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Year : 2021  |  Volume : 10  |  Issue : 4  |  Page : 253-256

Ethical implications of the National Tuberculosis Elimination Programme in India: A framework-based analysis

1 Department of Clinical Research, ICMR National Institute for Research in Tuberculosis, Madurai Unit, Madurai, Tamil Nadu, India
2 ICMR- National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. S Ramesh Kumar
ICMR National Institute for Research in Tuberculosis, Madurai Unit, Ward 62, Government Rajaji Hospital, Madurai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijhas.IJHAS_68_21

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Tuberculosis (TB), an infectious disease, is transmitted by inhalation of droplet nuclei discharged in the air. Revised National Tuberculosis Control Programme (RNTCP), now National Tuberculosis Elimination Program (NTEP) of India, has made significant gains in strengthening the support structures, program architecture, and implementation environment for TB control in India. Kass's framework for public health includes an analytic tool that consists of a step-by-step list of six questions for deciding how the burdens and benefits of an intervention can be fairly balanced. We have tried to apply each of the elements addressed in the framework with context to RNTCP/NTEP measures, reviewing relevant literature evidence and attempt to view from the “ receiver's” perspective instead of looking at from “ provider's” perspective. We feel the NTEP provides a sound delivery of ethical principles in the program. Involvement of private sectors into the program for TB control, which is a challenging task, is a requirement for a fair provision of uniform TB care across the nation.

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