Magnitude of unreported kala-azar cases in a highly endemic district of Bihar, India: A positive impact of Indian elimination programme
| Autor: | Krishna Pandey, Pradeep Das, C. S. Lal, Niyamat Ali Siddiqui, Vahab Ali, V. N. R. Das, R. B. Verma, Manas Ranjan Dikhit, Roshan Kamal Topno, Sukrat Sinha |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent Population India Pilot Projects lcsh:Infectious and parasitic diseases Young Adult parasitic diseases Health care Medicine Humans lcsh:RC109-216 Prospective Studies Disease Eradication education Disease burden education.field_of_study Laboratory methods Strip test Descriptive statistics business.industry Incidence (epidemiology) Incidence dermal leishmaniasis elimination programme kala-azar private practitioners public health system visceral leishmaniasis General Medicine Middle Aged Test (assessment) Infectious Diseases Cross-Sectional Studies Leishmaniasis Visceral Parasitology Female business Demography |
| Zdroj: | Journal of Vector Borne Diseases, Vol 56, Iss 4, Pp 315-322 (2019) |
| ISSN: | 0972-9062 |
| Popis: | Background & objectives: In India, kala-azar surveillance is weak and no public-private partnership exists for disease containment. Estimate of disease burden is not reliably available and still cases are going to private providers for the treatment. The present study aimed to assess the magnitude of kala-azar cases actually detected and managed at private set-up and unreported to existing health management information system. Methods: Institution based cross-sectional prospective pilot study was conducted. List of facilities was created with the help of key informants. The information about incidence of kala-azar cases were captured on monthly basis from July 2010 to June 2011. Rapid diagnostic strip test (rk-39) or bone marrow/splenic puncture were applied as laboratory methods for the diagnosis of kala-azar. Descriptive statistics as well as chi-square test for comparison between proportions was conducted. Results: Overall availability of private practitioners (PPs) was 4.59/1,00,000 population and maximum PPs (46; 93.9%) were from qualified category. The median years of medical practice was 25 yr (inter quartile-range [18, 28]). Interestingly, only a small proportion (240; 19%) of cases was managed by PPs. Amongst the PPs, only low proportion (32; 18.2%) managed >2 cases per month. The mean number of kala-azar suspects and cases identified varied significantly between different PPs’ professions with p |
| Databáze: | OpenAIRE |
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