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Table 3 Summary of pro-poor approaches for TB care, RNTCP

From: Addressing poverty through disease control programmes: examples from Tuberculosis control in India

State Pro-poor approaches
Jharkhand • Collaboration with private providers
  • Improving access to diagnostic services
  • Facilitating community based care
  • ASHA, NGOs, Private Practitioners, Rural Medical Practitioners and community volunteers as DOT Providers to improve access to treatment services
  • Involving community and faith based organisations for ACSM implementation
  • Involving VHSC, PRI members, facilitating Patient-Provider meetings to improving care for the poor
Bihar • Mapping and identifying vulnerable groups, flood affected areas and displaced (refugee) populations
  • Regular health gatherings to promote TB awareness
  • Non-governmental organisations providing nutritional/food assistance to patients
  • Advocating for a legal framework to protect against loss of employment
  • District TB managers coordinating with the local social welfare department
  • Public-private mix to improve access of the poor to TB services
Chhattisgarh • Involving unqualified practitioners in rural areas and urban slums in TB control
  • Involving NGOs and public sector units (SAIL, NTPC, Railways and COAL)
  • Targeting special population groups - establish TB facilities targeting refugee communities and prisoners
  • Implementation of a state specific tribal action plan
  • Involvement of Mitanins (ASHAs) in suspect referrals and as DOT providers
Uttarakhand • Involving CBOs for RNTCP sputum collection and transportation schemes
  • Seriously ill TB patients provided grant assistance from the State Illness relief fund
  • Rastriya Swasthiya Bhima Yogana (RSBY) reimbursement for those TB patients who required hospitalisation
  • Sudurvarti Sahayaks from CM's Sudurvarti Gram Yojana involved TB services
  • No user charges for the poor utilising X-ray facilities for TB diagnosis
Tamil Nadu • Engaging private providers in TB control activities
  • Increasing patient engagement in DOTS/Community based care
  • Improving drug supply management to improve drug accessibility to the vulnerable groups
  • Collaborating with civil society organisations in ACSM activities to promote the awareness of TB control in the vulnerable population
  • Collaboration with private/NGO partners in areas requiring additional diagnostic services
Chandigarh • Engaging private sector and NGOs,
  • Targeting missing cases in poverty pockets in urban areas
  • Availability/accessibility of diagnostic services, and improving availability of drugs to the poor. Reaching the unreached and refugee communities, prisoners and tribal populations (32% in state) by ACSM and involvement of ASHAs