Pandey, RajeshSingh, Akash RanjanKabirpanti, VikrantMishra, Rajesh2019-11-162019-11-162018-10Pandey 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): 80-852454-98942454-9886http://imsear.searo.who.int/handle/123456789/184522Background: 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.DOT providerKAP studytreatment supporterOperational ResearchMixed-method studyJournal ArticleIndiaChief Medical and Health Officer, Shahdol Madhya Pradesh, India 484001.Assistant Professor, Department of Community Medicine, Government Medical College Shahdol, Madhya Pradesh, India 484001Associate Professor, Department of Community Medicine, Government Medical College Shahdol, Madhya Pradesh, India 484001District TB Officer, district Shahdol, Madhya Pradesh, India 484001