A STUDY OF EFFECTIVENESS ON DOTS ON TUBERCULOSIS PATIENTS TREATED UNDER RNTCP

Chandan Mal Fatehpuria, Mahesh Chand Bairwa, Rita Meena, Pratap Bhan Kaushik

Abstract


Background: Tuberculosis is one of the top 10 cause of death and the leading cause from a single infectious agent. India accounts for one fourth of the global TB burden. NTP was introduced for TB control and this NTP was become RNTCP after review and performance of NTP with adaptation of DOTS strategy. The key to the success of the DOTS strategy is that it places the responsibility for curing TB patients on the health workers

Methods: Those patients of tuberculosis, who were registered from July 2010 to September 2010 at tuberculosis units of Jodhpur city. All informations were collected from tuberculosis register and by interview. These patients were followed up for sputum examination during three visits. The data collected was grouped into cured and non-cured group. The cured group includes cured and completed the treatment. The non-cured group includes treatment failures, defaulters, died and transferred out cases.

Results: Total 363 patients were registered with M/F ratio 1.47:1. 264, 81 and 36 patients registered in Category I, II and III respectively. Mostly patients (66.94%) were in 15-45 years age group Among these, 72.18% (262) had pulmonary tuberculosis; of these 167 were new smear positive cases and remaining were retreatment cases. Treatment success (Cured/Treatment completed) among Category-I was 221/246 (89.84%), among Category-II was 56/81 (69.13%) and among Category-III was 31/36 (86.11%). 30 patients were defaulter, 15 were died, 6 were transferred out and 4 were failed treatment.

 

Conclusion: Higher cure and sputum conversion rates due to strict supervision and monitoring along with motivation of cases by health and non-health personnel. Experiences from the past also emphasized the importance of these factors.


Keywords


TB, RNTCP, DOTS, NSP

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References


Global Tuberculosis Report 2018. Available at https://www.who.int/tb/publications/global_report/en/.

India TB report 2018; RNTCP Annual Status Report. Available at https://tbcindia.gov.in/showfile.php?lid=3314.

Khatri GR. The Revised National Tuberculosis Control Programme: A status report on first 1,00,000 patients. Indian J Tuberculosis 1999; 46:157-166.

Editorial Indian J Tuberculosis 1996; 43:3.

National Health Portal. Available at https://www.nhp.gov.in/revised-national-tuberculosis-control-programme_pg.

Managing the RNTCP in your area Training Module (1-4), Central TB Division DGHS Mohfw, NewDelhi, 2005 April; 4.

Jagarajamma K, Sudha G, Nirupa C,Narayanan PR, Ind.J. TB, 2007; 54: 130-135.

Pithadia PR, Lodhiya KK, Parmar DV, Yadav SB. Evaluation of performance of DOTS services under RNTCP in Rajkot district of Gujrat. National J of Comm Med 2012; 3(4): 612-616.

Thejeshwari HL; Treatment outcome among TB patients under RNTCP – In PHCs attached to VIMS Bellary; A dissertation submitted to Rajiv Gandhi University of Health Sciences, Banglore, Karnataka. 2009; 43-46.

Rahul Saini: A Retrospective study of outcome of DOTS under RNTCP and default in Urban population (Jodhpur City) in year 2002.

Mishra A et al (2007); A study of effectiveness of DOTS on TB patients treated under RNTCP programme. NTI Bulletin 2007, 43/3&4, 47-50.

B Mahadev, VH Balasangameshwara, SG Radha Krishna and R Jitendra. Treatment and diagnosis practices under RNTCP in Bangalore- a cohort study. NTI Bulletin 2004; 40 (1&2) ; 7-12.]

Singh A et al., Effectiveness of community based Anganwadi workers in DOT; in a rural area of Haryana. Indian J Tuberc 2005; 52; 15-20.

S.L Chadha and R.P Bhagi. Treatment outcome in TB patients placed under DOTS-a cohort study. Indian J Tuberc 2000; 47 : 155-158.

Quy H.T.W, et al. Drug resistance among failure and relapse cases of tuberculosis; is the standard re-treatment regimen adequate? Int J. Tuberc Lung Dis 2003; 7(7): 631-636.

Akram Islam, Susumu Wakai, Nobukatsu Ishikawa, A.M.R Chowdhary and J Patrick Vaughan.Cost-effectiveness of community health workers in tuberculosis control in Bangladesh. Bulletin of World Health Organisation 2002 ; 80 ; 445-450.

Bhat S. Mukharjee S: Unsupervised intermittent short course chemotherapy with intensive Health Education, Ind J TB 1998, 45, 145-207.

Pio A, Lueimo, Kumaresan, Spinaci: National TB Programme review experience over the period 1990-95, Bull WHO, 1997, 75(5), 481-565.


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