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India marching towards TB elimination: How far we are
Payel Roy1, Ambarish Das1, Ashutosh Panda1
1Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
The Indian Journal of Tuberculosis
|April 8, 2024
Summary
India faces significant challenges in eliminating tuberculosis (TB), despite its potential. Addressing issues like budget, diagnostics, and social stigma is crucial for the National Tuberculosis Elimination Program (NTEP) to succeed.
Area of Science:
- Public Health
- Infectious Diseases Epidemiology
- Global Health Security
Background:
- Tuberculosis (TB) remains a primary global cause of mortality.
- India accounts for 25% of the global TB burden.
- The National Tuberculosis Elimination Program (NTEP) aims to eradicate TB by 2025.
Purpose of the Study:
- To outline the challenges hindering TB elimination in India.
- To propose strategies for strengthening TB control programs.
- To assess India's potential for achieving TB-free status.
Main Methods:
- Review of existing TB control strategies in India.
- Analysis of programmatic challenges and their impact.
- Identification of key areas for program strengthening.
Main Results:
- Key challenges include insufficient funding, inadequate diagnostics, under-reporting, low treatment success, high dropout rates, and social stigma.
- Swift action is needed for case identification, notification, and treatment.
- Programmatic strengthening is essential for TB elimination.
Conclusions:
- India possesses the potential to eliminate TB.
- Strengthening the health system, integrating private sector efforts, and enhancing diagnostic capabilities are vital.
- Addressing social barriers and advocating for increased budgets are critical measures for achieving a TB-free India.
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