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SHOPS Plus: Collaborating for Greater Efficiency and Impact

India shoulders a huge TB burden—24 percent of global prevalence and 21 percent of global TB deaths. The government of India has committed to making India TB-free by 2025. The country’s Ministry of Health and Family Welfare has galvanized its efforts through the National TB Elimination Program, which leads TB activities in the country and provides various free TB services through the public health system. A major challenge for India is tackling TB in urban areas, especially in urban slums, where crowded living conditions and limited access to TB services result in TB cases being nearly three times higher than the national average. In addition, overburdened public health facilities with weak referral and outreach systems, and high out-of-pocket expenditure in private facilities further constrain access to TB services.  SHOPS Plus worked to integrate the National TB Elimination Program’s TB services into the government’s network of health facilities to reach every person in need.