a) Health Policy, Delivery of Health Services & Health Care
AU : Rao KN
TI : Tuberculosis problem in India.
SO : INDIAN J TB 1966, 136, 85-93.
DT : Per
AB :

The article provides a description of the health facilities including medical manpower available in India in the mid-60s. Given that the population was rising by 2.2% per annum, it was suggested that the social and sociological significance of the increase of TB morbidity be considered in relation to population growth. Since the Indian tubercle bacillus, while less virulent, varied from strain to strain considerably more than in the European countries, it was recommended that devising ways to combat TB be based on the specific needs of the country. Over Rs. 2,000 crores per annum was expected to be needed to combat TB in India. Therefore, it was more cost- effective to expend funds in the prevention and control of TB rather than used towards covering the cost of illness and premature death.

TB control was one of the priority items in the National Health Programmes incorporated in the successive Five-Year Plans covering 30 years. On reviewing the earlier history of TB Services in India, it was evident that, while the prevalence of TB was recognised in India from 2,500 B.C., the awareness of its existence as a major problem only occurred in the early part of this century. The establishment of the TAI in 1939 marked the first national voluntary effort and also when domiciliary treatment for TB patients was first offered. The break out of the Second World War and the aftermath of the partition of India in 1947 brought all nation-building efforts to a standstill. Subsequently, in 1948, the Indian Government set up a separate TB Section in the DGHS, encouraging rededication to providing TB services; at the same time antibiotics began to replace the use of pneumo-thorax treatment. By the mid-60s, the TB control programme in India covered wide-ranging activities such as Preventive Services, TB Clinics, Hospitals & Sanatoria, Rehabilitation, Research and Health Education. The emphasis was on providing preventive & clinical services and domiciliary, anti-microbial activity. A description of various other anti-TB measures taken by governmental, voluntary and international agencies completes the review.