Root cause analysis for low performance of Percentage of Eligible Beneficiaries Paid under Ni-kshay Poshan Yojana

Root Cause Analysis for Low Performance in the Percentage of Eligible Beneficiaries Paid under Ni-kshay Poshan Yojana

Low performance means the notified TB cases have not received even the first payment through Direct Benefit Transfer (DBT) under the Ni-kshay Poshan Yojana (NPY) as desired. 

Obtain the data from Ni-kshay and analyse it in terms of:

• Who all have not received the payment (Person analysis)? - Any specific pattern? Patients notified from the public sector/ private sector, specific age group (paediatric or elderly), a specific gender, specific group (migrant labourers), or those without a bank account.
• Whether the problem is more in a specific geography (Place analysis)? - Is the issue bigger in a particular TB Unit (TU)/ Peripheral Health Institute (PHI), in any population group residing in a specific area (e.g., hard-to-reach pockets)?
• Is the low performance specific to any time period (Time analysis)? - Is the performance the same throughout the year or was it low in a particular time period (e.g., April, May due to shortage of funds)? 

The Process of DBT 

1. Entry of each TB patient with a bank account and Aadhaar in Ni-kshay and its follow-up details (at PHI level)
2. Preparation of beneficiary list (at PHI level)
3. Checking of beneficiary details (at TU level)
4. Approval of beneficiary list with details (at district level)
5. Processing of payment (Public Financial Management System - PFMS portal) (at district level)

A breach in any of the processes will lead to the non-delivery of DBT.

Discussion with beneficiaries and health providers, and verification of source records would be helpful for further analysis.

Resources

• India TB Report, CTD, MoHFW, GoI, 2022.
• Training Modules (5-9) for Programme Managers and Medical Officers, Central TB Division, MoHFW, GoI, 2020.

Assessment