||A social science approach to strengthening India`s
National Tuberculosis Programme.
||INDIAN J TB 1993, 40, 61-79.
This oratorical piece provides a detailed description
of the rich heritage of the work on TB in India which also contributed
to dramatically changing the approaches to TB control, globally.
The importance of integrating a social science approach in the epidemiological
strategy was visualised at the very beginning of the establishment
of the NTI in 1959 and this was the key concept in the formulation
of the NTP. The social inputs in the NTP or, felt-need overlapping
with epidemiologically assessed needs are described in detail. These
inputs are, mainly, consideration of the awareness of suffering
due to symptoms, giving priority to sputum-positive cases, integration
of TB services with the GHS and, consideration of the need for improvement
in people's access to health services. This revolutionary integration
of social inputs in the TB programme by NTI resulted in the NTP
taking a radically new approach to programme formulation and implementation.
This led to the programme being more socially acceptable, cost-effective
and epidemiologically effective. The problems encountered in implementing
NTP during the last twenty-five years are detailed and some suggestions
are offered to overcome them.
|KEYWORDS: SOCIAL SCIENCE APPROACH; INDIA.