Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Compliance of preventive therapy for the paediatric contacts & integrating it with the treatment of the index tuberculosis cases: A path breaking study in North East India
Forhad Akhtar Zaman

Last modified: 2018-07-23

Abstract


Background

The state of Sikkim in North East India is overburdened with Tuberculosis (TB) having the highest proportion of Multi Drug Resistant (MDR) TB cases in India. Separate visits are being conducted under the TB Control Programme to deliver Isoniazid preventive therapy (IPT) for the household paediatric contacts and radical treatment for the index case in the same house.

Materials and methods

It was a prospective study with universal sampling of all the sputum positive TB patients in East Sikkim in 2015. Home visit were conducted initially, after 3 months with health education intervention and finally at the end of 6 months. Focus group discussion (FGD) were conducted amongst the TB home visitors regarding monitoring visits of the houses with eligible paediatric contacts and index cases.

Results

Out of the total 124 paediatric household contact, 86 (69.4%) initiated IPT. After 6 months of follow up, 114 (91.9%) children were found to have completed the IPT after the health education intervention. In 96.7% of the houses, it was possible to monitor both the index case and the paediatric contact at the same time with the same manpower. Content analysis of FGD revealed lack of programme clarity regarding integrating visits for monitoring of both contacts and the index cases.

Conclusions

Health education intervention was found to be an effective tool for compliance of IPT. This study had a huge impact in terms of proving that the integration of preventive therapy for the contacts along with the treatment of the index case can be done with no extra burden and cost in the ongoing National Health Programme for TB.

Key words

Paediatric household contacts, IPT, Health education intervention, Integrated visit