Documentation of System Response Post TB Notification by Private Sector: A Mix-method Study in Mehsana District, Gujarat

Tuberculosis is a major public health concern in India since decades. With growing private sector management role in TB treatment, effective coordination between public private sector becomes vital for post notification patient management. So, this study aimed to assess the public health system's response to TB notifications from the private sector in Mehsana district, Gujarat. This was an observational cross-sectional study with primary data from field visits and Key informant interviews while secondary data from Nikshay portal entries. The data were evaluated for timeliness and completeness following TB case notification by private sector. Data entry and analysis was done in Microsoft excel. As results total 380 cases notified to public sector, 92% case reported to the government facility within 7 days of reporting. However, among them 65% have received adherence support and 78% have received treatment literacy. Thematic analysis of KII showed key barrier factors like manpower shortage, logistic supply issues and non-cooperative behaviors from private sectors. In conclusion, post notification reporting was good in Mehsana district but gaps remaining in integrated patients support system and treatment adherence support remains question. Intersectoral support strengthening, capacity enhancement of health workers and establishing accountable system is necessary for better outcomes.