Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program

Summary: The WHO's “End TB” initiative aims to reduce catastrophic expenses, incidence, and mortality by 90%, 80%, and 0%, respectively by 2030 and Government of India has committed to reaching these goals by 2025. Despite tremendous progress, tuberculosis (TB) remains one of the main public he...

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Main Authors: Suresh G. Shastri, Pooja Sancheti, Sharath Burugina Nagaraja, Gagana G. Dayananda, Pujari K. Srinivas, Murugesh Jayaprakash, Shivashankara N. Ninge Gowda, Aditi Krishnamurthy, Balu P. Srinivasa, Anil Singarajipura, Randeep Devendiran
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:The Lancet Regional Health - Southeast Asia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772368223001877
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author Suresh G. Shastri
Pooja Sancheti
Sharath Burugina Nagaraja
Gagana G. Dayananda
Pujari K. Srinivas
Murugesh Jayaprakash
Shivashankara N. Ninge Gowda
Aditi Krishnamurthy
Balu P. Srinivasa
Anil Singarajipura
Randeep Devendiran
author_facet Suresh G. Shastri
Pooja Sancheti
Sharath Burugina Nagaraja
Gagana G. Dayananda
Pujari K. Srinivas
Murugesh Jayaprakash
Shivashankara N. Ninge Gowda
Aditi Krishnamurthy
Balu P. Srinivasa
Anil Singarajipura
Randeep Devendiran
author_sort Suresh G. Shastri
collection DOAJ
description Summary: The WHO's “End TB” initiative aims to reduce catastrophic expenses, incidence, and mortality by 90%, 80%, and 0%, respectively by 2030 and Government of India has committed to reaching these goals by 2025. Despite tremendous progress, tuberculosis (TB) remains one of the main public health issues. To limit TB transmission and expedite reduction in incidence, further measures are needed. These milestones and objectives remain aspirational until we achieve “Universal access” to high-quality TB diagnosis and treatment. The goals of the study include outlining the process of ‘Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana-Arogya Karnataka’ (AB-PMJAY-ArK) integration with the National TB Elimination Program (NTEP) in Karnataka, the types of TB patients who used AB-PMJAY-ArK services, and calculating the cost per TB patient at primary, secondary, and tertiary healthcare facilities, both public and private, stratified by type of service. Increased coverage, elimination of treatment delays, early and free treatment, and prevention of missing patients are benefits of integrating NTEP with Ayushman Bharat-PMJAY.
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spelling doaj.art-1060a51b2dca4e13becddb78420ad0392024-03-12T04:16:59ZengElsevierThe Lancet Regional Health - Southeast Asia2772-36822024-03-0122100327Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination ProgramSuresh G. Shastri0Pooja Sancheti1Sharath Burugina Nagaraja2Gagana G. Dayananda3Pujari K. Srinivas4Murugesh Jayaprakash5Shivashankara N. Ninge Gowda6Aditi Krishnamurthy7Balu P. Srinivasa8Anil Singarajipura9Randeep Devendiran10AB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaAB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, India; Corresponding author.Department of Community Medicine, ESIC Medical College and PGIMSR, Bengaluru, IndiaAB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaAB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaAB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaSuvarna Arogya Suraksha Trust, Bangalore, Karnataka, IndiaIndependent Public Health Consultant, Bangalore, IndiaCentre for Digital Health, Artificial Intelligence, Research and Training, Basaveshwara Medical College and Hospital, Chitradurga, IndiaDirectorate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaAB-ArK Cell, Commissionerate of Health & Family Welfare Services, Bangalore, Karnataka, IndiaSummary: The WHO's “End TB” initiative aims to reduce catastrophic expenses, incidence, and mortality by 90%, 80%, and 0%, respectively by 2030 and Government of India has committed to reaching these goals by 2025. Despite tremendous progress, tuberculosis (TB) remains one of the main public health issues. To limit TB transmission and expedite reduction in incidence, further measures are needed. These milestones and objectives remain aspirational until we achieve “Universal access” to high-quality TB diagnosis and treatment. The goals of the study include outlining the process of ‘Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana-Arogya Karnataka’ (AB-PMJAY-ArK) integration with the National TB Elimination Program (NTEP) in Karnataka, the types of TB patients who used AB-PMJAY-ArK services, and calculating the cost per TB patient at primary, secondary, and tertiary healthcare facilities, both public and private, stratified by type of service. Increased coverage, elimination of treatment delays, early and free treatment, and prevention of missing patients are benefits of integrating NTEP with Ayushman Bharat-PMJAY.http://www.sciencedirect.com/science/article/pii/S2772368223001877TuberculosisUniversal health coverageAyushman Bharat-PMJAY-Arogya KarnatakaKarnataka's modelHealth insuranceTB elimination
spellingShingle Suresh G. Shastri
Pooja Sancheti
Sharath Burugina Nagaraja
Gagana G. Dayananda
Pujari K. Srinivas
Murugesh Jayaprakash
Shivashankara N. Ninge Gowda
Aditi Krishnamurthy
Balu P. Srinivasa
Anil Singarajipura
Randeep Devendiran
Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
The Lancet Regional Health - Southeast Asia
Tuberculosis
Universal health coverage
Ayushman Bharat-PMJAY-Arogya Karnataka
Karnataka's model
Health insurance
TB elimination
title Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
title_full Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
title_fullStr Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
title_full_unstemmed Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
title_short Averting catastrophic tuberculosis costs in an Indian state: integration of Ayushman Bharat Arogya Karnataka with National Tuberculosis Elimination Program
title_sort averting catastrophic tuberculosis costs in an indian state integration of ayushman bharat arogya karnataka with national tuberculosis elimination program
topic Tuberculosis
Universal health coverage
Ayushman Bharat-PMJAY-Arogya Karnataka
Karnataka's model
Health insurance
TB elimination
url http://www.sciencedirect.com/science/article/pii/S2772368223001877
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