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  • CHO-CH23: General Concepts

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    • Direct Benefit Transfer(DBT) under NTEP

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      Direct Benefit Transfer (DBT) is a major initiative of Government of India (GoI) whereby any government subsidy or benefit is to be transferred directly into the beneficiary's bank accounts. Intermediary government agencies only manage the process of payments, without handling actutal money.

      NTEP is one of the first health programmes in India to use a fully adopt DBT. It uses an end to end electronic system, to digitise beneficiary information and transfer monetary benefits. In NTEP to process benefits, two electronic systems are used, Ni-kshay (operated by NTEP) and PFMS (Public Finance Management System, operated by the Ministry of Finance). Ni-kshay enables Direct Benefit Transfer by digitizing the beneficiaries(bank account details of patients, treatment supporters and providers) and calculates of incentives/ benefits (eligible payment) and processes them for payment through PFMS under various schemes. The various schemes operational under NTEP are:

      • Nikshay Poshan Yojana(NPY)
      • Tribal Support Scheme
      • Treatment supporter’s Honorarium
      • Incentive for Notification and Outcome

    • Stakeholders/Systems for DBT under NTEP

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      • Beneficiary: These are the individuals who get benefits from payments under a particular scheme. E.g., all notified TB patients are beneficiaries under the Ni-kshay Poshan Yojana. An individual may be eligible for multiple payments under one scheme or may be eligible for multiple schemes. Only individuals with bank accounts will receive these benefits. Also, beneficiaries and their bank accounts need to be approved by a district-level authority to receive any of the benefits from Ni-kshay.
      • Processing authorities: The DBT maker and checker are designated personnel in the health system for in processing benefits. They are responsible for the two levels of verification in Ni-kshay; confirming and approving each benefit under their jurisdiction. Both maker and checker are roles that are assigned to any personnel  in NTEP as decided by the District TB Officer. They perform their role through a special staff login in Ni-kshay with the designation “DBT Maker” or “DBT Checker,” created under the staff management module of Ni-kshay.
        1. DBT Maker: Maker acts at the TU level. All benefits created are assigned to the maker, who has to reconfirm the eligibility manually, update necessary details if required and send the benefit to the checker for approval.DBT maker is created by the District Tuberculosis Officer (DTO) upon request from the Medical Officer Tuberculosis Center (MOTC).
        2. DBT Checker: DBT checker acts at the district level. Checker is responsible for approving all beneficiaries under the district once it has been created by the DBT makers at TU levels. DBT checker role in Ni-kshay app is created by the State TB Officer (STO).

       

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      Assessment

      Question  Answer 1  Answer 2  Answer3  Answer 4  Correct Answer  Correct explanation 
      An individual is only eligible for a benefit under NTEP at one point in time.    True  False      2  An individual may be eligible for multiple payments under one scheme or may be eligible for multiple schemes.

       

       

    • DBT Schemes in NTEP

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      Schemes Beneficiary Benefit Amount
      Nikshay Poshan Yojana(NPY)
      • All Notified TB Patients in Nikshay from the point of diagnosis
      		 Rs. 1000 at the time of Notification and Rs 500 per treatment month there after paid in advance as installments.
      Tribal Support Scheme Confirmed TB Patients residing in Tribal TU Rs 750(one time) at the time of notification 
      Treatment supporter’s Honorarium Treatment supporters of patients who have achieved outcome of treatment success
      • Rs 1,000 in the case of DS TB patients and Rs 5,000 in the case of patients, paid at the time of treatment completion.
      Incentive for informants,  Notification and Outcomes

      Private Health Facilities: including Practitioner /Clinic etc.(Single), Hospital/Clinic/Nursing Home etc.(Multi), Laboratories and Chemists

      Any citizen reporting TB patients to public health facility or a self-reporting by patient may also be incentivized as an informant
      • Rs 500 for Notification or informant
      • Rs. 500 for Outcome declaration to health facilities.