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. 2024 Dec 31;17(1):2363300.
doi: 10.1080/16549716.2024.2363300. Epub 2024 Jul 22.

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

Kathiresan Jeyashree  1 , Jeromie W V Thangaraj  1 , Devika Shanmugasundaram  1 , G Sri Lakshmi Priya  1 , Sumit Pandey  1 , Venkateshprabhu Janagaraj  1 , Prema Shanmugasundaram  1 , Sumitha Ts  1 , Sabarinathan Ramasamy  1 , Joshua Chadwick  1 , Sivavallinathan Arunachalam  2 , Rahul Sharma  2 , Vaibhav Shah  2 , Aniket Chowdhury  2 , Swati Iyer  2 , Raghuram Rao  3 , Sanjay K Mattoo  3 , Manoj V Murhekar  1 , Npy Evaluation Group
Affiliations

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

Kathiresan Jeyashree et al. Glob Health Action. .

Erratum in

  • Correction.
    [No authors listed] [No authors listed] Glob Health Action. 2024 Dec 31;17(1):2390310. doi: 10.1080/16549716.2024.2390310. Epub 2024 Aug 29. Glob Health Action. 2024. PMID: 39207223 Free PMC article. No abstract available.

Abstract

Background: Ni-kshay Poshan Yojana (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).

Objectives: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

Keywords: Direct benefit transfer; delay; nutrition; pattern of utilization; treatment outcome.

Plain language summary

Main findings: Five years since implementation, almost ninety percent of persons with tuberculosis in India had received at least one benefit under Ni-kshay Poshan Yojana, most of whom utilise it for nutrition.Added knowledge: Persons with tuberculosis in India experience a median delay of over three months to receive the first instalment of the benefit.Global health impact for policy and action: Ensuring timely credit of benefits is crucial to enable its utilisation by persons with tuberculosis for better nutrition and favourable treatment outcomes.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Stratum wise receipt of Ni-kshay Poshan Yojana among PwTB, India, 2022 (N = 3201).
See this image and copyright information in PMC

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