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SHORT COMMUNICATION Table of Contents   
Year : 2017  |  Volume : 42  |  Issue : 4  |  Page : 238-241
Indicators to ensure treatment initiation of all diagnosed sputum positive pulmonary tuberculosis patients under tuberculosis control programme in India


1 District Tuberculosis Officer, District Tuberculosis Centre, Corporation of Chennai, Chennai, Tamil Nadu, India
2 District Tuberculosis Officer, District Tuberculosis Centre, Dharmapuri District, Tamil Nadu, India
3 ICMR, Head Quarters, New Delhi, India
4 ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India

Correspondence Address:
Velayutham Banurekha
Scientist ‘D’, ICMR-National Institute for Research in Tuberculosis, No 1 Mayor Sathyamoorthy Road, Chetput, Chennai - 600 031, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_361_16

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Background: Pretreatment loss to follow-up (PTLFU) is used as performance indicator of Revised National Tuberculosis Control Programme (RNTCP) of India. Objective: To document the PTLFU, identify additional indicators and examine documentation of all the diagnosed sputum positive pulmonary tuberculosis (PTB) patients under RNTCP. Methodology: Tuberculosis (TB) laboratory, referral for treatment registers, and referral forms were perused for information on sputum positive PTB patients diagnosed from January to June 2014, in 3 TB Units in Chennai. Results: PTLFU was 24% (572 out of 2361). However, in pursuance with the principle of ensuring that all diagnosed patients must be started on treatment following referral, it was inflated to 44% (1046 out of 2361). Conclusion: The existing PTLFU indicator does not reflect the proportion of treatment initiation of all diagnosed smear-positive PTB patients. We propose additional indicators for monitoring referral and treatment initiation of all diagnosed sputum positive PTB patients.


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