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Pradhan Mantri TB Mukt Bharat Abhiyan — Govt Scheme for UPSC | Vaidra
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Pradhan Mantri TB Mukt Bharat Abhiyan

Ministry of Health & Family WelfareactivehealthLaunched: 2022-09-09

About the Scheme

PM-TB Mukt Bharat Abhiyan aims to eliminate TB in India by 2025 — five years ahead of the global SDG target of 2030. India has 25% of global TB burden. By 2025: TB notifications increased to 25.5 lakh (2024); TB deaths declining. Ni-kshay Poshan Yojana (₹500/month nutritional support). Ni-kshay Mitra (community support) registered 1.2 lakh+ supporters.

Target Beneficiaries: 28 lakh+ TB patients annually; Ni-kshay Poshan: ₹500/month nutritional support; 1.2 lakh+ Ni-kshay Mitras

Implementing Agency: Ministry of Health and Family Welfare, State Health Departments, District TB Centres, and community partners under the National TB Elimination Programme (NTEP).

Official Website →

✦Key Features

  • Target: Eliminate TB by 2025 (5 years ahead of global SDG 2030 target)
  • Ni-kshay Poshan Yojana: ₹500/month nutritional support directly to TB patients via DBT
  • Ni-kshay Mitra: community volunteers/CSR entities supporting TB patients — 1.2 lakh+ registered
  • Free diagnosis and treatment at all government health facilities
  • 99-DOTS (daily observed treatment, short course): digital adherence tracking
  • Universal Drug Susceptibility Testing (UDST): every TB patient tested for drug resistance
  • TB Harega Desh Jeetega: national campaign; TB patient notification on Ni-kshay portal

✓Eligibility Criteria

  • All diagnosed TB patients who are registered on the Ni-kshay portal are eligible for support.
  • Individuals, elected representatives, NGOs, cooperative bodies, and corporations are eligible to become Ni-kshay Mitras.

★Benefits

  • Improved treatment adherence and outcomes for TB patients through additional support.
  • Reduced financial and nutritional burden on TB patients and their families.
  • Enhanced community ownership and participation in TB elimination efforts.
  • Accelerated progress towards achieving the goal of TB-free India by 2025.
  • Increased awareness and destigmatization of Tuberculosis.

▶Application Process

  • Ni-kshay Mitras can register online through the Ni-kshay portal (nikshay.in) to adopt patients.
  • Patients are registered by health workers on the Ni-kshay portal post-diagnosis.
  • Mitras connect with adopted patients and provide support as per agreed terms.
  • Support provided by Mitras is monitored and recorded on the portal.

₹ Budget Allocation

1245

Funding Ratio (Centre:State): 60:40 (Center:State) for most states; 90:10 for Himalayan/NE states; 100% for UTs

Exam Relevance

GS Paper: GS2

Prelims Relevance8%
Mains Relevance8%

Syllabus Tags

HealthTBDisease EliminationPublic HealthGS2

Historical Context

India has the world's highest TB burden. The National Strategic Plan (NSP) 2017-2025 was launched to end TB by 2025, five years ahead of the Global SDG target.

Exclusion Criteria

  • None (Universal coverage for TB patients registered on Ni-kshay portal)

Sub-Schemes

Nikshay Poshan Yojana

Financial incentive of Rs 500/month for nutritional support to TB patients.

Challenges

  • Undiagnosed cases in the private sector
  • High prevalence of Multi-Drug Resistant (MDR) TB
  • Nutritional deficiencies among the most vulnerable populations
  • Social stigma hindering early diagnosis
  • Interrupted supply chains for anti-TB drugs in some regions

Reforms & Recommendations

  • Mandatory private sector notification with stricter enforcement
  • Expansion of LTBI treatment across all age groups
  • Integration of mental health support for TB patients

Performance Statistics

Metric

25.5 Lakh

Source: India TB Report 2024

Metric

Over 1.5 Lakh

Source: Ministry of Health

Critical Analysis

The Abhiyan represents a paradigm shift from a purely clinical approach to a community-led 'Jan Andolan'. By leveraging the Ni-kshay Mitra initiative, the government has crowdsourced social and nutritional support, addressing the socio-economic determinants of Tuberculosis. However, the 2025 elimination target remains ambitious given the persistent challenges of Multi-Drug Resistant TB (MDR-TB) and the massive notification gap in the private sector. The program effectively utilizes the Ni-kshay portal for real-time tracking but requires more focus on the latent TB infection (LTBI) pool to prevent future outbreaks.

SDG Linkages

SDG 3: Good Health and Well-beingSDG 2: Zero Hunger (Nutritional support)

Constitutional Backing

Article 21 (Right to Life and Health)Article 47 (Duty of the State to raise the level of nutrition and the standard of living)

Technology Used

Ni-kshay 2.0 (Digital platform)Direct Benefit Transfer (DBT)Molecular diagnostics (CBNAAT/TruNat)

Success Stories

Varanasi Model of Ni-kshay Mitra

Key Takeaways

  • Ni-kshay Mitra: Individuals/Orgs can adopt TB patients for 1-3 years
  • Support includes nutritional, diagnostic, and vocational help
  • Target: TB Elimination (incidence < 1 per 1 lakh population) by 2025
  • Focus on community ownership and social support systems

Probable Questions

The Pradhan Mantri TB Mukt Bharat Abhiyan transitions TB treatment from a medical issue to a social responsibility. Critically evaluate.

ModerateHigh

Mains Answer Fodder

TB-free India by 2025: A case study in public-private-community partnership. Keywords: Ni-kshay Mitra, Nutritional Support (Nikshay Poshan Yojana), Direct Benefit Transfer (DBT), Jan Andolan, Ending TB Stigma, Universal Health Coverage (UHC). Essential for GS2 health policy and GS3 social justice answers.

Convergence Schemes

  • Nikshay Poshan Yojana
  • Ayushman Bharat PM-JAY
  • National Health Mission (NHM)

Sector Tags

HealthSocial JusticeDisease Elimination