MDR TB has emerged as a major threat to an effective control of Tuberculosis (TB) in recent years with India having the highest burden of MDR TB cases. Treating MDR TB in itself is a challenge due to long treatment duration, adverse effects of toxic drugs, high default and mortality. The adverse effects of MDR TB drugs often cripple routine activities of the patients. Therefore, many patients are forced to give-up their work as a result of poor health and adverse drug reactions, as a result their families often slip into poverty. The situation becomes much more challenging if the patient is the only earning member.
The disease is often associated with high stigma due to the fear of spread of infection. Most of the patients are underweight with a BMI of less than 18.5 resulting from inadequate nutrition, as most of them lack adequate nutrition due to their poverty. Further, majority of MDR TB patients suffer from poor appetite which often leads to patients taking inadequate nourishment. Such patients often require continuous psycho-social counseling to ensure treatment adherence. Therefore, along with counseling, we provide continuous macro nutrient supplements through their treatment cycle as such a support to underweight may also contribute to improved drug adherence and thus better treatment outcomes while accelerating their recovery process.