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Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth

INTRODUCTION: Under-nutrition increases the susceptibility to active tuberculosis and delays recovery. Nikshay Poshan Yojana provides a financial incentive of Rs. 500/month for each notified TB patient for a duration until the patient is on anti-TB treatment. OBJECTIVES: 1. To find out the utilizati...

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Autores principales: Begum, Jarina, Neelima, Y, Ali, Syed I., Pattnaik, Satyajit, Sharma, Dhananjaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928111/
https://www.ncbi.nlm.nih.gov/pubmed/33681048
http://dx.doi.org/10.4103/jfmpc.jfmpc_1229_20
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author Begum, Jarina
Neelima, Y
Ali, Syed I.
Pattnaik, Satyajit
Sharma, Dhananjaya
author_facet Begum, Jarina
Neelima, Y
Ali, Syed I.
Pattnaik, Satyajit
Sharma, Dhananjaya
author_sort Begum, Jarina
collection PubMed
description INTRODUCTION: Under-nutrition increases the susceptibility to active tuberculosis and delays recovery. Nikshay Poshan Yojana provides a financial incentive of Rs. 500/month for each notified TB patient for a duration until the patient is on anti-TB treatment. OBJECTIVES: 1. To find out the utilization of the nutritional support scheme among TB patients. 2. To give evidence-based recommendations. METHODS: It is a retrospective cross-sectional study conducted among TB patients. 2 DMC's in each of the 2TU (randomly selected from 12 TUs) were chosen. 83 patients responded to telephonic interview out of all patients registered in the last six months. The demographic details were collected from TB treatment cards and registers and other information by telephonic interview of 10–15 min each conducted over a period of 15–20 days. The quantitative data thus collected was analysed in terms of frequency, percentage and Chi-square test and qualitative data from patients and providers were analysed by thematic analysis. RESULTS: Majority were of 40–60 years of age and were males. A total of 76 patients were aware of the scheme but only 17 patients had received their first instalment after two months in their account. Among the 17 who faced difficulty while getting the money, 13 TB patients spent it on nutrition. Lack of communication, stigma, unawareness, ignorance, illiteracy, multistep approval process and technical issues were few themes that emerged as difficulties encountered while utilisation. CONCLUSION: There is a large gap between demand and supply chain of services. A majority were unsatisfied and thus the administrative scale up for proper implementation of services and measures to bring down the stigma attached with the disease was recommended.
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spelling pubmed-79281112021-03-05 Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth Begum, Jarina Neelima, Y Ali, Syed I. Pattnaik, Satyajit Sharma, Dhananjaya J Family Med Prim Care Original Article INTRODUCTION: Under-nutrition increases the susceptibility to active tuberculosis and delays recovery. Nikshay Poshan Yojana provides a financial incentive of Rs. 500/month for each notified TB patient for a duration until the patient is on anti-TB treatment. OBJECTIVES: 1. To find out the utilization of the nutritional support scheme among TB patients. 2. To give evidence-based recommendations. METHODS: It is a retrospective cross-sectional study conducted among TB patients. 2 DMC's in each of the 2TU (randomly selected from 12 TUs) were chosen. 83 patients responded to telephonic interview out of all patients registered in the last six months. The demographic details were collected from TB treatment cards and registers and other information by telephonic interview of 10–15 min each conducted over a period of 15–20 days. The quantitative data thus collected was analysed in terms of frequency, percentage and Chi-square test and qualitative data from patients and providers were analysed by thematic analysis. RESULTS: Majority were of 40–60 years of age and were males. A total of 76 patients were aware of the scheme but only 17 patients had received their first instalment after two months in their account. Among the 17 who faced difficulty while getting the money, 13 TB patients spent it on nutrition. Lack of communication, stigma, unawareness, ignorance, illiteracy, multistep approval process and technical issues were few themes that emerged as difficulties encountered while utilisation. CONCLUSION: There is a large gap between demand and supply chain of services. A majority were unsatisfied and thus the administrative scale up for proper implementation of services and measures to bring down the stigma attached with the disease was recommended. Wolters Kluwer - Medknow 2020-12-31 /pmc/articles/PMC7928111/ /pubmed/33681048 http://dx.doi.org/10.4103/jfmpc.jfmpc_1229_20 Text en Copyright: © 2020 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Begum, Jarina
Neelima, Y
Ali, Syed I.
Pattnaik, Satyajit
Sharma, Dhananjaya
Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title_full Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title_fullStr Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title_full_unstemmed Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title_short Utilisation of nutritional support scheme among the patients of tuberculosis: A myth or a truth
title_sort utilisation of nutritional support scheme among the patients of tuberculosis: a myth or a truth
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928111/
https://www.ncbi.nlm.nih.gov/pubmed/33681048
http://dx.doi.org/10.4103/jfmpc.jfmpc_1229_20
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