ReviewCureus2025
Strategic Leverage Points in Implementing India's Nikshay Poshan Yojana for Tuberculosis Patients: A Scoping Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tuberculosis (TB) continues to pose a major public health challenge in India. Malnutrition critically worsens clinical outcomes in patients with tuberculosis. The Nikshay Poshan Yojana (NPY), a national direct benefit transfer (DBT) scheme in India, provides monthly nutritional support to TB patients. The NPY is a flagship program that plays a significant role in India's fight against TB, and its success depends on effective implementation. This scoping review synthesizes evidence on NPY implementation challenges and possible solutions and models their interconnections using a network approach. Leverage points that can enhance the program's performance are identified through network analysis and quantified via centrality metrics. Following a systematic search of relevant databases, 16 primary research studies evaluating the implementation of NPY were included in the synthesis. Qualitative findings on barriers and solutions were thematically synthesized and modeled as a network, with nodes representing the identified themes and edges indicating the co-occurrence of themes across studies. Degree and betweenness centrality measures identified key leverage points. Four main barrier categories were identified and thematically synthesized: administrative/procedural, financial/banking, patient-level, and healthcare system/provider. These contributed to significant payment delays (median: 43 days to 5.2 months). The network analysis revealed that "lack of bank accounts" was a highly central barrier (degree: 1.0000). Patients' health status also emerged as a critical bridging challenge (betweenness: 0.0604). The key solutions identified included simplifying banking and NPY processes (degree: 0.9286) and implementing a more robust monitoring and evaluation system (betweenness: 0.0482). Interventions targeted at these key leverage points, focusing on improved banking access, streamlined processes, and a strengthened health system, could potentially improve program implementation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.