Direct Benefits Transfer [DBT] Module: Nikshay Poshan Yojana [NPY]

Nikshay is an integrated Information, Communication and Technology (ICT) platform adopted by the National Tuberculosis (TB) Elimination Programme (NTEP) for TB patient management and care.

The patient management workflow in Nikshay streamlines a series of activities required for TB patients from identification of presumptive TB cases to recording treatment outcomes. Nikshay uses in-built modules in the platform to perform these tasks. There are also different user logins that allow certain functions (see figure below).

Overview of the Patient Management Workflow in Nikshay

The National Tuberculosis (TB) Elimination Program (NTEP) has evolved over a period of time. To incorporate the new policy decisions and get better data, the number of recording and reporting formats have also increased.

The paper-based formats have undergone revision and capture necessary information related with TB patient demographics, TB diagnosis, patient comorbidities, TB treatment follow-up, adverse drug reaction and treatment outcome.

Key paper-based recording and reporting formats include:

The major duties and responsibilities of the Laboratory Technician at the Designated Microscopy Centre (DMC) are to: ​

The National Tuberculosis Elimination Program (NTEP) uses the following methods ​to ensure the reliability of Drug-resistant Tuberculosis (DR-TB) diagnostic tests:

1. Quality Assurance (QA) and control of tests ​
2. Proficiency testing

Quality Assurance and Control of Tests​

Under the National Program for Tuberculosis (TB) Elimination, the screening for active TB is an important activity with the following aims and objectives:

Figure: Aims and Objectives of Screening for Active TB

Tuberculosis (TB) is an infectious disease and India carries one fourth of global burden of tuberculosis. To break the chain of transmission, it is imperative to find all TB patients at the earliest and link them to the existing diagnostic and therapeutic services as soon as possible.

To achieve universal Tuberculosis (TB) care for all notified TB patients, the National TB Elimination Program (NTEP) has initiated the Patient Provider Support Agency (PPSA) initiative.

PPSA is a model under which a third-party agency/non-governmental organization is selected by a state/ city/district NTEP unit to engage private-sector doctors treating patients of TB and provide end-to-end services, such as diagnosis, notification, patient adherence and support, and treatment linkages. 

All Ayushman Bharat-Health and Wellness Centres (AB-HWCs) will use Nikshay for recording information of presumptive tuberculosis (TB) patients and drug-resistant TB (DRTB) patients. All AB-HWCs, including AB-HWC sub-health centres, will use Nikshay Aushadhi for drug inventory management.

The following physical records will be utilized for recording and reporting:

At the AB-HWC Sub-health Centre