Lok Sabha Question No. 2194 (UNSTARRED), answered on 2025-08-01
Subject: Elimination of Tuberculosis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri G Kumar Naik

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE

## DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION No. 2194 TO BE ANSWERED ON 01 st AUGUST, 2025

## ELIMINATION OF TUBERCULOSIS

## 2194. SHRI G KUMAR NAIK:

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

- (a) the details of approach method adopted by Government to combat tuberculosis as per the National Tuberculosis Elimination Program;
- (b) the details of target set and target achieved so far under the said programme, State-wise and district-wise in Karnataka;
- (c) whether the Government has conducted/plans to conduct any studies or evaluations regarding TB control strategies and if so, the details thereof;
- (d) the budget allocated and utilised under the said programme during the last three years;
- (e) whether there are any plans to increase funding to intensify TB control efforts, especially in rural districts and Aspirational districts and if so, the details thereof; and

(f) the specific measures taken/proposed to be taken by the Government to address challenges in TB diagnosis, treatment access and public awareness, especially to reduce stigma and improve treatment adherence to prevent the spread of drug-resistant TB?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SMT. ANUPRIYA PATEL)

(a) to (f) To address Tuberculosis (TB), the Government has implemented the National TB Elimination Programme (NTEP) under the aegis of the National Health mission with key strategies as under:

-  promotion of early diagnosis of TB patients, prompt treatment with quality assured drugs
-  involvement of private sector in TB care
-  implementation of prevention strategies including TB preventive treatment and contact tracing in high risk/vulnerable population and
-  airborne infection control.

The State-wise targets set for notification of TB cases and achievement including the State of Karnataka for the year 2024 is placed as Annexure - I.

The Government through Indian Council of Medical Research (ICMR) has conducted the National TB Prevalence Survey in 20 State/Group of States in 2021. In addition, District level

Annual Surveys are conducted to monitor the trends of the TB incidence at the State/UTs/District level. Through this methodology, State/UTs/District level estimates of TB disease are derived and measured against the baseline of 2015. Three rounds of this exercise has been conducted in 2020, 2021 & 2022.

To intensify efforts & to achieve national goals for TB elimination, including for aspirational districts & rural areas, in the year 2025-26 an amount of Rs. 3259.26 crores has been allocated excluding a cash grant of Rs 2318.80 crores as part of RCH Flexipool. The budget allocated &utilized under NTEP for the last 3 years is placed as Annexure - II .

Further, under NTEP, the key steps taken to ensure diagnosis of TB, treatment & increase public awareness across the country 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.
-  Intensified TB case-finding among vulnerable populations through mobile diagnostic units for reaching out to remote and rural areas.
-  Decentralization of TB screening and treatment services to the Ayushman Arogya Mandir (AAM).
-  Private sector engagement with incentives for notification & management of TB cases.
-  Scaling up of molecular diagnostic laboratories in all blocks to facilitate early TB diagnosis.
-  Ni-kshay Poshan Yojana of Rs 1,000 per month per patient as nutritional support for the entire duration of treatment.
-  Intensified Information, Education & Communication (IEC) interventions to reduce stigma, enhance community awareness and improve health seeking behaviour.
-  Provision of TB Preventive Treatment to contacts of TB patients and vulnerable population.
-  Tracking of notified TB cases through Ni-kshay portal.
-  Provision of additional nutritional support to TB patients and household contacts under Ni-kshay Mitra initiative.

*****

Annexure - I State wise Targets and Achievement in TB Notification for 2024:

| States/UTs                         |   Target for TB Notification |   TB Notification achievement |
|------------------------------------|------------------------------|-------------------------------|
| Andaman &Nicobar Islands           |                          500 |                           534 |
| Andhra Pradesh                     |                       100000 |                         83960 |
| Arunachal Pradesh                  |                         3500 |                          2848 |
| Assam                              |                        55000 |                         50456 |
| Bihar                              |                       250000 |                        204309 |
| Chandigarh                         |                         7000 |                          6960 |
| Chhattisgarh                       |                        50000 |                         39593 |
| Dadra &Nagar Haveli and Daman &Diu |                         1100 |                          1037 |
| Delhi                              |                       110000 |                        105343 |
| Goa                                |                         2000 |                          2079 |
| Gujarat                            |                       145000 |                        137955 |
| Haryana                            |                        95000 |                         86635 |
| Himachal Pradesh                   |                        15000 |                         15607 |
| Jammu &Kashmir                     |                        12000 |                         12200 |
| Jharkhand                          |                        63000 |                         63670 |
| Karnataka                          |                        90000 |                         78369 |
| Kerala                             |                        23000 |                         20843 |
| Ladakh                             |                          260 |                           293 |
| Lakshadweep                        |                           10 |                             8 |
| Madhya Pradesh                     |                       190000 |                        181026 |
| Maharashtra                        |                       250000 |                        230163 |
| Manipur                            |                         3500 |                          2497 |
| Meghalaya                          |                         5500 |                          4564 |
| Mizoram                            |                         3000 |                          2312 |
| Nagaland                           |                         5000 |                          4059 |
| Odisha                             |                        65000 |                         60608 |
| Puducherry                         |                         4100 |                          3700 |
| Punjab                             |                        70000 |                         59020 |
| Rajasthan                          |                       170000 |                        171921 |
| Sikkim                             |                         1300 |                          1313 |
| Tamil Nadu                         |                       110000 |                         93276 |
| Telangana                          |                        82000 |                         76611 |
| Tripura                            |                         3000 |                          3320 |
| Uttar Pradesh                      |                       650000 |                        681779 |
| Uttarakhand                        |                        28000 |                         29334 |
| West Bengal                        |                       125000 |                         99721 |
| India                              |                      2787770 |                       2617923 |

Data source: Ni-kshay

Annexure - II

## Budget Allocation & Utilization under NTEPfor last 3 years (Rs. in crores)

|   Sr. No. | Year    | Allocation   |   Utilization |
|-----------|---------|--------------|---------------|
|         1 | 2022-23 | 1666.33*     |        910.83 |
|         2 | 2023-24 | 1888.82*     |       1179.68 |
|         3 | 2024-25 | 3176.40*     |       3173.26 |