Scientific Publication

MDR-TB in Puducherry, India: reduction in attrition and turnaround time in the diagnosis and treatment pathway

author(s) Shewade, H.D.. - Govindarajan, S. - Thekkur, P. - Palanivel, C. - Muthaiah, M. - Kumar, A.M.V.
from UK Foreign, Commonwealth & Development Office (FCDO)
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themes
regions
  • Southern Asia
  • Asia
  • World
citation

H. D. Shewade, S. Govindarajan, P. Thekkur, C. Palanivel, M. Muthaiah, A. M. V. Kumar, V. Gupta, B. N. Sharath, J. P. Tripathy, K. Vivekananda, G. Roy (2016) MDR-TB in Puducherry, India: reduction in attrition and turnaround time in the diagnosis and treatment pathway. Public Health Action. 2016 Dec 21; 6(4): 242–246. doi: 10.5588/pha.16.0075

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Abstract

Setting A mixed-methods operational research (OR) study was conducted to examine the diagnosis and treatment pathway of patients with presumptive multidrug-resistant tuberculosis (MDR-TB) during 2012–2013 under the national TB programme in Puducherry, India. High pre-diagnosis and pre-treatment attrition and the reasons for these were identified. The recommendations from this OR were implemented and we planned to assess systematically whether there were any improvements. Objectives Among patients with presumptive MDR-TB (July–December 2014), 1) to determine pre-diagnosis and pre-treatment attrition, 2) to determine factors associated with pre-diagnosis attrition, 3) to determine the turnaround time (TAT) from eligibility to testing and from diagnosis to treatment initiation, and 4) to compare these findings with those of the previous study (2012–2013). Design This was a retrospective cohort study based on record review. Results Compared to the previous study, there was a decrease in pre-diagnosis attrition from 45% to 24% (P Conclusion The implementation of findings from OR resulted in improved programme outcomes

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