


{"id":76960,"date":"2025-12-08T16:42:24","date_gmt":"2025-12-08T11:12:24","guid":{"rendered":"https:\/\/vajiramandravi.com\/current-affairs\/?p=76960"},"modified":"2025-12-08T16:42:24","modified_gmt":"2025-12-08T11:12:24","slug":"tuberculosis-elimination-in-india","status":"publish","type":"post","link":"https:\/\/vajiramandravi.com\/current-affairs\/tuberculosis-elimination-in-india\/","title":{"rendered":"Tuberculosis Elimination in India, Causes, Transmission, Govt. Initiatives"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Tuberculosis (TB) is a major health challenge in India, affecting millions every year. The government is working to eliminate TB through programs like the National Tuberculosis Elimination Programme (NTEP) and Ni-Kshay Poshan Yojana (NPY), which provide free treatment, nutrition, and support to patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <a href=\"https:\/\/vajiramandravi.com\/upsc-exam\/world-health-organisation\/\" target=\"_blank\"><strong>World Health Organization<\/strong><\/a> (WHO) Global Tuberculosis Report 2025, released in November 2025, shows that global TB cases have decreased by 12% between 2015 and 2024, with India achieving an even<\/span><b> larger reduction of 21%<\/b><span style=\"font-weight: 400;\"> during the same period.<\/span><\/p>\n<h2><b>Causes and Transmission of Tuberculosis<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tuberculosis (TB) is caused by a bacterium called <\/span><b>Mycobacterium tuberculosis<\/b><span style=\"font-weight: 400;\">. It mainly affects the lungs but can also affect other parts of the body. The causes and transmission of Tuberculosis (TB) have been discussed below in detail.<\/span><\/p>\n<h3><b>Causes of Tuberculosis<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bacterium:<\/b><span style=\"font-weight: 400;\"> TB is caused by infection with <\/span><i><span style=\"font-weight: 400;\">Mycobacterium tuberculosis<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Weakened Immune System:<\/b><span style=\"font-weight: 400;\"> People with weak immunity, such as those with HIV, diabetes, cancer, malnutrition, or taking certain medications, are at higher risk for TB becoming active.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Environmental Factors:<\/b><span style=\"font-weight: 400;\"> Living or working in crowded places, like prisons, shelters, or healthcare facilities, increases exposure to TB bacteria.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Geographic Location:<\/b><span style=\"font-weight: 400;\"> TB is more common in some countries in Asia, Africa, and Latin America. Travelers or immigrants from these regions have a higher risk of infection.<\/span><\/li>\n<\/ul>\n<h3><b>Transmission of Tuberculosis (TB)<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Airborne Droplets:<\/b><span style=\"font-weight: 400;\"> The main way TB spreads is by breathing in droplets from an infected person\u2019s cough, sneeze, talk, or singing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Active vs. Latent TB:<\/b><span style=\"font-weight: 400;\"> Only people with <\/span><b>active TB<\/b><span style=\"font-weight: 400;\"> in their lungs or throat can spread the bacteria. People with <\/span><b>latent TB<\/b><span style=\"font-weight: 400;\"> carry the bacteria but do not spread it.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Close Contact:<\/b><span style=\"font-weight: 400;\"> TB is more likely to spread to people you spend a lot of time with, such as family members or coworkers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Not Spread By:<\/b><span style=\"font-weight: 400;\"> TB is <\/span><b>not<\/b><span style=\"font-weight: 400;\"> transmitted through handshakes, sharing food or drinks, or touching surfaces.<\/span><\/li>\n<\/ul>\n<h2><b>Government Initiatives for TB Elimination<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The Indian government has launched several initiatives to fight tuberculosis, focusing on early detection, free treatment, nutrition support, and awareness.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>National Tuberculosis Elimination Programme (NTEP):<\/b><span style=\"font-weight: 400;\"> Provides free diagnosis and treatment for all TB patients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ni-Kshay Poshan Yojana (NPY):<\/b><span style=\"font-weight: 400;\"> Offers monthly financial and nutritional support to TB patients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ni-Kshay Mitra Initiative:<\/b><span style=\"font-weight: 400;\"> Encourages community and organizational support for TB patients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Mass Screening Campaigns:<\/b><span style=\"font-weight: 400;\"> Detect TB cases early, especially in high-risk populations.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Focus on MDR-TB:<\/b><span style=\"font-weight: 400;\"> Special treatment and monitoring for drug-resistant TB cases.<\/span><\/li>\n<\/ul>\n<h2><b>National Tuberculosis Elimination Programme (NTEP)<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The National Tuberculosis Elimination Programme (NTEP) is India\u2019s flagship program to eliminate TB by 2025. It focuses on early detection, free treatment, and monitoring of TB patients across the country.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Free Diagnosis and Treatment:<\/b><span style=\"font-weight: 400;\"> All TB patients receive medicines and tests at no cost.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Case Notification:<\/b><span style=\"font-weight: 400;\"> Both public and private health facilities report TB cases to track and monitor patients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Advanced Diagnostics:<\/b><span style=\"font-weight: 400;\"> Uses molecular tests like CBNAAT and TrueNat for quick and accurate TB detection.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>MDR-TB Treatment:<\/b><span style=\"font-weight: 400;\"> Special regimens are provided for multidrug-resistant TB; in 2023, <\/span><b>over 63,000 MDR-TB cases<\/b><span style=\"font-weight: 400;\"> were diagnosed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Progress:<\/b><span style=\"font-weight: 400;\"> India has improved TB detection and treatment success, with <\/span><b>treatment coverage rising to around 85%<\/b><span style=\"font-weight: 400;\"> and TB incidence reducing by <\/span><b>21%<\/b><span style=\"font-weight: 400;\"> between 2015 and 2024.<\/span><\/li>\n<\/ul>\n<h2><b>Ni-kshay Poshan Yojana (NPY)<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The Ni-Kshay Poshan Yojana (NPY) is a government scheme that provides financial and nutritional support to TB patients to help them recover faster. It ensures that patients have access to healthy food and the resources needed to complete their treatment successfully.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monthly Support:<\/b><span style=\"font-weight: 400;\"> Each TB patient receives <\/span><b>\u20b91,000 per month<\/b><span style=\"font-weight: 400;\"> to buy nutritious food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Direct Benefit:<\/b><span style=\"font-weight: 400;\"> Funds are transferred directly to the patient\u2019s bank account.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Community Support:<\/b><span style=\"font-weight: 400;\"> Through the <\/span><b>Ni-Kshay Mitra initiative<\/b><span style=\"font-weight: 400;\">, individuals and organizations can provide additional help, such as food, counseling, or other support.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Focus on Recovery:<\/b><span style=\"font-weight: 400;\"> The scheme helps improve patients\u2019 health and treatment outcomes by addressing undernutrition, a major risk factor for TB.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Coverage:<\/b><span style=\"font-weight: 400;\"> Applies to all TB patients registered under the <\/span><b>National Tuberculosis Elimination Programme (NTEP)<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h2><b>Challenges in Tuberculosis Elimination in India<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Undiagnosed Cases:<\/b><span style=\"font-weight: 400;\"> Many TB cases remain <\/span><b>undiagnosed or unreported<\/b><span style=\"font-weight: 400;\">, especially in rural areas, slums, and among migrant populations.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Limited Healthcare Access:<\/b><span style=\"font-weight: 400;\"> Remote and underserved areas often <\/span><b>lack proper labs, diagnostic tools, and trained health workers<\/b><span style=\"font-weight: 400;\">, causing delays in detection and treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drug-Resistant TB (MDR-TB):<\/b><span style=\"font-weight: 400;\"> Treating multidrug-resistant TB is <\/span><b>longer, costlier, and more complex<\/b><span style=\"font-weight: 400;\">, with lower success rates.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Social and Economic Factors:<\/b><span style=\"font-weight: 400;\"> Poverty, malnutrition, lack of awareness, and stigma prevent people from seeking timely treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Continuity of Care for Migrants:<\/b><span style=\"font-weight: 400;\"> Migrant workers and mobile populations may <\/span><b>not complete the full treatment<\/b><span style=\"font-weight: 400;\">, increasing risk of relapse or drug resistance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Private Sector Gaps:<\/b><span style=\"font-weight: 400;\"> Some private clinics <\/span><b>do not report TB cases<\/b><span style=\"font-weight: 400;\">, creating gaps in monitoring and treatment follow-up.<\/span><\/li>\n<\/ul>\n<h2><b>Way Forward<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Expand healthcare access by increasing <\/span><b>labs and diagnostic facilities<\/b><span style=\"font-weight: 400;\"> like CBNAAT and TrueNat; currently, India has over <\/span><b>2,500 molecular testing sites<\/b><span style=\"font-weight: 400;\">, but more are needed in rural and remote areas.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strengthen collaboration with the private sector, as around <\/span><b>40% of TB patients first visit private clinics<\/b><span style=\"font-weight: 400;\">, ensuring proper reporting and treatment follow-up.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Focus on <\/span><b>drug-resistant TB<\/b><span style=\"font-weight: 400;\">, as over <\/span><b>63,000 MDR-TB cases<\/b><span style=\"font-weight: 400;\"> were diagnosed in 2023; rapid detection and adherence to treatment are essential.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Raise awareness and reduce stigma, encouraging early diagnosis and complete treatment, with community campaigns already reaching <\/span><b>millions of people<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Target high-risk populations such as slum dwellers, migrants, tribal communities, and people with HIV or diabetes, ensuring active case-finding and continuous care to reduce transmission.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Tuberculosis in India covering causes, transmission, key government initiatives including NTEP and Ni-Kshay Poshan Yojana, and the country\u2019s progress in lowering TB cases.<\/p>\n","protected":false},"author":27,"featured_media":76765,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[786],"tags":[4095],"class_list":{"0":"post-76960","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-general-studies","8":"tag-tuberculosis-elimination-in-india","9":"no-featured-image-padding"},"acf":[],"_links":{"self":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts\/76960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/users\/27"}],"replies":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/comments?post=76960"}],"version-history":[{"count":0,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts\/76960\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/media\/76765"}],"wp:attachment":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/media?parent=76960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/categories?post=76960"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/tags?post=76960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}