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

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

lrsitbrd.nic.in
from lrsitbrd.nic.in More from this publisher
03.01.2015 Views

186 EDITORIAL 1.6% knew that tuberculosis is caused by the germs and only 6.9% knew about the need of treatment for 6-8 months’ duration and 0.8% knew about the preventive role of BCG. On the other hand, , 72.6% respondents had the myth that TB patients should be isolated from the family and 80.6% had misconceptions that food sharing should be avoided with these patients. This substantiates our view that there is still an appalling ignorance and superstition about the disease, its spread, causation, etc. There is a dire need for creating awareness, so as to remove myths about tuberculosis in such groups of people in the community. On social mobilization, there are different ways which are being employed by various agencies on different occasions. The second related article in this issue is a study from rural community in south India 6 . It has highlighted and identified different communication channels for spreading awareness about the tuberculosis problem in the community. In this community-based study 38% of the people were illiterates. The main sources of communication, commonly identified, were television and wall posters. Another method of dissemination found to be very effective was the role of local associations in the villages as 50% of these already had such type of local bodies. If we motivate and convince these bodies, they can be very effective means of IEC activities in the local community. M.M. SINGH K.K. CHOPRA REFERENCES 1. http://www.undp.org/mdg/millennium % 20 Developed % 20 Goals. pdf. 2. www. globallunghealth.org/social mobilization. 3. TB India 2006, RNTCP Status Report. Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare, Nirman Bhawan, New Delhi-110 011. 4. Social mobilization of NGOs. TB Control. IUATLD2005. Page 8. 5. Yadan, SP, Mathur, ML and Dixit AK. Knowledge and attitude towards tuberculosis among sandstrone quarry workers in desert parts of Rajasthan. Indian J Tuberc 2006; 53:187-195. 6. Ramachandran, R, Jaggarajamma, K., Muniyandi, M and Balasubramanian, R. Identifying effective communication channels in a rural community: A field report from south India. Indian J Tuberc 2006; 53:206-211. Indian Journal of Tuberculosis

Original Article PERFORMANCE OF A DOTS PROGRAMME: ADMINISTRATIVE AND TECHNICAL CHALLENGES - A FIELD REPORT FROM A DISTRICT IN SOUTH INDIA P.G. Gopi, R. Subramani, T. Santha, S. Radhakrishnan, V. Chandrasekaran, R. Rajeswari, R. Balasubramanian, A. Thomas, M. Muniyandi and P.R. Narayanan (Original received on 7.2.2006; Revised Version received on 4.4.2006; Accepted on 13.4.2006) Summary Background: Performance of tuberculosis (TB) control programme depends on the functioning of health facilities (HFs). TB control programmes have been evaluated based on the programme indicators of conversion and cure. We have attempted to correlate the programme performance based on the availability of staff and their performance at the HF level. Objective: To correlate the performance of HFs to programme indicators, conversion and cure of patients treated under DOTS, in a district of south India. Design: Analysis of the data on new sputum smear-positive cases registered in 17 HFs during 1999-2003 was undertaken using TB register. The HFs with a low conversion or cure rates were identified and the reasons for the same were analysed. A scoring system was designed for the functioning of the HFs based on staff availability, supervision and review meetings which was correlated with programme performance. Univariate and multivariate analyses were performed. Results: Of 1893 new smear-positive patients registered during the study period, conversion was 1582 (83.6%) with cure rate of 76.4% (1447 of 1893), 254 (13.4%) default, 94 (5.0%) failure and 85 (4.5%) death. The conversion rates increased from 76% in 1999 to 87% in 2003; a statistically significant trend (χ 2 = 15.9; P

186<br />

EDITORIAL<br />

1.6% knew that tuberculosis is caused by the germs and only 6.9% knew about the need <strong>of</strong> treatment<br />

for 6-8 months’ duration and 0.8% knew about the preventive role <strong>of</strong> BCG. On the other hand, , 72.6%<br />

respondents had the myth that TB patients should be isolated from the family and 80.6% had<br />

misconceptions that food sharing should be avoided with these patients. This substantiates our view<br />

that there is still an appalling ignorance and superstition about the disease, its spread, causation, etc.<br />

<strong>The</strong>re is a dire need for creating awareness, so as to remove myths about tuberculosis in such groups<br />

<strong>of</strong> people in the community.<br />

On social mobilization, there are different ways which are being employed by various agencies<br />

on different occasions. <strong>The</strong> second related article in this issue is a study from rural community in<br />

south India 6 . It has highlighted and identified different communication channels for spreading awareness<br />

about the tuberculosis problem in the community. In this community-based study 38% <strong>of</strong> the people<br />

were illiterates. <strong>The</strong> main sources <strong>of</strong> communication, commonly identified, were television and wall<br />

posters. Another method <strong>of</strong> dissemination found to be very effective was the role <strong>of</strong> local associations<br />

in the villages as 50% <strong>of</strong> these already had such type <strong>of</strong> local bodies. If we motivate and convince these<br />

bodies, they can be very effective means <strong>of</strong> IEC activities in the local community.<br />

M.M. SINGH<br />

K.K. CHOPRA<br />

REFERENCES<br />

1. http://www.undp.org/mdg/millennium % 20 Developed % 20 Goals. pdf.<br />

2. www. globallunghealth.org/social mobilization.<br />

3. TB India 2006, RNTCP Status Report. Central TB Division, Directorate General <strong>of</strong> Health Services, Ministry <strong>of</strong> Health and<br />

Family Welfare, Nirman Bhawan, New Delhi-110 011.<br />

4. Social mobilization <strong>of</strong> NGOs. TB Control. IUATLD2005. Page 8.<br />

5. Yadan, SP, Mathur, ML and Dixit AK. Knowledge and attitude towards tuberculosis among sandstrone quarry workers in<br />

desert parts <strong>of</strong> Rajasthan. <strong>Indian</strong> J Tuberc 2006; 53:187-195.<br />

6. Ramachandran, R, Jaggarajamma, K., Muniyandi, M and Balasubramanian, R. Identifying effective communication channels<br />

in a rural community: A field report from south India. <strong>Indian</strong> J Tuberc 2006; 53:206-211.<br />

<strong>Indian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Tuberculosis</strong>

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!