Department of Public Health Science, Indian Institute of Public Health - Gandhinagar, Gujarat, India.
Int J Health Policy Manag. 2023;12:7668. doi: 10.34172/ijhpm.2023.7668. Epub 2023 Apr 19.
India has put efforts into the prevention and control of tuberculosis (TB) for more than 50 years. Nikshay Poshan Yojna (NPY) is one of the schemes of conditional cash transfers (CCTs) by the Government of India. The CCT schemes mostly address the demand side constraints. Governments could use this in developing nations as a tool to divert financial resources toward societal development. In India, NPY is more directed toward providing monetary support for a nutritional diet and reducing the catastrophic expenditure of TB patients. Several studies highlighted challenges in implementing cash transfer schemes and provided different operational models. A country like India should address the challenges with defined strategies to ensure its last-mile reach. A present commentary discussing challenges and possible solutions that policy-makers can adapt and set up a support structure to ensure that supportive actions are implemented in response to patient and system side issues.
印度在结核病(TB)的预防和控制方面已经投入了 50 多年的努力。尼什亚·波山约纳(NPY)是印度政府实施的有条件现金转移支付(CCT)计划之一。这些 CCT 计划主要解决需求方面的限制。政府可以将其作为一种工具,将财政资源用于社会发展,在发展中国家使用。在印度,NPY 更侧重于为营养饮食提供财政支持,并减少结核病患者的灾难性支出。一些研究强调了实施现金转移支付计划所面临的挑战,并提供了不同的运营模式。印度这样的国家应该解决这些挑战,制定明确的战略,以确保最后一英里的覆盖范围。本文述评讨论了政策制定者可以采取的挑战和可能的解决方案,并建立一个支持结构,以确保针对患者和系统方面的问题实施支持性行动。