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Program Towards Elimination of Tuberculosis

Abstract*

The objective of the Program Towards Elimination of Tuberculosis Project is to improve the coverage and quality of TB control interventions in the private and public sector in targeted states of India. Growth has accelerated in the last two quarters to reach 8.2 percent in the first quarter of FY18-2019. This growth was supported by a revival in industrial activity, strong private consumption, and a rise in exports of goods and services. At the same...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

To improve the coverage and quality of TB control interventions in the private and public sector in targeted states of India

Key Details

Project Details

  • P167523

  • Active

  • Gyorgy Fritsche

  • Republic of India

  • India

  • September 25, 2018

  • (as of board presentation)

    March 29, 2019

  • May 13, 2019

  • US$ 1334.00 million

  • Ministry of Health and Family Welfare

  • South Asia

  • 2019

  • US$ 400.00 million

  • N/A

  • June 27, 2024

  • March 31, 2025

  • No

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 400.00
Borrower/Recipient 934.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 400.00
IDA Commitment N/A
IBRD + IDA Commitment 400.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 1334.00

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Dec 15, 2021 IBRD-89260 Int Charges 669,328.30
Feb 25, 2022 IBRD-89260 Int Charges 86,486.70
Feb 25, 2022 IBRD-89260 Loan Repay 10,067,157.00
Feb 25, 2022 IBRD-89260 Loan Repay 86,486.70
Jun 15, 2022 IBRD-89260 Int Charges 216,856.48
Jun 15, 2022 IBRD-89260 Int Charges 1,074,370.20
Jun 15, 2023 IBRD-89260 Int Charges 311,452.12
Jun 15, 2023 IBRD-89260 Int Charges 165,588.02
Jun 15, 2023 IBRD-89260 Int Charges 6,610,075.00
Dec 15, 2022 IBRD-89260 Int Charges 166,497.84
Dec 15, 2022 IBRD-89260 Int Charges 4,515,443.50
Dec 15, 2023 IBRD-89260 Int Charges 129,458.31
Dec 15, 2023 IBRD-89260 Int Charges 102,204.99
Dec 15, 2023 IBRD-89260 Int Charges 9,032,896.00
Jun 27, 2023 IBRD-89260 Int Charges 18,910.03
Jun 27, 2023 IBRD-89260 Loan Repay 4,971,074.00
Jun 27, 2023 IBRD-89260 Loan Disb 54,893,312.00
Jun 15, 2024 IBRD-89260 Loan Repay 1,959,691.10
Jun 15, 2024 IBRD-89260 Int Charges 57,555.24
Jun 15, 2024 IBRD-89260 Int Charges 97,451.11
Jun 15, 2024 IBRD-89260 Int Charges 9,684,104.00
Mar 29, 2019 IBRD-89260 Loan Commitment 400,000,000.00
Dec 15, 2019 IBRD-89260 Int Charges 303,349.30
Dec 15, 2019 IBRD-89260 Int Charges 9,815.00
Jun 15, 2020 IBRD-89260 Int Charges 458,986.22
Jun 15, 2020 IBRD-89260 Int Charges 431,648.34
Aug 20, 2019 IBRD-89260 Loan Disb 1,000,000.00
Aug 20, 2019 IBRD-89260 Fee Charges 1,000,000.00
Jan 21, 2020 IBRD-89260 Loan Disb 40,000,000.00
Jun 15, 2021 IBRD-89260 Int Charges 710,022.30
Jun 15, 2021 IBRD-89260 Int Charges 297,612.20
Dec 15, 2020 IBRD-89260 Int Charges 448,750.00
Dec 15, 2020 IBRD-89260 Int Charges 231,342.50
Dec 18, 2020 IBRD-89260 Loan Disb 122,204,584.00
Dec 18, 2020 IBRD-89260 Loan Repay 13,578,287.00
Feb 25, 2022 IBRD-89260 Loan Disb 103,961,072.00
Dec 15, 2021 IBRD-89260 Int Charges 296,805.22

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2024-09-22
Monitoring and Evaluation Satisfactory 2024-09-22
Overall Implementation Progress (IP) Moderately Satisfactory 2024-09-22

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • PDO Indicator 1- DLI 1.1: Number of private notifications, net of any decrease in public notifications in targeted states (Annual)Value346919.00677925.00800000.00
    DateMay 29, 2020May 20, 2024June 30, 2024
    Comment
  • PDO Indicator 2- DLI 2.2: Proportion of TB patients receiving financial support via Nikshay Poshan Yojana in targeted states (Annual, by category of DBT scheme)Value0.0060.0077.00
    DateFebruary 5, 2019May 20, 2024June 30, 2024
    Comment
  • PDO Indicator 2.1- DLI 2.2.1: Proportion of TB patients notified by public providers receiving 1st Nikshay Poshan Yojana payment intargeted states (Annual)Value66.0066.0077.00
    DateMay 29, 2020May 20, 2024June 30, 2024
    Comment
  • PDO Indicator 2.2- DLI 2.2.2: Proportion of TB patients notified by private providers receiving 1st Nikshay Poshan Yojana payment in targeted states (Annual)Value16.0056.0060.00
    DateMay 29, 2020May 20, 2024June 30, 2024
    Comment
  • PDO Indicator 3- DLI 3.1: Proportion of notified TB patients tested for Rifampicin susceptibility in targeted states (Annual)Value30.4081.7064.00
    DateMay 29, 2020May 20, 2024June 30, 2024
    Comment
  • PDO Indicator 4-DLI 1.2: Treatment success rate of TB patients notified by private providers in targeted states (Annual, patients notified in prior calendar year)Value55.0086.0080.00
    DateMay 29, 2020May 20, 2024June 30, 2024
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Intermediate Results Indicator 15-DLI 4.2: Development and implementation of a performance-based management mechanism between the center and the targeted statesValueN/A-Achieved all 9 project states have performance-baImplementation in 8 States
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 4: GOI annual expenditure on strategic purchasing under NGO/Private Provider budget head in targetedstates (million INR per year)Value197.00316.70760.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • IRI 7: Proportion of TB patients notified by private providers for whom at least one DBT incentive payment was made to their private providers. (Reported data for TB patients disaggregated by gender)Value0.0076.0060.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 16: Number of targeted states adopted and transitioned from paper-based to electronic SOE generated from PFMSValue0.009.009.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 8: Proportion of beneficiaries receiving financial support (2nd payments of Nikshay Poshan Yojana) through DBT in targeted statesValue0.0028.0056.00
    DateNovember 30, 2018May 20, 2024June 30, 2024
    Comment
  • 17: No. of Annual TB Forum at state & national level conducted to: (i) promote citizen engagement; (ii)foster learning within & between states; (iii)to provide a multisectoral platform for TB controlValue0.007.008.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Result Indicator 9: Treatment success rate of female TB patients notified in targeted states in the private sectorValue0.0086.0060.00
    DateNovember 30, 2018May 20, 2024June 30, 2024
    Comment
  • 18: Reduction of the staffing gap identified by the RNTCP Human Resource Plan for CTD and the Program States---service delivery staffValue27.0021.0520.00
    DateJuly 30, 2021May 20, 2024June 28, 2024
    Comment
  • 19: Reduction of the staffing gap identified by the RNTCP Human Resource Plan for CTD and the Program States---administrative staffValue27.0021.0520.00
    DateJune 30, 2021October 5, 2023June 28, 2024
    Comment
  • Intermediate Results Indicator 1: Proportion of privately notified Pulmonary TB patients that have microbiological confirmation in targeted statesValue0.0035.3645.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 10: Proportion of DRTB centers in the targeted states with the action plan for AICValue34.0078.4270.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (a) AadhaarValue68.0080.0085.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • 13: Annual surveillance system analysis published; including data quality by district, annual state/CTD surveillance system evaluation, and estimates for potential under-notification and duplicationValueN/AAchievedAnnual analysis published
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 2-DLI 1.3: Establishment of TSUs in CTD and targeted states to support activities related to privatesector, DBT, PFMS, and multi sectoral engagement as per agreed TORValueNo TSUs1 NTSU and 9 STSUs have been established.N/A
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 11: Proportion of notified rifampicin-resistant TB cases with second-line drug-susceptibility testing results documented within 3 months of DR-TB treatment initiationValue32.0038.0065.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (b) Verified bank accountValue33.0080.0070.00
    DateNovember 30, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 14: Number of targeted states replacing paper TB registers with e-TB Nikshay adopted real-time monitoring of notification and quality of care in at least 50% ofdistrictsValue0.009.008.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 3: Proportion of Blocks with molecular diagnostic services operational in targeted statesValue15.0061.0030.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 12: Treatment success rate among MDR/RR-TB patients (treatment cohort)Value46.0068.0065.00
    DateNovember 1, 2018May 20, 2024June 30, 2024
    Comment
  • Intermediate Results Indicator 6: Gender responsive framework for RNTCP developed by CTD & approved by MOH&FWValueN/ACompletedFramework developed & approved
    DateNovember 1, 2018May 20, 2024December 31, 2019
    Comment