END TB BY 2025

Community Medicine Department

 End TB Strategy – Global Milestones
Vision : A world free of TB
Zero TB deaths, Zero TB disease & Zero TB Suffering

Goal: End the Global TB Epidemic

(<10 cases per 100,000 population)
 End TB by 2025
• Eliminate TB by 2025
• Incidence reduce to >80%
• Mortality due to TB reduce to >90%
• No catastrophic expenses due to TB

• Baseline 2015
2015 2025
Incidence 215/lac population <45/lac
Mortality 32/lac population <3-4/lac
 RNTCP (revised) Objectives

• Objectives: – 90/90
– Cure Rate > 90% of new smear positive cases
– Case Detection > 90% of all incident TB Cases
3 pillars : End TB Strategy
Integrated Bold
Intensified
Patient- Policies
Research
Centered and
Care and Supportive and
Prevention Systems Innovation
 Early Diagnosis of
TB and screening
of contacts and
high risk groups

Preventive
treatment PILLAR 1 Treatment of
of persons at Integrated DST & DRT
high risk; Patient- and
& vaccination Centered TB Patient
against TB care & support
prevention

Management of
co-morbidities
15
 Strong
Political
Commitment

Social PILLAR 2 Engagement

Protection Bold policies of Private
and care provider
supportive
systems

UHC policy and

regulatory
framework for
case notification
16
 Discovery development
of new tools, interventions
and strategies

PILLAR 3
Intensified
Research &
Innovation

Research to
promote
innovations
17
National Strategic Plan for TB
Elimination in India (2017-25)
Daily Regimen roll-out
Programmatic Management of Drug-resistant TB
(PMDT)

Shorter Regimen
» Duration of 11 months

Bedaquiline &
Delamanid
» To be expanded to all 143 DR-
TB Centres

Decentralized DR-TB
Services
» Existing 143 DR-TB Centres
» Decentralized diagnosis and
initiation of treatment of DR-
TB at district level
New diagnostic tools : GeneXpert MTB/
RIF for universal DST and other rapid molecular
tests such as first- and second-line Line Probe
 Enhancing NIKSHAY
TB patients
in public
sector
TB patients
Diagnostics
in private
linkages
sector

Culture DST
Adherence
and CBNAAT
support labs

Direct
Logistics
management Benefit
Transfer
ICT based adherence support
(99 DOTS)
Private sector engagement strategies
and projects
Active TB Case Finding Campaign
 Preventative initiatives
• Infection control,

• adverse drug effects: systematic pharmacovigilance

• contact tracing and

• LTBI management
 Challenges
• Vast burden of disease

• (MDR) and (XDR)-TB patients

• Private-public partnerships : find the missing

cases
Required path of end TB curve
 I am a
Head of State
Minister of Health
Doctors and Civil
Society advocate. I am
leading efforts to end
TB.

Inviting Leaders For

2 a TB Free India
 I am a
Pharmacist,
Health Worker, Nurse
and Childhood TB Survivor.
I am leading efforts to
end TB.

Inviting Leaders 3For a TB Free India

 Summary
• India has made great progress towards TB prevention
and control : National Strategic Plan 2017-2025
• India has announced the target of ending TB by 2025
• The End TB strategy is a multi-pronged approach
– patient-centered care and prevention,
– bold policies and supportive systems, and
– intensified research and innovation.
• Challenges -high burden setting
• Achieving our ambitious targets and goals : require
partnering with all stakeholders
 Department of Community Medicine
RNTCP, ACTIVE CASE FINDING REPORT
January-March 2019
S. No Area name Slum / gram No. of Populatio No. of No. No. No. No.
panchyat/ houses n suspect examined confirmed examine confirme
vulnerable area screene screened cases by sputum by sputum d by CXR d by CXR
d / CBNAAT / CBNAAT

Yousufgud Shishu Vihar 220 7 7 0 3 0

a (child
orphanage)
Yousufgud Yousufguda 202 490 14 14 0 0 0
a slums
Moinabad Chilkur Gram 570 3269 24 24 0 0 0
panchayat
Jangamme Ravindra Naik 215 638 45 45 2 10 3
t TU Colony slum
Jangamme Kandikal gate 310 720 58 58 5 16 4
t TU slum, Gm.
Chowni
Uppuguda
Jangamme Farooq nagar 183 380 41 41 1 2 0
t TU slum, Fathima
nagar

Total 1480 5717 189 189 8 31 7