Content
The Strength, Weakness, Opportunities, and Threat (SWOT) analysis of the National Tuberculosis Elimination Program (NTEP), as documented in the National Strategic Plan (NSP) 2020-25 is presented in the table below.
Table: SWOT Analysis of the NTEP; Source: National Strategic Plan for Tuberculosis Elimination 2020–2025; p.31
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STRENGTHS
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WEAKNESS
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- Highest level of political and administrative commitment with deep engagement in the tuberculosis (TB) elimination efforts of the country
- State strategic plans based on the NSP
- Availability of much greater financial resources for TB elimination
- Availability of new drugs, regimens, diagnostics, approaches and strategies to end TB
- Rapid adoption of global best practices
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- Insufficient human resource at national, state, and district levels limits programme implementation and management at all levels
- Addressing the social determinants of TB is beyond the scope of the Ministry of Health
- Competing priorities in the states result in lack of focus and thrust on TB care activities
- Significant provision of TB care continues to be provided by a fragmented and relatively unregulated private sector
- Low coverage of basic program services for patients accessing care in the private sector, and weak systems for contracting partners (unreliable payments for results)
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OPPORTUNITIES
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THREATS
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- The COVID-19 pandemic response by the government focuses attention on communicable diseases and the necessity of strengthening public health systems at all levels. Also, the current momentum to “fix” the long-standing problems of the Indian health system presents a good opportunity for NTEP to further improve the national response.
- Potential of leveraging the programmes of other ministries to complement NTEP’s actions to end TB
- Increased enforcement of mandatory notification / Schedule H-1
- Emerging business models: Consolidation, chains, e-pharmacies, etc. for engaging the private sector
- Expansion of Ayushman Bharat and Pradhan Mantri Jan Arogya Yojana (PMJAY) to cover TB patients
- Tapping into the vibrant start-up culture in India has the potential to provide innovative solutions to end TB
- Technical Support Units (TSUs) to intensify private sector participation
- Vibrant community systems for supporting TB care
- Participation by other ministries and programmes that can accelerate and augment the national End TB response
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- Insufficient budgetary outlay for health in the national budgets compromising the allocation to TB commensurate with requirements to end TB
- Inadequate budgetary allocation due to competing priorities
- Socio-cultural-economic effects and impact of COVID-19 isn’t yet well understood. However, it has the potential to derail the TB programme which will have an impact on reaching the End TB targets.
- Economic slowdown owing to the pandemic
- Repurposing of infrastructure and existing TB human resources for emergent needs
- Rapid urbanization, poor living conditions and ever-increasing migrant population
- Future epidemics
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