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

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Evaluation of Programmatic management of drug resistant tuberculosis (PMDT) in three states of North India: A cross-sectional study
Preeti Padda

Last modified: 2018-08-06

Abstract


Background:

PMDT was launched for management of drug resistant tuberculosis (DR-TB). Its evaluation forms backbone for improving the quality and effectiveness. Therefore, present study was planned to evaluate the program.

Materials and Methods:

Mixed methods (qualitative and quantitative) were used for evaluation of PMDT in three states of northern India. Operational manuals were reviewed for description, identification of arms and development of indicators. A logical model was then used to classify indicators in terms of input, process and output which led to development of data collection tools on which information was collected by reviewing reports and by interviewing program managers and DR-TB patients. Microsoft excel was used for computation of various indicators and interstate comparison was done.

Results:

PMDT was evaluated on basis of case finding, treatment and programme management in Delhi, Punjab and Himachal Pradesh (HP). DR-TB case notification rate ranged from 2-7.2 /100,000 population across the states with highest in Delhi. Cure rate varied between 35-40%. Common issues identified were minimal involvement of private sector, shortage of human resource (HR) and training for all 3 states.

Conclusions:

Private sector involvement is required for identifying hidden DR-TB cases and for improving low cure rates HR recruitment and training needs priority.

Acknowledgements:

Central Tuberculosis Division, New Delhi, India for funding the project.

Key words:

Evaluation, drug-resistant tuberculosis, cure rate, notification rate, drug resistant tuberculosis