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

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