Understanding the gaps in elimination of tuberculosis in India

Indian J Tuberc. 2021 Jan;68(1):114-118. doi: 10.1016/j.ijtb.2020.08.012. Epub 2020 Aug 27.

Abstract

Tuberculosis (TB) is a highly infectious disease, and it has the highest global burden on India with 21% prevalence rate and 27% of patients who do not receive pertinent medical treatment. Although India spends 23 billion dollars annually towards medical expenses for TB, India still ranks among the top 2 countries with the highest incidence and prevalence rates with more than 300,000 deaths excluding the patients with HIV and TB calling for prompt consideration. India faces a great challenge socially and economically. They lack a uniform health care system, making it burdensome to use effective surveillance techniques for prevention of TB. Currently, India is working on resolving the issue meticulously through the web-based application program 'Nikshay' with other strategies like Revised National Tuberculosis Control Program (RNTCP) and World Health Organization's The End TB Strategy. India's cardinal goal is to make advanced diagnostic tools made available and public-private healthcare sector collaboration. India needs to focus more on primary prevention by effective policy formation and campaign which promote proper sanitation and vaccine administration while educating the layman.

Keywords: Extensively drug resistant (XDR) tuberculosis; India; Multi-drug resistant (MDR) tuberculosis; Tuberculosis (TB).

Publication types

  • Review

MeSH terms

  • Humans
  • India
  • National Health Programs
  • Outcome and Process Assessment, Health Care*
  • Tuberculosis, Multidrug-Resistant / prevention & control*
  • Tuberculosis, Pulmonary / prevention & control*