NHM, NTEP & Ayushman Bharat ↔ India's Primary-Care Delivery Machinery

The National Health Mission, National TB Elimination Programme, and Ayushman Bharat's two arms form the operational structure through which most preventive and primary health care actually reaches people in India, with TB notification standing out as a binding legal duty on every practitioner.

IN PLAIN LANGUAGE

Most of India's preventive and primary health care is delivered through a small number of national programmes — the National Health Mission, the TB elimination programme, and Ayushman Bharat's two arms — and every registered practitioner, including BAMS graduates, has binding duties within this structure, most notably reporting every TB case.

The national programme structure provides standardised, funded diagnosis, treatment, and coverage pathways; Swasthavritta training ensures the Ayurvedic practitioner understands and correctly fulfils their specific role and legal obligations within that structure.

WHEN TO SEEK CARE

If you have symptoms suggestive of TB, such as a persistent cough, weight loss, or fever, seek testing promptly — it will be legally reported and treated through the national programme at no cost to you; use your nearest Health & Wellness Centre for routine primary care.

🔴 REFER IMMEDIATELY

Any diagnosed or clinically strongly suspected case of tuberculosis — must be notified; this is a legal requirement, not a clinical option.
A patient repeatedly defaulting on TB treatment — raises risk of drug-resistant TB and requires programme-level follow-up, not just clinical advice.
Suspected TB requiring confirmatory testing not available at the point of first contact must be referred to the NTEP-linked diagnostic and treatment network.
Any patient needing hospitalisation-level care should be directed to a PM-JAY-empanelled facility; primary and preventive needs should be directed to the nearest Health & Wellness Centre.

Never do this

Do not fail to notify a diagnosed or strongly suspected TB case — this is a binding legal obligation, not a matter of clinical judgment or discretion.

🟢 SUITABLE FOR ROUTINE / COLLABORATIVE CARE

AYURVEDA SCOPE

Patient education, preventive counselling, primary-level care at HWCs, and identification plus mandatory notification of suspected TB cases.

MODERN MEDICINE SCOPE

Confirmatory TB diagnosis and standardised treatment through NTEP, and hospitalisation-level care financed through PM-JAY.

COLLABORATIVE SCOPE

BAMS graduates functioning within NHM's structure — notifying TB, referring appropriately between HWC and hospital-level care, and reinforcing programme messaging at the community level.

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