Progression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care givers

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dc.contributor.authorKumar, Ashutoshen_US
dc.contributor.authorRana, Rishabh Kumaren_US
dc.contributor.authorSundram, Shalinien_US
dc.contributor.authorSinha, Sudipta Kumaren_US
dc.contributor.authorJaiswal, Richaen_US
dc.contributor.authorKashyap, Viveken_US
dc.date.accessioned2020-05-06T08:41:22Z
dc.date.available2020-05-06T08:41:22Z
dc.date.issued2019-06
dc.description.abstractBackground: The aims and objectives were to study the progression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care givers.Methods: The study was carried out in TB Sanatorium ITKI, Sadar Hospital Ranchi and RIMS Ranchi. The interview of various health personnel including SAHIYAs was taken using a semi-structured questionnaire based on programmatic management of multi drug resistant tuberculosis guidelines -2016.Results: Among Doctors knowledge level was good compared to other health personnel which had mean value 7.33 (±2.79), laboratory technician 3.45 (±2.64), STS 4.67 (±1.59), Sahiya 2.1 (±0.73). Regarding capacity enhancement level all health personnel needed refresher trainings in which doctors got 4.67 (±1.58), laboratory technician 3.45±2.64, STS 1.72±0.34, and Sahiya 0.5±0.52. Specially sahiya needs training regarding MDR-TB because they are the connecting link between health system and community. Regarding execution level, Doctors got 1.86 (±0.74), laboratory technician 1.64 (±0.56), STS 1.64 (±0.56) and Sahiya (ASHA) 2.2 (±0.44). Sahiya were better than other health personnel at execution level.Conclusions: Advocacy, communication, and social mobilization are important aspects of TB control, Policy makers and administrators should be sensitized for need of adequate and sustained funding for TB control to ensure quality capacity building. They need to provide continuous and quality training of staff at different levels and retention of trained staff and periodic reviews to identify gaps and take corrective steps.en_US
dc.identifier.affiliationsDepartment of Preventive and Social Medicine (PSM)/Community Medicine, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.affiliationsDepartment of Preventive and Social Medicine (PSM)/Community Medicine, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.affiliationsDepartment of Preventive and Social Medicine (PSM)/Community Medicine, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.affiliationsUniversity of Illinois Urbana–Champaign, USAen_US
dc.identifier.affiliationsDepartment of Preventive and Social Medicine (PSM)/Community Medicine, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.citationKumar Ashutosh, Rana Rishabh Kumar, Sundram Shalini, Sinha Sudipta Kumar, Jaiswal Richa, Kashyap Vivek. Progression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care givers. International Journal of Community Medicine and Public Health. 2019 Jun; 6(6): 2378-2383en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/201446
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20192091en_US
dc.subjectMDR-TBen_US
dc.subjectRNTCPen_US
dc.subjectPMDT-guidelines 2016en_US
dc.titleProgression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care giversen_US
dc.typeJournal Articleen_US
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