||The role of general practitioner and public health
services in tuberculosis control.
||Proceedings of the Tuberculosis and Chest Diseases
Workers Conference, 28th, Ahmedabad, India, 3-5 Feb, 1965, p. 64-74.
Today, the role of the GP in the TB control programme
has increased from only providing early diagnosis as in the past.
The GPs, perhaps due to fear of losing a patient, typically show
apathy in prompt and accurate diagnosis and there is inadequate
treatment of diagnosed patients. The role of the NTI is explained
to get an idea of how GPs could be involved in follow-up of treatment.
While 105 teams of TB officers and staff of the District Clinic,
Ahmedabad had been trained thus far by NTI at Bangalore, nearly
half had not gone back to establish diagnostic centers in their
districts, as expected. To include GPs effectively in the national
TB efforts, it is necessary to integrate the control programme with
the public health services as is done in Gujarat. Here, because
the Public Health Services and the Medical Health Services functioned
under one head, there was no problem in getting co-operation from
the Medical Officer of the PHCs. Regarding GP training, offering
GPs a general medical refresher course with a special part devoted
to TB, issuing pamphlets periodically on the latest developments
in TB control and providing training for GPs at the undergraduate
and post-graduate levels in medical colleges are recommended actions.
In teaching about TB, students should be taken to the TB Demonstration
and Training Centers and emphasis should be on modern trends in
the diagnosis and treatment, especially, at the community level.
Some difficulties the GPs experienced in getting involved with the
TB programme such as getting laboratory and X-ray exams for their
patients are discussed. A voluntary body such as the TB Association
could help by conducting post-graduate refresher courses, motivating
defaulters and undertaking care and after-care work. Helping GPs
update and expand their knowledge of TB, providing them with certain
facilities will ensure their greater involvement in the NTP.
|KEYWORDS: GENERAL PRACTITIONER; PRIVATE SECTOR; INDIA.