RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Community Health Nursing
Easy

Which of the following is one of the pillars under 'The End TB Strategy of 2015'?

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2019

Explanation

  • The WHO's End TB Strategy (2015-2035) is structured around three core pillars.
  • The second pillar is explicitly named 'Bold policies and supportive systems'.
  • This pillar emphasizes the need for strong political commitment, adequate resources, universal health coverage, and social protection mechanisms to support TB patients and communities.
  • The other two pillars are 'Integrated, patient-centered care and prevention' and 'Intensified research and innovation'.

Why Other Options Were Wrong

  • Option A: While government commitment is a crucial underlying principle for the success of any health program, it was listed as a specific component of the older DOTS strategy, not a named pillar of the 2015 End TB Strategy.
  • Option B: 'High-quality DOTS Expansion' was a central component of the Stop TB Strategy (2006-2015), which was the predecessor to the current End TB Strategy.
  • Option C: 'Empower people with TB' was also a component of the Stop TB Strategy. The concept is now absorbed into the first pillar of the End TB Strategy, 'Integrated, patient-centered care and prevention,' but it is not a standalone pillar.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pillars of the WHO End TB Strategy (2015) as background academic context rather than a clinical decision trigger.
  • Understanding the End TB Strategy helps nurses align their practice with national and global health goals, particularly in roles involving public health, patient advocacy, and community education.
  • Nurses can actively contribute to Pillar 2 ('Bold policies and supportive systems') by advocating for patients' rights, promoting health literacy, and participating in community-level health planning.
  • What if the question asked about the principles of the End TB Strategy? Then answers like 'Government stewardship and accountability' or 'Protection and promotion of human rights, ethics and equity' would be correct.
How to Approach the Question
  • First, identify the key terms in the question: 'The End TB Strategy of 2015' and 'pillars'. This indicates the question is a factual recall about a specific global health policy.
  • Recall or look for the three main pillars of this strategy.
  • Evaluate each option against the known pillars.
  • Eliminate options that belong to previous strategies (like DOTS or Stop TB) or are general principles rather than specific pillars.
  • Select the option that directly matches one of the three named pillars of the End TB Strategy.
Concept Tested & Keywords
  • Concept Tested: Pillars of the WHO End TB Strategy (2015)
  • Stem keywords: The End TB Strategy of 2015, pillars
  • Lead-in keywords: Which of the following

Question ID

QFlQBQtfMr6LCkebxYSxUk

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 51-53

E6 Medicine Harrison 22e Part 1 p. 1444-1446

Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.