Performance of revised national tuberculosis control program in Bihar: A situational analysis

Background: Monitoring of a program is a continuous assessment of certain key indicators of it through periodic reports. The efficiency of a health program is assessed by comparing its achievements with the expectations. Methods: The study was conducted based on the annual TB report of India for the...

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Main Authors: Bijit Biswas, Abhishek Kumar, Neeraj Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=735;epage=739;aulast=Biswas
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author Bijit Biswas
Abhishek Kumar
Neeraj Agarwal
author_facet Bijit Biswas
Abhishek Kumar
Neeraj Agarwal
author_sort Bijit Biswas
collection DOAJ
description Background: Monitoring of a program is a continuous assessment of certain key indicators of it through periodic reports. The efficiency of a health program is assessed by comparing its achievements with the expectations. Methods: The study was conducted based on the annual TB report of India for the year 2018 in order to monitor (Revised National Tuberculosis Control Program) RNTCP performance in the Bihar State and its various districts. Results: Case notification rate of various districts Bihar was far below the national average of 138 per lakh. Considering treatment initiation, the performance of various districts of Bihar were less than national figures (79.0%). In newly diagnosed TB cases, the treatment success rate of Bihar was 73%. This performance was more compared to Uttar Pradesh (66.0%) but less compared to Jharkhand (92.0%), West Bengal (88.0%), and national data (79.5%). Considering human resources, the total human resources in the states of Bihar (61.9%) and Jharkhand (58.3%) were similar. However, in Bihar, there was a vast shortage of ground-level staff [i.e. (senior treatment supervisor) STS, (senior TB lab supervisor) STLS, (public-private mix) PPM Co-ordinator, and (TB health visitor) TBHV)]. Conclusion: It was found that Bihar was one of the less performing states in RNTCP with a vast shortage of ground-level staff and low overall treatment success rate compared to its neighboring states. Stringent monitoring and evaluation in every step of the program implementation should be done in order to improve RNTCP performance in Bihar.
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spelling doaj.art-5e44d5a4187444e7a31c6121d7d5f8cf2022-12-22T01:31:51ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019273573910.4103/jfmpc.jfmpc_1028_19Performance of revised national tuberculosis control program in Bihar: A situational analysisBijit BiswasAbhishek KumarNeeraj AgarwalBackground: Monitoring of a program is a continuous assessment of certain key indicators of it through periodic reports. The efficiency of a health program is assessed by comparing its achievements with the expectations. Methods: The study was conducted based on the annual TB report of India for the year 2018 in order to monitor (Revised National Tuberculosis Control Program) RNTCP performance in the Bihar State and its various districts. Results: Case notification rate of various districts Bihar was far below the national average of 138 per lakh. Considering treatment initiation, the performance of various districts of Bihar were less than national figures (79.0%). In newly diagnosed TB cases, the treatment success rate of Bihar was 73%. This performance was more compared to Uttar Pradesh (66.0%) but less compared to Jharkhand (92.0%), West Bengal (88.0%), and national data (79.5%). Considering human resources, the total human resources in the states of Bihar (61.9%) and Jharkhand (58.3%) were similar. However, in Bihar, there was a vast shortage of ground-level staff [i.e. (senior treatment supervisor) STS, (senior TB lab supervisor) STLS, (public-private mix) PPM Co-ordinator, and (TB health visitor) TBHV)]. Conclusion: It was found that Bihar was one of the less performing states in RNTCP with a vast shortage of ground-level staff and low overall treatment success rate compared to its neighboring states. Stringent monitoring and evaluation in every step of the program implementation should be done in order to improve RNTCP performance in Bihar.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=735;epage=739;aulast=Biswasannual reportindiaprogram evaluationtuberculosis
spellingShingle Bijit Biswas
Abhishek Kumar
Neeraj Agarwal
Performance of revised national tuberculosis control program in Bihar: A situational analysis
Journal of Family Medicine and Primary Care
annual report
india
program evaluation
tuberculosis
title Performance of revised national tuberculosis control program in Bihar: A situational analysis
title_full Performance of revised national tuberculosis control program in Bihar: A situational analysis
title_fullStr Performance of revised national tuberculosis control program in Bihar: A situational analysis
title_full_unstemmed Performance of revised national tuberculosis control program in Bihar: A situational analysis
title_short Performance of revised national tuberculosis control program in Bihar: A situational analysis
title_sort performance of revised national tuberculosis control program in bihar a situational analysis
topic annual report
india
program evaluation
tuberculosis
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=735;epage=739;aulast=Biswas
work_keys_str_mv AT bijitbiswas performanceofrevisednationaltuberculosiscontrolprograminbiharasituationalanalysis
AT abhishekkumar performanceofrevisednationaltuberculosiscontrolprograminbiharasituationalanalysis
AT neerajagarwal performanceofrevisednationaltuberculosiscontrolprograminbiharasituationalanalysis