Standards for TB care in India: A tool for universal access to TB care

Nair, Sreenivas Achuthan; Sachdeva, Kuldeep Singh; Parmar, Malik; Chandra, Shivani; Ramachandran, Ranjani; Kulshrestha, Niraj; Chopra, K.K.; Khaparde, Sunil

doi:10.1016/j.ijtb.2015.11.004

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…Any patient with signs and symptoms suggestive of pulmonary tuberculosis must be first evaluated for tuberculosis. [72] In a patient who is known to be infective, spirometry need not be performed. Whenever feasible, potentially infective patients may be tested in their own rooms or in the laboratory using barrier filters in an instrument that can be easily disinfected after procedure.…”

Section: Spirometry Equipment Technical Details Quality Control Anmentioning

confidence: 99%

Joint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry

et al. 2019

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Although a simple and useful pulmonary function test, spirometry remains underutilized in India. The Indian Chest Society and National College of Chest Physicians (India) jointly supported an expert group to provide recommendations for spirometry in India. Based on a scientific grading of available published evidence, as well as other international recommendations, we propose a consensus statement for planning, performing and interpreting spirometry in a systematic manner across all levels of healthcare in India. We stress the use of standard equipment, and the need for quality control, to optimize testing. Important technical requirements for patient selection, and proper conduct of the vital capacity maneuver, are outlined. A brief algorithm to interpret and report spirometric data using minimal and most important variables is presented. The use of statistically valid lower limits of normality during interpretation is emphasized, and a listing of Indian reference equations is provided for this purpose. Other important issues such as peak expiratory flow, bronchodilator reversibility testing, and technician training are also discussed. We hope that this document will improve use of spirometry in a standardized fashion across diverse settings in India.

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Section: Spirometry Equipment Technical Details Quality Control Anmentioning

confidence: 99%

Joint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry

et al. 2019

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“…In India, recent advancements were spurred by the launch of GeneXpert machines, a rapid molecular assay that has enabled accurate and rapid diagnosis of TB, providing results comparable to the gold standard for TB diagnosis—the liquid-based culture. To further improve the quality of the TB diagnostic network, standards of TB care in India (STCI) were launched in 2014 and widely disseminated to support private doctors in TB patient diagnosis and treatment [ 4 ]. The Central TB Division (CTD) led efforts to engage private doctors as part of the TB diagnostic network using STCI working through partners, TB advocates, medical colleges, and collaborative institutions.…”

Section: Introductionmentioning

confidence: 99%

Private Doctors’ Perspective towards “Patient First” in TB Diagnostic Cascade, Hisar, India

Saini,

Prasad,

Mahajan

et al. 2024

Diagnostics

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TB diagnosis has been simplified in India following advances in available diagnostic tools. This facilitates private doctors’ “patient first” approach toward early diagnosis; however, costs remain high. India’s NTEP established a TB diagnostic network, which is free for patients and incentivizes private doctors to participate. Drawing from this context led to the design and implementation of the One-Stop TB Diagnostic Solution model, which was conducted in the Hisar district, Haryana, allowing specimens from presumptive TB patients from private doctors to be collected and tested as per NTEPs diagnostic algorithm. A subset of data pertaining to private doctors was analyzed for the project period. Qualitative data were also collected by interviewing doctors using a snowball method to capture doctors’ perception about the model. Out of 1159 specimens collected from 60 facilities, MTB was detected in 32% and rifampicin resistance was detected in 7% specimens. All specimens went through the diagnostic algorithm. Thirty doctors interviewed were satisfied with the services offered and were appreciative of the program that implements this “patient centric” model. Results from implementation indicate the need to strengthen private diagnostics through a certification process to ensure provision of quality TB diagnostic services.

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“…TB in the population is worsened by specific population characteristics, such as poverty ( 5 , 6 ), poor education ( 7 ), poor access to healthcare ( 8 ), and civil conflict ( 9 ). In addition, migrants are predisposed to contracting TB ( 10 ); their uncertain legal status often limits access to reliable health information and healthcare services, making them more at risk ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

Under the Mask: A Film on Tuberculosis at the Thai-Myanmar Border

Delmas

Soan²,

Khirikoekkong

et al. 2022

Front. Public Health

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In this paper, we describe the development of the film, “Under the Mask,” which follows the lives of three fictional characters who live on the Thai-Myanmar border as they journey from diagnosis of tuberculosis (TB) to completion of treatment. Under the Mask was filmed on location on the Thai-Myanmar border by local filmmakers and former refugee populations. Cast members were chosen from communities living along the border. This paper describes the script development process, filming, and screening in the community. We also report the findings from the pre- and post-screening questionnaires and post-film focus group discussions. A total of 77 screening events took place between March 2019 and March 2020 to 9,510 audience members in community venues such as village squares, temples and monasteries (N = 21), schools/migrant learning centers (N = 49), and clinics (N = 4). The pre-and post-screen questionnaires showed a significant gain in self-perceived TB knowledge on prevention, transmission, signs and symptoms, and related discrimination. Our findings from 18 post-screening focus group discussions conducted with 188 participants showed that there were improvements in knowledge and awareness of the disease and treatment, as well as in the awareness of stigma, and the burdens of tuberculosis on patients and their families.

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Standards for TB care in India: A tool for universal access to TB care

Cited by 7 publications

References 19 publications

Joint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry

Joint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry

Private Doctors’ Perspective towards “Patient First” in TB Diagnostic Cascade, Hisar, India

Under the Mask: A Film on Tuberculosis at the Thai-Myanmar Border

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