A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility
Background: Tuberculosis (TB) control activities are implemented in the country for more than 50 years. The countrywide lockdown in 2020 adversely impacted routine health-care services including those for the management of TB. Operational research is needed to know whether Revised National Tuberculo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2022-08-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://nepjol.info/index.php/AJMS/article/view/46399 |
| _version_ | 1818010820071653376 |
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| author | Rajesh Kharadee Sanjay Kumar Bharty Vikas Patel Avinash Jain Brij Bihari Patel Brahma Prakash |
| author_facet | Rajesh Kharadee Sanjay Kumar Bharty Vikas Patel Avinash Jain Brij Bihari Patel Brahma Prakash |
| author_sort | Rajesh Kharadee |
| collection | DOAJ |
| description | Background: Tuberculosis (TB) control activities are implemented in the country for more than 50 years. The countrywide lockdown in 2020 adversely impacted routine health-care services including those for the management of TB. Operational research is needed to know whether Revised National Tuberculosis Control Program (RNTCP) (National Tuberculosis Elimination Program) is heading in the right direction as far as the pace and quality of implementation of the program are concerned.
Aims and Objectives: The aim of the present study was to investigate the strength, weaknesses, and opportunities of RNTCP. An analysis of RNTCP was done to identify competencies and gaps.
Materials and Methods: The present retroprospective and observational study was carried out at the RNTCP facility of a Government Medical College in the Central India in Madhya Pradesh during the year 2019–20. Samples of 238 patients registered under RNTCP for anti-tubercular treatment were taken in the study. Data were collected using a structured schedule from the RNTCP center and tabulated in a Microsoft Excel sheet, to assess the compliance of RNTCP norms in the management of TB.
Results: The most commonly affected age was 16–49 years and the male: female ratio was 3:2. The most common basis of diagnosis was microbiological (60.92%). Follow-up sputum testing was done on time in 64.71% of patients. Adherence to anti-tubercular treatment (ATT) was regular in 78.57% of patients. All patients were telephoned while 43.14% of patients were home visited as a default action. After default action, 35.29% of patients return to regular ATT. Out of all registered patients initiated on ATT, 81.09% were treatment success, while 7.14% lost to follow-up, 2.1% became defaulters, and 4.62% patients died.
Conclusion: We conclude that treatment success of TB unit was near the RNTCP norm of 85% which is below the national 88%. The probable reasons for the higher default rate and loss to follow-up rate during the study period could be the ongoing COVID-19 pandemic. |
| first_indexed | 2024-04-14T05:59:27Z |
| format | Article |
| id | doaj.art-00398a0d184a4cf3bc5b5d7f83ecf343 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-14T05:59:27Z |
| publishDate | 2022-08-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-00398a0d184a4cf3bc5b5d7f83ecf3432022-12-22T02:08:48ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-08-01138103109https://doi.org/10.3126/ajms.v13i8.46399A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facilityRajesh Kharadee 0https://orcid.org/0000-0002-3338-6283Sanjay Kumar Bharty 1https://orcid.org/0000-0001-8197-1375Vikas Patel 2https://orcid.org/0000-0003-2212-2554Avinash Jain 3https://orcid.org/0000-0002-1980-4346Brij Bihari Patel 4https://orcid.org/0000-0001-9089-8704Brahma Prakash 5https://orcid.org/0000-0002-1634-5463PG Resident, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India Associate Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India Assistant Professor, Department of Respiratory Medicine , School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaAssistant Professor, Department of Respiratory Medicine , School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India Assistant Professor, Department of Respiratory Medicine , School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India Associate Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India Background: Tuberculosis (TB) control activities are implemented in the country for more than 50 years. The countrywide lockdown in 2020 adversely impacted routine health-care services including those for the management of TB. Operational research is needed to know whether Revised National Tuberculosis Control Program (RNTCP) (National Tuberculosis Elimination Program) is heading in the right direction as far as the pace and quality of implementation of the program are concerned. Aims and Objectives: The aim of the present study was to investigate the strength, weaknesses, and opportunities of RNTCP. An analysis of RNTCP was done to identify competencies and gaps. Materials and Methods: The present retroprospective and observational study was carried out at the RNTCP facility of a Government Medical College in the Central India in Madhya Pradesh during the year 2019–20. Samples of 238 patients registered under RNTCP for anti-tubercular treatment were taken in the study. Data were collected using a structured schedule from the RNTCP center and tabulated in a Microsoft Excel sheet, to assess the compliance of RNTCP norms in the management of TB. Results: The most commonly affected age was 16–49 years and the male: female ratio was 3:2. The most common basis of diagnosis was microbiological (60.92%). Follow-up sputum testing was done on time in 64.71% of patients. Adherence to anti-tubercular treatment (ATT) was regular in 78.57% of patients. All patients were telephoned while 43.14% of patients were home visited as a default action. After default action, 35.29% of patients return to regular ATT. Out of all registered patients initiated on ATT, 81.09% were treatment success, while 7.14% lost to follow-up, 2.1% became defaulters, and 4.62% patients died. Conclusion: We conclude that treatment success of TB unit was near the RNTCP norm of 85% which is below the national 88%. The probable reasons for the higher default rate and loss to follow-up rate during the study period could be the ongoing COVID-19 pandemic.https://nepjol.info/index.php/AJMS/article/view/46399rntcp implementation; tuberculosis unit; dots |
| spellingShingle | Rajesh Kharadee Sanjay Kumar Bharty Vikas Patel Avinash Jain Brij Bihari Patel Brahma Prakash A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility Asian Journal of Medical Sciences rntcp implementation; tuberculosis unit; dots |
| title | A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility |
| title_full | A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility |
| title_fullStr | A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility |
| title_full_unstemmed | A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility |
| title_short | A study to critically analyze Revised National Tuberculosis Control Program norms implementation at a medical college-level facility |
| title_sort | study to critically analyze revised national tuberculosis control program norms implementation at a medical college level facility |
| topic | rntcp implementation; tuberculosis unit; dots |
| url | https://nepjol.info/index.php/AJMS/article/view/46399 |
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