Tuberculosis management practices by private practitioners in Andhra Pradesh, India.

SETTING: Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. OBJECTIVES: To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC...

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Main Authors: Shanta Achanta, Jyoti Jaju, Ajay M V Kumar, Sharath Burugina Nagaraja, Srinivas Rao Motta Shamrao, Sasidhar Kumar Bandi, Ashok Kumar, Srinath Satyanarayana, Anthony David Harries, Sreenivas Achutan Nair, Puneet K Dewan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3742777?pdf=render
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author Shanta Achanta
Jyoti Jaju
Ajay M V Kumar
Sharath Burugina Nagaraja
Srinivas Rao Motta Shamrao
Sasidhar Kumar Bandi
Ashok Kumar
Srinath Satyanarayana
Anthony David Harries
Sreenivas Achutan Nair
Puneet K Dewan
author_facet Shanta Achanta
Jyoti Jaju
Ajay M V Kumar
Sharath Burugina Nagaraja
Srinivas Rao Motta Shamrao
Sasidhar Kumar Bandi
Ashok Kumar
Srinath Satyanarayana
Anthony David Harries
Sreenivas Achutan Nair
Puneet K Dewan
author_sort Shanta Achanta
collection DOAJ
description SETTING: Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. OBJECTIVES: To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC), and factors associated with compliance with ISTC. DESIGN: Cross- sectional survey using semi-structured interviews. RESULTS: Of 296 randomly selected private practitioners, 201 (68%) were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6%) followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14%) private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment). Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine. CONCLUSION: Few private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance.
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spelling doaj.art-b8f8a7c027da4c059445bc57edce31bf2022-12-21T21:43:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0188e7111910.1371/journal.pone.0071119Tuberculosis management practices by private practitioners in Andhra Pradesh, India.Shanta AchantaJyoti JajuAjay M V KumarSharath Burugina NagarajaSrinivas Rao Motta ShamraoSasidhar Kumar BandiAshok KumarSrinath SatyanarayanaAnthony David HarriesSreenivas Achutan NairPuneet K DewanSETTING: Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. OBJECTIVES: To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC), and factors associated with compliance with ISTC. DESIGN: Cross- sectional survey using semi-structured interviews. RESULTS: Of 296 randomly selected private practitioners, 201 (68%) were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6%) followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14%) private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment). Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine. CONCLUSION: Few private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance.http://europepmc.org/articles/PMC3742777?pdf=render
spellingShingle Shanta Achanta
Jyoti Jaju
Ajay M V Kumar
Sharath Burugina Nagaraja
Srinivas Rao Motta Shamrao
Sasidhar Kumar Bandi
Ashok Kumar
Srinath Satyanarayana
Anthony David Harries
Sreenivas Achutan Nair
Puneet K Dewan
Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
PLoS ONE
title Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
title_full Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
title_fullStr Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
title_full_unstemmed Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
title_short Tuberculosis management practices by private practitioners in Andhra Pradesh, India.
title_sort tuberculosis management practices by private practitioners in andhra pradesh india
url http://europepmc.org/articles/PMC3742777?pdf=render
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