Performance Of Directly Observed Treatment Provider Affecting the Treatment Outcome of Tuberculosis Cases in Amritsar City
Keywords:
Tuberculosis, DOTS, DOT provider, DOT centreAbstract
Introduction: DOT providers are the key persons in the implementation of the RNTCP at ground level.
Objective: To assess the working of DOT providers and DOT centre affecting the treatment outcome in sputum positive TB patients under RNTCP.
Materials and Methods: With the help of self designed questionnaire, patients were asked about the working, availability and behaviour of the DOT provider, the distance, timing of DOT, facilities for taking drugs and privacy at the DOT centre. Data management and analysis was done by using Microsoft excel and SPSS version 17.00.
Results: Of 250 patients, 149 (59.6%) were men and 101 (40.4%) women. It was found that the initial verification of the address by the DOT provider, availability of the DOT provider and the availability of clean water, disposable cups and privacy for the patient were significantly associated with the treatment outcome (p = 0.021, p = 0.006 and p = 0.04 respectively). Behaviour of the DOT provider and the distance of the DOT centre were not significantly associated with the outcome.
Conclusion: Direct observation alone is not sufficient for treating TB, quality of working of the DOT provider and facilities at the DOT centre are significantly associated with treatment success.
References
Gupta S. A study on Performance of DOT Providers in Meerut District. Indian Journal of Clinical Practice; 22(8); 2012: 400-02.
TB India. Available at http//www.tbcidia.org. Ac-cessed Aug 2nd, 2015.
Bhagyalaxmi A, Jain S, Kadri AM. Effectiveness of different models of DOTS providers under RNTCP in Ahmedabad city, Gujarat. IJCM; 35(4); 2010: p 495-7.
Haque MA, Kumar D, Vyas S. A study on socio-demographic profile and feasibility of DOTS provider registered under RNTCP in Varanasi district Uttar Pradesh. Ind J Comm Health. 26(1); 2014:107-110.
MacIntyre CR, Goebel K, Brown GV, Skull S, Starr M, Fullinfaw RO. A randomised controlled clinical trial of the efficacy of family-based direct observation of anti-tuberculosis treatment in an urban, developed-country setting. Int J Tuberc Lung Dis. 7(9); 2003 Sep: 848-54.
Central TB Division, Managing the revised tuberculosis control programme in your area - Administering treatment. New Delhi: Directorate General of Health Services Ministry of Health and Family Welfare, Gov-ernment of India: 97; 2005. Available at http://www.tbcindia.org/ pdfs/Module5-9.pdf. Ac-cessed Aug 3rd, 2015.
TB India 2011. Revised National Tuberculosis Control Programme. Annual Status Report: TB India 2011. Central TB Division, Directorate General of Health Ser-vices, Ministry of Health and Family Welfare; 2010. Available at: http://www.tbcindia.org. Accessed Aug 1st, 2015.
Chadha SL, Bhagi RP. Treatment outcome in tubercu-losis patients placed under DOTS: A cohort study. In-dian J Tuberc. 2000; 47(3): 155-8.
Acharya D, Majra JP. A clinical- epidemiological study of TB among hospital cases in Dakshina Kannada dis-trict of Karnataka. In: NTI Bulletin. 2007; 43: 43-6.
Vasankari T, Holmstrom P, Ollgren J, Lippo K, Kokki M, Ruutu P. Risk factors for poor tuberculosis treat-ment outcome in Finland: a cohort study. BMC Public Health. 2007; 7: 291.
Mukherjee A, Singla R, Saha I. Comparing outcomes in new pulmonary sputum positive and sputum negative cases under RNTCP in rural India. Indian J Tuberc. 2009; 56: 144-50.
Chennaveerappa PK, Siddharam SM, Halesha BR, Vittal BG, Jayashree N. Treatment outcome of tubercu-losis patients registered at DOTS centre in a teaching hospital, South India. Int J Biol Med Res. 2011; 2: 487-9.
Mohanarani S, Swaminathan S, Rajasekaran S, Thomas BE, Arunkumar N, Muniyandi M, et al. Feasibility of community DOT providers for tuberculosis treatment in HIV infected individuals- A pilot study. Indian J Tuberc. 2005; 52: 179-83.
International Institute for Population Sciences (IIPS). District Level Household and Facility Survey (DLHS-3), 2007-08, India, Punjab, Mumbai; IIPS; 2010.
Muniyandi M, Ramachandran R, Balasubramanian R. Cost to patients with tuberculosis treated under DOTS. Indian J Tuberc. 2005; 52: 188-96.
Muniyandi M, Ramachandran R, Balasubramanian R, Narayanan PR. Socio-economic dimensions of tubercu-losis control: Review of studies over two decades from Tuberculosis Research Centre. J Commun Dis. 2006; 38(3): 204-15.
Vijay S, Kumar P, Chauhan LS, Vollepore BH, Ki-zhakkethil UP, Rao GS. Risk factors associated with default among new smear positive tuberculosis pa-tients treated under DOTS in India. PLoS One. 2010; 5(4): e10043. Available at http://www.plosone.org/ article/info:doi%2F10.1371%2Fjournal.pone.0010043. Accessed July 29th, 2015.
Raman V, Chadha VK, Shashidhara AN, Jaigopal MV, Selvam. A study of knowledge, attitude and practices of patients currently under treatment for tuberculosis and defaulters, in a backward area of South India. NTI Bulletin. 1997; 33: 3-8.
WHO. Advocacy, communication and social mobiliza-tion for TB control: a guide to developing knowledge, attitude and practice survey; 2008. Available at http://whqlibdoc.who.int/publications/2008/9789241596176_eng.pd. Accessed Aug 1st, 2015.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
