Published February 28, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article111.pdf
Journal article Open

Awareness about the Notification of Tuberculosis among Private Practitioners in Madurai District: A Cross Sectional Study

  • 1. Government Medical College, Dindigul
  • 2. Government Sivagangai Medical College, Sivagangai

Description

Introduction: Tuberculosis (TB) notification is defined as the process of reporting diagnosed TB cases to relevant health authorities, whom in turn report them to the World Health Organization (WHO) through National TB Programmes (NTPs). While TB cases detected in the public sector health facilities generally get notified, a large proportion of cases that are detected and treated in the private sector do not get notified. Increasing the awareness about notification of TB will increase the notification by private sector including practitioners, labs and pharmacies. This study is aimed at assessing the awareness of private practitioners about recent developments in the notification of TB and to educate them regarding the RNTCP guidelines. Materials and Methods: This is a descriptive cross-sectional study. Two hundred allopathic doctors, irrespective of their field of practice, both private practitioners and Govt. doctors with private practice were included in the study. A self – administered validated semi-structured questionnaire was given to the participants to assess their awareness about the notification of TB. After collecting the answered questionnaire, the participants were given a pamphlet with RNTCP guidelines about notification and the provisions that are available for TB patients and the facilitating practitioners. Results: Nearly 95% of the study participants and all participants of Medicine and its allied specialities were aware about the notification of Tuberculosis. Majority of the participants correctly pointed out the benefits of notification ie., contact screening, monetary benefit to the patient and improvement in the uniformity and quality of treatment. Only 27.5% were aware about NIKSHAY app. Only 31% were aware about the monetary benefit to the practitioner upon notification. Only10 (5%) respondents had a fear of breech in the confidentiality of the patient and 12(6%) respondents lacked time. Some of them didn’t know whom to notify. At the end of the study, the details of whom to notify in Madurai district and the benefits of notification were given to the participants as a pamphlet. Conclusion: The first step towards better management of TB is to notify the cases to RNTCP. Increasing the awareness about various aspects of case notification will go a long way in achieving the goals of RNTCP. At the end of the study, the participants understood the importance of notifying cases.

 

 

 

Abstract (English)

Introduction: Tuberculosis (TB) notification is defined as the process of reporting diagnosed TB cases to relevant health authorities, whom in turn report them to the World Health Organization (WHO) through National TB Programmes (NTPs). While TB cases detected in the public sector health facilities generally get notified, a large proportion of cases that are detected and treated in the private sector do not get notified. Increasing the awareness about notification of TB will increase the notification by private sector including practitioners, labs and pharmacies. This study is aimed at assessing the awareness of private practitioners about recent developments in the notification of TB and to educate them regarding the RNTCP guidelines. Materials and Methods: This is a descriptive cross-sectional study. Two hundred allopathic doctors, irrespective of their field of practice, both private practitioners and Govt. doctors with private practice were included in the study. A self – administered validated semi-structured questionnaire was given to the participants to assess their awareness about the notification of TB. After collecting the answered questionnaire, the participants were given a pamphlet with RNTCP guidelines about notification and the provisions that are available for TB patients and the facilitating practitioners. Results: Nearly 95% of the study participants and all participants of Medicine and its allied specialities were aware about the notification of Tuberculosis. Majority of the participants correctly pointed out the benefits of notification ie., contact screening, monetary benefit to the patient and improvement in the uniformity and quality of treatment. Only 27.5% were aware about NIKSHAY app. Only 31% were aware about the monetary benefit to the practitioner upon notification. Only10 (5%) respondents had a fear of breech in the confidentiality of the patient and 12(6%) respondents lacked time. Some of them didn’t know whom to notify. At the end of the study, the details of whom to notify in Madurai district and the benefits of notification were given to the participants as a pamphlet. Conclusion: The first step towards better management of TB is to notify the cases to RNTCP. Increasing the awareness about various aspects of case notification will go a long way in achieving the goals of RNTCP. At the end of the study, the participants understood the importance of notifying cases.

 

 

 

Files

IJPCR,Vol15,Issue2,Article111.pdf

Files (339.6 kB)

Name Size Download all
md5:ab2838ae2d6e104a81cc11b47bdda014
339.6 kB Preview Download

Additional details

Dates

Accepted
2023-02-10

References

  • 1. Dye C. Global epidemiology of tuberculosis, Lancet 2006; 367; 938 - 940. 2. Pantoja A et al. Economic evaluation of public-private mix for tuberculosis care and control, India. Part I. Socio-economic profile and costs among tuberculosis patients. International Journal of Tuberculosis and Lung Disease, 2009. 13(6): 698-704. 3. Sachdeva KS, Kumar A , Dewan P , Kumar A , Satyanarayanan S . New vision for revised national tuberculosis control programme (RNTCP) Universal Access – reaching the unreached "Indian J Med Res 2012; 135; 690 – 4 (pmc free article) (Pubmed) 4. TamhaneA ,Ambe G , Vermund S H , Kohler, C L , Karande A , Sathiakumar N Pulmonary tuberculosis in Mumbai , India. Factors responsible for patient and treatment delays .Int J prev Med 2012 Aug ; 3(8) : 569- 80 5. WHO. Public-Private Partnerships for TB Control - World Health Organization. Report of a Regional Meeting Chennai, 7- 9 August 2001 6. World Health Organization. Global Tuberculosis Control Report 2015 (WHO/HTM/TB/2015.22). Geneva, World Health Organization, 2015. 7. Satyanarayana S, Nair SA, Chadha SS, Shivashankar R, Sharma G, Yadav S, et al. From where are tuberculosis patients accessing treatment in India? Results from a cross-sectional community based survey of 30 districts. PLoS One 2011;6:e24160 8. TB Notification from Private Health Sector in Delhi, India: Challenges Encountered by Programme Personnel and Private Health Care Providers Mahasweta Satpati,1 SharathBurugina Nagaraja,2 Hemant Deepak Shewade,3 PrabhakaranOttapura Aslesh,4 Blesson Samuel,5 Ashwani Khanna,6 and Sarabjit Chadha39. Philip S, Isaakidis P, Sagili KD, et al. "They know, they agree, but they don't do"- the paradox of tuberculosis case notification by private practitioners in Alappuzha district, Kerala, India. PLoS One 2015;10: e0123286. 10. TB Notification from Private Health Sector in Delhi, India: Challenges Encounteredby Programme Personnel and Private Health Care Providers Mahasweta Satpati,1Sharath Burugina Nagaraja,2 Hemant Deepak Shewade,3 Prabhakaran OttapuraAslesh,4 Blesson Samuel,5 Ashwani Khanna,6 and Sarabjit Chadha3 11. Thomas BE, Velayutham B, Thiruvengadam K, Nair D, Barman SB, Jayabal L, et al. Perceptions of private medical practitioners on tuberculosis notification: A study from Chennai, South India. PLoS One 2016;11:e0147579.