IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0024160.html
   My bibliography  Save this article

From Where Are Tuberculosis Patients Accessing Treatment in India? Results from a Cross-Sectional Community Based Survey of 30 Districts

Author

Listed:
  • Srinath Satyanarayana
  • Sreenivas Achutan Nair
  • Sarabjit Singh Chadha
  • Roopa Shivashankar
  • Geetanjali Sharma
  • Subhash Yadav
  • Subrat Mohanty
  • Vishnuvardhan Kamineni
  • Nevin Charles Wilson
  • Anthony David Harries
  • Puneet Kumar Dewan

Abstract

Background: Tuberculosis (TB) notification in India by the Revised National TB Control Programme (RNTCP) provides information on TB patients registered for treatment from the programme. There is limited information about the proportion of patients treated for TB outside RNTCP and where these patients access their treatment. Objectives: To estimate the proportion of patients accessing TB treatment outside the RNTCP and to identify their basic demographic characteristics. Methods: A cross sectional community-based survey in 30 districts. Patients were identified through a door-to-door survey and interviewed using a semi-structured questionnaire. Results: Of the estimated 75,000 households enumerated, 73,249 households (97.6%) were visited. Of the 371,174 household members, 761 TB patients were identified (∼205 cases per 100,000 populations). Data were collected from 609 (80%) TB patients of which 331 [54% (95% CI: 42–66%)] were determined to be taking treatment ‘under DOTS/RNTCP’. The remaining 278 [46% (95% CI: 34–57%)] were on treatment from ‘outside DOTS/RNTCP’ sources and hence were unlikely to be part of the TB notification system. Patients who were accessing treatment from ‘outside DOTS/RNTCP’ were more likely to be patients from rural areas [adjusted Odds Ratio (aOR) 2.5, 95% CI (1.2–5.3)] and whose TB was diagnosed in a non-government health facility (aOR 14.0, 95% CI 7.9–24.9). Conclusions: This community-based survey found that nearly half of self-reported TB patients were missed by TB notification system in these districts. The study highlights the need for 1) Reviewing and revising the scope of the TB notification system, 2) Strengthening and monitoring health care delivery systems with periodic assessment of the reach and utilisation of the RNTCP services especially among rural communities, 3) Advocacy, communication and social mobilisation activities focused at rural communities with low household incomes and 4) Inclusive involvement of all health-care providers, especially providers of poor rural communities.

Suggested Citation

  • Srinath Satyanarayana & Sreenivas Achutan Nair & Sarabjit Singh Chadha & Roopa Shivashankar & Geetanjali Sharma & Subhash Yadav & Subrat Mohanty & Vishnuvardhan Kamineni & Nevin Charles Wilson & Antho, 2011. "From Where Are Tuberculosis Patients Accessing Treatment in India? Results from a Cross-Sectional Community Based Survey of 30 Districts," PLOS ONE, Public Library of Science, vol. 6(9), pages 1-8, September.
  • Handle: RePEc:plo:pone00:0024160
    DOI: 10.1371/journal.pone.0024160
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0024160
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0024160&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0024160?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. William A Wells & Colin Fan Ge & Nitin Patel & Teresa Oh & Elizabeth Gardiner & Michael E Kimerling, 2011. "Size and Usage Patterns of Private TB Drug Markets in the High Burden Countries," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-10, May.
    2. Niruparani Charles & Beena Thomas & Basilea Watson & Raja Sakthivel M. & Chandrasekeran V. & Fraser Wares, 2010. "Care Seeking Behavior of Chest Symptomatics: A Community Based Study Done in South India after the Implementation of the RNTCP," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-6, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Debashish Kundu & Nandini Sharma & Sarabjit Chadha & Samia Laokri & George Awungafac & Lai Jiang & Miqdad Asaria, 2018. "Analysis of multi drug resistant tuberculosis (MDR-TB) financial protection policy: MDR-TB health insurance schemes, in Chhattisgarh state, India," Health Economics Review, Springer, vol. 8(1), pages 1-12, December.
    2. Chandravali Madan & Kamal Kishore Chopra & Srinath Satyanarayana & Diya Surie & Vineet Chadha & Kuldeep Singh Sachdeva & Ashwani Khanna & Rajesh Deshmukh & Lopamudra Dutta & Amit Namdeo & Ajay Shukla , 2018. "Developing a model to predict unfavourable treatment outcomes in patients with tuberculosis and human immunodeficiency virus co-infection in Delhi, India," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-16, October.
    3. Stéphane Verguet & Ramanan Laxminarayan & Dean T. Jamison, 2015. "Universal Public Finance of Tuberculosis Treatment in India: An Extended Cost‐Effectiveness Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 24(3), pages 318-332, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jessica Goldberg & Mario Macis & Pradeep Chintagunta, 2023. "Incentivized Peer Referrals for Tuberculosis Screening: Evidence from India," American Economic Journal: Applied Economics, American Economic Association, vol. 15(1), pages 259-291, January.
    2. Rachel M Anderson de Cuevas & Najla Al-Sonboli & Nasher Al-Aghbari & Mohammed A Yassin & Luis E Cuevas & Sally J Theobald, 2014. "Barriers to Completing TB Diagnosis in Yemen: Services Should Respond to Patients' Needs," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-8, September.
    3. Karun Sandeep Veesa & Kamalabhai Russell John & Patrick K Moonan & Saravanakumar Puthupalayam Kaliappan & Krishna Manjunath & Karuna D Sagili & Chinnappareddy Ravichandra & Pradeep Aravindan Menon & C, 2018. "Diagnostic pathways and direct medical costs incurred by new adult pulmonary tuberculosis patients prior to anti-tuberculosis treatment – Tamil Nadu, India," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    4. Anila Basit & Nafees Ahmad & Amer Hayat Khan & Arshad Javaid & Syed Azhar Syed Sulaiman & Afsar Khan Afridi & Azreen Syazril Adnan & Israr ul Haq & Syed Saleem Shah & Ahmed Ahadi & Izaz Ahmad, 2014. "Predictors of Two Months Culture Conversion in Multidrug-Resistant Tuberculosis: Findings from a Retrospective Cohort Study," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-6, April.
    5. Goldberg, Jessica & Macis, Mario & Chintagunta, Pradeep, 2018. "Leveraging Patients' Social Networks to Overcome Tuberculosis Underdetection: A Field Experiment in India," IZA Discussion Papers 11942, Institute of Labor Economics (IZA).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0024160. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.