Meghalaya Leads the Way in Tuberculosis Elimination with Innovative Community Initiatives

Shillong: Meghalaya has emerged as a leader in the fight against tuberculosis (TB), showcasing significant progress through comprehensive, community-driven initiatives on World Tuberculosis Day.

The state’s bold approach, marked by an intensive 100-Day TB Elimination Campaign, is transforming public health outcomes and accelerating efforts to eradicate the disease.

Launched in December 2024, the 100-Day TB Elimination Campaign targets five high-burden districts with an aggressive focus on early detection, treatment, and community awareness. The campaign has already yielded notable results, identifying 867 positive cases out of 4,573 notified in the past year.

A key factor behind Meghalaya’s success lies in its adoption of cutting-edge technology and patient-centric policies. The deployment of 15 digital handheld mobile X-ray units across all districts and the installation of 93 NAT machines—comprising 13 CB-NAT and 80 TrueNat devices—have enabled 85% of TB cases to be diagnosed through advanced molecular testing. This has drastically improved early detection and treatment outcomes.

The state has also introduced a Comprehensive TB Care Plan, which offers free transportation and diagnostic services to TB patients. In a pioneering move, Meghalaya provides a monthly nutritional support kit worth ₹2,000 to TB patients and their families, addressing the crucial link between nutrition and recovery.

Dr. AJ Rynjah, Assistant Programme Officer of the National Tuberculosis Elimination Programme (NTEP), highlighted the impact of these interventions. “We’ve achieved an 18% decline in TB cases—more than double the global average of 8.3%,” she remarked, underlining the effectiveness of the state’s integrated strategy.

Beyond medical interventions, Meghalaya’s approach embraces traditional and community healthcare. Recognizing that 36% of TB treatments involve traditional healers, the government has incorporated them into its TB elimination framework. This holistic approach has led to the official recognition of 625 TB-free villages, reinforcing the role of community participation in public health.

A compelling success story is that of Arki Nengnong, a TB survivor who not only overcame the disease but also underwent skill development training, reflecting the state’s commitment to patient rehabilitation and social reintegration.

Health Minister Ampareen Lyngdoh, addressing the World TB Day event, reiterated the government’s unwavering support for TB patients. “Our goal extends beyond mere screening. We are committed to providing comprehensive assistance to ensure no patient is left behind,” she affirmed.

In a landmark achievement, Meghalaya has become the first “Universal Ni-kshay Mitra” state by adopting over 4,500 TB patients under the “Meghalaya Comprehensive TB Care” initiative. This milestone reflects the government’s commitment to providing long-term support and fostering a TB-free future.

Through its innovative and community-centric strategies, Meghalaya is setting a national benchmark in tuberculosis elimination, proving that targeted public health interventions can deliver transformative results.

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