Gupta Kalika, Parmar Mitin, Davda Kush, Davda Shivangi, Soni Pooja, Bhardwaj Ashok K, Modi Bhavesh, Awate Rajendra
Department of Community Medicine, Ananta Institute of Medical Sciences and Research Center, Rajsamand, Rajasthan, India.
Department of Community Medicine, GMERS, Panchmahal, Godhra, India.
Indian J Community Med. 2024 Nov-Dec;49(6):855-860. doi: 10.4103/ijcm.ijcm_35_23. Epub 2024 Oct 17.
Tuberculosis (TB) caused by Mycobacterium tuberculosis is an opportunistic infection that affects the lungs in humans. Caseload of TB has been deemed it endemic in various regions of the world and India is on top of that list. The Government of India has set out a goal to eliminate tuberculosis in India by the year 2025 with the help of the National Strategic Plan (NSP) 2017-25. The objective of the index study was to verify the claim of Rajsamand district in Rajasthan, that it witnessed a >20% reduction in TB incidence between 2015 and 2020.
This was a mixed-methods study. Quantitative component (cross-sectional study): Secondary data review (review of records from Nikshay notification systems and National tuberculosis elimination program (NTEP) reports, utilization of drugs in the public sector, and drug sales in the private sector). Primary data collection through survey. Qualitative component: nominal group technique and key informant interviews.
Percentage decline of a ≥ 20% incidence in 2020 compared to baseline 2015 was not seen. The number needed to test (increased by 18.26% in 2020 as compared to the baseline of 2015. TB Score of Rajsamand district for the year 2020 was 68.34 out of 100.
Rajsamand district's claim of ≥20% reduction in TB incidence in the year 2020, was rejected.
由结核分枝杆菌引起的结核病是一种影响人类肺部的机会性感染。结核病病例负荷在世界各地区都被视为地方病，印度在这份名单上名列前茅。印度政府制定了到2025年在印度消除结核病的目标，借助2017 - 2025年国家战略计划（NSP）。本指标研究的目的是核实拉贾斯坦邦拉杰沙曼德区的说法，即该地区在2015年至2020年期间结核病发病率下降超过20%。
这是一项混合方法研究。定量部分（横断面研究）：二次数据审查（审查Nikshay通报系统的记录和国家结核病消除计划（NTEP）报告、公共部门药品使用情况以及私营部门药品销售情况）。通过调查收集原始数据。定性部分：名义小组技术和关键信息访谈。
与2015年基线相比，2020年发病率下降≥20%的情况未出现。2020年的检验所需数量（与2015年基线相比增加了18.26%）。2020年拉杰沙曼德区的结核病评分在100分中为68.34分。
拉杰沙曼德区关于2020年结核病发病率下降≥20%的说法被驳回。
