Barriers of Treatment-Supporters for DOTS under RNTCP in District Shahdol, India: A Mix-Method Study

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dc.contributor.authorPandey, Rajeshen_US
dc.contributor.authorSingh, Akash Ranjanen_US
dc.contributor.authorKabirpanti, Vikranten_US
dc.contributor.authorMishra, Rajeshen_US
dc.date.accessioned2019-11-16T07:27:36Z
dc.date.available2019-11-16T07:27:36Z
dc.date.issued2018-10
dc.description.abstractBackground: One of the challenges of Revised National Tuberculosis Control Programme (RNTCP) has been that it has not been able to impart adequate knowledge, satisfactory attitude and desirable practices among treatment-supporters of rural and tribal communities. Present study was planned to explore the knowledge, attitude, practice and perceived barriers related to Directly Observed treatment (DOT) provision among the treatment-supporters of Shahdol district, Madhya Pradesh in 2018. Methods: Mixed–methods study design of triangulation type was used among 30 community- based treatment-supporters of DOT from Sohagpur tahsil of district Shahdol of Madhya Pradesh, India. The cross-sectional quantitative component assessed the knowledge, attitude and practices and three focus-group discussions were used to explore the perceived barriers related to DOT provision. Results: ‘Adequate knowledge’ related to DOT provision was found in 37% of treatment- supporters, while 40% had “satisfactory attitude” and 60 % had “satisfactory practice” related to DOT. The focus-group discussions revealed, ineffective training, lack of supportive supervision, insecure monetary incentive, distant Public Health Institution/Designated Microscopic Center, language barrier and patient related stigma to TB disease as main perceive challenges related to DOT. Conclusion: Study revealed inadequate knowledge and unsatisfactory attitude and practice related to DOT provision among treatment-supporters. Effective training, making services accessible to patient, making RNTCP form in Hindi language and strengthening of honorarium disbursement mechanism are urgently required.en_US
dc.identifier.affiliationsChief Medical and Health Officer, Shahdol Madhya Pradesh, India 484001.en_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, Government Medical College Shahdol, Madhya Pradesh, India 484001en_US
dc.identifier.affiliationsAssociate Professor, Department of Community Medicine, Government Medical College Shahdol, Madhya Pradesh, India 484001en_US
dc.identifier.affiliationsDistrict TB Officer, district Shahdol, Madhya Pradesh, India 484001en_US
dc.identifier.citationPandey Rajesh, Singh Akash Ranjan, Kabirpanti Vikrant, Mishra Rajesh. Barriers of Treatment-Supporters for DOTS under RNTCP in District Shahdol, India: A Mix-Method Study. International Archives of BioMedical and Clinical Research. 2018 Oct-Dec; 4(4): 80-85en_US
dc.identifier.issn2454-9894
dc.identifier.issn2454-9886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/184522
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber4en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/iabcr.2018.4.4.24en_US
dc.subjectDOT provideren_US
dc.subjectKAP studyen_US
dc.subjecttreatment supporteren_US
dc.subjectOperational Researchen_US
dc.subjectMixed-method studyen_US
dc.titleBarriers of Treatment-Supporters for DOTS under RNTCP in District Shahdol, India: A Mix-Method Studyen_US
dc.typeJournal Articleen_US
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