District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
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Saran <strong>District</strong> maintained the NSP case detection rate through out the years and improved it<br />
cure rate. The percent of positive cases detection is increased and also the cure rate has<br />
improved.<br />
At every 100000 Population there is a provision to establish one Designated Microscopy<br />
Unit. There are 24 Sanctioned Designated Microscopy Unit in Saran , out of 24 DMC only<br />
16 are functional, 8 DMCs are non-functional due to lack of Microscopist /Microscope and<br />
Lab technician Deliberations at grassroots level (village and block level) gave an idea about<br />
perceptions and level of awareness/ stigma attached to tuberculosis. Within the community,<br />
tuberculosis is recognized as a contagious disease. Due to prevailing beliefs associated with<br />
the disease it is socially stigmatized. Because of fear of segregation from the community,<br />
individuals hide the disease thereby resulting in delayed treatment. According to the members<br />
of the community, socio-economic deprivation, unhygienic living conditions and excessive<br />
smoking are factors contributing to the occurrence of infection. TB is suspected when cough<br />
persists for more than three weeks. No home treatment is practiced for curing TB. Knowledge<br />
about DOTS is low.<br />
The preventives suggested for TB were to reduce smoking, have a nutritious diet and ensure<br />
protection from cold.<br />
Most of the respondents spoke of the need for information dissemination about modes of<br />
transmission and prevention that could be adopted at village level. AWW, ASHA, ANM,<br />
Panchayat Members and community groups have been earmarked for this role of information<br />
dissemination.<br />
Goals:<br />
� To achieve and maintain the cure rate of atleast 85% among newly detected infectious<br />
( New sputum smear positive cases )<br />
� To achieve and maintain detection of at least 70% such cases in the population<br />
53 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n