National Tuberculosis Elimination Programme (NTEP) 

Towards a TB-Free India

Tuberculosis (TB) remains one of the most important public health challenges in India. The National Tuberculosis Elimination Programme (NTEP) represents India’s comprehensive and coordinated response to TB, bringing together governments, health systems, communities, civil society, private-sector providers, development partners, research institutions and other stakeholders to accelerate the elimination of tuberculosis.

India’s strategic response to TB has evolved from conventional TB control towards an ambitious, patient-centred and multisectoral approach focused on ending the TB Disease. The National Strategic Plan (NSP) 2017–2025 marked an important shift by placing greater emphasis on early diagnosis, universal access to quality treatment, prevention, patient support, private-sector engagement, community participation, surveillance and strengthening of health systems.

The NSP was developed through extensive consultation with national and international experts, programme managers, technical partners, civil society organisations, affected communities, private-sector representatives and other stakeholders. It provided the strategic direction for accelerating India's progress towards TB elimination.


Vision, Goal and objectives of TB Mukt Himachal Pradesh 

Himachal commitment to TB elimination is aligned with the India’s End TB Strategy and the Sustainable Development Goals (SDGs). The NSP 2017–2025 sought to accelerate the decline in TB incidence and mortality and aimed to move Himachal towards TB elimination by 2030.

Vision – TB-Free with zero deaths, disease, and poverty due to tuberculosis in Himachal Pradesh

Goal - To achieve a rapid decline in the burden of TB, morbidity and mortality while working towards the elimination of TB in India.

Objective: - 

  • Reduce TB-related deaths by 90% compared with 2015 levels. 
  • Reduce TB incidence by 80% compared with 2015 levels. 
  • Ensure zero TB-affected families face catastrophic costs due to TB.

The vision of ending TB goes beyond treating people who develop the disease. It requires finding people with TB early, ensuring that every person receives the right treatment and support, preventing new infections and disease, addressing the social and economic consequences of TB, and building systems capable of sustaining progress.

What Does “End TB” Mean?

Ending TB requires a fundamental shift from a predominantly disease-treatment approach to a comprehensive public health response.

The End TB approach seeks to:

  • Reduce TB incidence and transmission.
  • Reduce deaths and suffering caused by TB.
  • Detect TB early and ensure that no person with TB is missed.
  • Provide universal access to quality diagnosis, including drug-susceptibility testing.
  • Ensure that every person diagnosed with TB receives appropriate treatment.
  • Improve treatment adherence and treatment outcomes.
  • Prevent the development of TB among people at high risk.
  • Protect families and communities from TB transmission.
  • Reduce the financial and social consequences of TB.
  • Strengthen health systems, surveillance, human resources and programme management.
  • Ensure meaningful participation of communities, patients, civil society and other stakeholders.

 

The Four Strategic Pillars: Detect – Treat – Prevent – Build

The strategic direction of the NSP is organised around four interconnected pillars:

  • Detect – Find TB early through accessible, quality diagnosis and active case finding.
  • Treat – Ensure free, quality-assured and patient-centred treatment with appropriate support.
  • Prevent – Prevent TB through contact tracing, preventive treatment, infection control and action on risk factors.
  • Build – Strengthen health systems, surveillance, human resources, partnerships and community participation.