||The role of general practitioners in the control of
tuberculosis in India.
||SOUVENIR SILVER JUBILEE TB ASSOC INDIA, NEW DELHI,
The importance of GPs in various aspects of TB
control is emphasised. The majority of patients who go to a State
Clinic have typically been under care of a GP at one stage or another.
In an urban clinic in Uttar Pradesh, an average of about 10-15%
of patients are in the first stage, 20-30% in the second stage and
55-70% in the third stage of TB. These figures have held constant
for the past 15 years. Given this scenario, it is considered that
unless the co-operation between the clinic doctor and the GP improves,
there could not be any improvement in these figures (which are similar
to figures in the rural areas). The GP is equally important at the
last stage of TB, when only he/ she can instill the necessary discipline
in the patient to continue regular treatment. GPs can be useful
in providing notification of TB, in regulating the sale and dispensation
of anti-TB drugs, treating patients in domiciliary care, participating
in mass radiography and contact exams. Several advantages that would
accrue from a liaison between the clinic doctor and the GP are listed
and it is suggested that registered Vaids and Hakims in rural areas
be enlisted to help the Government.
|KEYWORDS: GENERAL PRACTITIONER; PRIVATE SECTOR; HEALTH