Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022
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 at least one...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2363300 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832096644950130688 |
|---|---|
| author | Kathiresan Jeyashree Jeromie W V Thangaraj Devika Shanmugasundaram G Sri Lakshmi Priya Sumit Pandey Venkateshprabhu Janagaraj Prema Shanmugasundaram Sabarinathan Ramasamy Joshua Chadwick Sivavallinathan Arunachalam Rahul Sharma Vaibhav Shah Aniket Chowdhury Swati Iyer Raghuram Rao Sanjay K Mattoo Manoj V Murhekar NPY Evaluation Group |
| author_facet | Kathiresan Jeyashree Jeromie W V Thangaraj Devika Shanmugasundaram G Sri Lakshmi Priya Sumit Pandey Venkateshprabhu Janagaraj Prema Shanmugasundaram Sabarinathan Ramasamy Joshua Chadwick Sivavallinathan Arunachalam Rahul Sharma Vaibhav Shah Aniket Chowdhury Swati Iyer Raghuram Rao Sanjay K Mattoo Manoj V Murhekar NPY Evaluation Group |
| author_sort | Kathiresan Jeyashree |
| collection | DOAJ |
| description | 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 at least 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 at least 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. |
| format | Article |
| id | doaj-art-16c2ae70adc04743a132e9eeea5a4ad5 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-16c2ae70adc04743a132e9eeea5a4ad52025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23633002363300Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022Kathiresan Jeyashree0Jeromie W V Thangaraj1Devika Shanmugasundaram2G Sri Lakshmi Priya3Sumit Pandey4Venkateshprabhu Janagaraj5Prema Shanmugasundaram6Sabarinathan Ramasamy7Joshua Chadwick8Sivavallinathan Arunachalam9Rahul Sharma10Vaibhav Shah11Aniket Chowdhury12Swati Iyer13Raghuram Rao14Sanjay K Mattoo15Manoj V Murhekar16NPY Evaluation GroupICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyICMR-National Institute of EpidemiologyWHO Country Office for IndiaWHO Country Office for IndiaWHO Country Office for IndiaWHO Country Office for IndiaWHO Country Office for IndiaMinistry of Health and Family WelfareMinistry of Health and Family WelfareICMR-National Institute of EpidemiologyBackground 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 at least 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 at least 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.http://dx.doi.org/10.1080/16549716.2024.2363300direct benefit transfernutritiondelaypattern of utilizationtreatment outcome |
| spellingShingle | Kathiresan Jeyashree Jeromie W V Thangaraj Devika Shanmugasundaram G Sri Lakshmi Priya Sumit Pandey Venkateshprabhu Janagaraj Prema Shanmugasundaram Sabarinathan Ramasamy Joshua Chadwick Sivavallinathan Arunachalam Rahul Sharma Vaibhav Shah Aniket Chowdhury Swati Iyer Raghuram Rao Sanjay K Mattoo Manoj V Murhekar NPY Evaluation Group Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 Global Health Action direct benefit transfer nutrition delay pattern of utilization treatment outcome |
| title | Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 |
| title_full | Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 |
| title_fullStr | Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 |
| title_full_unstemmed | Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 |
| title_short | Ni-kshay Poshan Yojana: receipt and utilization among persons with TB notified under the National TB Elimination Program in India, 2022 |
| title_sort | ni kshay poshan yojana receipt and utilization among persons with tb notified under the national tb elimination program in india 2022 |
| topic | direct benefit transfer nutrition delay pattern of utilization treatment outcome |
| url | http://dx.doi.org/10.1080/16549716.2024.2363300 |
| work_keys_str_mv | AT kathiresanjeyashree nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT jeromiewvthangaraj nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT devikashanmugasundaram nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT gsrilakshmipriya nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT sumitpandey nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT venkateshprabhujanagaraj nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT premashanmugasundaram nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT sabarinathanramasamy nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT joshuachadwick nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT sivavallinathanarunachalam nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT rahulsharma nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT vaibhavshah nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT aniketchowdhury nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT swatiiyer nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT raghuramrao nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT sanjaykmattoo nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT manojvmurhekar nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 AT npyevaluationgroup nikshayposhanyojanareceiptandutilizationamongpersonswithtbnotifiedunderthenationaltbeliminationprograminindia2022 |