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Impact of involvement of non-formal health providers on TB case notification among migrant slum-dwelling populations in Odisha, India
- Source :
- PLoS ONE, Vol 13, Iss 5, p e0196067 (2018), PLoS ONE
- Publication Year :
- 2018
- Publisher :
- Public Library of Science (PLoS), 2018.
-
Abstract
- Background Migrant labourers living in the slums of urban and industrial patches across India make up a key sub-population so far controlling Tuberculosis (TB) in the country is concerned. This is because many TB patients from these communities- remain under reached by the Revised National Tuberculosis Control Programme (RNTCP) of India. This marginalized community usually seeks early-stage healthcare from “friendly neighbourhood” non-formal health providers (NFHPs). Because, RNTCP has limited capacity to involve the NFHPs, an implementation research project was conceived, whereby an external partner would engage with the NFHPs to enable them to identify early TB symptomatics from this key sub-population who would be then tested using Xpert MTB/RIF technology. Diagnosed TB cases among them would be referred promptly to RNTCP for treatment. This paper aimed to describe the project and its impact. Methods Adopting a quasi-experimental before-after design, four RNTCP units from two major urban-industrial areas of Odisha were selected for intervention, which spanned five quarters and covered 151,400 people, of which 30% were slum-dwelling migrants. Two similar units comprised the control population. The hypothesis was, reaching the under reached in the intervention area through NFHPs would increase TB notification from these traditionally under-notifying units. RNTCP notification data during intervention was compared with pre-intervention era, adjusted for contemporaneous changes in control population Results The project detected 488 Xpert+ TB cases, of whom 466 were administered RNTCP treatment. This translated into notification of additional 198 new bacteriologically positive cases to RNTCP, a 30% notification surge, after adjustment for 2% decline in control. This meant an average quarterly increase in notification of 41.20(20.08, 62.31; p
- Subjects :
- Bacterial Diseases
Physiology
Health Care Providers
lcsh:Medicine
Geographical Locations
0302 clinical medicine
Mathematical and Statistical Techniques
Residence Characteristics
Health care
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Neighbourhood (mathematics)
Transients and Migrants
Multidisciplinary
Ecology
Body Fluids
Infectious Diseases
Community Ecology
Physical Sciences
Tuberculosis Diagnosis and Management
Tuberculosis control
Anatomy
Slum
Statistics (Mathematics)
Research Article
Tuberculosis
Asia
Health Personnel
030231 tropical medicine
India
Research and Analysis Methods
Population control
03 medical and health sciences
Diagnostic Medicine
Environmental health
medicine
Humans
Statistical Methods
Time Series Analysis
Community Structure
Disease Notification
business.industry
Ecology and Environmental Sciences
lcsh:R
Sputum
Biology and Life Sciences
medicine.disease
Tropical Diseases
Health Care
Mucus
People and Places
lcsh:Q
Implementation research
business
Healthcare providers
Mathematics
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 13
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....a41c1d00e3a15e331f1442e9adbf6993