Title:
Exploring Factors Leading to Rise of TB and MDR-TB Cases in India Despite the Reported Success of The National TB Programme
Authors:
Das, Utpal
Year:
2013
PAGE:
ix, 42
Language:
En
Subject:
Health and Poverty
Keywords:
Tuberculosis, TB, Multi-Drug Resistant TB, MDR-TB, India, Impact of TB Control, TB Epidemic
Abstract:
Background: India has the world’s highest number of Tuberculosis and Multi-Drug Resistant Tuberculosis (MDR-TB) cases in the world. The Revised National Tuberculosis Control Programme (RNTCP) was universally launched across India in 1992. The programme has been able to meet its main indicators every year since its conception. Yet the incidence of TB and MDR-TB is growing. Objective: To explore the factors leading to rise of TB and MDR-TB cases in India despite the reported success of the national TB programme. Study Method: Literature review of relevant articles related to TB and MDR-TB in India. Results & Discussion: Although RNTCP has clear policies and guidelines, they are not implemented or practiced. TB is still stigmatized in India and its incidence is high among the poor population. There are several governance issues such as lack of social protection for TB patients and no regulation of the private healthcare sector which caters to almost half of TB cases. Conclusions & Recommendation: Increase of TB and MDR-TB in India is not a standalone disease that can be tackled by curative measures only. In the mid-20th century TB was controlled before antibiotics against TB was discovered by improving social determinants like living conditions. Even now, such an approach is required. It is an outcome of various factors including poor management. If India is to really eliminate the disease as per set goal, the Ministry of Health has to involve the private health sector, non-health sectors (for e.g. urban sector, education) and also involve the community.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
India
Region:
South Asia
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2013 Das
Document type:
Thesis/dissertation
File:
lOuxGgdmpO_20161024144430906.pdf