Journal Article

Ni-kshay Poshan Yojana : receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022

Jeyashree, Kathiresan, Mattoo, Sanjay K, Arunachalam, Sivavallinathan, Thangaraj, Jeromie W V, Shanmugasundaram, Devika, Janagaraj, Venkateshprabhu, Chadwick, Joshua, Rao, Raghuram, Iyer, Swati, Shah, Vaibhav, Evaluation Group, NPY, Murhekar, Manoj V, Ramasamy, Sabarinathan, Sharma, Rahul, Chowdhury, Aniket, Sri Lakshmi Priya, G, Shanmugasundaram, Prema, Pandey, Sumit

2024

Overview

(NPY), a direct benefit transfer scheme under the National Tuberculosis Elimination Program (NTEP) in India, provides a monthly benefit of INR500 for nutritional support of persons with TB (PwTB). To determine the proportion of PwTB receiving atleast one NPY instalment and pattern of utilisation; to ascertain factors associated with NPY non-receipt and association of NPY receipt with TB treatment outcome. In our cross-sectional study, we used multi-stage sampling to select PwTB whose treatment outcome was declared between May 2022 and February 2023. A cluster-adjusted, generalized linear model was used to identify factors associated with the non-receipt of NPY and determine association between NPY receipt and TB treatment outcome. Among 3201 PwTB, 2888 (92.7%; 95% CI 89.8%, 94.8%) had received at least one NPY instalment, and 1903 (64.2%; 95% CI 58.9%, 69.2%) self-reported receipt of benefit. The median (IQR) time to receipt of first instalment was 105 (60,174) days. Non-receipt was significantly higher among PwTB from states with low TB score (aPR = 2.34; 95%CI 1.51, 3.62), who do not have bank account (aPR = 2.48; 95%CI 1.93, 3.19) and with unknown/missing diabetic status (aPR = 1.69; 95%CI 1.11, 2.55). Unfavorable treatment outcomes were associated with non-receipt of NPY (aPR 4.93; 95%CI 3.61,6.75) after adjusting for potential confounders. Majority of the PwTB received atleast one NPY instalment, but they experience significant delays. Most of the recipients utilised NPY for nutrition. Longitudinal follow-up studies are required to study the impact of NPY on treatment outcomes.

• Publisher: Taylor & Francis Ltd,Taylor & Francis,Taylor & Francis Group
• Subject: Adolescent / Adult / Antitubercular Agents - therapeutic use / Banking / Clinical outcomes / Cross-Sectional Studies / delay / Diabetes / direct benefit transfer / Elimination / Female / Generalized linear models / Humans / India / Linear analysis / Longitudinal studies / Male / Middle Aged / National Health Programs / Nutrition / pattern of utilization / Sampling / Treatment Outcome / Treatment outcomes / Tuberculosis / Tuberculosis - drug therapy / Young Adult