DOST Model’ for DR-TB Patients, New Delhi: Perspectives of Healthcare Providers  

作　　者：Vindhya Vatsyayan Theresa Pattery Khasim Sayyad Jason Williams Arnab Pal Vikas Panibatla Ashwani Khanna Vindhya Vatsyayan;Theresa Pattery;Khasim Sayyad;Jason Williams;Arnab Pal;Vikas Panibatla;Ashwani Khanna(Clinton Health Access Initiative (CHAI), Delhi, India;Johnson & Johnson Global Public Health R & D, Breese, Belgium;TB Alert India, Hyderabad, India;Delhi State TB Control Office, Delhi, India)

机构地区：[1]Clinton Health Access Initiative (CHAI), Delhi, India [2]Johnson & Johnson Global Public Health R & D, Breese, Belgium [3]TB Alert India, Hyderabad, India [4]Delhi State TB Control Office, Delhi, India

出　　处：《Journal of Tuberculosis Research》2022年第4期187-198,共12页结核病研究（英文）

摘　　要：Introduction: In India, tuberculosis continues to be a major public health problem and there is a growing concern about drug-resistant tuberculosis as most of the patients are from private sector. The National TB Elimination Programme (NTEP) in collaboration with TB Alert, India (TBAI) and Clinton Health Association of India (CHAI) had implemented a collaborative project to strengthen the network between the private practitioners and public healthcare facilities in New Delhi during 2019 and 2020. Methods: A study was conducted to understand the enablers and challenges encountered by them during the implementation of the project. This is a qualitative exploration of the “healthcare providers” on a project linking DR-TB patients in private sector with government health facilities. The process of data collection involved face-to-face in-depth interviews of healthcare providers, the Doctors mainly from private and public health facilities, the paramedical workers from general health system and paramedical from the project using an interview guide administered through a trained researcher. Results: The study findings revealed that all healthcare providers were completely aware of the DOST project in the health system, the model led to early diagnosis and initiation of quality treatment. There were no major challenges to the implementation of the project. The healthcare providers wish to have this project implemented for a longer duration. Conclusion: The perspectives of healthcare providers towards the “DOST” project were optimistic and call for re-initiating the project in the area.Introduction: In India, tuberculosis continues to be a major public health problem and there is a growing concern about drug-resistant tuberculosis as most of the patients are from private sector. The National TB Elimination Programme (NTEP) in collaboration with TB Alert, India (TBAI) and Clinton Health Association of India (CHAI) had implemented a collaborative project to strengthen the network between the private practitioners and public healthcare facilities in New Delhi during 2019 and 2020. Methods: A study was conducted to understand the enablers and challenges encountered by them during the implementation of the project. This is a qualitative exploration of the “healthcare providers” on a project linking DR-TB patients in private sector with government health facilities. The process of data collection involved face-to-face in-depth interviews of healthcare providers, the Doctors mainly from private and public health facilities, the paramedical workers from general health system and paramedical from the project using an interview guide administered through a trained researcher. Results: The study findings revealed that all healthcare providers were completely aware of the DOST project in the health system, the model led to early diagnosis and initiation of quality treatment. There were no major challenges to the implementation of the project. The healthcare providers wish to have this project implemented for a longer duration. Conclusion: The perspectives of healthcare providers towards the “DOST” project were optimistic and call for re-initiating the project in the area.

关 键 词：DOST Drug-Resistant Tuberculosis Patients INDIA Health Care Providers 

分 类 号：F42[经济管理—产业经济]