{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:18:36Z","timestamp":1787678316418,"version":"build-2784847793"},"reference-count":15,"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":[[2026,5,11]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>\n                      Vadodara City (Gujarat, India) has a mixed public\u2013private tuberculosis (TB) care landscape. Since 2022, the city has implemented \u2018\n                      <jats:italic>Ni-kshay Mitra<\/jats:italic>\n                      \u2019 scheme, where individuals and organisations voluntarily \u2018adopt\u2019 persons with TB (PwTB) and provide food kits (distributed at monthly camps) during treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To assess coverage (received at least one kit) and effectiveness of Ni-kshay Mitra on treatment outcomes, and explore implementation facilitators, barriers, and solutions from the stakeholders\u2019 perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Explanatory mixed-methods study: quantitative cohort analysis of secondary programme data followed by qualitative interviews and focus group discussions with donors (n = 3), programme staff (n = 18), and PwTB (n = 35).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 2,068 PwTB notified between January and June 2025, 1,238 (60%) consented to the scheme, 666 (32%) received \u22651 food kit, and 68 (3%) received complete package (\u22656 kits). Median kits received were 2 (interquartile range: 2\u20134). Unsuccessful treatment outcomes were 7% (2022, pre-scheme) and 6% (2023, post-scheme), not statistically significant. Donor non-availability and opportunity costs of attending camps were the major barriers; presence of dedicated non-profit organisations was a key facilitator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>\n                      Coverage of\n                      <jats:italic>Ni-kshay Mitra<\/jats:italic>\n                      remains suboptimal, largely due to donor participation gaps, possibly explaining limited effectiveness on outcomes. Strengthening donor engagement and alternate delivery models are essential to enhance reach and effectiveness.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/pha.26.0031","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:23:45Z","timestamp":1787675025000},"page":"209-215","source":"Crossref","is-referenced-by-count":0,"title":["Food support for tuberculosis care: coverage, outcomes, and implementation lessons from the\n                    <i>Ni-kshay Mitra<\/i>\n                    scheme in India"],"prefix":"10.5588","volume":"16","author":[{"given":"P.","family":"Chavda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.C.","family":"Prajitha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Davara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Tankariya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Nakshiwala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Panchal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Nayak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.M.V.","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"2026082509231439000_16.3.209.1","unstructured":"World Health Organization . Global Tuberculosis Report 2025. Geneva: WHO, 2025."},{"issue":"9","key":"2026082509231439000_16.3.209.2","doi-asserted-by":"crossref","first-page":"e1402","DOI":"10.1016\/S2214-109X(23)00324-8","article-title":"Nutritional support for adult patients with microbiologically confirmed pulmonary tuberculosis: outcomes in a programmatic cohort nested within the RATIONS trial in Jharkhand, India","volume":"11","author":"Bhargava","year":"2023","journal-title":"The Lancet Global Health"},{"key":"2026082509231439000_16.3.209.3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0305855"},{"key":"2026082509231439000_16.3.209.4","unstructured":"Ministry of Health and Family Welfare . Monthly support under Ni-kshay Poshan Yojana increased from the existing \u20b9500 per month to \u20b91000 per month for all TB patients. New Delhi, India: Ministry of Health and Family Welfare, Government of India. https:\/\/mohfw.gov.in\/?q=\/press-info\/7783."},{"key":"2026082509231439000_16.3.209.5","unstructured":"President\u2019s Secreteriate . President of India launches Pradhan Mantri TB Mukt Bharat Abhiyaan. New Delhi, India: Press Information Bureau, 2022. https:\/\/archive.pib.gov.in\/archive2\/erelease.aspx (Accessed 4 July 2026)."},{"key":"2026082509231439000_16.3.209.6","unstructured":"Central TB Division, Ministry of Health and Family Welfare, Goverment of India . Pradhan Mantri TB Mukt Bharat Abhiyaan Guidance Document. 19062025_V5. New Delhi, India: Ministry of Health and Family Welfare, Government of India, 2025. https:\/\/communitysupport.nikshay.in\/Guidance_Booklet_16_09_2022.pdf (Accessed 4 July 2026)."},{"issue":"6","key":"2026082509231439000_16.3.209.7","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.4103\/ijcm.ijcm_418_24","article-title":"Assessing the role of Pradhan Mantri TB Mukt Bharat Abhiyaan in India\u2019s fight against TB: a national-level data-based research investigation","volume":"50","author":"Shah","year":"2025","journal-title":"Indian J Community Med"},{"issue":"3","key":"2026082509231439000_16.3.209.8","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/jalh.jalh_61_24","article-title":"A qualitative analysis of the driving forces behind the Nikshay Mitra in National Tuberculosis Elimination Program of India","volume":"5","author":"Nath","year":"2025","journal-title":"J Adv Lung Health"},{"issue":"4","key":"2026082509231439000_16.3.209.9","doi-asserted-by":"crossref","first-page":"135","DOI":"10.18231\/j.ijfcm.2023.026","article-title":"Improved treatment success rate in a cohort of TB patients supported by Nikshay Mitra in CSR\u2013NGO mix model in Haridwar district, Uttarakhand","volume":"10","author":"Singh","year":"2025","journal-title":"Indian J Forensic Community Med"},{"issue":"2","key":"2026082509231439000_16.3.209.10","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.ijtb.2024.03.014","article-title":"Availability, utilization and challenges for implementation of Nikshay Mitra scheme in Mandya district of Karnataka: a cross-sectional mixed method concurrent evaluation study","volume":"72","author":"Siddalingappa","year":"2025","journal-title":"Indian J Tuberc"},{"key":"2026082509231439000_16.3.209.11","unstructured":"Vadodara Municipal Corporation. Vadodara, Gujarat, India , 2026. https:\/\/vmc.gov.in\/ (Accessed 4 July 2026)."},{"key":"2026082509231439000_16.3.209.12","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"issue":"12","key":"2026082509231439000_16.3.209.13","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":"4","key":"2026082509231439000_16.3.209.14","doi-asserted-by":"crossref","first-page":"213","DOI":"10.4236\/jtr.2016.44023","article-title":"Relationship between nutritional support and tuberculosis treatment outcomes in West Bengal, India","volume":"4","author":"Samuel","year":"2016","journal-title":"J Tuberc Res"},{"key":"2026082509231439000_16.3.209.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"}],"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.26.0031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:23:47Z","timestamp":1787675027000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.26.0031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,8,1]]},"published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.5588\/pha.26.0031"],"URL":"https:\/\/doi.org\/10.5588\/pha.26.0031","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]}}}