SETTING: Allopathic private practitioners (PPs) in Hooghly district, West Bengal, India. OBJECTIVES: To assess knowledge, attitudes and practices of PPs about diagnosis and management of TB patients and Revised National TB Control Programme (RNTCP) and their involvement in the programme. METHODS: We randomly selected 260 PPs. Using a self-administered, pre-tested questionnaire, we collected information about investigations prescribed for diagnosis of TB, treatment regimens used, and health education given to TB patients. We collected information about their involvement in RNTCP and reasons for non-involvement. RESULTS: Only 29 (11%) PPs were involved in RNTCP. 176 (68%) preferred chest x-ray to sputum examination for TB diagnosis. Only 70 (27%) prescribed alternate day regimen. Majority (75%) expressed no faith in RNTCP while 89% opined that maintenance of prescribed RNTCP documents was too difficult. About two-third uninvolved PPs were willing to get involved in RNTCP. Majority (98%) of PPs recommended appreciation by government as a way for increasing their involvement. CONCLUSION: Knowledge and involvement of PPs in RNTCP in Hooghly district were low. Regular training, greater interaction with programme officers and adequate incentives in different public-private partnership schemes could increase the involvement of PPs in RNTCP as well as increase their knowledge about diagnosis and management of TB patients.
SETTING: Allopathic private practitioners (PPs) in Hooghly district, West Bengal, India. OBJECTIVES: To assess knowledge, attitudes and practices of PPs about diagnosis and management of TBpatients and Revised National TB Control Programme (RNTCP) and their involvement in the programme. METHODS: We randomly selected 260 PPs. Using a self-administered, pre-tested questionnaire, we collected information about investigations prescribed for diagnosis of TB, treatment regimens used, and health education given to TBpatients. We collected information about their involvement in RNTCP and reasons for non-involvement. RESULTS: Only 29 (11%) PPs were involved in RNTCP. 176 (68%) preferred chest x-ray to sputum examination for TB diagnosis. Only 70 (27%) prescribed alternate day regimen. Majority (75%) expressed no faith in RNTCP while 89% opined that maintenance of prescribed RNTCP documents was too difficult. About two-third uninvolved PPs were willing to get involved in RNTCP. Majority (98%) of PPs recommended appreciation by government as a way for increasing their involvement. CONCLUSION: Knowledge and involvement of PPs in RNTCP in Hooghly district were low. Regular training, greater interaction with programme officers and adequate incentives in different public-private partnership schemes could increase the involvement of PPs in RNTCP as well as increase their knowledge about diagnosis and management of TBpatients.
Authors: S Satyanarayana; R Subbaraman; P Shete; G Gore; J Das; A Cattamanchi; K Mayer; D Menzies; A D Harries; P Hopewell; M Pai Journal: Int J Tuberc Lung Dis Date: 2015-07 Impact factor: 2.373