Table 5.

Shift in systemic intervention for urban TB control in developing countries

Thrust areas	Work plan
Strengthen social capital	• Adopt community intervention strategies which support development of social infrastructure
	• Create opportunities to encourage people’s participation in decision-making and community activities
	• Collaborate with elected representatives and community self-help groups for the public health responsibility of their community
Collaborate with existing service providers	• Liaison with the Ministry of Urban Development for Urban Self Employment program, Urban Women Self Help programs. Availability of night shelters for the shelterless population
	• Work with the Department of Education to advocate TB in school health programs and youth awareness clubs
	• Facilitate provision of social protection through available National Health Insurance schemes for below poverty line families and senior citizens. Development of a sustainable program for daily wagers with the Department of Labour
	• Coordinate with the Food and Supplies Department for access to subsidized public distribution system
	• Link with mother and child health services and support networks
	• Establish innovative schemes in public-private partnership
	• Reduce out-of-pocket expenses incurred by people on transport and wage loss by linking with available Social Welfare programs, especially for commuters from satellite towns bordering the city
	• Explore the utilization of existing physical infrastructure for community services
	• Seek opportunities to participate in city development plans and in planning for improvement of medical infrastructure in secondary/tertiary institutes
	• Liaison with the Department of Information and Technology to improve access to digital technology
	• Share best practices with other public health programs to reach out to the vulnerable and marginalized groups in the city
Stress on affirmative inclusion in TB program	• ‘Search TB’ in vulnerable and high risk groups among city dwellers
	• Mandatory TB notification by all sectors
	• Support incorporation of basic socio-economic data of patients in TB program surveillance records
	• Develop social inclusion as a separate standard in the International Standards of TB care
	• Incorporate available social welfare schemes in Patient Charter for TB care