India has a highly variant TB epidemiology and extreme difference in health system strength. One national strategy will not translate to effective on ground activities. STDCs need to technically support the state in identifying bold programmatic changes designed to accelerate progress toward "TB Elimination". STDCs based on its understanding of the State, need and context (TB epidemiology, strength of health system, resources available), needs to prepare and evolve action plan toward TB Elimination. The action plan while being in alignment with the interventions of the NTEP strategy, needs to consider the TB burden of the state, special population groups related to TB (vulnerable groups, migrants etc.). Based on this context the strategic interventions may add on to existing NTEP and may be directed towards 

  1. Early and complete TB detection
  2. Correct and complete treatment 
  3. Prevent new infection and break down to active TB
  4. Health system strengthening for TB care