Treatment success rates among tuberculosis patients notified from the private sector in West Bengal, India

• DOI: 10.4081/monaldi.2021.1555
• Publication Date: 2021-02-03T04:05:46Z
• Authors: Vivek Sharma; Pruthu Thekkur; Poonam R. Naik; Brojo Kishore Saha; Niraj Agrawal; Milan K. Dinda; S. Parthiban; Abhijit Dey; Basavaraj Poojar; Amrita N. Shamane...; Srinath Satyanara...
• Keywords: West bengal

In India, an estimated 50% of tuberculosis (TB) patients are diagnosed and managed by private providers (PPs). However, there is limited information on treatment outcomes among those treated PPs largely because a lack systems for patient follow-up documentation the outcomes. Tuberculosis Health Action Learning Initiative (THALI) project implemented in six districts West Bengal, supported managing TB systematically documented such patients. This provided us opportunity to describe assess factors associated with ‘unsuccessful outcomes’ notified from January April 2018. was retrospective cohort study using routinely collected data. During reference period, 2347 were 389 PPs. The patient’s mean (SD) age 39.9 (17.2) years 61% males. Of total, about 86% had pulmonary TB, 95% new cases, 23% microbiologically confirmed (either sputum smear microscopy or Xpert assay). Among patients, 19% received free drugs National Program (NTP) under supervision while rest purchased anti-TB pharmacies. ‘successful (cured completed) seen 86.1% (95% confidence interval (CI), 84.6%-87.4%) 8.6% ‘not evaluated’. who NTP (adjusted relative risk-4.0 CI: 3.1-5.0)) higher risk than availed high promising. need be explored, suitable corrective actions have taken.