Utility of Tuberculosis notification to assess management practices in private care in northern India
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2017, Vol 4, Issue 3
Abstract
Revised National Tuberculosis Control Programme of India envisages mandatory TB notification since 2012. TB care in private sector in Solan town (a fast urbanizing and industrializing area) has never been studied. Nikshay, an online reporting tool, being utilized by private practitioners, was used for understanding the management practices in the region having migrant population dynamics. The objective of the study was to assess the quality of the diagnosis, treatment and supportive services given by private practitioners. The study will also identify the gaps in TB management among the private practitioners.A cross sectional study, by interviewing patients selected from secondary data of Nikshay, was conducted after obtaining informed voluntary consent and securing Institutional Ethics Committee permission.It was found that cough was most common symptom used for suspecting TB (77.65%) and Chest X ray the most commonly used diagnostic technique (69.14%). Only for about 7.44% patients two sample sputum microscopy was used. 50 % of the patients were treated with two drugs. None were on DOTS therapy. Maximum (57.44 %) number of patients had taken treatment for duration of less than 6 months.It was concluded that a large number of gaps exist between the management practices by private practitioner and National TB management guidelines, and need intervention through RNTCP.
Authors and Affiliations
Ajay Kumar Singh, Dimple Kumar Bhaglani , Sumit Chawla, Bharti Chawla, Ravinder Kumar
Keywords
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