Cargando…
Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead
Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Cont...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657851/ https://www.ncbi.nlm.nih.gov/pubmed/23563371 |
_version_ | 1782270170646970368 |
---|---|
author | Sharma, Surendra K. Mohan, Alladi Chauhan, L.S. Narain, J.P. Kumar, P. Behera, D. Sachdeva, K.S. Kumar, Ashok |
author_facet | Sharma, Surendra K. Mohan, Alladi Chauhan, L.S. Narain, J.P. Kumar, P. Behera, D. Sachdeva, K.S. Kumar, Ashok |
author_sort | Sharma, Surendra K. |
collection | PubMed |
description | Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ‘new smear-positives’ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement. |
format | Online Article Text |
id | pubmed-3657851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-36578512013-05-28 Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead Sharma, Surendra K. Mohan, Alladi Chauhan, L.S. Narain, J.P. Kumar, P. Behera, D. Sachdeva, K.S. Kumar, Ashok Indian J Med Res Special Report Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ‘new smear-positives’ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement. Medknow Publications & Media Pvt Ltd 2013-02 /pmc/articles/PMC3657851/ /pubmed/23563371 Text en Copyright: © The Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Special Report Sharma, Surendra K. Mohan, Alladi Chauhan, L.S. Narain, J.P. Kumar, P. Behera, D. Sachdeva, K.S. Kumar, Ashok Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title | Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title_full | Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title_fullStr | Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title_full_unstemmed | Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title_short | Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead |
title_sort | contribution of medical colleges to tuberculosis control in india under the revised national tuberculosis control programme (rntcp): lessons learnt & challenges ahead |
topic | Special Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657851/ https://www.ncbi.nlm.nih.gov/pubmed/23563371 |
work_keys_str_mv | AT sharmasurendrak contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT mohanalladi contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT chauhanls contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT narainjp contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT kumarp contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT beherad contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT sachdevaks contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT kumarashok contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead AT contributionofmedicalcollegestotuberculosiscontrolinindiaundertherevisednationaltuberculosiscontrolprogrammerntcplessonslearntchallengesahead |