Indian Journal of Public Health Research & Development

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Challenges of Tuberculosis Control through Private Practitioners


Affiliations
1 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, India
2 Department Medical Care & Hospital Administration, NIHFW, Munirka, New Delhi, India
3 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, Uttar Pradesh, India
     

   Subscribe/Renew Journal


Setting: Privately practicing doctors trained in modern system of medicine in East Delhi area.

Objective: To ascertain the practices pertaining to diagnosis and treatment of tuberculosis&utilization of RNTCP by private practitioners.

Method: Quantitative data were obtained using a semi- structured interview schedule administered to 102 private practitioners trained in modern system of medicine, while qualitative data were obtained from key informant interviews (government functionaries) that focused on experiences regarding PPP in RNTCP.

Results: Data reveal that patients are started on ATT without baseline laboratory confirmations, record keeping is scanty & lack of trust in government run PPP schemes.

Conclusion: To improve private participation, network of accredited TB laboratory laboratories is needed along with bi directional treatment referrals.


Keywords

Tuberculosis, Private Public Partnership (PPP)
Subscription Login to verify subscription
User
Notifications
Font Size


  • Khatri GR, Frieden TR. The status and prospects of tuberculosis control in India. lnt J Tuberc Lung Dis 2000;(4): 193.

  • Directorate General of Health Services, Central TB Division, Nirman Bhawan, New Delhi -110 011

  • Selwyn, P.A., D. Hartel, V. A. Lewis, E. E. Schoenbaum, S. H. Vermund, R. S. Klein, A. Walker, G. H. Friedland. A prospective study of the risk of tuberculosis among intravenous drug users with immunodeficiency virus infection. N. Engl. J. Med. 1989;(320):545-550.

  • Bhatt R. The private/public mix of health care in India. Health policy and Planning.1993;(8): 43-56.

  • Annual Report Ministry Of Health; Government Of India ,2001-2002.

  • Uplekar M et all, Private practitioners and public health: weak links in tuberculosis control, Lancet 2001; 358: 912-916.

  • National Council of Applied Economic Research. Working Paper No 53, Household survey of health care utilization and expenditure .New Delhi; NCAER, 1995.

  • Uplekar MW , Shephard DS . Treatment of tuberculosis by private general practitioners in India. Tubercle. 1991; 72:284-290.

  • Narain JP, Tripathy SP, Pontali E. Tuberculosis and HIV infection. In Narain JP editor. Tuberculosis epidemiology and control. New Delhi: World Health Organization Regional Office for South East Asia; 2002.

  • Narain JP, Raviglione MC, Kochi A. HIV associated tuberculosis in developing countries: epidemiology and strategies for prevention. Tuber lung dis 1992; 73; 311-321

  • Sharma SK, Mohan A. Co infection of Human Immunodeficiency virus and tuberculosis: Indian perspective.Ind J Tuberc 2004; 51:5-16.

  • Sophia Vijay,V.H. Balasangameshwara, P.S.Jagannatha , P. Kumar. Initial drug resistance among tuberculosis patients under DOTS programme in Bangalore city. Ind J Tuberc 2004; 51:17-21

  • Veron L J, Suchi M , Raviglione MC , Blanc LJ. DOTS expansion; will we reach 2005 targets ? Int J Tuberc Lung Dis . 2004 Jan; 8(1) :139-146

  • Quy HT, Lonnroth K :Lan N t; Buu TN. Treatment results among patients tuberculosis patients treated by private lung specialists. Int J Tuberc Lung Dis. 2003 Dec ; 7(12):1139-1146.

  • Arora VK, Sarin R, Lonnroth K . Feasibility and effectiveness of a public – private mix project for improved TB control in Delhi. Int J Tuberc Lung Dis 2003 Dec ;7(12) ; 1131-1138


Abstract Views: 367

PDF Views: 0




  • Challenges of Tuberculosis Control through Private Practitioners

Abstract Views: 367  |  PDF Views: 0

Authors

Vinay Garg
Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, India
J K Das
Department Medical Care & Hospital Administration, NIHFW, Munirka, New Delhi, India
Manish Chaturvedi
Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, Uttar Pradesh, India

Abstract


Setting: Privately practicing doctors trained in modern system of medicine in East Delhi area.

Objective: To ascertain the practices pertaining to diagnosis and treatment of tuberculosis&utilization of RNTCP by private practitioners.

Method: Quantitative data were obtained using a semi- structured interview schedule administered to 102 private practitioners trained in modern system of medicine, while qualitative data were obtained from key informant interviews (government functionaries) that focused on experiences regarding PPP in RNTCP.

Results: Data reveal that patients are started on ATT without baseline laboratory confirmations, record keeping is scanty & lack of trust in government run PPP schemes.

Conclusion: To improve private participation, network of accredited TB laboratory laboratories is needed along with bi directional treatment referrals.


Keywords


Tuberculosis, Private Public Partnership (PPP)

References