Volume : 7, Issue : 11, November - 2018

Challenges perceived by the private practitioners in TB notification at district Shahdol, Madhya Pradesh: A mixed-method study

Rajesh Pandey, Akash Ranjan Singh, Vikrant Kabirpanthi, K. Shubhash Chandra Bose, Jagriti Diwedi, Rajesh Mishra

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="margin-left:.5in;text-align:justify;line-height:200%"><b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US">Objective:</span></b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US"> </span><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To assess the determinants and challenges perceived by the private practitioners (PP) for TB notification in district Shahdol, Madhya Pradesh in year 2018.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:.5in;text-align:justify;line-height:200%"><b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US">Methodology:</span></b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US"> A mixed-method study design: quantitative phase (descriptive cross sectional study) qualitative phase (2 Focus group discussion of PPs with manual content analysis). <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:.5in;text-align:justify;line-height:200%"><b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US">Result:</span></b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US"> Of the 17 PPs, all were aware that TB notification is mandatory but none was aware about the notification process. Only 53% reported sufficient or strong support from RNTCP for notification and 18% reported at-least one notification in last one year. The perceive barriers in notification were </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">lack of visit by healthcare workers, training, trust on programme and fear to loose patient while notification.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:.5in;text-align:justify;line-height:200%"><b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US">Conclusion:</span></b><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-US"> The TB notification by PPs in district Shahdol is unsatisfactory. Study recommends programme should make serious efforts to gain trust of PPs through </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">ensure visit, regular training, timely disbursement of honorarium to ensure <span style="mso-spacerun:yes">&nbsp;</span>mandatory TB notification.<o:p></o:p></span></p>