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Tuberculosis case notification by registered private medical practitioners in Kolkata: A mixed-methods study
Vineeta Shukla1, Sanghamitra Maulik2, Mausumi Basu3
1Senior Resident, Department of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Indian Journal of Public Health
|November 22, 2022
Summary
Private healthcare providers in Kolkata show good knowledge and attitude towards tuberculosis (TB) notification but poor practice. Improving TB case reporting requires enhanced training and communication strategies for these practitioners.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Health Services Research
Background:
- Under-notification of tuberculosis (TB) cases is a significant challenge for accurate disease burden estimation.
- India's private health sector underreports TB cases, contributing only a quarter of total notifications.
Purpose of the Study:
- To assess knowledge, attitude, and practice (KAP) regarding TB notification among private practitioners in Kolkata.
- To identify socio-demographic and work-related factors influencing TB notification.
- To determine barriers to TB notification and explore potential solutions within the private sector.
Main Methods:
- An observational, cross-sectional study using an explanatory sequential mixed-methods approach.
- Involved 426 private practitioners in Kolkata from July 2019 to October 2021.
- Quantitative data analyzed with SPSS; qualitative data analyzed using Atlas.ti.
Main Results:
- Adequate knowledge (69.2%) and positive attitude (90.4%) towards TB notification were observed.
- However, only 27.0% demonstrated satisfactory practice in TB notification.
- Key barriers included lack of awareness, poor communication, and patient confidentiality concerns.
Conclusions:
- Private practitioners possess adequate knowledge and a positive attitude towards TB notification, but their practical application is lacking.
- Recommendations include enhanced training, sensitization programs, and improved communication channels for private practitioners.
- Addressing barriers and implementing suggested solutions can improve private sector engagement in TB control.
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