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Performance of revised national tuberculosis control program in Bihar: A situational analysis
Bijit Biswas1, Abhishek Kumar1, Neeraj Agarwal1
1Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.
Journal of Family Medicine and Primary Care
|April 23, 2020
Summary
Bihar
Area of Science:
- Public Health
- Health Program Monitoring
- Tuberculosis Control
Background:
- Program monitoring involves continuous assessment of key indicators via periodic reports.
- Health program efficiency is evaluated by comparing achievements against expectations.
Purpose of the Study:
- To monitor the performance of the Revised National Tuberculosis Control Program (RNTCP) in Bihar State and its districts.
- To assess RNTCP performance using India's 2018 annual TB report.
Main Methods:
- Analysis of the 2018 annual TB report of India.
- Focus on RNTCP performance indicators in Bihar State and its districts.
Main Results:
- Bihar's case notification rate was below the national average.
- Treatment initiation and success rates in Bihar were lower than national figures, though better than Uttar Pradesh.
- Bihar experienced a significant shortage of essential ground-level RNTCP staff.
Conclusions:
- Bihar demonstrated suboptimal performance in the RNTCP compared to neighboring states.
- A critical shortage of ground-level staff contributed to low treatment success rates.
- Enhanced monitoring and evaluation are crucial for improving RNTCP performance in Bihar.
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