{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:18:40Z","timestamp":1787678320190,"version":"build-2784847793"},"reference-count":9,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"accepted":{"date-parts":[[2026,5,19]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>In India, undernutrition is a key driver of the tuberculosis (TB) epidemic. The high burden of severe and very severe undernutrition leads to higher death rates among those with TB. Despite documentation of weight and height, body mass index calculations to prioritise nutrition support for those with severe and very severe undernutrition are lacking in India\u2019s National Tuberculosis Elimination Programme. This state-level operational research in Chhattisgarh led to a change in state-level policy in this regard. The learnings from this operational research\u2013guided policy change have lessons for other states in India.<\/jats:p>","DOI":"10.5588\/pha.26.0016","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:25:35Z","timestamp":1787675135000},"page":"293-295","source":"Crossref","is-referenced-by-count":0,"title":["Operational research leading to state-level policy change in tuberculosis undernutrition in Chhattisgarh, India"],"prefix":"10.5588","volume":"16","author":[{"given":"C.","family":"Malik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Shringarpure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.A.","family":"Gupte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.R.","family":"Keshri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Damani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.N.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Sonwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Nanda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.K.","family":"Mattoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.D.","family":"Shewade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"2026082509250886000_16.3.293.1","doi-asserted-by":"crossref","first-page":"100309","DOI":"10.1016\/j.jctube.2022.100309","article-title":"Attributable is preventable: corrected and revised estimates of population attributable fraction of TB related to undernutrition in 30 high TB burden countries","volume":"27","author":"Bhargava","year":"2022","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"issue":"12","key":"2026082509250886000_16.3.293.2","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1093\/trstmh\/trac060","article-title":"Screening adults with tuberculosis for severe illness at notification: programme experience from Gujarat, India","volume":"116","author":"Patel","year":"2022","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2026082509250886000_16.3.293.3","unstructured":"WHO India, Yenepoya University . Guidance document: nutritional care and support for patients with tuberculosis in India. New Delhi, India: WHO, 2016."},{"key":"2026082509250886000_16.3.293.4","unstructured":"Ministry of Health and Family Welfare . Pradhan Mantri TB Mukt Bharat Abhiyaan: guidance document for community support to TB patients. New Delhi, India: Central TB Division, Government of India, 2022."},{"issue":"4","key":"2026082509250886000_16.3.293.5","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1080\/17476348.2025.2569845","article-title":"High burden of severe and very severe undernutrition among adults with tuberculosis: findings from a state wide operational research in Chhattisgarh, India","volume":"20","author":"Gupta","year":"2026","journal-title":"Expert Rev Respir Med"},{"key":"2026082509250886000_16.3.293.6","unstructured":"Special Programme for Research and Training in Tropical Diseases (TDR). SORT IT operational research and traning. Geneva, Switzerland: World Health Organization, 2026, https:\/\/tdr.who.int\/activities\/sort-it-operational-research-and-training."},{"key":"2026082509250886000_16.3.293.7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0160837"},{"issue":"12","key":"2026082509250886000_16.3.293.8","doi-asserted-by":"crossref","first-page":"e0005477","DOI":"10.1371\/journal.pgph.0005477","article-title":"Coverage, delivery models, and implementation challenges of the community driven nutritional supplementation initiative for people with TB: a mixed methods study from Puducherry, India","volume":"5","author":"Gouroumourty","year":"2025","journal-title":"PLoS Glob Public Health"},{"issue":"1","key":"2026082509250886000_16.3.293.9","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1186\/s12889-024-17777-7","article-title":"Direct benefit transfer for nutritional support of patients with TB in India\u2014Analysis of national TB program data of 3.7 million patients, 2018\u20132022","volume":"24","author":"Jeyashree","year":"2024","journal-title":"BMC Public Health"}],"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.26.0016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:25:37Z","timestamp":1787675137000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.26.0016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,8,1]]},"published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.5588\/pha.26.0016"],"URL":"https:\/\/doi.org\/10.5588\/pha.26.0016","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]}}}