The Indian journal of tuberculosis · 2025
Decadal trends (2011-2020) in financial allocation and utilization, and their relationship with outcome indicators under the National Tuberculosis Programme in Maharashtra.
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Ramalingam Ajith, Mankeshwar Ranjit, Pardeshi Geeta
Аннотация
BACKGROUND: Tuberculosis (TB) continues to be a major public health challenge in India. The National Health Mission (NHM) provides financial support for the National Tuberculosis Programme (NTP). This study examines trends in financial allocation and utilization under the NTP and their relationship with key TB outcome indicators in Maharashtra.
METHODS: Secondary data from the NHM's Programme Implementation Plans (PIPs), Records of Proceedings (ROPs), and annual TB reports for Maharashtra from 2011 to 2020 were analyzed. Trends in financial allocation and utilization were examined in terms of total funds and percentage changes across various categories. The median and interquartile range (IQR) were calculated for fund utilization proportions. Correlations between fund utilization and TB outcome indicators were assessed using Spearman correlation coefficients and scatter plots. Data analysis and visualization were conducted using R software (version 4.4.3).
RESULTS: A consistent increase in both fund allocation and utilization was observed throughout the decade, with notable peaks in 2019 and 2020. The highest median fund utilization rates were recorded for Supervision & Monitoring (85.53 %, IQR: 49.06 %-90.88 %) and Public-Private Mix (85.25 %, IQR: 72.49 %-90.93 %). Fund utilization was positively correlated with TB case notification rates (ρ = 0.663, p = 0.037) and treatment success rates (ρ = 0.906, p = 0.001), and negatively correlated with TB case fatality rates (ρ = -0.855, p = 0.002).
CONCLUSION: Enhanced financial support and strategic management of funds are essential for achieving TB elimination targets. Continuous investment and optimization of funding strategies are required to sustain and improve TB program outcomes.
METHODS: Secondary data from the NHM's Programme Implementation Plans (PIPs), Records of Proceedings (ROPs), and annual TB reports for Maharashtra from 2011 to 2020 were analyzed. Trends in financial allocation and utilization were examined in terms of total funds and percentage changes across various categories. The median and interquartile range (IQR) were calculated for fund utilization proportions. Correlations between fund utilization and TB outcome indicators were assessed using Spearman correlation coefficients and scatter plots. Data analysis and visualization were conducted using R software (version 4.4.3).
RESULTS: A consistent increase in both fund allocation and utilization was observed throughout the decade, with notable peaks in 2019 and 2020. The highest median fund utilization rates were recorded for Supervision & Monitoring (85.53 %, IQR: 49.06 %-90.88 %) and Public-Private Mix (85.25 %, IQR: 72.49 %-90.93 %). Fund utilization was positively correlated with TB case notification rates (ρ = 0.663, p = 0.037) and treatment success rates (ρ = 0.906, p = 0.001), and negatively correlated with TB case fatality rates (ρ = -0.855, p = 0.002).
CONCLUSION: Enhanced financial support and strategic management of funds are essential for achieving TB elimination targets. Continuous investment and optimization of funding strategies are required to sustain and improve TB program outcomes.