A STUDY ON EFFECTIVENESS OF DOTS ON TUBERCULOSIS PATIENTS TREATED UNDER RNTCP

Chandan Mal Fatehpuria; Mahesh Chand Bairwa; Rita Meena; Pratap Bhan Kaushik

Volume : VIII, Issue : IX, September - 2019

A STUDY ON EFFECTIVENESS OF DOTS ON TUBERCULOSIS PATIENTS TREATED UNDER RNTCP

Chandan Mal Fatehpuria, Mahesh Chand Bairwa, Rita Meena, Pratap Bhan Kaushik

Abstract :

Background: Tuberculosis is one of the top 10 cause of death and the leading cause from a single infectious agent. India accounts for one fourth of the global TB burden. NTP was introduced for TB control and this NTP was become RNTCP after review and performance of NTP with adaptation of DOTS strategy. The key to the success of the DOTS strategy is that it places the responsibility for curing TB patients on the health workers Methods: Those patients of tuberculosis, who were registered from July 2010 to September 2010 at tuberculosis units of Jodhpur city. All informations were collected from tuberculosis register and by interview. These patients were followed up for sputum examination during three visits. The data collected was grouped into cured and non-cured group. The cured group includes cured and completed the treatment. The non-cured group includes treatment failures, defaulters, died and transferred out cases. Results: Total 363 patients were registered with M/F ratio 1.47:1. 264, 81 and 36 patients registered in Category I, II and III respectively. Mostly patients (66.94%) were in 15-45 years age group Among these, 72.18% (262) had pulmonary tuberculosis; of these 167 were new smear positive cases and remaining were retreatment cases. Treatment success (Cured/Treatment completed) among Category-I was 221/246 (89.84%), among Category-II was 56/81 (69.13%) and among Category-III was 31/36 (86.11%). 30 patients were defaulter, 15 were died, 6 were transferred out and 4 were failed treatment. Conclusion: Higher cure and sputum conversion rates due to strict supervision and monitoring along with motivation of cases by health and non-health personnel. Experiences from the past also emphasized the importance of these factors.