|FEASIBILITY OF INVOLVEMENT OF THE MULTIPURPOSE WORKERS
IN CASE-FINDING IN DISTRICT TUBERCULOSIS PROGRAMME
|KS Aneja, NK Menon-, AK Chakraborty, K Srikantan &
M Manjunath: Indian J TB, 1980, 27, 158-66.
At present, Case-finding activity of tuberculosis
through the self reporting chest symptomatics attending Peripheral
Health Institutions, is at a low ebb. With the introduction of Multi
Purpose Workers (MPW) scheme, a machinery has emerged through which
this activity could be augmented. An operational study was therefore
undertaken in five Primary Health Centres (PHCs) of Chittoor district,
Andhra Pradesh in June 1978.
The study has revealed that if the MPWs collect
sputum smears from the symptomatics of the age group of 20 years
and above during their routine visits to each household of the specified
population allotted to them and despatch the smears to the PHC for
examination, there is a possibility of augmenting the existing Case-finding activity by 4 5 times. An intensive training of 2 3 days
for this purpose seems adequate. The average work load for a MPW
would be preparation of one smear a day initially for a couple of
months and thereafter as a routine one smear a week. In an average
PHC, the work load for the microscopist would be to examine 10 to
12 slides a day initially, the load will then progressively decline
and subsequently as a routine it will not be more than 3 4 slides
a day. An additional microscopist would probably be needed at PHC
laboratory for examination of sputum smears as well as to assist
the existing microscopist who at present is primarily engaged in
malaria work. Meticulous supervision and regular flow of supplies
and equipment is however a 'must' for the success of the scheme.
|KEY WORDS: HEALTH WORKER, CASE-FINDING, CONTROL
PROGRAMME, PRIMARY HEALTH CARE.