District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

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