Health outcomes are influenced not only by biological factors or access to healthcare but also by the broader social and economic conditions in which individuals live1. Poverty, overcrowded housing, malnutrition, and social exclusion are key social determinants of health that perpetuate TB transmission2. To address TB, medical interventions alone are not sufficient, especially when the disease is deeply rooted in socioeconomic vulnerabilities. A comprehensive response requires multi-stakeholder and multi-sectoral collaboration that targets its social and economic determinants3. Each government, non-government, private, and community-based stakeholder (including community-based organisations) plays a vital role in disrupting transmission chains and providing essential support to individuals with TB. 

The multi-sectoral TB response in Uttar Pradesh was operationalised through a structured, state-led approach anchored within the National Tuberculosis Elimination Programme (NTEP). The TB-STSU functioned as a technical catalyst, supporting the State TB Cell in translating national multi-sectoral frameworks and Memoranda of Understanding (MoUs) into actionable, district-level interventions. Central to this strategy was the mobilisation of Corporate Social Responsibility (CSR) support to address the nutritional needs of individuals on TB treatment, alongside systematic convergence of other government departments to strengthen TB detection, treatment, and prevention. 

TB-STSU supported the state across the following areas:  

  1. Facilitating Strategic Partnerships  
  1. Enabling Nutrition Support Systems  
  1. Capacity Building and Trainings  
  1. Deploying Diagnostics and Tracking Notifications 

This document represents the coordinated efforts by various government departments, community-based organisations, non-governmental organisations, industries, and corporates across sectors of nutrition, diagnostics, training, and notification tracking.

1 World Health Organization (WHO). Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. 2008. https://tinyurl.com/3yttfej4
2 Hargreaves, J.R. et al. The Social Determinants of Tuberculosis: From Evidence to Action. American Journal of Public Health. 2011. Available online: https://doi.org/10.2105/AJPH.2010.199505
3 National Multisectoral Action Framework for TB Free India. https://tinyurl.com/yeyjvpb4

Download PDF
SHARE:

Recent Post

PAHAL Issue 28

PAHAL Issue 28 documents UP TSU’s continued support to the Health Department and ICDS in strengthening public health delivery across facility, system, and community levels in Uttar Pradesh. This issue brings together stories of progress from the field, reflecting how coordinated planning, capacity building, and data-driven decision-making are improving health services for last-mile populations.

TB Mukt Panchayat Initiative

The State TB Cell (STC), Uttar Pradesh, works with Gram Panchayats to drive action for TB-free villages, blocks, and districts. Recognising local governance as key to health delivery, it has operationalised Panchayats state-wide. This brief outlines the strategic interventions adopted by the STC and the technical and implementation support provided by the TB-STSU, IHAT, to enable targeted screening, early diagnosis, and community-led certification of TB-free Panchayats.

PAHAL Issue 27

PAHAL Issue 27 highlights UP TSU’s ongoing partnership with the Health Department and ICDS to strengthen public health services across communities, facilities, and health systems in Uttar Pradesh. This edition brings together diverse programmatic efforts spanning reproductive, maternal, newborn, child, & adolescent health and nutrition services, family planning, TB, supply chain management, and social and behaviour change communication.