ABSTRACT
Background: A good dietary practices are for plays a crucial role in influencing recovery from tuberculosis and it is a modifiable risk factor. Adequate nutrition is needed for faster recovery along with proper drug absorption and other thermodynamics of drugs besides adherence to drug treatment. It helps in better weight gain besides others benefits. So, the government of India started Nikshay Poshan Yojana (NPY) and providing monetary aid in form of Direct Benefit Transfer since March 2018 for patients. As there are very few studies which have tried to analyze and explore the effect of direct monetary benefits in many schemes. Aim and objectives of current study was to assess monetary support indicators and its utilization among TB patients. Methods: A cross-sectional study was conducted where the patients were taken using sequential sampling from Designated Microscopic Centers from January 2020 to December 2021. Data was analyzed using SPSS 20.0 and results were presented in tabular form. Results: Approximately 63.9% patients received Direct Benefit Transfer money. Approximately 69.5% of those who received money used it. However, no significant association ascertained between DBT money used and under-nutrition. Conclusions: Knowledge about TB and DBT should be provided through already existing ICT tool. Purpose of DBT money should be stressed at initiation of treatment to eliminate TB by 2025 as envisioned under National TB elimination program.
ABSTRACT
Background: National TB Programme of India launched Nikshay Poshan Yojana (NPY) through Direct Benefit Transfer (DBT) in April 2018, to provide financial support for additional nutritional requirement during TB treatment. This study aims to understand the enabling attributes in availing Nikshay Poshan Yojana (NPY) through Direct Benefit Transfer (DBT) among notified TB patients from the Indian state of Jharkhand for the year 2019. Methods: This is a retrospective cross sectional descriptive study using secondary data obtained from Nikshay web portal for the Indian state of Jharkhand in the year 2019. State level data on TB Notification and NPY DBT scheme is downloaded from the Nikshay portal in excel format and analysed using Excel 2016 version. Odds Ratio and P value are calculated and analysed to prove any statistically significant associations. Results: The study found higher odds (1.08, 95% CI: 1.03, 1.14; P value 0.004) of having patients who belong to 15 to 65 years, female sex (odds ratio 1.05, 95% CI: 1.01, 1.09; P value 0.018), seeking care in public sector (odds ratio 4.05, 95% CI: 3.83, 4.27; P value <0.00001) and with drug sensitive TB (DS TB) (odds ratio 1.39, 95% CI: 1.1, 1.59; P value <0.00001), among those who received at least one instalment of DBT. Conclusions: TB patients belonging to productive age group, female sex, seeking care in public sector and with DS TB have higher odds of receiving NPY among the study population.
ABSTRACT
Background: National TB programme of India implemented Nikshay Poshan Yojana (NPY) through direct benefit transfer (DBT) in April 2018. This is to address the dual evils of under nutrition and unfavourable outcomes among tuberculosis patients in the country. This study aimed to understand the impact of Nikshay Poshan Yojana (NPY) through direct benefit transfer (DBT) on the outcomes of notified TB patients from the Indian state of Jharkhand for the year 2019. Methods: This was a retrospective cross sectional descriptive study using secondary data obtained from Nikshay web portal for the Indian state of Jharkhand for the year 2019. State level data on TB notification and NPY DBT scheme was downloaded in excel format and analysed using Excel 2016 version. Results: The study found higher odds (odds ratio 3.14, 95% CI: 2.97, 3.33; p value <0.00001) of having successful outcomes, among those who received at least one instalment of NPY. The risk of lost to follow up (LTFU) was 2.44 times (95% CI: 2.2-2.8, p value: 3.9×10-43) higher among those who did not receive any DBT payments as compared to those who received at least one DBT instalment. Conclusions: The ‘individual and health system enablers’ have a crucial role to play in successful TB treatment outcomes than NPY. However, LTFU rate reduces significantly with timely payment of NPY. This would facilitate improved treatment adherence and thus a favourable outcome.
ABSTRACT
Background: Nutritional support plays an important role in the management of tuberculosis. To reduce malnutrition among those suffering from TB, the government of India started the Nikshay Poshan Yojana in 2018, offering a monthly incentive of INR 500 to each patient enrolled under the programme. Objective was to assess the utilization of financial benefits among tuberculosis patients registered under the scheme Nikshay Poshan Yojana. Methods: Descriptive study was conducted among 137 tuberculosis patients registered under Nikshay portal of designated microscopy center (DMC). Interview was conducted and obtained necessary information. Results: Among 116 responded tuberculosis patents, 83 (71.5%) received full and partly incentives throughout the course of treatment, among the beneficiary 61 (71.5%) were using their incentives for nutritional purpose. Conclusions: Beneficiaries under Nikshay Poshan Yojana received incentives but not on timely basis.