Background: Under the Revised National Tuberculosis control Programme (RNTCP) in India, the designated microscopy centres (DMCs) form the basic unit of smear positive TB case detection in a district. There is a need b...Background: Under the Revised National Tuberculosis control Programme (RNTCP) in India, the designated microscopy centres (DMCs) form the basic unit of smear positive TB case detection in a district. There is a need by the programme managers to estimate the mean and range of smear positive tuberculosis (TB) cases that can be detected at DMCs located in different type of health facilities to channelize their resources. Methods: It is a cross-sectional study conducted in the state of Karnataka, India during January 2014 to December 2014 based on the compiled reports from past five years received from all the 30 districts of the state. The prediction was made based on the performance of these DMCs in the last five years using a modeling technique. Results: The proportions of the DMCs located at health facilities are Primary Health Institutions/Centres (PHIs)—73%, Tuberculosis Units (TUs)—15%, Medical colleges (MC)—7%, District TB centres (DTC)—3% and Private Practitioners (PP)—2%. The maximum number of cases that can be detected at DTC is 3621 (SD 54), TU is 9224 (SD 90), PHI is 20,412 (SD 135), PP is 859 (SD 26) and MC is 8322 (SD 84). Conclusion: The predicted values will essentially serve as a tool for the programme managers of Karnataka to plan, strategize and monitor the performance of DMCs in the state.展开更多
Background: Tuberculosis remains a major public health problem in India. Newer digital technologies for treatment adherence have been tested for diseases with chronic medication. A mobile application (Kill-TB) that pr...Background: Tuberculosis remains a major public health problem in India. Newer digital technologies for treatment adherence have been tested for diseases with chronic medication. A mobile application (Kill-TB) that provides reminder to TB patients through alarm was tested for its effectiveness and challenges under programmatic settings. Methods: A cohort of TB patients initiated on treatment with and without mobile application at Bangalore city during January-March 2019 was observed for missed doses during their treatment period. Results: A total of 694 patients (347 patients with and without mobile application) were enrolled for the study. Among the patients with and without mobile application 1) loss to follow-up was 2% and 8%, 2) non-adherence rate to TB treatment was 1.5 and 3.3 per 100 person-months, 3) treatment success rate was 89% and 81%. Conclusion: The TB drug reminder mobile application benefits the patient’s treatment adherence and paves way for improved treatment outcomes despite the challenges in implementation. The programme should leverage mobile technologies as an additional monitoring tool to achieve the target of End-TB by 2025.展开更多
Background: India is a high TB (tuberculosis) burden country. The advent of HIV (Human immunodeficiency virus) and DR-TB (drug resistant TB) has worsened the ongoing TB control efforts. A study was conducted to (a) to...Background: India is a high TB (tuberculosis) burden country. The advent of HIV (Human immunodeficiency virus) and DR-TB (drug resistant TB) has worsened the ongoing TB control efforts. A study was conducted to (a) to determine the duration for developing drug resistant TB after diagnosis of HIV (b) to ascertain the patients status after one year of DR-TB treatment in Karnataka, India. Methods: It is a retrospective cross-sectional study involving review of records and reports at ART (Anti-retroviral treatment) centres and DR-TB centres in Karnataka during the period 2013-2014. Results: The median time from being known as HIV positive to being diagnosed as DR-TB was 1168 days (IQR: 571 - 1955). At the end of 14 months, nearly 39% of patients had died and 49% of patients were on treatment. Conclusion: The National Health programmes should prioritize monitoring of the HIV/TB patients and develop appropriate novel strategies for community involvement.展开更多
文摘Background: Under the Revised National Tuberculosis control Programme (RNTCP) in India, the designated microscopy centres (DMCs) form the basic unit of smear positive TB case detection in a district. There is a need by the programme managers to estimate the mean and range of smear positive tuberculosis (TB) cases that can be detected at DMCs located in different type of health facilities to channelize their resources. Methods: It is a cross-sectional study conducted in the state of Karnataka, India during January 2014 to December 2014 based on the compiled reports from past five years received from all the 30 districts of the state. The prediction was made based on the performance of these DMCs in the last five years using a modeling technique. Results: The proportions of the DMCs located at health facilities are Primary Health Institutions/Centres (PHIs)—73%, Tuberculosis Units (TUs)—15%, Medical colleges (MC)—7%, District TB centres (DTC)—3% and Private Practitioners (PP)—2%. The maximum number of cases that can be detected at DTC is 3621 (SD 54), TU is 9224 (SD 90), PHI is 20,412 (SD 135), PP is 859 (SD 26) and MC is 8322 (SD 84). Conclusion: The predicted values will essentially serve as a tool for the programme managers of Karnataka to plan, strategize and monitor the performance of DMCs in the state.
文摘Background: Tuberculosis remains a major public health problem in India. Newer digital technologies for treatment adherence have been tested for diseases with chronic medication. A mobile application (Kill-TB) that provides reminder to TB patients through alarm was tested for its effectiveness and challenges under programmatic settings. Methods: A cohort of TB patients initiated on treatment with and without mobile application at Bangalore city during January-March 2019 was observed for missed doses during their treatment period. Results: A total of 694 patients (347 patients with and without mobile application) were enrolled for the study. Among the patients with and without mobile application 1) loss to follow-up was 2% and 8%, 2) non-adherence rate to TB treatment was 1.5 and 3.3 per 100 person-months, 3) treatment success rate was 89% and 81%. Conclusion: The TB drug reminder mobile application benefits the patient’s treatment adherence and paves way for improved treatment outcomes despite the challenges in implementation. The programme should leverage mobile technologies as an additional monitoring tool to achieve the target of End-TB by 2025.
文摘Background: India is a high TB (tuberculosis) burden country. The advent of HIV (Human immunodeficiency virus) and DR-TB (drug resistant TB) has worsened the ongoing TB control efforts. A study was conducted to (a) to determine the duration for developing drug resistant TB after diagnosis of HIV (b) to ascertain the patients status after one year of DR-TB treatment in Karnataka, India. Methods: It is a retrospective cross-sectional study involving review of records and reports at ART (Anti-retroviral treatment) centres and DR-TB centres in Karnataka during the period 2013-2014. Results: The median time from being known as HIV positive to being diagnosed as DR-TB was 1168 days (IQR: 571 - 1955). At the end of 14 months, nearly 39% of patients had died and 49% of patients were on treatment. Conclusion: The National Health programmes should prioritize monitoring of the HIV/TB patients and develop appropriate novel strategies for community involvement.
