A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India
Understanding factors leading to death following the onset of symptoms of tuberculosis (TB) is important to predict prognosis among patients with TB. With aiming the End TB strategy, mortality is declining not as expected globally and in India. Although India is one of the highest incidence countrie...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398422002482 |
| _version_ | 1811172055292313600 |
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| author | Harsh D. Shah Sandul Yasobant Kiran M. Narkhede Jay Patel Priya Bhavsar Somen Saha Anish K. Sinha Deepak Saxena Tapasvi Puwar Pankaj D. Nimavat Dixit Kapadia Satish Makwana |
| author_facet | Harsh D. Shah Sandul Yasobant Kiran M. Narkhede Jay Patel Priya Bhavsar Somen Saha Anish K. Sinha Deepak Saxena Tapasvi Puwar Pankaj D. Nimavat Dixit Kapadia Satish Makwana |
| author_sort | Harsh D. Shah |
| collection | DOAJ |
| description | Understanding factors leading to death following the onset of symptoms of tuberculosis (TB) is important to predict prognosis among patients with TB. With aiming the End TB strategy, mortality is declining not as expected globally and in India. Although India is one of the highest incidence countries globally, India lacks evidence of understanding of the factors for TB death. Thus, this study aims to document the characteristics of deaths due to TB in the Western state of India, Gujarat.About 74 deaths were randomly documented from 7 different geographic regions of Gujarat through a community-based death review from Oct 2021 to February 2022. The trained researchers administered a semi-structured questionnaire to capture the demographic, socioeconomic, history of comorbidity and addiction, medical history, case records, and chronology of events preceding death.Most deaths happened within 24 weeks from the onset of symptoms, which reduced to half (12 weeks) in the other cascades, i.e., diagnosis and treatment initiation to the death. Out of 74 reviewed deaths, 47 (64%) deaths had the cause of death as TB, with an average duration of 87 days from onset of symptoms to death. The study observed the time, place, and person distribution on different epidemiological parameters. While analyzing narratives from the relative, the gaps between the system (service provider) and demand (patient perspective) sides were synthesized.It is recommended to conduct such kind of community-based death reviews in the routine practices of the National TB Elimination Program to ensure the appropriate review of the underlying causes of deaths due to TB. The matrix developed in this study is easy to replicate in any other death reviews to understand the intercept of the supply-demand side determinants for the deaths. |
| first_indexed | 2024-04-10T17:24:10Z |
| format | Article |
| id | doaj.art-cd4b5ec2e902484999b89ff00f8ec655 |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-04-10T17:24:10Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-cd4b5ec2e902484999b89ff00f8ec6552023-02-05T04:16:14ZengElsevierClinical Epidemiology and Global Health2213-39842023-01-0119101205A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western IndiaHarsh D. Shah0Sandul Yasobant1Kiran M. Narkhede2Jay Patel3Priya Bhavsar4Somen Saha5Anish K. Sinha6Deepak Saxena7Tapasvi Puwar8Pankaj D. Nimavat9Dixit Kapadia10Satish Makwana11Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India; Corresponding author. Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, 382042, Gandhinagar, Gujarat, India.Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India; School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India; School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India; School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IndiaDepartment of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, IndiaState Training and Demonstration Center, Department of Health and Family Welfare, Government of Gujarat, IndiaState TB Office, Department of Health and Family Welfare, Government of Gujarat, IndiaState TB Office, Department of Health and Family Welfare, Government of Gujarat, IndiaUnderstanding factors leading to death following the onset of symptoms of tuberculosis (TB) is important to predict prognosis among patients with TB. With aiming the End TB strategy, mortality is declining not as expected globally and in India. Although India is one of the highest incidence countries globally, India lacks evidence of understanding of the factors for TB death. Thus, this study aims to document the characteristics of deaths due to TB in the Western state of India, Gujarat.About 74 deaths were randomly documented from 7 different geographic regions of Gujarat through a community-based death review from Oct 2021 to February 2022. The trained researchers administered a semi-structured questionnaire to capture the demographic, socioeconomic, history of comorbidity and addiction, medical history, case records, and chronology of events preceding death.Most deaths happened within 24 weeks from the onset of symptoms, which reduced to half (12 weeks) in the other cascades, i.e., diagnosis and treatment initiation to the death. Out of 74 reviewed deaths, 47 (64%) deaths had the cause of death as TB, with an average duration of 87 days from onset of symptoms to death. The study observed the time, place, and person distribution on different epidemiological parameters. While analyzing narratives from the relative, the gaps between the system (service provider) and demand (patient perspective) sides were synthesized.It is recommended to conduct such kind of community-based death reviews in the routine practices of the National TB Elimination Program to ensure the appropriate review of the underlying causes of deaths due to TB. The matrix developed in this study is easy to replicate in any other death reviews to understand the intercept of the supply-demand side determinants for the deaths.http://www.sciencedirect.com/science/article/pii/S2213398422002482DeathMortalityCommunity-basedTBIndiaTB death audit |
| spellingShingle | Harsh D. Shah Sandul Yasobant Kiran M. Narkhede Jay Patel Priya Bhavsar Somen Saha Anish K. Sinha Deepak Saxena Tapasvi Puwar Pankaj D. Nimavat Dixit Kapadia Satish Makwana A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India Clinical Epidemiology and Global Health Death Mortality Community-based TB India TB death audit |
| title | A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India |
| title_full | A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India |
| title_fullStr | A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India |
| title_full_unstemmed | A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India |
| title_short | A step up to end tuberculosis: Lessons from a community-based death review of patients with tuberculosis from western India |
| title_sort | step up to end tuberculosis lessons from a community based death review of patients with tuberculosis from western india |
| topic | Death Mortality Community-based TB India TB death audit |
| url | http://www.sciencedirect.com/science/article/pii/S2213398422002482 |
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