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TB

a) Brief overview of the National Tuberculosis Elimination Programme (NTEP)

The National Tuberculosis Elimination Programme (NTEP) is India’s flagship initiative to eliminate TB by 2025, five years ahead of the global SDG target. It is implemented under the National Health Mission (NHM). The programme aims to achieve a rapid decline in TB incidence and mortality, guided by the four strategic pillars of the National Strategic Plan (NSP) 2017–2025:

  • Detect: Early and accurate diagnosis using high-sensitivity tools like NAAT and X-ray.
  • Treat: Prompt initiation of quality-assured treatment, including shorter oral regimens for drugresistant TB.
  • Prevent: TB preventive treatment (TPT) for household contacts and vulnerable groups.
  • Build: Strengthening health systems, community engagement, and multi-sectoral partnerships.

NTEP is centrally managed by the Central TB Division (CTD) under the Ministry of Health and Family Welfare (MoHFW). Its multi-tiered governance includes:

  • National Level: CTD oversees policy, planning, resource allocation and supervision of the activities
  • State Level: State TB Cells (STCs) and State Task Forces (STFs) manage implementation and monitoring.
  • District Level: District TB Centres (DTCs) and District TB Officers (DTOs) coordinate service delivery.
  • Medical Colleges: Integrated through the Medical College Task Force mechanism (NTF, ZTF, STF) for training, research, and clinical support.

b) Brief overview of the GC7 grant component for TB:

The Global Fund allocated TB grant of USD 284 million for India for the implementation period 1 st April, 2024-31st March 2027 as part of their Grant Cycle (GC)-7. The grant is being implemented by following set of entities to support interventions aligned with NTEP’s strategic priorities and to complement the ongoing efforts toward TB elimination:

I. Government Principal Recipient (GPR) – The “Central TB Division” (CTD), MoHFW is implementing the Global Fund grant of USD 245 million on an innovative financing model of payment-for-results (PFR) wherein disbursements are tied to the achievement of specific Disbursement Linked Indicators (DLIs). This grant is routed through Department of Economic Affairs, Ministry of Finance (as the principal signing authority on behalf of Government of India). While CTD act as an implementing entity.

II. Non-Government Principal Recipients (NGPR)- There are three non-governmental organizations namely “Hindustan Latex Family Planning Promotion Trust” (HLFPPT), “Karnataka Health Promotion Trust” (KHPT) and “Solidarity and Action Against The HIV Infection in India (SAATHII)” selected by India Country Coordinating through an open EoI based process. A grant of USD 39 million was allocated to three NGPRs.

GC7 Activities : Principal Recipient wise Key TB activities/interventions agreed under the Global Fund grant are as follows:

 
S No. PR Name Type of PR Brief Description of Activity
1 Central TB Division Government PR
  • Strengthening treatment for DR-TB
  • Expanding highly sensitive TB screening and diagnostic services.
  • Scaling up TB preventive treatment for household contacts
  • Improving surveillance, monitoring, and evaluation under NTEP
2 SAATHII Non- Government PR
  • Strengthening capacities and decentralizing pediatric TB services to enhance pediatric TB care under NTEP
  • Early detection and diagnosis of TB cases through active case finding among KVP population
3 KHPT Non- Government PR
  • Engage TB Vijetas to enhance community awareness and reduce stigma around TB
  • Empower Gram Panchayats to lead and sustain TB and broader health initiatives
  • Provide Technical Assistance for DBT and PMTBMBA implementation
  • Strengthen counselling and interpersonal skills of NTEP staff
4 HLFPPT Non- Government PR
  • Early detection and diagnosis of TB cases through active case finding among KVP population
  • Technical Assistance to NTEP on QR- code based Sample transportation
  • Engagement of AYUSH & Informal Providers
  • Partner with corporate hospitals for standardized TB care
  • Engagement of Corporate Hospitals &and Labs
  • Strengthen DRTB Patient management in Private Sector
  • Lab strengthening for scaling up of upfront NAAT testing for Pediatric TB & EP TB Specimen
  •  Support TB survivors with vocational training for economic empowerment

2. GC7 Budget allocation

 
S No. PR Name Original Budget allocated (USD) *Revised budget (USD)
1 Central TB Division 245 million 211 million
2 SAATHII 9 million 7.8 million
3 KHPT 20 million 15 million
4 HLFPPT 10 million 8.7 million
Total 284 million 242 million
  *In June-July 2025, the Global Fund management announced reduction in the ongoing GC-7 grant for all TB grants and announced a revised country allocation amidst the uncertainty of funding from its key bilateral and multilateral donor partners. The revised grant allocation prioritized investments to protect critical, life-saving interventions and deferred less urgent activities.

3. Details of GC7 Non-Government PR geographies

 
S No. State/ UT KHPT HLFPPT SAATHII
SR Name SR Name SR Name
1 Andaman & Nicobar Islands 1. Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
2 Andhra Pradesh 1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
3 Arunachal Pradesh  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
4 Assam 1.KHPT Direct Implementation 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance Doctors For You;HLFPPT (Direct Implementation)
5 Bihar 1.KHPT Direct Implementation 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance Doctors For You; HLFPPT (Direct Implementation)
6 Chandigarh 1.TB Alert India (TBAI) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance
7 Chhattisgarh  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation) LEPRA
8 Dadra and Nagar Haveli  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
9 Daman and Diu  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
10 Delhi 1.World Health Partners (WHP) 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
11 Goa  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
12 Gujarat 1.Piramal Swasthya Management and Research Institute (PSMRI) 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
13 Haryana 1.TB Alert India (TBAI) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance World health Partners
14 Himachal Pradesh 1.World Health Partners (WHP) 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
15 Jammu & Kashmir  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
16 Jharkhand  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
17 Karnataka 1.KHPT Direct Implementation 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance Swami Vivekanand Youth Movement (SVYM)
18 Kerala  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
19 Ladakh  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
20 Lakshadweep  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
21 Madhya Pradesh 1.Piramal Swasthya Management and Research Institute (PSMRI) 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance
22 Maharashtra  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance Doctors For You; HLFPPT (Direct Implementation)
23 Manipur  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
24 Meghalaya  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
25 Mizoram 1. Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
26 Nagaland  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
27 Odisha  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
28 Puducherry 1. Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
29 Punjab 1.TB Alert India (TBAI) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance World health Partners
30 Rajasthan 1.Piramal Swasthya Management and Research Institute (PSMRI) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance Doctors For You; HLFPPT (Direct Implementation) MAMTA
31 Sikkim  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
32 Tamil Nadu  1.Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance
33 Telangana 1.TB Alert India (TBAI) 2.Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance TB Alert
34 Tripura 1. Tata Institute of Social Sciences (TISS) 2. KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)
35 Uttar Pradesh 1.World Health Partners (WHP) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance Doctors For You, HLFPPT (Direct Implementation) World health Partners
36 Uttarakhand 1.World Health Partners (WHP) 2. Tata Institute of Social Sciences (TISS) 3. KHPT-(PR)- Technical Assistance
37 West Bengal 1.Piramal Swasthya Management and Research Institute (PSMRI) 2.Tata Institute of Social Sciences (TISS) 3.KHPT-(PR)- Technical Assistance HLFPPT (Direct Implementation)