Practices and challenges in implementing tuberculosis program at medical colleges in Karnataka, India

Lalita D. Hiremath, Nidhi Sharma, Sudeepa D., H. R. Shivaramakrishna, Nandkishor Warbhe, Ashwini Lonimath, Sharath Burugina Nagaraja
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Abstract

Background: The study aimed to evaluate the implementation status of the National Tuberculosis Elimination Program (NTEP) at medical colleges in Karnataka, India, and identify the challenges encountered by the medical college core committee members. Methods: A cross-sectional study was conducted among 14 medical colleges in 2019-20, using a pre-tested, semi-structured questionnaire to collect data on various NTEP components. Results: The implementation status of NTEP activities was categorized as adequate, partially adequate, or inadequate. Results showed that certain activities such as TB notification, DMC infrastructure, TB-HIV coordination, and the formation of the NTEP core committee were adequately implemented. However, challenges such as work overload, lack of dedicated manpower, and salary constraints were encountered. Conclusions: Overall, the medical colleges involved in the study were actively implementing NTEP, but there is still room for improvement to fully optimize the implementation.
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印度卡纳塔克邦医学院实施结核病项目的实践与挑战
背景:本研究旨在评估印度卡纳塔克邦医学院国家消除结核病规划(NTEP)的实施状况,并确定医学院核心委员会成员遇到的挑战。方法:采用预测半结构化问卷,对2019- 2020年度14所医学院校进行横断面研究,收集NTEP各组成部分的数据。结果:NTEP活动的实施情况分为充分、部分充分和不充分。结果表明,结核病通报、DMC基础设施建设、结核病-艾滋病毒协调、NTEP核心委员会的组建等工作得到了充分落实。但也遇到了工作量过大、人手不足、薪酬限制等问题。结论:总体而言,参与研究的医学院校在积极实施NTEP,但在充分优化实施方面仍有改进的空间。
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