Department of Public Health, J N Medical College, KAHER, Nehru Nagar, Belagavi, 590010, India.
Department of Respiratory Medicine, J N Medical College, KAHER, Nehru Nagar, Belagavi, 590010, India.
Indian J Tuberc. 2023 Jul;70(3):324-328. doi: 10.1016/j.ijtb.2022.09.001. Epub 2022 Sep 10.
Tuberculosis (TB) is still the most common infectious disease globally, affecting 1.5 million people per year. Prior to COVID-19 outbreak, India was struggling with a rampant attack of Tuberculosis. With the surge of COVID-19 implementation of all national health programs including NTEP was disrupted. Prioritization of services, the challenges to reaching all types of communities and the role of stigmatization, and the possibility of increased disease transmission were few problems in the implementation of DOTS during the lockdown.
To assess effect of pandemic on DOTS treatment during COVID-19 lockdown.
A cross-sectional study was conducted among 254 tuberculosis patients who were under DOTS during Covid-19 lockdown in Belagavi district. Participants who were on DOTS during 2019-2021 period.
Of 254 participants, only 5 (2.0%) were supervised while taking drugs, 67 (26.4%) of subject's empty blister packs were taken back by health personnel and 106 (41.7%) participants were regularly followed up for treatment by health department. The variables like gender, literacy status, socioeconomic status, and occupation were all significantly associated with hampered access to DOTS during the lockdown period at p < 0.05.
This study concluded that the participants had hampered accessibilities to DOTS during lockdown.
结核病（TB）仍然是全球最常见的传染病，每年影响 150 万人。在 COVID-19 爆发之前，印度一直在与结核病的猖獗袭击作斗争。随着 COVID-19 的激增，包括 NTEP 在内的所有国家卫生计划的实施都中断了。服务的优先化、向所有类型社区提供服务的挑战以及污名化的作用，以及疾病传播的可能性增加，这些都是锁定期间实施 DOTS 所面临的少数问题。
评估大流行对 COVID-19 封锁期间 DOTS 治疗的影响。
在 Belagavi 区 COVID-19 封锁期间，对 254 名正在接受 DOTS 治疗的结核病患者进行了横断面研究。参与者是在 2019-2021 年期间接受 DOTS 治疗的。
在 254 名参与者中，只有 5 名（2.0%）在服药时得到监督，67 名（26.4%）参与者的空泡罩包装被卫生人员收回，106 名（41.7%）参与者由卫生部门定期跟进治疗。在锁定期间，性别、文化程度、社会经济地位和职业等变量都与 DOTS 治疗的获取受到阻碍显著相关，p 值均<0.05。
本研究得出结论，参与者在封锁期间获得 DOTS 的机会受到阻碍。
