Bhubaneswar, 24/03/2017 ( Odisha Samachar / Abhisek Mohanty )- : The Tuberculosis (TB) case detection rate is not so high and case notification is also low in the State. The case detection, diagnosis, putting patient on treatment, treatment management is not at all satisfactory, which has been observed from the involvement of Voice for Patients Forum with some DRTB patients and their family members in Odisha. Neither they follow the treatment guidelines nor the pro-patient centric approaches. There is lack of follow up, counselling, uninterrupted drug supply, attitude of service providers,
robust monitoring system, motivation, patient education,
socio-economic linkage resulting in drop out from treatment, wrong regimen, irregular drugs supply, drug stock-out and spreading more XDRTB, informed Voice of Patients Forum co-convenor Bijayalaxmi Routray in a press meet organised by the forum on the occasion of World TB Day to highlight the TB scenario in Odisha.
Throwing light on the situation of TB in remote rural areas,
particularly in tribal and other marginalized communities, is precarious, Routray said, “TB patients in tribal and other
particularly vulnerable communities still do not have easy access to standard diagnosis and treatment; patients often opt for informal providers (local untrained practitioners or healers or pharmacists) followed by one or more visits to private providers, before TB is diagnosed and treated properly in the public sector. Inadequate and inappropriate tests, irrational TB drug regimens, empirical management of suspected TB patients with Fluroquinolones are still widely practiced in many parts of India, thereby delaying proper diagnosis and enhancing the development of acquired resistance to second-line anti-TB regimens. Such dangerous practices by private practitioners need urgent attention by the TB authorities. Lack of awareness on TB, particularly among the poor and marginalized communities, made the situation even worse. Many of the families who are infected or affected by TB, are unaware of their rights and health entitlements. Their compromised social status and skills to negotiate with the
public health care distribution system are barriers to avail and access quality services. The engagement of communities and their representation in TB Control Programme have never been seriously considered as a critical element of the intervention. The top down approach of the Government’s TB Control Programme, therefore, will never achieve its target to end TB in India.”