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Published on: September 5, 2017
A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district
V K Chadha1, P Praseeja1, J Gupta1
1Epidemiology & Research Division, National Tuberculosis Institute, Bangalore, India.
Setting:
A South Indian district providing anti-tuberculosis services through the Revised National TB Control Programme (RNTCP) and private health care facilities.
Objective:
To ascertain the profile of tuberculosis (TB) patients diagnosed and/or treated in private health care facilities.
Methods:
Data on TB cases diagnosed and/or treated in all clinical departments of the medical college, 83 nursing homes and RNTCP health care facilities were collected prospectively.
Results:
About 83% of new TB cases recorded in the private medical college, 47% in nursing homes and 24.5% in RNTCP TB registers were extra-pulmonary. The proportion of retreatment cases was respectively 5.5%, 9.6% and 19.8%. The proportion of males and those in the economically productive age group were similar in the three data sources. About 94% of cases diagnosed in the medical college and 55% in nursing homes were registered for treatment under the RNTCP. About 11% of the smear-positive patients diagnosed in RNTCP were initial defaulters.
Conclusion:
The proportion of extra-pulmonary cases was higher in the medical college and nursing homes and that of retreatment cases was lower than in the RNTCP.
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