PERCEPTIONS FROM SUB-NATIONAL TB FREE CERTIFICATION ON TUBERCULOSIS CONTROL IN A DISTRICT OF JHARKHAND – A QUALITATIVE STUDY

Abstract

Introduction-India aims to achieve TB elimination by reducing the incidence of new TB cases by 80% by 2025 compared to 2015. Government is adopting newer innovative strategies and interventions aimed at improving patient outcomes and community health. One of the approach is TB free Status and Sub-National Certification for verification of the claims. The verification process estimated the incidence of TB through community based survey, correcting the notification rate for under reporting of cases in the notification system and using drug sales and utilisation data. This study dwells into healthcare providers’ viewpoint towards the TB incidence in the district.

Materials and Methods- Private practitioners and chemists were included in the study. Convenient sampling method was utilized for selection of participants. Nominal Group Technique session was conducted for chemists and Key Informant Interview was done for the doctors.Participants included 9 chemists and 11 doctors.

Result-. All the participants agreed that the incidence of TB cases has decreased. 25% of the patients seek treatment in private sector. KII helped in identification of five themes including TB incidence, Preference for Public or Private sector, Public vs Private Drugs, Drug resistant TB cases and SuggestionsThe efforts of Government towards TB elimination was appreciated by all the participants.

Conclusion- The qualitative nature of the study provides a unique perception towards TB control, including reduced incidence rates, patient adherence to treatment, and preference for public sector resources.All the aspects regarding TB control needs to be addressed to achieve the ambitious goal of TB-free nation by 2025.