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Kalra A, ThekkePurakkal AS, Rao R, Parija D, Ghule V, Lone A, Showket T, Joshi RP, Sarin S, Chadha SS. Implementation of a tuberculosis elimination project, India 2018-2019. Bull World Health Organ 2023; 101:179-190. [PMID: 36865603 PMCID: PMC9948499 DOI: 10.2471/blt.22.288277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 11/19/2022] [Accepted: 11/30/2022] [Indexed: 03/04/2023] Open
Abstract
Objective To describe the changes in tuberculosis case notifications by the private sector after implementation of the Joint Effort for Elimination of Tuberculosis project in India in 2018. Methods We retrieved data from the project recorded in India's national tuberculosis surveillance system. We analysed data on 95 project districts in six states (Andhra Pradesh, Himachal Pradesh, Karnataka, Punjab including Chandigarh, Telangana and West Bengal) to assess changes in the number of tuberculosis notifications, private provider notifiers and microbiological confirmations of cases from 2017 (baseline) to 2019. We compared case notification rates in districts where the project was implemented with the rates in districts where it was not. Findings From 2017 to 2019, tuberculosis notifications increased by 138.1% (from 44 695 to 106 404), and case notification rates more than doubled from 20 to 44 per 100 000 population. The number of private notifiers increased by over threefold, from 2912 to 9525, during this period. The number of microbiologically confirmed pulmonary and extra-pulmonary tuberculosis cases notified increased by more than two times (from 10 780 to 25 384) and nearly three times (from 1477 to 4096), respectively. The districts where the project was implemented showed a 150.3% increase in case notification rates per 100 000 population from 2017 to 2019 (from 16.8 to 41.9) while in non-project districts, this increase was only 89.8% (from 6.1 to 11.6). Conclusion The substantial increase in tuberculosis notifications demonstrate the value of the project in engaging the private sector. Scaling up these interventions is important to consolidate and extend these gains towards tuberculosis elimination.
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Affiliation(s)
- Aakshi Kalra
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Akhil S ThekkePurakkal
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Raghuram Rao
- Central TB Division, Ministry of Health and Family Welfare, New Delhi, India
| | - Debadutta Parija
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Vaibhav Ghule
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Ajaz Lone
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Tajamul Showket
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
| | - Rajendra P Joshi
- Central TB Division, Ministry of Health and Family Welfare, New Delhi, India
| | | | - Sarabjit S Chadha
- FIND, Flat No. 8, 9th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi110001, India
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