3rd. IMA-A.P. STATE ZONE-I RNTCP DOTS PPM REVIEW WORKSHOP :

3rd. IMA-A.P. STATE ZONE-I RNTCP DOTS PPM REVIEW WORKSHOP :

date : 14-2-10,sunday. venue : hotel grand aiswarya-kakinada.

well organized by coordinator dr.g.s.murty and dynamically participated by all 12 districts coordinators along with PPs and officials of WHO, DTCO.

THE PROGRAM WAS INAUGURATED BY SRI D.CHANDREASEKHAR REDDY -M.L.A.-KAKINADA and sri Dr.kesava chandra- state tuberculosis officer.

the discussions are centered mainly on the reluctance of doctors in adhering to the DOTS concept and how to overcome this hurdle and improving the rapport between RNTCP officers and IMA doctors.

some observations & suggestions :

1. 80% of the health services in our state catered by private doctors. so, in controlling T.B. and to achieve the target of 75% diagnosis of new sputum positive cases & 80% cure rates,the private doctors have a pivotal role.

2. private doctors who are obliged to act as referal doctors are not utilising the prescribed format in refering cases. some PPs especially chest physicians, paediatricians are initiating the anti T.B. treatment without following the RNTCP protocol.

3. private referal doctors are not up to the mark in maintaining the medical treatment records, retreival of patient's addresses and proper follow-up.

4. DTCO, STCO are not inviting the respective IMA coordinators to their MONTHLY REVIEW MEETINGS and it is found that the govt.machinery is lagging behind in taking into confidence of IMA RNTCP unit personnel. Rapport between these two players is satisfactory but its not reflected in functioning.

SUGGESTIONS :

5. the IMA district coordinator, DTCO Should visit private doctors (who have sufficient outpatient load) to appraise and enrol them as DOT referal or DOT provider. the TU personnel should visit the referal doctors or contact them by phone periodically to assess their feedbacks.

6. IEC material display in private hospitals, constant monitoring of their referal status and making them involve in planning are necessary.

7. the DTCO office should canvass and promote the names of the private doctors who are obliged to act as Referal doctor or DOT provider or DESIGNATED MICROSCOPY CENTER in media.

8. all types of district health machinery should invite local IMA branch executives periodically to appraise and involve them about the ongoing health projects .

9.establishing ATM like kiosks ( DOT CENTER) comprising of binocular microscope, sputum exam facility under qualified lab technician at strategic centers in cities / towns.

10. SIMPLIFYING THE RECORD KEEPING PROCEDURE.

12. USING THE MOBILE SMS FACILITY FOR PERIODIC FEEDBACK WITH PRIVATE DOCTORS.

13.PRIVATE DOT DOCTORS SHOULD HAVE ALL RNTCP personnel CONTACT NUMBERS INCLUDING AASHA" health workers in their perview. the private DOT doctor should inform the nearest health worker about the patients taking treatment under his perview.