelerate the decline in TB incidence and mortality are as under:

-  Targeted interventions in high TB burden areas through State and District Specific Strategic plans.
-  Provision of free drugs and diagnostics to TB patients.
-  Active TB case-finding through campaigns in key vulnerable and co-morbid populations.
-  Integration of Ayushman Arogya Mandir with TB screening and treatment services.
-  Private sector engagement with incentives for notification and management of TB cases.
-  Scaling up of molecular diagnostic laboratories to sub-district levels.
-  Introduction of all oral, shorter, safer and more efficacious treatment for drug resistant TB.
-  Enhancement of incentives to Rs 1000 / per month / per patient through direct benefit transfer (DBT), under Ni-kshay Poshan Yojana for nutritional support.
-  Provision of additional nutritional, diagnostic and vocational support to TB patients and household contacts under Ni-kshay Mitra initiative.
-  Provision of TB Preventive Treatment to contacts of TB patients and vulnerable population.
-  Tracking of notified TB cases through Ni-kshay portal
-  Intensified Information, Education & Communication (IEC) interventions to reduce stigma, enhance community awareness and improve health seeking behaviour.
-  Convergence of efforts and resources of line ministries for TB elimination.

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