Integrating AAMs into the National Tuberculosis Elimination Programme significantly enhanced early TB case identification and early treatment initiation in rural communities. Scaling and sustaining this community-based model can play a pivotal role in achieving TB elimination goals, especially in high-burden, rural and hard-to-reach settings.

Elimination of TB is only possible if there is increase in PTER. Enhancing PTER using critical patient pathways resulted in increased TB case notification in the State of Uttar Pradesh India.

UP’s progress with expanding, utilization of mWRD diagnostics is significant but requires acceleration to achieve the national target of 85% of diagnosed TB offered an mWRD test.

The pharmacy app pilot shows promise in bridging TB notification gaps and provides useful insights into private-sector ATT drug prescribing practices and sales. Accurate identification of missing cases dependent on thorough data triangulation and field verification, as drugs are often bought by others on behalf of individuals on treatment.

This initiative demonstrated that comprehensive assessments, combined with collaborative, multi-pronged strategies to address key gaps, can significantly enhance DR-TB diagnostic capacity and utilization, thereby strengthening overall DR-TB diagnostic services.