Which of the following are the four strategic pillars under the National Tuberculosis Elimination Program?

NORCERT 8 Mains-2025

Community Health Nursing

Easy

Appeared in: NORCERT 8 Mains-2025

Explanation

The National Strategic Plan (NSP) for TB Elimination (2017-2025) is the guiding document for India's fight against tuberculosis.
This strategy is built upon four key pillars, abbreviated as DTPB.
The four pillars are officially named Detect, Treat, Prevent, and Build.
Detect focuses on early diagnosis and finding all TB cases.
Treat ensures all diagnosed patients receive appropriate and complete care.
Prevent aims to stop transmission and manage latent TB infection.

Option A: This option includes 'Promote' instead of 'Detect'. While health promotion is an activity within the program, it is not one of the four main strategic pillars.
Option B: This option incorrectly includes 'Promote'. The first pillar of the DTPB strategy is 'Detect', which refers to the active and passive finding of all TB cases.
Option D: This option incorrectly uses 'Cure' instead of 'Treat'. While the goal of treatment is to cure the patient, the pillar is named 'Treat' to represent the entire process of care, including patient support and adherence monitoring, not just the outcome.

Visual 1: Infographic: The Four Pillars of NTEP (Detect, Treat, Prevent, Build). This visual should use icons to represent each pillar and provide a one-sentence summary of its goal, helping to create a strong mental model of the DTPB framework.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain National Health Programs in India as background academic context rather than a clinical decision trigger.
A nurse's role is integral to all four pillars of the NTEP. In 'Detect', nurses screen patients and collect samples. In 'Treat', they administer medications under DOTS and monitor for adverse effects. In 'Prevent', they are involved in contact tracing and health education. In 'Build', they contribute to maintaining accurate records in the Nikshay portal.
Understanding the DTPB framework helps nurses prioritize actions. For example, when a patient from a high-risk area presents with a cough, the 'Detect' pillar guides the nurse to prioritize screening for TB.
What if? If a community reports a sudden increase in TB cases, the focus would intensify on the 'Detect' and 'Prevent' pillars. Nursing actions would include leading active case-finding campaigns, rapidly tracing contacts of new cases, and ensuring all eligible contacts are started on preventive therapy.

How to Approach the Question

First, identify the core subject of the question, which is the 'National Tuberculosis Elimination Program (NTEP)' and its 'strategic pillars'.
This is a factual recall question based on a specific national health program in India.
Try to recall the acronym associated with the strategy. The NSP for TB Elimination uses the DTPB framework.
Evaluate each option by comparing it to the DTPB acronym: Detect, Treat, Prevent, Build.
Eliminate options that contain words not in the official framework, such as 'Promote' and 'Cure'.
Select the option that perfectly matches the four official pillars of the program.

Concept Tested & Keywords

Concept Tested: National Health Programs in India
Stem keywords: National Tuberculosis Elimination Program, NTEP, strategic pillars
Lead-in keywords: Which of the following

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