Evaluation of Directly Observed Treatment Providers in the Revised National Tuberculosis Control Programme.

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dc.contributor.authorNirupa, C
dc.contributor.authorSudha, G
dc.contributor.authorSantha, T
dc.contributor.authorPonnuraja, C
dc.contributor.authorFathima, R
dc.contributor.authorChandrasekharan, V
dc.contributor.authorJaggarajamma, K
dc.contributor.authorThomas, A
dc.contributor.authorGopi, P G
dc.contributor.authorNarayanan, P R
dc.date.accessioned2013-05-27T09:25:28Z
dc.date.available2013-05-27T09:25:28Z
dc.date.issued2005-04
dc.description.abstractBackground: Non-governmental personnel such as Anganwadi workers and community volunteers have been used as directly observed treatment (DOT) providers in the Revised National Tuberculosis Control Programme (RNTCP), but their effectiveness has not been documented. Aim: To assess the treatment outcome and problems encountered by patients managed by different DOT providers in the RNTCP. Material and Methods: Patients diagnosed with tuberculosis at 17 Primary Health Institutions (PHIs) in Tiruvallur District during a 3-year period received DOT from one of the four types of trained DOT providers (PHI staff, governmental outreach workers, Anganwadi workers, community volunteers), and their treatment outcomes were compared. Of the 1131 new smear-positive patients treated between May 1999 through June 2002, 199 (18%) received DOT from PHI staff, 238(21%) from outreach workers, 496 (44%) from Anganwadi workers, and 170 (15%) from community volunteers. Twenty-eight patients (2%) collected drugs for self-administration. Results: Treatment success rates among patients treated by different DOT providers, Anganwadi workers (80%), governmental outreach workers (81%), community volunteers (76%) and PHI staff (76%), were statistically similar. Patients who received drugs for self-administration were significantly more likely to fail to treatment or die than patients who were treated by a DOT provider (5/28 versus 84/1103; odds ratio=4.1; 95% confidence interval=1.2-12.6; p=0.02). Conclusion: In addition to governmental staff, Anganwadi workers and community volunteers can be effectively utilized as DOT providers.en_US
dc.identifier.citationNirupa C, Sudha G, Santha T, Ponnuraja C, Fathima R, Chandrasekharan V, Jaggarajamma K, Thomas A, Gopi P G, Narayanan P R. Evaluation of Directly Observed Treatment Providers in the Revised National Tuberculosis Control Programme. Indian Journal of Tuberculosis. 2005 Apr; 52(2): 73-78.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/146953
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/ibr/t05/i2/ibrt05i2p73.pdfen_US
dc.subjectTuberculosisen_US
dc.subjectDirectly observed treatment providersen_US
dc.subjectRevised National Tuberculosis Control Programmeen_US
dc.titleEvaluation of Directly Observed Treatment Providers in the Revised National Tuberculosis Control Programme.en_US
dc.typeArticleen_US
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