creators_name: Khadse, J creators_name: Bhardwaj, SD creators_name: Ruikar, M creators_id: drsumit.bhardwaj@yahoo.co.in editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2013-05-04 23:03:29 lastmod: 2013-05-04 23:03:29 metadata_visibility: show title: Assessment of Knowledge and Practices of Referring Private Practitioners Regarding Revised National Tuberculosis Control Programme in Nagpur City - A Cross Sectional Study ispublished: pub subjects: OJHAS full_text_status: public keywords: Private Practitioner; Tuberculosis; Knowledge; Practices; India abstract: Objectives: To assess knowledge, diagnostic and treatment practices of the referring private practitioners of Nagpur city regarding Revised National Tuberculosis Control Programme (RNTCP). Methods: The study involved interview of 103 Private Practitioners (PPs) of Nagpur city. Knowledge of private practitioners was assessed based on questions related to diagnosis, categorization, treatment regimens & follow up. Practices of private practitioners were assessed based on which investigations and treatment regimen they advise & whether they offer supervised treatment. Their willingness to get involved in the programme was also recorded. Results: Only 49 (47.6%) private practitioners knew sputum smear examination as primary tool of diagnosis of TB. Only half, 52 (50.5%) of the private practitioners knew number of categories of tuberculosis correctly and 64 (62.1%) private practitioners did know how to categorize TB patients. Chest X-ray and Mantoux test (38.5%) was mainly used by the PPs for TB diagnosis. 42.7% of PPs were prescribing treatment for TB and among them only 8 were prescribing as per RNTCP guidelines and just one provided treatment under direct observation. Different combination of HRZE and HRZES was prescribed for variable period ranges from 2-8 months. And only 12 (11.6%) private practitioners expressed their willingness to get involved in RNTCP for TB control. Conclusion: There is lack of adequate knowledge, diagnostic and treatment practice among PPs as per RNTCP guidelines and further encouragement is required for their participation in the programme. date: 2012-01-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 4(2) publisher: BS Kakkilaya refereed: TRUE referencetext: 1. World Health Organization. Reaching the poor: challenges for the TB programmes in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific; 2004. 2. Global Tuberculosis Control: Epidemiology, Strategy, Financing. Geneva, Switzerland: World Health Organization. WHO/HTM/TB/2009.411 WHO/ HTM/TB/2009.411 3. World Health Organization. The Global MDR-TB and XDR-TB response plan. WHO, Geneva: 2007-08. 4. Prasad R, Nautiyal RG, Mukherji PK, Jain A, Singh K, Ahuja RC. Treatment of new pulmonary tuberculosis patients: what do allopathic doctors do in India? Int J Tuberc Lung Dis 2002;6:895-902. 5. Uplekar M, Juvekar S, Morankar S, Rangan S, Nunn P. Tuberculosis patients and practitioners in private clinics in India. Int J Tuberc Lung Dis 1998;2:324-329. 6. World Health Organization. The behaviour and interaction of TB patients and private for profit health care providers in India: a review. Geneva: WHO, 1997. Report No WHO/TB/ 97.223. Available athttp://whqlibdoc.who.int/hq/1997/WHO_TB_97.223.pdf (Accessed 11 Oct 2011). 7. World Health Organization. Public-private mix for DOTS: report of the second meeting of the PPM subgroup for DOTS expansion. Geneva: WHO; 2004. Report No WHO/HTM/TB/ 2004.338. Available at http://whqlibdoc.who.int/hq/2004/WHO_HTM_TB_2004.338.pdf (Accessed 11 Oct 2011). 8. Uplekar MW, Ranjan S. Private doctors and tuberculosis control in India. Tubercle and Lung Dis 1993;74:332-337 9. Prasad R, Nautiyal RG, Mukherji PK, Jain A, Ahuja RC. Diagnostic evaluation of pulmonary TB: what do doctors of modern medicine do in India? Int J Tuberc Lung Dis 2003;7(1):52-57. 10. Suryakantha AH, Mendonca V, Tejaswini HJ. A study of knowledge, attitude and practices of allopathic medical practitioners regarding TB and its control in Davangere city. NTI Bulletin 2006;42(1):5-8. 11. Uplekar MW, Juvekar SK, Parande SD, Dalal DB, Khanvilkar SS, Vadair AS, Ragan SD. TB in private practice and its implication. Ind J Tub 1996;43:19-22. 12. Thakur JS, Sekharkar S, Behgal A, Kumar R. Private sector involvement in TB control in Chandigarh. Ind J Tub 2006;53:149-153. 13. Baxi RK, Shah AR. Management of TB by the general practitioners of Vadodara city. Indian J Commun Med 2006;31(4):10-12. 14. Schiling W. Epidemiology and surveillance of tuberculosis in the German Democratic Republic. Bull Int Tuburc Lung Dis 1989;65(2-3):73-74. citation: Khadse, J and Bhardwaj, SD and Ruikar, M (2012) Assessment of Knowledge and Practices of Referring Private Practitioners Regarding Revised National Tuberculosis Control Programme in Nagpur City - A Cross Sectional Study. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/8852/1/2011-4-2.pdf