OBJECTIVES: There are studies highlighting TB trends in association with several factors like demographics, drug resistance, etc, but there is dearth of literature on performance of NTEP and its association with TB trends. Hence, present research aims at assessing the TB trend in association with NTEP from its inception, budget allocation, and expenditure. Further, study will highlight one of the best performing states in NTEP implementation strategies

METHODS: Its a retrospective study, data was extracted and analysed from official websites of the Central TB Division, National strategic plan reports, PubMed, and other grey literature. Study excluded literature on paediatric patients.

RESULTS: Study findings indicate trend of TB based on incidence, prevalence, and mortality rate for a period of 8 years starting from 2012 to 2020. From the trend, it's clear that mortality, incidence and prevalence rates are decreasing but impact of covid makes variations for the same. Looking at budget allocation, spending pattern, between 2012 to 2018 there was surplus of funds, whereas between 2019 to 2021 there is deficit. Trend analysis has revealed that the NTEP in India is performing well despite the pandemic effect.

CONCLUSIONS: The study reported trends which shows mortality and incidence rates of tuberculosis in India are decreasing. But prevalence rate trend is increased in 2016 and 2017 due to the comorbidity condition like HIV and inaccuracy of data that is found in TB national report. The requested fund and approved budgeted fund differ significantly with actual fund released to the states. The budget and expenditure trend have revealed that allotted budget was underutilized in the early-stages and later expenditures exceed the budget, or the budget is overutilized. Finally, as per NTEP implementation among all the states, Assam is found to be one of the states that excels in outperforming on TB eradication in India with more data transparency.