![Not only Government [DOTS THERAPY], Private
healthcare is also very much prevalent in INDIA
for treating TB](https://image.slidesharecdn.com/presentation1-140723073955-phpapp01/85/Tuberculosis-a-killer-disease-4-320.jpg)
![Proposed ways to ensure Patient Adherence
TAKE YOUR MEDICINES DAILY, LIVEHAPPILY
Classic example of success of such campaigns is UNICEFs campaign of POLIO
ERADICATION namely “Do Boond Jindagi Ki”, in which Indian Superstar Amitabh
Bachchan took part. He shooted for lot of videos, he attended several polio drop
booths and gave polio vaccines to children from his hands.
TODAY INDIA IS PROUD COUNTRY WITH 100% POLIO ERADICATION.
In a recent tweet, the legendary actor wrote: Polio eradicated from India..an 8 year
campaign with UNICEF ambassadorship ! Feel such accomplishment and joy !
[https://tweeter.com/SrBachchan/status/490595730294206464]
This kind of campaign can be designed with celebrities whose major focus should
be on insisting patients to complete TB treatment without any break.
Campaigns through Celebrities](https://image.slidesharecdn.com/presentation1-140723073955-phpapp01/85/Tuberculosis-a-killer-disease-11-320.jpg)
Tuberculosis - a killer disease
- 1. ANCIENT ENEMY, MODERN IMPERATIVE: A TIME FOR GREATER ACTION AGAINST T U B E R C U L O S I S
- 2. Tuberculosis (TB) is the second-biggest single infectious killer—after HIV/AIDS—on earth, causing the death of 1.3m people in 2012 (the latest year for which figures are available). This toll—2% of global mortality—continues despite a cure existing for nearly 70 years and heightened global efforts against TB going back two decades.
- 3. • In low- and middle-income countries, TB is fuelled by poverty, population increase and infection with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), thought globally, trend is reductive. • South East Asia Region carries about 40% of the global TB burden. India is the highest TB burden country in the world and accounts for more than 25% of the world's incident cases.# #WHO. Tuberculosis control in South- East Asia Region. Regional Report. 2012
- 4. Not only Government [DOTS THERAPY], Private healthcare is also very much prevalent in INDIA for treating TB
- 5. Even though, More than 1000 Indians die of TB every day USAID-India. Health overview. 2011
- 6. Though the DOTS(directly observed treatment short course) is successful strategy worldwide, & based on DOTS strategy, India's revised national tuberculosis control program (RNTCP) is doing well. Also, treatment at private clinics is quite common in India. However, the concern is too high for emergence of MULTI DRUG RESISTANCE (MDR) & EXTENSIVELY DRUG RESISTANT (XDR) STRAINS of TB bacillus. The major reason for drug resistance is INCOMPLETE anti tuberculosis treatment(ATT)
- 7. Poor adherence to ATT may lead to treatment failure while strict adherence to ATT help to achieve desired treatment success and help to minimize emergence of drug resistant strains Treatment adherence is influenced by many factors such as Socio - cultural Economic Background Subjective Experience of Illness Perceived Health Benefits Central TB Division. TB India2012; RNTCP Annual Status Report. New Delhi: Central TB Division, Directorate General Health Services, Government Of India; 2012. pp. 21–6. Thus, treatment adherence by TB patients is a complex and multifaceted behavioral issue that needs to be understood better
- 8. Society & Community – Role to ensure TB eradication 1 •Though TB is infectious disease, stigma should not prevent patient from taking treatment. 2 •Patient’s family members should ensure that patient completes the therapy. They also ensure health and hygiene of surroundings, food items and drinking water. 3 •Communities like nearby residents of patients, relatives, friends etc should encourage patient to stay healthy and away from bad habits like smoking or tobacco chewing. They should also help/guide him/her in ensuring hygiene of surroundings, food items and drinking water. 4 •Children in schools should be taught to stay away from bad habits, keep their surroundings clean, take necessary vaccines on time and medical treatment must be taken whenever required.
- 9. Government – Role to Ensure TB eradication 1 • Designing Campaigns through social media 2 • Designing Campaigns with the help of celebrities 3 • Designing incentives for patients to ensure completing therapy 4 • Designing incentives for health workers to ensure effective implementation of DOTS 5 • Encouraging private healthcare sector to help eradicating TB 6 • Ensuring better quality of basic amenities like food and drinking water 7 • Ensuring effective policy making & implementation on pollution control
- 10. Proposed ways to ensure Patient Adherence TAKE YOUR MEDICINES DAILY, LIVEHAPPILY People in India have more than 600 million active mobile connections, more than half of them are internet compatible. Therefore campaigns on social media with messages from celebrities, videos etc can be very useful. An app can be created which can track patient’s medicine uptake and can give feedback to his/her doctor, his/her family members and his/her pharmacist/health worker – as the case may be. This approach can significantly improve patient adherence. Campaigns through Social Media
- 11. Proposed ways to ensure Patient Adherence TAKE YOUR MEDICINES DAILY, LIVEHAPPILY Classic example of success of such campaigns is UNICEFs campaign of POLIO ERADICATION namely “Do Boond Jindagi Ki”, in which Indian Superstar Amitabh Bachchan took part. He shooted for lot of videos, he attended several polio drop booths and gave polio vaccines to children from his hands. TODAY INDIA IS PROUD COUNTRY WITH 100% POLIO ERADICATION. In a recent tweet, the legendary actor wrote: Polio eradicated from India..an 8 year campaign with UNICEF ambassadorship ! Feel such accomplishment and joy ! [https://tweeter.com/SrBachchan/status/490595730294206464] This kind of campaign can be designed with celebrities whose major focus should be on insisting patients to complete TB treatment without any break. Campaigns through Celebrities
- 12. Proposed ways to ensure Patient Adherence TAKE YOUR MEDICINES DAILY, LIVEHAPPILY Incentives can be designed to ensure patients complete treatment. They can be lucrative and achievable so that patients go for it and completes therapy. It will help government also to evaluate execution of campaign and if required, government can take corrective measures to ensure patient adherence. Designing incentives for patients
- 13. Proposed ways to ensure Patient Adherence TAKE YOUR MEDICINES DAILY, LIVEHAPPILY Incentives can be designed for health workers who are working in DOTS centers so that they do their job with more involvement, vigilantly and effectively. Also such incentives can give them a great motivation to do their job in better way. These health workers play a vital role in making the campaign a grand success. Proper and desired execution of campaign can help in eradicating the dreaded disease. Therefore, if required, they can be given an intense training program on various aspects of DOTS process. Designing incentives for health workers
- 14. Role of International community to help India to eradicate TB 1 • International communities can insist Indian government to make regional policies to eradicate TB because India is having diverse culture across country. 2 • International communities should put pressure on Government of India to improve basic infrastructure of country, to improve quality of basic amenities like food and water, to improve overall hygiene, to run vigorous campaigns to create awareness for TB, to execute TB eradication campaigns effectively. 3 • Indian government must be compelled to provide data on progress of TB eradication campaigns on regular intervals to international authorities like WHO.
- 15. TB Killing people across the globe Can be treated with combined efforts Patient Adherence to therapy is major concern India has maximum burden of disease
- 16. References • WHO. Global Tuberculosis report 2013 • WHO. Tuberculosis control in South-East Asia Region. Regional Report. 2012. • USAID-India. Health overview. 2011 • Central TB Division. TB India2012; RNTCP Annual Status Report. New Delhi: Central TB Division, Directorate General Health Services, Government Of India; 2012. pp. 21–6. • Ann Med Health Sci Res. 2013 Jan-Mar; 3(1): 67–74. • Coghlan A. Totally drug-resistant TB at large in India. New Scientist Health. 2012. Jan 12, Available at:http://www.newscientist.com/article/dn21350-totally-drugresistant- tbat-large-in-india.html