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Private practitioners' knowledge, attitude and practices about tuberculosis, Hooghly district, India
Kisalay Datta1, Tarun Bhatnagar, Manoj Murhekar
1Field Epidemiology Training Programme, National Institute of Epidemiology, Chennai, India.
The Indian Journal of Tuberculosis
|December 15, 2010
Summary
Private practitioners in Hooghly district show low knowledge and involvement in the Revised National TB Control Programme (RNTCP). Increased training and incentives could improve their participation in tuberculosis diagnosis and management.
Area of Science:
- Public health
- Infectious disease control
- Health systems research
Background:
- Private practitioners (PPs) play a crucial role in tuberculosis (TB) case detection and management in India.
- The Revised National TB Control Programme (RNTCP) aims to integrate private sector providers into national TB control efforts.
- Understanding the knowledge, attitudes, and practices of PPs is essential for effective TB control programme implementation.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices of allopathic private practitioners (PPs) regarding TB diagnosis and management.
- To evaluate the involvement of PPs in the Revised National TB Control Programme (RNTCP).
- To identify barriers and facilitators for PPs' participation in the RNTCP.
Main Methods:
- A cross-sectional study was conducted among 260 allopathic PPs in the Hooghly district of West Bengal, India.
- Data were collected using a self-administered, pre-tested questionnaire covering diagnostic practices, treatment regimens, health education, and RNTCP involvement.
- Reasons for non-involvement and suggestions for improving participation were also recorded.
Main Results:
- Only 11% of PPs were involved in the RNTCP.
- A majority (68%) preferred chest x-ray over sputum examination for TB diagnosis, and only 27% prescribed the recommended alternate day regimen.
- Most PPs (75%) lacked faith in the RNTCP, citing difficulties in maintaining RNTCP documents (89%). However, two-thirds of uninvolved PPs expressed willingness to participate, with 98% recommending government appreciation as an incentive.
Conclusions:
- Knowledge and involvement of private practitioners in the RNTCP in Hooghly district are significantly low.
- Barriers to participation include lack of faith in the program and administrative burdens.
- Regular training, improved interaction with program officials, and appropriate incentives within public-private partnership schemes are recommended to enhance PP engagement and improve TB control.
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