||Uplekar MW, Juvekar S, Morankar S, Sheela Rangan &
||Tuberculosis patients and practitioners in private
clinics in India
||INT J TB & LUNG DIS 1998, 2, 324-29
This study is conducted in Rural and urban areas
of Maharashtra, a large state in Western India. to understand TB
management practices among private medical practitioners (PPs) and
the treatment behaviour of the patients they manage.
Prospective study of help-seeking patterns and
treatment behaviour among 173 pulmonary TB patients diagnosed in
private clinics, and the TB management practices of 122 PPs treating
The first source of help for 86% of patients was
a PP. The diagnostic and treatment practices of PPs were inadequate;
15% did not consider sputum examination to be necessary, and 79
different treatment regimens were prescribed by 105 reporting PPs.
Sixty seven percent of the patients diagnosed in private clinics
remained with the private sector, and the rest shifted to public
health services within six months of treatment. The treatment adherence
rate among the patients in private clinics was 59%. There were discrepancies
between the reported management practices of the PPs and what their
patients actually followed.
The study identifies and highlights the need to
educate PPs and their TB patients, and indicates ways in which PPs
could be meaningfully involved in efforts to revitalize the NTCP.
|KEY WORDS: PRIVATE PRACTITIONER; MANAGEMENT PRACTICES;