Knowledge of private practitioners of Bangalore city in diagnosis, treatment of pulmonary tuberculosis and compliance with case notification

Bhalla, Bhoomika Bajaj; Chadha, V. K.; Gupta, J.; Nagendra, N.; Praseeja, P.; Anjinappa, S.M.; Ahmed, Javed; Srivastava, R. K.; Kumar, Prahlad

doi:10.1016/j.ijtb.2018.01.001

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The present study reported that 31% were not aware of mandatory notification of TB, while studies in Bangalore and South India reported this figure to be 36% and 27%, respectively 10,19 . The awareness about mandatory notification of TB was reported to be quite high (88%) in a district in Kerala 9 .…”

Section: Discussioncontrasting

confidence: 54%

“…In contrast to the findings in Pune, a study in Andhra Pradesh reported only 6% and 1%, private practitioners, adhering to ISTC guidelines on diagnostic and treatment practices, respectively 18 . A study in Bangalore city found only 20% and 29% of private practitioners having adequate knowledge in diagnosis and treatment of drug‐sensitive TB regimen, respectively 19 . A study in Kashmir reported 88% of private practitioners having correct knowledge regarding TB diagnosis, though their total sample size was 25 only 20 .…”

Section: Discussionmentioning

confidence: 78%

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‘We are not aware of notification of tuberculosis’: A mixed‐methods study among private practitioners from western India

Rupani

Shah

Dave

et al. 2021

Health Planning & Management

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Background Implementing the Standards for tuberculosis care in India (STCI) guidelines in the private sector is vital. This study attempted to estimate the knowledge and practices regarding STCI guidelines among private practitioners and to explore the reasons and solutions for low tuberculosis (TB) notification rates. Methods We conducted a cross‐sectional study for assessing the knowledge and practices of the STCI guidelines among 100 full‐time allopathic private practitioners in Bhavnagar (in western part of India) from September 2018 to January 2019. Knowledge and practice were categorised as good or poor by assigning scores to the responses to a questionnaire based on the STCI guidelines. It was followed by two focus group discussions to explore the reasons and solutions for low notification rates of TB as perceived by private practitioners. Results Among the 100 private practitioners, 55% had good knowledge, and 41% had good practice regarding the STCI guidelines; 69% knew about the gazette notification of mandatory notification of TB, and 58% were notifying TB cases to the government. Lack of awareness about the process as well as incentives for notification, time constraints and infrequent visits by health workers were the main reasons perceived by private practitioners for not notifying TB cases to the government. The critical solutions suggested by them were creating awareness regarding the notification process as well as incentives, increasing health worker visits and use of social media for notification. Conclusion Only about half of private practitioners follow the STCI guidelines for TB care, and the notification rates are low in our setting. Regular sensitisation programs need to be arranged for private practitioners to create awareness on TB notification.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 78%

‘We are not aware of notification of tuberculosis’: A mixed‐methods study among private practitioners from western India

Rupani

Shah

Dave

et al. 2021

Health Planning & Management

View full text Add to dashboard Cite

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“…In the cosmopolitan city of Bangalore, South India, 80% and 71% of private practitioners lacked adequate knowledge of TB diagnosis and TB treatment regimen, respectively. Moreover, private providers were reportedly unaware of the need for Directly Observed Therapy Short Course (DOTS) and follow-up sputum examination [5]. Similarly, in Nigeria, South Africa, Kenya and Tanzania, inadequate knowledge and non-compliance with National TB guidelines and policy recommendations were key barriers to effective TB management in the private sector [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of International Standards for Tuberculosis Care among Private Non-NTP Providers in Lagos, Nigeria: A Cross-Sectional Study

et al. 2022

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Studies specifically evaluating tuberculosis knowledge among private non-NTP providers using the International Standards for Tuberculosis Care (ISTC) framework are scarce. We evaluated the knowledge of ISTC among private non-NTP providers and associated factors in urban Lagos, Nigeria. We performed a cross-sectional descriptive study using a self-administered questionnaire to assess different aspects of tuberculosis management among 152 non-NTP providers in Lagos, Nigeria. The association between the dependent variable (knowledge) and independent variables (age, sex, qualifications, training and years of experience) was determined using multivariate logistic regression. Overall, the median knowledge score was 12 (52%, SD 3.8) and achieved by 47% of the participants. The highest knowledge score was in TB/HIV standards (67%) and the lowest was in the treatment standards (44%). On multivariate analysis, being female (OR 0.3, CI: 0.1–0.6, p < 0.0001) and being a nurse (OR 0.2, CI: 0.1–0.4, p < 0.0001) reduced the odds of having good TB knowledge score, while having previously managed ≥100 TB patients (OR 2.8, CI: 1.1–7.2, p = 0.028) increased the odds of having good TB knowledge. Gaps in the knowledge of ISTC among private non-NTP providers may result in substandard TB patient care. Specifically, gaps in knowledge of standard TB regimen combinations and Xpert MTB/RIF testing stood out. The present study provides evidence for tailored mentorship and TB education among nurses and female private non-NTP providers.

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Implementation of revised national tuberculosis control program guidelines: Practitioner's perspective and awareness-a questionnaire based study

Kundapur

Udaykumar

2022

Indian Journal of Tuberculosis

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Knowledge of private practitioners of Bangalore city in diagnosis, treatment of pulmonary tuberculosis and compliance with case notification

Cited by 4 publications

References 12 publications

‘We are not aware of notification of tuberculosis’: A mixed‐methods study among private practitioners from western India

‘We are not aware of notification of tuberculosis’: A mixed‐methods study among private practitioners from western India

Knowledge of International Standards for Tuberculosis Care among Private Non-NTP Providers in Lagos, Nigeria: A Cross-Sectional Study

Implementation of revised national tuberculosis control program guidelines: Practitioner's perspective and awareness-a questionnaire based study

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