National Institute of Tuberculosis & Respiratory Diseases, New Delhi, India.
National Institute of Tuberculosis & Respiratory Diseases, New Delhi, India.
Indian J Tuberc. 2020 Apr;67(2):231-237. doi: 10.1016/j.ijtb.2020.02.006. Epub 2020 Feb 27.
Nutrition support is one of the essential factors for envisioning Tuberculosis (TB) elimination in India by 2025. In this regard, Government of India introduced Nikshay Poshan Yojana (NPY) through Direct Benefit Transfer (DBT) as monthly financial assistance towards nutrition for TB patients in April, 2018. Assessment of early implementation challenges of the scheme is essential.
(a) To determine the number (proportion) of TB patients who received the benefits (b) to explore the challenges encountered by the health care providers in delivering the NPY through DBT (c) to explore the ways the incentives were utilised by the patients.
It was a cross-sectional study conducted among patients registered for TB treatment at Ladosarai and Mehrauli DOTS centre between July-September, 2018.Health providers engaged in implementation of NPY at the study sites were also interviewed. The data were collected through structured questionnaires, double entered and analyzed in Epi Data.
Out of 119 patients registered, we interviewed 57 (47.9%) patients. Of which, 30 (52.6%) had received NPY for 2 months in the fourth and fifth month of treatment. The health providers reported increased workload, lack of training and complex reporting formats as main hurdles in implementation of the scheme. While, the patients cited non-availability of bank accounts and unlinked bank account with Aadhar card as difficulties to receive NPY through DBT.
Nearly half of the interviewed TB patients received nutritional incentives of NPY through DBT for 2 months. Non-availability of bank accounts and unlinked bank accounts were some challenges faced by both health providers and patient. It is recommended to address these implementation on time in order to reap the benefit of scheme in improving nutritional status of TB patients. Further studies are needed to determine the effect of nutrition support on TB patients.
营养支持是印度到 2025 年实现结核病（TB）消除目标的关键因素之一。在这方面，印度政府于 2018 年 4 月通过直接福利转移（DBT）推出了 Nikshay Poshan Yojana（NPY），作为结核病患者每月的营养援助。评估该计划的早期实施挑战至关重要。
（a）确定接受该计划福利的结核病患者人数（比例）（b）探索卫生保健提供者在通过 DBT 提供 NPY 时遇到的挑战（c）探索患者利用激励措施的方式。
这是一项在 2018 年 7 月至 9 月期间在 Ladosarai 和 Mehrauli DOTS 中心登记的结核病治疗患者中进行的横断面研究。还对参与 NPY 实施的卫生保健提供者进行了访谈。通过结构化问卷收集数据，双录入并在 Epi Data 中进行分析。
在登记的 119 名患者中，我们采访了 57 名（47.9%）患者。其中，30 名（52.6%）在治疗的第四个和第五个月接受了 NPY 两个月的治疗。卫生保健提供者报告说，工作量增加、缺乏培训和复杂的报告格式是实施该计划的主要障碍。而患者则表示，由于银行账户不可用以及银行账户与 Aadhar 卡未关联，他们难以通过 DBT 获得 NPY。
近一半接受采访的结核病患者通过 DBT 获得了 NPY 的营养激励，为期两个月。银行账户不可用和银行账户未关联是卫生保健提供者和患者都面临的一些挑战。建议及时解决这些实施问题，以便从该计划中受益，改善结核病患者的营养状况。需要进一步研究来确定营养支持对结核病患者的影响。
