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LATEST NEWS UPDATES | Cash rewards for good TB doctors -GS Mudur

Cash rewards for good TB doctors -GS Mudur

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published Published on Mar 26, 2017   modified Modified on Mar 26, 2017
-The Telegraph

New Delhi: The Indian government is mulling monetary incentives to private doctors who provide correct treatment to patients with tuberculosis and financial and nutritional support to patients under new strategies to eliminate TB as a public health problem by 2025.

The Union health ministry's "national strategic plan for tuberculosis elimination 2017-2025" also seeks to enhance investments in diagnostic tools and treatment to help cut the country's new TB cases from about 217 per 100,000 population in 2015 to 44 per 100,000 population by 2025.

The plan, expected to be announced within weeks, is intended to address long-standing concerns that India has the world's largest TB burden with an estimated 28 lakh new patients each year, but many patients remain undiagnosed or inadequately treated. The government's annual TB report for 2017 released on Friday indicates that an estimated 10 lakh patients remained invisible to the TB control programme in 2016. No one knows what proportion of these patients received appropriate therapy.

Health officials are hoping the proposed monetary incentives to private doctors and their patients will encourage adherence to and completion of the treatment, which is viewed as critical to avoid the emergence of multi-drug resistant TB.

Medical studies in the past have suggested that a significant proportion of private practitioners in India do not prescribe correct combinations of anti-TB medicines.

The new plan will offer a private doctor Rs 2,750 for the notification and completion of treatment of each patient with drug-responsive TB and Rs 6,750 for each patient with drug-resistant TB which typically involves about two years of therapy. Under existing rules, private doctors need to notify TB cases.

The TB control programme has also proposed paying Rs 500 per month to patients to incentivise them to complete treatment. Health officials say the amount is expected to help cover some of the costs that patients incur while on the treatment such as the costs of travel to treatment clinics.

The health ministry also wants to provide free anti-TB medications to all patients in the private sector and set up mechanisms to facilitate nutritional support to TB patients. Multiple research studies have highlighted the role of nutrition to control TB infections in a community.

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The Telegraph, 25 March, 2017, https://www.telegraphindia.com/1170326/jsp/nation/story_142777.jsp#.WNd4O7ideyA


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