India signed a $ 400 million loan contract with the World Bank to fight TB

New Delhi: The government today signed a $ 400 million loan agreement with the World Bank to expand the coverage and quality of TB control measures that kill nearly half a million people in India each year.
The program supported by the World Bank covers nine countries in India.
The World Bank’s program for the elimination of tuberculosis will support the National Government Plan of the Government of India (GoI) to end tuberculosis in India by 2025. public institutions dealing with monitoring and treatment of TB in the country.
The World Bank and the Government. India has more than two decades of successful partnership in TB control. The Bank’s support since 1998 has contributed to increasing the number of treatments and services that are directly monitored for poor and at-risk groups, including tribal households, patients with HIV and children; universal access to diagnostics and quality TB care; and the initiation of multiresistant TB services.
“The Indian Tuberculosis Control Program has significant national and global implications for public health and economic development,” said Sameer Kumar Khare, additional secretary, Department of Economic Affairs, Ministry of Finance. “The National Strategic Plan of the Government of India is a transformative program, and World Bank support through the Program to Eliminate Tuberculosis will bring India closer to achieving the goal of eliminating TB by 2025.”
The Loan Agreement was signed by Sameer Kumar Khare, Additional Secretary, Department of Economic Affairs, Ministry of Finance on behalf of the Government of India and Shanker Lal, Acting Director, on behalf of the World Bank.
“TB predominantly affects the poor and marginalized and kills about 480,000 people every year in India. Thanks to our support for this program, the World Bank is fulfilling its commitment to partnerships to invest the country in its human capital by supporting efforts to combat infectious diseases that have significant health and economic consequences, “said Junaid Ahmad, World Bank Director.
Drug-resistant TB is a major threat to public health, and despite the growing number of reported cases of tuberculosis, India has more than a million “missing” cases each year, most of them either diagnosed or inadequately diagnosed and treated in the private sector. This is further aggravated by postponing the search for concern by suspected patients, low adherence to treatment and fragmented health care providers, including an unregulated private sector that treats more than half of the cases of tuberculosis in India. Such cases pose the greatest challenge for controlling TB in India.
The program seeks to ensure that these private sector providers comply with established protocols for timely diagnosis, notification and effective TB management. The program will provide financial incentives for providers in the private sector to report cases of tuberculosis and ensure that their patients complete the treatment regimen. It will also provide direct patient transfers for the critical nutrition needed during the treatment. The program will help GoI to strengthen the monitoring and implementation of Nikshay – a web-based monitoring system for tuberculosis cases introduced by the government.
The program will also strengthen the detection, treatment and monitoring of drug-resistant tuberculosis and monitor progress in detecting additional drug resistance. It will also support the Ministry of Health and Family Social Assistance in developing and implementing a human resource plan to meet the needs of institutional capacity at central and state level for the successful implementation of NPB.

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