Tuberculosis case notification by private practitioners in Pune, India: how well are we doing?

Yeole, R. D.; Khillare, K.; Chadha, V. K.; Lo, Terrence; Kumar, Ashwini

doi:10.5588/pha.15.0031

Cited by 24 publications

(35 citation statements)

References 13 publications

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“…Low rate of awareness on proper noti cation chain and the fact that disease noti cation is a legal requirement (as pointed out in the study ndings) should be some of the factors responsible for this low noti cation rate. Several other studies have reported obstacles for disease noti cation similar to our ndings such as infrastructure issues and lack of human resources (20-23), lack of time (20,21,24,25) and lack of reporting forms/registers (25,26). These barriers were noted in the noti cation of other diseases like tuberculosis, malaria, and in uenza as well (21,(27)(28)(29).…”

Section: Discussionsupporting

confidence: 84%

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Hewawasam

Weerakoon

Thilakan

et al. 2020

Preprint

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Background: Leishmaniasis is a notifiable disease in Sri Lanka since 2008. Previous studies show a gap in the notification of leishmaniasis. Purpose of the present study was to determine the Knowledge, attitudes and practice of medical officers regarding leishmaniasis.Methods: A cross-sectional study was conducted in the Anuradhapura district which reported the highest case load of leishmaniasis. Medical officers from public and private health care institutes in the area filled a self-administered questionnaire in the presence of the investigators.Results: One hundred and eighty-eight (188) medical officers completed the questionnaire. Of them, 95.7% were aware of leishmaniasis as a parasitic infection and 84.7% correctly identified Leishmania donovani as the causative organism in Sri Lanka. From the respondents, 181 (96.8%) knew that the vector of leishmaniasis is sand fly. Cutaneous leishmaniasis was reported as the most prevalent form of leishmaniasis in the country by 176 (94.1%). Nearly half of the respondents (98, 54.1%) were aware of the fact that the Anuradhapura district has the highest disease burden. Many of them had the idea that leishmaniasis is an emerging disease (155, 84.3%,) and early diagnosis is important in controlling the disease (163, 89.1%). Although about three fourth (123, 73.7 %,) of the participants mentioned that leishmaniasis should be notified at first clinical suspicion, only 74 (42.5%) were aware that it is a legal requirement. Some medical officers (39, 22%) believed that the current notification system in the country is not effective. Unavailability of notification forms (60, 36.8%) heavy workload (85, 50.3%) and inadequate supportive staff (55, 35.1%) were reported as barriers for timely notification. Even though 105 (58.0%) of medical officers had suspected leishmaniasis during last eight years period only 35 (19.4%) had notified.Conclusions: Even though more than 90% of the participants had good theoretical knowledge about leishmaniasis; notification of leishmaniasis is considerably inadequate. This study emphasizes the need for greater efforts to improve the notification of leishmaniasis in Sri Lanka.

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Section: Discussionsupporting

confidence: 84%

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Hewawasam

Weerakoon

Thilakan

et al. 2020

Preprint

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“…Raising awareness, collection of notification forms right at PP clinics and constant dialogue between RNTCP staff and PPs had no effect on notification in our study. Studies trying to understand the barriers to notification in India reported that not all PPs have fully understood the notification's rationale and that, although aware, many do not notify, the main reasons being lack of time, concerns regarding patients’ confidentiality and lack of trust in the government health system . Ensuring notification without legal backup seems difficult.…”

Section: Discussionmentioning

confidence: 99%

Involving private practitioners in the Indian tuberculosis programme: a randomised trial

Yellappa

Battaglioli

Gurum

et al. 2018

Tropical Med Int Health

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“…Isoniazid preventive treatment (IPT) in two districts of Tamil Nadu, India: does practice follow policy?Yes [49]23. Introduction of a system of TB case notification among the private practitioners in Pune City: Is it operationally feasible?Yes [54]24. Treatment outcomes of MDR-TB patients in Kerala, IndiaYes [55]25.…”

Section: Implementation Of Operational Research Training Coursesmentioning

confidence: 99%

“…These included: the status of screening household contacts of sputum smear positive pulmonary TB patients [48,49] and malnourished children attending nutritional rehabilitation centers [50], delays in the initiation of TB treatment after diagnosis [51], whether all TB patients diagnosed in the hospitals attached to medical college were being referred and initiated on treatment under RNTCP [52], reasons for poor uptake of HIV counselling and testing [53], status of notification of TB cases by private health care providers [54], TB treatment outcomes of MDR-TB patients [55], detection of TB cases by mobile medical units [56], innovatively addressing the challenges of routine servicing of binocular microscopes [23] and compliance to infection control practices at health facilities [57]. One study assessed innovative ways of improving programme processes such as use of photo-voice for enhancing patient adherence to therapy [58].…”

Section: Contribution Of or To Policy And Practicementioning

confidence: 99%

Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice

Sagili¹,

Satyanarayana

Chadha³

et al. 2018

Global Health Action

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Background: The Global Fund encourages operational research (OR) in all its grants; however very few reports describe this aspect. In India, Project Axshya was supported by a Global Fund grant to improve the reach and visibility of the government Tuberculosis (TB) services among marginalised and vulnerable communities. OR was incorporated to build research capacity of professionals working with the national TB programme and to generate evidence to inform policies and practices. Objectives: To describe how Project Axshya facilitated building OR capacity within the country, helped in addressing several TB control priority research questions, documented project activities and their outcomes, and influenced policy and practice. Methods: From September 2010 to September 2016, three key OR-related activities were implemented. First, practical output-oriented modular training courses were conducted (n = 3) to build research capacity of personnel involved in the TB programme, co-facilitated by The Union, in collaboration with the national TB programme, WHO country office and CDC, Atlanta. Second, two large-scale Knowledge, Attitude and Practice (KAP) surveys were conducted at baseline and mid-project to assess the changes pertaining to TB knowledge, attitudes and practices among the general population, TB patients and health care providers over the project period. Third, studies were conducted to describe the project’s core activities and outcomes. Results: In the training courses, 44 participant teams were supported to develop research protocols on topics of national priority, resulting in 28 peer-reviewed scientific publications. The KAP surveys and description of project activities resulted in 14 peer-reviewed publications. Of the published papers at least 12 have influenced change in policy or practice. Conclusions: OR within a Global Fund supported TB project has resulted in building OR capacity, facilitating research in areas of national priority and influencing policy and practice. We believe this experience will provide guidance for undertaking OR in Global Fund projects.

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Tuberculosis case notification by private practitioners in Pune, India: how well are we doing?

Cited by 24 publications

References 13 publications

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Involving private practitioners in the Indian tuberculosis programme: a randomised trial

Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice

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