Budget Heads related to NTEP activities across NHM PIP

The National TB Elimination Programme (NTEP) expenditures are organised under 19 heads. These are:

1. Civil works - Initial establishment/ refurbishment costs and maintenance of civil works costs for Designated Microscopy Centres (DMC), Tuberculosis Units (TU), District TB Centres (DTC), Drug-resistant TB (DR-TB) centres and State Drug Stores (SDS).

2. Laboratory materials - Lab consumables for DMCs, Nucleic Acid Amplification Testing (NAAT), Culture and Drug Susceptibility Testing (C& DST) labs, State TB Training and Demonstration Centres (STDCs), National Reference Laboratories (NRLs) and Intermediate Reference Laboratories (IRLs).

3. Honorarium/ Counselling charges - Honorarium for community volunteers facilitating TB patient counselling and treatment.

4. Advocacy, Communication, Social Mobilisation (ACSM) - Various Information, Education and Communication (IEC) activities, patient-provider meetings, Active Case Finding (ACF)/ Intensive Case Finding (ICF) campaigning, etc. are budgeted under this head.

5. Equipment Maintenance - Maintenance and up-gradation costs for laboratory and office equipment.

6. Training - Training of State TB Officers (STOs), District TB Officers (DTOs), STDC faculty and all other cadres of NTEP staff (hiring of venue, organisation charges, honorarium for trainers, travel & dearness allowance, course material charges, refreshments, any other activities of training).

7. Vehicle Operation (POL and Maintenance)- Maintenance costs for all vehicles used for supervisory visits under NTEP. However, vehicle operation costs will not be available for hired vehicles. This will be applicable only for the department vehicles used under NTEP.

8. Vehicle Hiring - Vehicle hiring costs for supervisory visits by NTEP staff.

9. Public Private Mix (Patient-provider (PP) & Non-government Organisation (NGO) Support) - Payments of NGO/ PP schemes grant-in-aid, state and district level Public Private Mix (PPM) coordinators, TB health visitors, cost of pilots/ innovations for improving TB prevention and cure.

10. Medical Colleges - Funds for referral, treatment, operational research, sensitization and advocacy among staff, faculty and medical students through state/ district health - TB control societies, funding for national, zonal and state task forces in medical colleges, their supervisory visits, etc.

11. Office Operation (Miscellaneous) - Funds for miscellaneous activities like electricity, janitorial expenses, internet cost, stationery, furniture, recruitment/ procurement advertisements, etc.

12. Contractual Services - For recruitment of various contractural staff under NTEP.

13. Printing - Printing of treatment cards, patient identity cards, TB register, lab form, referral form, notification form, health establishment registration form, research reports, action plans, training modules, other reporting formats, etc.

14. Research Studies and Consultancy - Proposals for research studies in specific domains, capacity building programs, consultancy charges for procurement of consumables, web-based reporting system development, etc.

15. Procurement of Drugs - Drugs for TB treatment.

16. Procurement of Vehicles - For purchase and replacement of four-wheelers and two-wheelers for field activities.

17. Procurement of Equipment - For procurement of various laboratory and office equipment.

18. Patient Support and Transportation Charges - Travel costs to patients from tribal/ hilly/ difficult areas, charges for sputum collection and transportation, presumptive multidrug-resistant TB person travel to District TB Centre (DTC) or collection centre for culture and drug sensitivity testing, etc.

19. Supervision and Monitoring - All activities for supervision, monitoring, evaluations, appraisals, and review meetings.

All activities a district could plan to achieve TB elimination based on the Detect-Treat-Prevent Build strategies under the National Strategic Plan for TB Elimination (2017-2025) can be described and budgeted under one of these heads.

Resources

1. NTEP Training modules (5-9) for Programme Managers & Medical Officers, Central TB Division, Ministry of Health & Family Welfare, GoI, 2020.
2. Financial Norms of RNTCP, Central TB Division, MoHFW, GoI.

Assessment