Fostering directly observed treatment in tuberculosis: a program manager's perspective.
نویسندگان
چکیده
Global Tuberculosis (TB) report (2013) has revealed that an estimated 8.6 million people developed TB of which, India accounts for almost 26% of the cases. These estimates clearly suggest that the country's efforts to achieve Millennium Development Goal 6 by 2015 have not delivered the desired output. In India, the TB prevention and control activities are supervised and implemented under the Revised National TB Control Program (RNTCP), which recognizes that implementation of a good quality Directly Observed Treatment with Short course chemotherapy (DOTS) is the first priority for TB control. Directly Observed Treatment (DOT) is the key element in DOTS strategy, in which a DOT provider insures and supports the patients in consuming their drugs throughout the course of treatment. In order to meet the country's vision to achieve universal access of TB care, the RNTCP has launched a "treatment adherence scheme" (public-private partnership scheme). Further, an evidence-based integrated strategy should be formulated for addressing the identified barriers which advocates universal administration of DOT. To conclude, DOT in RNTCP insures long-term adherence to the treatment, with right drugs in right doses, at right intervals and thus plays an indispensable role in improving the outcome indicators of the program and the quality of life in patients.
منابع مشابه
Fostering Directly Observed Treatment in Tuberculosis: A Program Manager’s Perspective
Global Tuberculosis (TB) report (2013) has revealed that an estimated 8.6 million people developed TB of which, India accounts for almost 26% of the cases. These estimates clearly suggest that the country’s efforts to achieve Millennium Development Goal 6 by 2015 have not delivered the desired output. In India, the TB prevention and control activities are supervised and implemented under the Re...
متن کاملInfluential Factors in the Treatment Outcomes of Tuberculosis in Directly Observed Therapy at the La General Hospital in the Greater Accra Region, Ghana
Background: Tuberculosis is a major cause of morbidity and mortality in Africa, especially Ghana. Despite the current treatments for tuberculosis, positive treatment outcomes are not attainable due to the differences in the socio-economic and bio-psychological status of the patients. The present study aimed to assess the influential factors in the treatment outcomes of tuberculosis. Methods: T...
متن کاملدرمان کوتاه مدت بیماری سل با نظارت مستقیم (روش درمانی DOTS)
The resurgence of tuberculosis in recent years has made an effective control strategy in indispensable. The strategy exists and is called Directly Observed Treatment, Short-course (DOTS) which is the worldwide best and Practical approach. In a five year period since the (DOTS) was adopted by WHO as a strategy to combat tuberculosis worldwide, more than 1.2 million people have received this tre...
متن کاملEthical aspects of directly observed treatment for tuberculosis: a cross-cultural comparison
BACKGROUND Tuberculosis is a major global public health challenge, and a majority of countries have adopted a version of the global strategy to fight Tuberculosis, Directly Observed Treatment, Short Course (DOTS). Drawing on results from research in Ethiopia and Norway, the aim of this paper is to highlight and discuss ethical aspects of the practice of Directly Observed Treatment (DOT) in a cr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International journal of health policy and management
دوره 2 1 شماره
صفحات -
تاریخ انتشار 2014