|SHORT COURSE CHEMOTHERAPY OF TUBERCULOSIS PROCEDURAL
STRATEGIES IN DISTRICT TUBERCULOSIS-PROGRAMME
|P Jagota: NTI Newsletter 1982, 19, 95-102.
In the wake of implementation of Short Course Chemotherapy
(SCC) in the programme, some of the organizational aspects of SCC
as observed in a clinical trial at the Lady Willingdon State TB
Centre (LWSTC), Bangalore vis-a-vis to those recommended in the
programme were evaluated. The efficacy of 3 SCC regimens of 3-5
months duration under clinical trial were studied among 381 patients.
The efforts and the resources employed to achieve the results in
the trial are compared with that of those recommended in the District
TB Programme (DTP).
It is observed that there is a wide gap between
the clinical trial and the programme in organisational
efforts and resources. Although the trials cannot act as a model,
if benefits associated with the SCC are to be availed, extra staff
and transport for home visiting should be provided. The aspects
of the organisation which need strengthening are motivation, timely
defaulter action (preferably on the same day mainly as home visit)
and efficient management of large number of patients attending the
clinic for supervised drug administration, adverse reaction etc.,
before recommending the use of SCC in the DTP.
|KEY WORDS: SCC, CONTROL PROGRAMME, CLINICAL