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Management of Pulmonary Tuberculosis by Private Practitioners in Meerut AshishYadav, S. K. Garg, H. Chopra, S. K. Bajpai, T. Bano, S. Jain, A. Kumar Department of Community Medicine L.L.R.M. Medical College, Meerut
Background A large segment of the population seek health care from the private sector that includes private medical practitioners. Patients seeking health care from these service providers include a significant proportion of tuberculosis patients who are deprived of  free TB services provided under RNTCP. 2 10/31/2010 Dr Ashish Yadav
The private health sector did not have a strong presence when the National Tuberculosis Programme was designed.  Over the years, however, the private sector has outgrown the public health sector, and today three-quarters of India’s health expenditure takes place in the private sector. 3 10/31/2010 Dr Ashish Yadav
About 80% of the qualified medical practitioners in the country are in the private sector and more than half of TB cases seek treatment from private practitioners. 4 10/31/2010 Dr Ashish Yadav
Objective To assess the management modalities of Pulmonary Tuberculosis by private practitioners of Meerut. 5 10/31/2010 Dr Ashish Yadav
Material and Methods A cross sectional study was undertaken covering all the private practitioners registered under IMA, Meerut Branch. 6 10/31/2010 Dr Ashish Yadav Private  Practitioners
Among a total of 171 registered practitioners, only 154 practitioners participated in the study giving an overall response rate of 90.1% (154 out of 171).  They were interviewed by a predesigned and pretested questionnaire about the various diagnostic & treatment modalities of pulmonary TB practiced by them. 7 10/31/2010 Dr Ashish Yadav
RESULTS 8 10/31/2010 Dr Ashish Yadav
Qualification of the Private Practitioners( n = 154 ) 9 10/31/2010 Dr Ashish Yadav
Distribution of the private practitioners by their experience 10/31/2010 Dr Ashish Yadav 10
RNTCP Training of private practitionersin past 5 years 10/31/2010 Dr Ashish Yadav 11
First priority investigation used for diagnosisin relation to RNTCP training 10/31/2010 12 χ2 =9.485 , df = 2 , p < 0.01
Awareness of categorization among Private Practitioners 13 10/31/2010 Dr Ashish Yadav
Practice of Categorization 14 10/31/2010 Dr Ashish Yadav
ATT regimens used by the Private Practitioners 15 10/31/2010 Dr Ashish Yadav ,[object Object],     different treatment regimens to treat    pulmonary TB cases.
ATT administration in accordancewith RNTCP 16 10/31/2010 Dr Ashish Yadav
Drug combinations used by the private practitioners for Intensive Phase 17 10/31/2010 Dr Ashish Yadav
Use of Sputum Smear Examination as a criteria to stop the treatment 18 10/31/2010 Dr Ashish Yadav
Parameters used as a criteria to stop treatment of tuberculosis 19 10/31/2010 Dr AshishYadav
Conclusion Sputum examination is being neglected for diagnosis & as a criterion for stopping treatment.  There is marked reliance on X-ray among private practitioners for management of Pulmonary TB.  20 10/31/2010 Dr Ashish Yadav
There is an urgent need to strengthen the RNTCP 	training of the private  	practitioners and sensitize 	them for their reorientation 	towards standard management 	of tuberculosis. 21 10/31/2010 Dr Ashish Yadav
Dr Ashish Yadav

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Dr Ashish Yadav

  • 1. Management of Pulmonary Tuberculosis by Private Practitioners in Meerut AshishYadav, S. K. Garg, H. Chopra, S. K. Bajpai, T. Bano, S. Jain, A. Kumar Department of Community Medicine L.L.R.M. Medical College, Meerut
  • 2. Background A large segment of the population seek health care from the private sector that includes private medical practitioners. Patients seeking health care from these service providers include a significant proportion of tuberculosis patients who are deprived of free TB services provided under RNTCP. 2 10/31/2010 Dr Ashish Yadav
  • 3. The private health sector did not have a strong presence when the National Tuberculosis Programme was designed. Over the years, however, the private sector has outgrown the public health sector, and today three-quarters of India’s health expenditure takes place in the private sector. 3 10/31/2010 Dr Ashish Yadav
  • 4. About 80% of the qualified medical practitioners in the country are in the private sector and more than half of TB cases seek treatment from private practitioners. 4 10/31/2010 Dr Ashish Yadav
  • 5. Objective To assess the management modalities of Pulmonary Tuberculosis by private practitioners of Meerut. 5 10/31/2010 Dr Ashish Yadav
  • 6. Material and Methods A cross sectional study was undertaken covering all the private practitioners registered under IMA, Meerut Branch. 6 10/31/2010 Dr Ashish Yadav Private Practitioners
  • 7. Among a total of 171 registered practitioners, only 154 practitioners participated in the study giving an overall response rate of 90.1% (154 out of 171). They were interviewed by a predesigned and pretested questionnaire about the various diagnostic & treatment modalities of pulmonary TB practiced by them. 7 10/31/2010 Dr Ashish Yadav
  • 8. RESULTS 8 10/31/2010 Dr Ashish Yadav
  • 9. Qualification of the Private Practitioners( n = 154 ) 9 10/31/2010 Dr Ashish Yadav
  • 10. Distribution of the private practitioners by their experience 10/31/2010 Dr Ashish Yadav 10
  • 11. RNTCP Training of private practitionersin past 5 years 10/31/2010 Dr Ashish Yadav 11
  • 12. First priority investigation used for diagnosisin relation to RNTCP training 10/31/2010 12 χ2 =9.485 , df = 2 , p < 0.01
  • 13. Awareness of categorization among Private Practitioners 13 10/31/2010 Dr Ashish Yadav
  • 14. Practice of Categorization 14 10/31/2010 Dr Ashish Yadav
  • 15.
  • 16. ATT administration in accordancewith RNTCP 16 10/31/2010 Dr Ashish Yadav
  • 17. Drug combinations used by the private practitioners for Intensive Phase 17 10/31/2010 Dr Ashish Yadav
  • 18. Use of Sputum Smear Examination as a criteria to stop the treatment 18 10/31/2010 Dr Ashish Yadav
  • 19. Parameters used as a criteria to stop treatment of tuberculosis 19 10/31/2010 Dr AshishYadav
  • 20. Conclusion Sputum examination is being neglected for diagnosis & as a criterion for stopping treatment. There is marked reliance on X-ray among private practitioners for management of Pulmonary TB. 20 10/31/2010 Dr Ashish Yadav
  • 21. There is an urgent need to strengthen the RNTCP training of the private practitioners and sensitize them for their reorientation towards standard management of tuberculosis. 21 10/31/2010 Dr Ashish Yadav