Evaluation of revised national tuberculosis control program at rural health unit and training center with special reference to category II cases

Abstract

Background: Tuberculosis (TB) is major public health threat in India and still is a reason for large number of mortality and morbidity. R.N.T.C.P. was implemented to minimize the defaulter, failure rate, but, in spite of implementation of directly observed therapy short (DOTS), there are a huge number of treatment default and failure. Aim and Objective: Our objectives are to evaluate current status of RNTCP under the field service area of R.H.U. & T.C., Singur, and to find out the proportion of failure, relapse, and treatment after default cases, the factors associated with it and propose corrective measures. Materials and Methods: This was an institution-based cross-sectional observational study held from April 2015 to March 2016 over the 186 TB patients under three public health institutions, namely, Nasibpur, Anandanagar, and Paltagarh under R.H.U. & T.C., Singur. This study was based on interview method and record analysis. Data collected from DOTS clinic and study tools were TB treatment card, TU and BPHC records, pre-tested, pre-designed, semi-structured schedule. Results: This study revealed that most of the TB patients were unskilled labors and belonging to upper-lower socioeconomic status. TB was significantly more among the patients with initiation of smoking at the age of 16–20 years. There were 32 CAT II cases out of 186 patients and out of 32 CAT II TB patients, 25%, 6.25%, 12.5%, 6.25%, and 50% have undergone death, migrated out, default, failure, and cured, respectively. Conclusion: The government as well as various NGOs should be involved to increase the knowledge and the approaches toward the preventive aspects of the disease beside only medications.