“Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?”
Introduction: Rural healthcare providers (RHCPs) are the first point of contact for majority of patients in rural parts of India. A total of 75 RHCPs were trained and engaged in Hazaribagh to identify presumptive tuberculosis (TB) patients (PrTBPs) and refer them for diagnosis. Patients diagnosed wi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| 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=1;spage=259;epage=263;aulast=Prasad |
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| author | Banuru M Prasad Sarabjit S Chadha Pruthu Thekkur Sashikant Nayak Vikas S Rajput Rajesh Ranjan Rakesh Dayal |
| author_facet | Banuru M Prasad Sarabjit S Chadha Pruthu Thekkur Sashikant Nayak Vikas S Rajput Rajesh Ranjan Rakesh Dayal |
| author_sort | Banuru M Prasad |
| collection | DOAJ |
| description | Introduction: Rural healthcare providers (RHCPs) are the first point of contact for majority of patients in rural parts of India. A total of 75 RHCPs were trained and engaged in Hazaribagh to identify presumptive tuberculosis (TB) patients (PrTBPs) and refer them for diagnosis. Patients diagnosed with TB were initiated on directly observed treatment short course (DOTS) under the programme. Based on patients' choice, the treatment providers were either RHCPs or community health workers (CHWs). In this paper, we aim to compare the treatment outcomes of TB patients who received DOTS from RHCPs with CHWs. Method: This is a retrospective cohort study using secondary data routinely collected through project and Revised National TB Control Programme. Results: Over the period of 24 months, 57 RHCPs continued to be engaged with project and a total of 382 referrals were made out of which 72 (19%) were diagnosed with TB. Based on choice made, 40 (55%) of TB patients chose RHCPs and 32 (45%) CHWs as their treatment provider. The mean successful treatment completion rate was 87% in the RHCP group compared with 81% for CHWs (P value 0.464). The percentages of unsuccessful outcomes were similar for both groups. Conclusions: Our study demonstrates the process to engage RHCPs in TB prevention and care. The study highlights community preference for RHCPs as DOT provider who can produce similar TB treatment success rates as that of CHWs identified by programme. |
| first_indexed | 2024-04-12T19:54:56Z |
| format | Article |
| id | doaj.art-e27517be07d8494693438d0f9b9ec8f8 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-12T19:54:56Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-e27517be07d8494693438d0f9b9ec8f82022-12-22T03:18:42ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019125926310.4103/jfmpc.jfmpc_729_19“Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?”Banuru M PrasadSarabjit S ChadhaPruthu ThekkurSashikant NayakVikas S RajputRajesh RanjanRakesh DayalIntroduction: Rural healthcare providers (RHCPs) are the first point of contact for majority of patients in rural parts of India. A total of 75 RHCPs were trained and engaged in Hazaribagh to identify presumptive tuberculosis (TB) patients (PrTBPs) and refer them for diagnosis. Patients diagnosed with TB were initiated on directly observed treatment short course (DOTS) under the programme. Based on patients' choice, the treatment providers were either RHCPs or community health workers (CHWs). In this paper, we aim to compare the treatment outcomes of TB patients who received DOTS from RHCPs with CHWs. Method: This is a retrospective cohort study using secondary data routinely collected through project and Revised National TB Control Programme. Results: Over the period of 24 months, 57 RHCPs continued to be engaged with project and a total of 382 referrals were made out of which 72 (19%) were diagnosed with TB. Based on choice made, 40 (55%) of TB patients chose RHCPs and 32 (45%) CHWs as their treatment provider. The mean successful treatment completion rate was 87% in the RHCP group compared with 81% for CHWs (P value 0.464). The percentages of unsuccessful outcomes were similar for both groups. Conclusions: Our study demonstrates the process to engage RHCPs in TB prevention and care. The study highlights community preference for RHCPs as DOT provider who can produce similar TB treatment success rates as that of CHWs identified by programme.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=259;epage=263;aulast=Prasadcommunity-based screeningcommunity health workersdotsrural healthcare providerstuberculosis |
| spellingShingle | Banuru M Prasad Sarabjit S Chadha Pruthu Thekkur Sashikant Nayak Vikas S Rajput Rajesh Ranjan Rakesh Dayal “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” Journal of Family Medicine and Primary Care community-based screening community health workers dots rural healthcare providers tuberculosis |
| title | “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” |
| title_full | “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” |
| title_fullStr | “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” |
| title_full_unstemmed | “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” |
| title_short | “Is there a difference in treatment outcome of tuberculosis patients: Rural Healthcare Providers versus Community Health Workers?” |
| title_sort | is there a difference in treatment outcome of tuberculosis patients rural healthcare providers versus community health workers |
| topic | community-based screening community health workers dots rural healthcare providers tuberculosis |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=259;epage=263;aulast=Prasad |
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