{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:11:16Z","timestamp":1784257876425,"version":"3.55.0"},"reference-count":26,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"<jats:p>\n                    Tuberculosis multimorbidity is an emerging burden to the healthcare system in India, but the national programmes like the National TB Elimination Programme (NTEP), the National Programme for Prevention and Control of NCDs (NP-NCD), and the National Mental Health Programme (NMHP) are still operating in silos, leading to fragmented and inefficient care. This paper employs a SWOT (strengths, weaknesses, opportunities, threats) analysis to evaluate the integration potential of these programmes within the platform of\n                    <jats:italic>Ayushman Arogya Mandirs<\/jats:italic>\n                    (AAMs). The analysis identifies key strengths, such as NTEP\u2019s robust surveillance and NP-NCD\u2019s wide screening network, and critical weaknesses, including isolated digital platforms and a lack of cross-programme training for health workers. Significant opportunities exist through linking digital systems like\n                    <jats:italic>Ni-kshay<\/jats:italic>\n                    and the NP-NCD application, and training frontline workers in composite care. Major threats include persistent policy fragmentation and patient stigma. We conclude that a strategic shift from vertical, disease-specific programmes to a person-centred, integrated model is essential. This requires collaboration at the policy level, the integration of comprehensive digital health records, and the delegation of responsibilities to primary care teams, including AAMs, to effectively manage multimorbidity, improve patient outcomes, and advance India\u2019s goals of attaining Universal Health Coverage of tuberculosis.\n                  <\/jats:p>","DOI":"10.25259\/ijmr_2790_2025","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:24:12Z","timestamp":1782908652000},"page":"43-49","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Integrated tuberculosis-multimorbidity management in India: A SWOT analysis"],"prefix":"10.25259","volume":"164","author":[{"given":"Sucharita","family":"Panigrahi","sequence":"first","affiliation":[{"name":"Department of Microbiology & One Health, ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debasini","family":"Parida","sequence":"additional","affiliation":[{"name":"Department of Microbiology & One Health, ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Microbiology & One Health, ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krushna","family":"Chandra Sahoo","sequence":"additional","affiliation":[{"name":"Health Technology Assessment in India, Department of Health Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debdutta","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Microbiology & One Health, ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"},{"name":"Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[{"name":"Department of Microbiology & One Health, ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"},{"name":"Indian Council of Medical Research, New Delhi, India"},{"name":"Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"10.25259\/IJMR_2790_2025\/ref-1","doi-asserted-by":"crossref","first-page":"26335565221106074","DOI":"10.1177\/26335565221106074","article-title":"Multimorbidity matters in low and middle-income countries","volume":"12","author":"Basto-Abreu","year":"2022","journal-title":"J Multimorb Comorb."},{"key":"10.25259\/IJMR_2790_2025\/ref-2","doi-asserted-by":"crossref","first-page":"26335565221112593","DOI":"10.1177\/26335565221112593","article-title":"Multimorbidity of communicable and non-communicable diseases in low- and middle-income countries: A systematic review","volume":"12","author":"Kaluvu","year":"2022","journal-title":"J Multimorb Comorb."},{"key":"10.25259\/IJMR_2790_2025\/ref-3","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1186\/s12889-024-17828-z","article-title":"Landscaping tuberculosis multimorbidity: Findings from a cross-sectional study in India","volume":"24","author":"Chauhan","year":"2024","journal-title":"BMC Public Health."},{"key":"10.25259\/IJMR_2790_2025\/ref-4","doi-asserted-by":"crossref","first-page":"e010","DOI":"10.5334\/ijic.886","article-title":"Understanding integrated care: A comprehensive conceptual framework based on the integrative functions of primary 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