A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Devadason, Pethuru
- Direct Observation Pattern of DOTS (Directly Observed Treatment Short Course) by Alternate DOTS Providers for Patients Treated under RNTCP in a Tertiary Care Hospital
Authors
1 Department of Community Medicine, SMIMS, Kulasekharam, T.N., IN
2 Department of Community Medicine, Christian Medical College, Vellore, T.N., IN
3 Department of Community Medicine, Christian Medical College, Vellore, T.N, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 131-134Abstract
Direct Observation of Treatment Short course (DOTS) is the proven effective in controlling TB on a mass basis around the world. Direct observation is the central and key element for the success of the DOTS strategy. In India, Multi-purpose health workers play a major role in treatment observation; where they are not available, treatment observation is done by community volunteers including anganwadi workers, traditional dais, and community and religious leaders. The choice of DOTS provider should be based on access, patient preference and availability of the DOTS providers. This study was done to find the pattern of the direct observation component of the DOTS strategy by the professional and community DOTS providers and to find out their acceptance among the patients.
Material and Method
164 new sputum positive patients treated at rural and urban TB clinics of CMC Vellore from January 2001 to December 2004 were followed up during November 2005 along with their respective DOTS providers using separate structured questionnaires. The data entry and statistical analysis was done using SPSS data analysis package version 12.0. Chi2 test and t- test were used to test the significance of the data.
Result
Intensive Phase (IP) treatment was given alternate days by 94.5% of the community providers compared to 90.1% of professional providers. In Continuation Phase (CP) treatment, it was not expected by the RNTCP guidelines to give alternate days. But 34.2% of community providers had given on alternate days as in IP compared to only 4.4% of professional providers. The difference is statistically significant (p value <0.001). Patients observed by professional providers had to travel the mean distance of 0.91 Km compared to only 0.31 km with community providers (p value <0.001). The average time spent each time to get drugs from their providers in the professional arm is 27.42 minutes compared to only 14.86 minutes with community providers (p value <0.001). In the professional arm the main place was clinics/hospitals (90.1%) and in the community arm mainly either it was patients' house (452%) or providers' house (41.1%). In the professional arm, the patients are cumulated in the working hours of the professional providers and they are evenly distributed regarding time in the community arm.
Conclusion
The DOTS being provided at home with less consumption of time and lesser distance to travel are significantly different in the community arm of DOTS providers as compared to the professional DOTS providers.
Keywords
DOTS Providers, Community ProvidersReferences
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- Study Protocol:A Randomised Controlled Trial on Effectiveness of a Worksite Health Intervention on Common Musculoskeletal Problems and Work-Related Quality of Life (WRQoL) among Female Workers in the Garment Manufacturing Sectors
Authors
1 Department of community Health Nursing, Ramaiah Institute of Nursing Education and Research, Bangalore, IN
2 Community Medicine, Saveetha University, Chennai, IN
3 Community Health, St. John’s Medical College, Bangalore, IN
4 Department of General Practice, Al Nahil International Clinic, KW
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 1-6Abstract
Garmenting is one of the many labour intensive sector that provides gateway for developing countries in entering into the global market. Southern production centres employ more than 80% women as part of their workforce. Working for a long period of time without rest, absence of personal protective equipment and inadequate provision of ergonomic facilities at workplace leads to discomfort and fatigue.
Method and Method: 150 female workers with common musculoskeletal problems and working at the selected garment manufacturing factories and fulfilling the selection criteria will be randomly assigned to experimental and control group. The work site health intervention will be provided to experimental group, which involves 3 sessions for a week namely orientation to body mechanics, demonstration on neck and lower back exercise and nutritional education. After the demonstration, the female worker will be instructed to perform the exercise, 5 times in a week for 2 week in the workplace and thereafter for at least 3 times in a week for a month in the home. The outcome will be assessed at end of the 2nd week and 5th week. The control group who will not receive any intervention. The data will be analysed by frequency, percentage distribution, mean and standard deviation. Chi-square test and independent t-test will be used to assess the difference in various parameters.
Discussion: The result of the study may help to guide the garment workers to initiate the simple intervention in the worksite and would also reduce the occurrence of the common musculoskeletal problems.