Missing TB cases in the private sector
India made notification of TB patients mandatory in 2012 to address the problem of delayed diagnosis, suboptimal quality of care, incorrect diagnostic and treatment protocols being used, and a high drop-out rate in the private sector. Despite the significant increase in the private sector TB notifications over the years, they fall far short of the targets set by the National Strategic Plan 2020-2025. That’s what makes the engagement with the private sector so very vital.” The National Strategic Plan also makes the same point about the missing cases in the private sector: “Hundreds of thousands of people with TB disease remain missing to TB surveillance/notification and services, and are likely in private health delivery systems or the community.” It had recommended that private provider engagement be rapidly scaled-up to “find and successfully treat two million patients in 2020-2021”. While the National TB Prevalence Survey India found 50% of TB patients sought care in the private sector, the National Strategic Plan says about 70% of the TB patients seek care in the private sector. According to the National Strategic Plan, “close to 0.54 million TB patients remain uncaptured by TB surveillance/notification and services, and are likely in private health delivery systems or the community”.
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