The need for universal and equitable health coverage, Pg 6

Key Highlights

TB Control Progress & Data

• TB incidence down by 17.7% (20152023); deaths reduced by 21.4%.
• Key strategies: BPaLM regimen, Ni-kshay Poshan Yojana, TB preventive therapy rollout.

Integration & Decentralization of Health Services

• Ayushman Bharat, PM-JAY, and AAMs (Ayushman Arogya Mandirs) aim at UHC.
• TB services integrated into primary health; focus on early detection, treatment at first contact.

Challenges in Private Sector & Health Equity

• 50% TB patients use private care, causing delays, higher out-of-pocket expenditure.
• TB-MAAY: Insurance support for private care seekers.

Recommendations & Technology Use

• Use of AI for TB diagnosis, BMI monitoring, linking with NCD screenings.
• Strengthen data systems, reduce cost barriers, promote public-private models.

Analysis & Way Forward

• Strengthen public health infrastructure, integrate AI tools, and ensure cost-effective, accessible care.
• Focus on communication, early diagnosis, and social protection for vulnerable TB patients.

Mains Mock Question:

"Discuss the importance of equitable healthcare in combating tuberculosis in India. How can technological innovations and decentralization improve TB outcomes?"