People with TB in Mizoram are dying in rising numbers, and those most at risk can't easily get help to see long treatment through.

The problem, broken down

Who it hurts

TB patients in Mizoram, especially in Aizawl district, and those with multi-drug-resistant TB or TB with HIV.

The moment

Weeks into treatment, when side effects, travel and lost work make it hard to keep taking medicines and attending check-ups.

What people do today

Patients are tracked through the national TB programme, and community support comes from people who sign up to adopt patients on the Ni-kshay platform.

Why it's unsolved

Deaths have risen every year since 2020 even as new cases held roughly steady, and the published figures don't show which patients are dying or why, so support can't be aimed at them.

What solved looks like

A Mizo-language companion for TB patients and their families that sends dose and appointment reminders, flags missed doses or worrying symptoms to the treatment supporter, and connects high-risk patients to nutrition support and community donors.

Builders still need to know

• Which patients are dying: late diagnosis, drug resistance, HIV co-infection or dropping out of treatment?→
• Would the National TB Elimination Programme in Mizoram let a companion tool read treatment schedules from Ni-kshay?→
• Would churches and youth groups, central to community life in Mizoram, act as treatment supporters?→