Utilization of Benefits under Nikshay Poshan Yojana by Tuberculosis Patients: A Cross-Sectional Study in Ahmedabad city, Gujarat, India

Authors

  • Hothal Vegad Senior Resident, Department of Community Medicine, Smt. NHL Municipal Medical College, Ahmedabad, India Author https://orcid.org/0009-0002-3495-4497
  • Sudhanshu Saurabh Senior Resident, Department of Community Medicine, Smt. NHL Municipal Medical College, Ahmedabad, India Author
  • Aparajita Shukla Professor, Department of Community Medicine, Smt. NHL Municipal Medical College, Ahmedabad, India Author

DOI:

https://doi.org/10.51957/Healthline_815_2026

Keywords:

Food security, Nikshay Poshan Yojana, Tuberculosis

Abstract

Introduction: Nikshay Poshan Yojana (NPY) was launched in 2018 to meet nutritional needs of tuberculosis patients. Objectives: 1. To assess the utilization pattern of monetary benefits under NPY among tuberculosis (TB) patients. 2. To explore the determinants of correct utilization of monetary benefits among TB patients. Method: It was a cross-sectional study conducted among TB patients (480) across 32 TB units of Ahmedabad. Fifteen TB patients from each TB unit who had received monetary benefits under the NPY were selected purposively and information regarding Direct Benefit Transfer (DBT) utilization were collected through one-on-one interviews. Statistical analysis was done using SPSS, employing chi square statistics and logistic regression to identify the predictors of utilization. : Among all the participants, only 394 (82%) patients utilized the received monetary benefit. Six (1%) participants didn’t utilise the monetary benefit despite receiving it while 80 (17%) participants were unaware about the received monetary benefits. Among those who utilized the monetary benefit, 289 (73.3%) participants used it for nutritional supplementation while 105 (26.7%) used it for non-nutritional purposes. Previously treated TB patients (AOR=0.164; p<0.001) and presence of food insecurity (AOR=2.322; p<0.001) were found to be the main determinants of correct utilization of monetary benefit. Conclusion: A significant proportion of beneficiaries utilized DBT for nutritional purposes, but a considerable number either spent on non-nutritional needs or were unaware about the received benefit. Type of TB case and food security status were found to be the key predictors of intended utilization of benefits received.

References

1. World Health Organization. Global tuberculosis report 2024. Geneva: World Health Organization; 2024. [cited 2025 Dec 04]. Available from: https://www.who.int/publications/i/item/9789240101531

2. Central Tuberculosis Division, Ministry of Health and Family Welfare. India TB report 2024. New Delhi: Ministry of Health and Family Welfare, Government of India; 2024. [Cited 2025 Dec 04]. Available from: https://tbcindia.mohfw.gov.in/wp-content/uploads/2024/10/TB-Report_for-Web_08_10-2024-1.pdf

3. Narasimhan P, Wood J, Macintyre CR, Mathai D. Risk factors for tuberculosis. Pulm Med. 2013; 2013:828939. doi: 10.1155/2013/828939 DOI: https://doi.org/10.1155/2013/828939

4. Hadley C, Crooks DL. Coping and the biosocial consequences of food insecurity in the 21st century. Am J Phys Anthropol. 2012;149(S55):72–94. doi: 10.1002/ajpa.22161 DOI: https://doi.org/10.1002/ajpa.22161

5. Central Tuberculosis Division, Ministry of Health and Family Welfare. India TB report 2022 [Internet]. New Delhi: Ministry of Health and Family Welfare, Government of India; 2022 [cited 2025 Dec 04]. Available from: https://tbcindia.mohfw.gov.in/wp-content/uploads/2023/05/TBAnnaulReport2022.pdf

6. Begum J, Neelima Y, Ali SI, Pattnaik S, Sharma D. Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth. J Fam Med Prim Care. 2020;9(12):6109–14. doi: 10.4103/jfmpc.jfmpc_1229_20 DOI: https://doi.org/10.4103/jfmpc.jfmpc_1229_20

7. Dave J, Rupani MP. Does Direct Benefit Transfer Improve Outcomes Among People With Tuberculosis? – A Mixed-Methods Study on the Need for a Review of the Cash Transfer Policy in India. Int J Health Policy Manag. 2022;11(11):2552–2562. doi: 10.34172/ijhpm.2022.5784 DOI: https://doi.org/10.34172/ijhpm.2022.5784

8. U.S. Department of Agriculture, Economic Research Service. Six-item short form of the food security survey module [Internet]. Washington (DC): U.S. Department of Agriculture; [cited 2025 Nov 10]. Available from: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/survey-tools#six

9. Rabeensa KT, Jaswanth S, M.S, C.C[A4.1][A4.2][A4.3]. Utilization of Nikshay Poshan Yojana scheme among tuberculosis patients registered in a designated microscopy centre, Bangalore. Int J Community Med Public Health. 2023;10(11):4376-4379. doi: 10.18203/2394-6040.ijcmph20233481 DOI: https://doi.org/10.18203/2394-6040.ijcmph20233481

10. Barve S, Gore M, Datir D, Patil R. A study about awareness and utilization of “Nikshay Poshan Yojana” benefits in selected tuberculosis units in Pune district in India. Indian J Tuberc. 2025;72(1):78–82. doi: 10.1016/j.ijtb.2023.12.004 DOI: https://doi.org/10.1016/j.ijtb.2023.12.004

11. Kavimalar T, Gudadinni MR, Yadavannavar MC, Nagendra A, Eariyaden F. Unveiling usage patterns: Nikshay Poshan Yojana scheme among tuberculosis patients at Vijayapura district hospital - a cross-sectional study. J Indian Med Assoc. 2025;123(4):36–38. doi: 10.18203/2394-6040.jima20251142

12. Bakhru D, Acharya AS, Talukdar T, Subham. Nikshay Poshan Yojana utilization among tuberculosis patients in a tertiary care hospital in New Delhi. Int J Community Med Public Health. 2025 Feb 28;12(3):1355-9. doi: 10.18203/2394-6040.ijcmph20250669 DOI: https://doi.org/10.18203/2394-6040.ijcmph20250621

13. Ayiraveetil R, Sarkar S, Chinnakali P, Jeyashree K, Vijayageetha M, Thekkur P, et al. Household food insecurity among patients with pulmonary tuberculosis and its associated factors in South India: a cross-sectional analysis. BMJ Open. 2020;10(2):e033798. doi: 10.1136/bmjopen-2019-033798 DOI: https://doi.org/10.1136/bmjopen-2019-033798

14. Central TB Division, Ministry of Health and Family Welfare. Guidance booklet: Pradhan Mantri TB Mukt Bharat Abhiyaan [Internet]. New Delhi: Ministry of Health and Family Welfare, Government of India; 2022 [cited 2025 Oct 06]. Available from: https://tbcindia.mohfw.gov.in/wp-content/uploads/2023/05/1583929709Guidance-Booklet_02-08-2022.pdf

Downloads

Published

31-03-2026

Issue

Section

Original Articles

Categories

How to Cite

1.
Vegad H, Saurabh S, Shukla A. Utilization of Benefits under Nikshay Poshan Yojana by Tuberculosis Patients: A Cross-Sectional Study in Ahmedabad city, Gujarat, India. Healthline. 2026;17(1):48-53. doi:10.51957/Healthline_815_2026