Page 64 - Mann Ki Baat September 2022
P. 64

Ushering in Jan Andolan to End TB




                                           Indian Academy of Pediatrics,
                                           effective systems have been
                                           operationalized in over 350 high-
                                           burden districts across the country
                                           to ensure that standardised and
                                           quality care is provided to all
                                           patients, irrespective of the source
                                           of care. This initiative, along with
                                           important policy adjustments, led
                                           to an exponential improvement
                                           in  TB  case  notifications  from  the
                                           private sector (from around 1 lakh
                 Dr. Vinod Paul
                                           cases in 2014 to 6.6 lakh in 2019).
              Member, NITI Aayog              Further, there has been a focus
                                           on upgrading and expanding
                                           our diagnostic capacity. Today,
                                           there are over 3,700 advanced
            In 2018, Prime Minister Shri   molecular    diagnostic   labs.
        Narendra Modi gave a clarion       Indigenously-developed    tools
        call to eliminate TB in the        are in place in every district of the
        country  by  the  year  2025  –  five   country taking diagnostic services
        years ahead of the global 2030     close to the community.
        timeline set under the Sustainable    The Government has also
        Development Goals. Following this,   been  swift in introducing newer,
        we witnessed the launch of a truly   safer and shorter  drug  regimens
        patient-centric,  comprehensive    such   as    bedaquiline  and
        and responsive National Strategic   delamanid, leading to a significant
        Plan to achieve TB Mukt Bharat.    improvement     in   treatment
        This led to the introduction       outcomes among drug-resistant
        of multiple interventions that     TB patients. The programme also
        marked a paradigm shift in the     understood the need to increase
        way the programme enables the      the ambit of support available
        prevention, detection, treatment   to a TB patient, and the Ni-kshay
        and follow-up of TB patients.      Poshan Yojana  was  started  to
            It was recognized that a       support nutrition through direct
        large number  of patients  receive   cash  benefit  transfers  to  all
        care in the private sector but     patients on treatment.
        are  not  connected  well  to  the  TB   India is among the very few
        programme systems, hampering       countries that track the entire
        effective  care.  To address  this,   cascade of care for each TB
        in partnership with professional   patient digitally, and employ
        organizations, notably the Indian   electronic systems to transmit
        Medical Association and the        information from the ground

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