A study on socio-demographic profile and feasibility of DOTS provider registered under RNTCP in Varanasi district Uttar Pradesh
Journal Title: Indian Journal of Community Health (IJCH) - Year 2014, Vol 26, Issue 1
Abstract
Introduction: Tuberculosis is a major chronic disorder affecting the larger population more than any other disease in the country. DOTS was introduced in India in 1993 as part of the Revised National Tuberculosis Programme (RNTCP) following a review of India’s National Tuberculosis Programme (NTP) a year earlier (1) .Patient satisfaction is an important parameter for assessing the quality of patient care services. There is need to assess the health care provider regarding the consumer satisfaction as often as possible, this paper summarizes our experience about role of DOTS provider in the management of TB patient in rural population of Varanasi districts Utter Pradesh. Objective: (1) To assess the perception of registered tuberculosis patients regarding DOTS provider for the treatment of tuberculosis. (2) To assess the accessibility, acceptability & availability of community DOTS provider. Design: A longitudinal study. Setting: Three microscopic centre of Cholapur Tuberculosis unit of Varanasi districts. Methods: Registered patients were interviewed twice: once in the beginning and another at the completion of the treatment or after the permanent discontinuation of the treatment. Patients were interviewed for their socio-demographic profiles, opinion about DOTS and its providers. Side effects experienced and action taken etc. Data was collected on a semi-structured, pre-tested questionnaire. DOTS providers were interviewed and treatment cards analyzed for any interruption of treatment and action taken. Data was collected from 1st June 2004 to 31th June 2005 till the completion of the regimen. Results: Majority of DOTS providers were young males (82.7%) of 26 years to 40 years, while the representation of females was only 5 (17.3%). Almost more than 80% of the patients started their treatment within 1-10 days. For majority of cases (83%) the distance of DOTS provider from patient’s house was within 1 km. Mean time spent to go to DOTS provider was 27.2 minutes. 91.5% have no effect on routine activity. 98.3% DOTS provider were regular. Regarding behavior & availability of DOTS provider majority (90%) of patient’s opinion was good & regular (98%). Among 117 patients who were enrolled for treatment through DOTS provider, 73 (92.4%) were NSP & 12 (10%) were from retreatment group. Out of 117 patients who opted for treatment from DOTS provider 108 patients took full course of treatment in Intensive phase & their success rate was (92%) out of 108 patients 103 took full course of treatment in Continuation phase & there success rate was (95%). Success rate among NSP was 89% & success rate among retreatment group was about 83%. Conclusion: Shopkeeper acts as a DOTS provider in RNTCP because of their accessibility. Availability being less time consuming and the place being convenient to the patients. Shopkeeper is an example of persons drawn from the community who can play complementary role as DOTS providers.
Authors and Affiliations
Mohd. Afzalul Haque , Dhirendra Kumar , Shaili Vyas
Keywords
Related Articles
- EP ID EP144050
- DOI -
- Views 84
- Downloads 0
Bubble burst vs defused bubble: a humble opinion for when you are sick
When you are sick, all hell breaks loose. Solutions have problems and society may not have all the answers. It is imperative for individual to not take the plunge. However, when you are pushed off the cliff, you hope you...
Ophthalmic Morbidity in School Children in Hilly Areas of Uttarakhand
Introduction: School children constitute about one fourth of population of India. Early detection and treatment of various eye diseases helps in avoiding many complications. The magnitude of blindness is 3-4 times greate...
Prevalence of psychosocial problems among adolescents in rural areas of District Muzaffarnagar, Uttar Pradesh
Introduction: Adolescence is a period of transition between childhood and adulthood. It is a phase of life marked by special attributes including rapid physical growth and development; physical, social and psychological...
Prevalence of anemia amongst overweight and obese children in NCT of Delhi
Introduction: Anemia amongst children has been associated with impaired cognitive functions, developmental delays, behavioral and learning disturbances. Young children from high-income groups could be also being affected...
Evaluation of treatment outcome of tuberculosis patients in the urban field practice area of D. Y. Patil Medical College, Pimpri, Pune
Background: Tuberculosis (TB) bacilli have lived in symbiosis with mankind since time immemorial. RNTCP is the largest and the fastest expanding programme throughout the world as 1.29 million patients in 2005, 1.39 milli...