Putting TB notification into practice among private pharmacies in Mangalore city, India – Did we succeed?

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-09-20 DOI:10.1016/j.cegh.2024.101775

Saurabh Kumar , Nishanth Krishna K. , Sowmya Bhat , Raveendra H.R. Reddy , Ravichandra C. , Sharath Burugina Nagaraja , Badarudeen M.N.

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引用次数: 0

Abstract

Problem considered

Globally, tuberculosis (TB) is the second leading infectious killer after Covid-19 with 1.18–1.43 million deaths in 2022. As per the Global TB Report 2023, an estimated 10.6 million people developed TB in 2022. An estimated 3.1 million cases were missed globally, posing a challenge in breaking the chain of transmission. India is one of the major contributors to the missed cases. Almost 50 % of patients are being treated in the Private sector in India, but fewer are notified to the public health system. This study explored the role of sensitization of pharmacies in TB Case Notification in Mangalore city.

Methods

In this study using a before and after intervention design, the programmatic data was utilized to compare the TB case notifications by the private pharmacies using TB reporting formats for mandatory notification. The intervention was sensitization of the pharmacy owners and pharmacists by a trained field assistant and monthly reminder messages using a social media tool. The data was collected for 2 consecutive quarters October 2019–March 2020 in the prescribed formats.

Results

Post Intervention, there was an increase in the number of pharmacies reporting TB cases from 6 to 14, and prescriptions were being maintained and shared with the District TB Office. An increased number of case reporting was also observed post-intervention.

Conclusion

Intensified sensitization led to improvement in the reporting mechanism of TB case notification by private pharmacies, though it did not translate into a concurrent rise in notification of TB cases in the district.

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在印度芒格洛尔市的私人药房中实施结核病通报 - 我们成功了吗？

考虑的问题在全球范围内，结核病（TB）是仅次于 Covid-19 的第二大传染病杀手，2022 年的死亡人数为 118-143 万人。根据《2023 年全球结核病报告》，2022 年估计有 1060 万人罹患结核病。据估计，全球有 310 万病例漏诊，这给切断传播链带来了挑战。印度是造成漏报病例的主要国家之一。在印度，近 50% 的患者在私营部门接受治疗，但向公共卫生系统通报的患者较少。本研究探讨了药房宣传在芒格洛尔市结核病例通报中的作用。在这项采用干预前后设计的研究中，利用计划数据比较了私营药房使用结核病报告格式进行强制性通报的结核病例通报情况。干预措施是由一名训练有素的现场助理对药店店主和药剂师进行宣传，并使用社交媒体工具每月发送提醒信息。结果干预后，报告肺结核病例的药店数量从 6 家增加到 14 家，处方得到保存并与区结核病办公室共享。结论加强宣传改善了私人药房的结核病例报告机制，但这并没有转化为该地区结核病例报告的同步增长。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.