A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district
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.
Keywords: India; Revised National TB Control Programme; extra-pulmonary TB; private health care facilities; pulmonary TB
Document Type: Research Article
Affiliations: 1: Epidemiology & Research Division, 2: Office of the Director, National Tuberculosis Institute, Bangalore, India
Publication date: 01 December 2014
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