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The state cell of Revised National TB Control Programme (RNTCP ) is planning to rope in private practitioners to tap patients who do not come to government hospitals for treatment.
The mechanism to trace tuberculosis patients in government sector has been satisfactory and for the last three years,we have been able to trace the expected burden of TB patients in the state, said Dr NP Bharti,State Tuberculosis Officer. But patients who go to the private practitioners are not traceable in our system. According to the data available with the TB control cell,in the second quarter of 2010,the detection rate of new sputum positive cases is 73 per cent and cure rate is 85 per cent.
The general complaint of private practitioners is that once they send the TB patients to government-sponsored DOTS provider,they never come back, said Bharti. They have proposed that they send volunteers from their own medical establishment who can train as DOTS providers and have a DOTS center in their own hospitals and nursing homes. They can still charge fee for consultation but will have to provide the DOTS medicine,provided by the government,free of cost to the patient.
The health officials are also planning to reach out to the private pathologists,where the sputum test for tuberculosis can be done free of cost. Patients who go to private path labs are also not traceable as pathologists are not answerable to the government and their records are not compiled. Hence we are planning to earmark private pathologists in each town,in collaboration with IMA, said Bharti.
We will train path staff for proper sample collection and record maintenance. We will compile these reports to bring out the complete picture of tuberculosis in the state, said Bharti. The government will also be providing logistics for the test to these labs,including the reagents and slides. Each test kit costs Rs 25. The tests will be done for free.
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