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The Indian Journal of Tuberculosis - LRS Institute of Tuberculosis ...

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20 A.K. CHAKRABORTYCTAL ETAL<br />

Use <strong>of</strong> the model<br />

<strong>The</strong> critical evaluation <strong>of</strong> DTP efficiency<br />

through the conscious selection <strong>of</strong> very high CF<br />

efficiency, compliance, and SCC coverages, as<br />

inputs, is certainly an optimistic projection. No<br />

doubt, with the present levels <strong>of</strong> efficiency inputs<br />

in case-finding, case-holding and treatment, it<br />

may appear impossible to postulate an annual<br />

reduction <strong>of</strong> cases equivalent to or more than the<br />

annual incidence. Hopefully,however, one could<br />

still expect a dent in the problem <strong>of</strong> tuberculosis,<br />

if only in a long time-frame. With that end in<br />

view, a model is separately being constructed to<br />

estimate the time frame required to observe a<br />

downward trend in the problem <strong>of</strong> tuberculosis<br />

under some <strong>of</strong> the alternative efficiency situations<br />

given above.<br />

Apart from the use <strong>of</strong> the present model in<br />

constructing the long term epidemiological time<br />

trend <strong>of</strong> tuberculosis, following programme<br />

interventions, realistic estimates <strong>of</strong> expectations<br />

given in this paper could be used to demonstrate<br />

the gains that could accrue by improving the<br />

efficiency <strong>of</strong> various programme activities.<br />

Programme planners and administrators could<br />

make conscious selection <strong>of</strong> some <strong>of</strong> the<br />

alternatives, <strong>of</strong> input-combinations given in Table<br />

7 in context <strong>of</strong> resources available, and expect<br />

commensurate results by matching with outputs<br />

given in the paper.<br />

References<br />

1. Srikantaramu, N., Baily, G.V.J., Nair, S.S. : An<br />

operational model <strong>of</strong> the District <strong>Tuberculosis</strong><br />

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2. Radhakrishna, S. : National <strong>Tuberculosis</strong><br />

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operational efficiency <strong>of</strong> different components <strong>of</strong><br />

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Shrinivas, T.R., Chaudhuri, K.: Operational<br />

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course chemotherapy regimen in District<br />

<strong>Tuberculosis</strong> Centre; Ind. J. Tub. : 1991, 38, 55.<br />

12. Jagota, P., Sudha, X., Parimila, N., Chaudhuri,<br />

K.: A study <strong>of</strong> operational factors influencing the<br />

applicability <strong>of</strong> two regimens <strong>of</strong> Short Course<br />

Chemotherapy under conditions <strong>of</strong> an urban<br />

tuberculosis programme; Ind. J. Tub.: 1989, 36,<br />

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13. National <strong>Tuberculosis</strong> <strong>Institute</strong> : <strong>Tuberculosis</strong> in<br />

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