Community involvement is essential for TB governance reforms

The recent India Innovations Summit focused on advancing tuberculosis (TB) care. Held on March 18 and 19, 2025, in New Delhi, the event highlighted over 300 innovations in TB diagnostics and treatment. Many of these innovations targeted areas like stigma reduction and community engagement in TB awareness. A notable emphasis at the summit was on using artificial intelligence (AI) in TB care. Demonstrations included AI tools for diagnosis and new logistics methods, like drone transport for samples. The summit gathered health officials, NGOs, and global experts to discuss these advancements. However, there were concerns about community involvement in TB governance. Most of the discussions centered on medical solutions, with little focus on including the voices of patients and affected communities in decision-making. Critics argued this reflects an imbalance in TB management that favors a medical-only approach. Current policies on TB often overlook social and economic factors that influence the disease's spread. Community groups and patients have limited influence over policy decisions, which restricts meaningful progress. Existing programs for support, like the Nikshay Poshan Yojana, have faced issues such as delayed payments, showing a need for stronger community oversight. Experts call for a shift in how TB governance is structured. They argue that patients and community representatives must be included in decision-making processes. By empowering these voices, TB care can be better integrated with issues like housing and nutrition, leading to more effective solutions. The fight against TB in India requires a new approach that combines social accountability with health strategies. As leaders push for innovation in medical treatments, they must also support community-led initiatives. Only through a balanced governance model can India hope to successfully eliminate TB.