Baily G V, Savic D, Gothi G D, Naidu V B, Nair S S
Bull World Health Organ. 1967;37(6):875-92.
In the District Tuberculosis Programme in India, which is part of a national programme, case-finding and treatment of pulmonary tuberculosis are integrated into the general health services. With such an integration, it is desirable, in order to forecast possible achievements, to understand the additional work-load that the programme will impose upon the existing health institutions and to assess the potential of these institutions for case-finding and treatment.The operational study described in this paper was made under programme conditions in a district in South India and is an examination of the case-finding potential of rural health institutions, using direct microscopy of sputum for diagnosis, and of the additional work-load involved by such case-finding. Under the conditions found in the course of the study, it is clear that a substantial proportion (at least 65%) of pulmonary tuberculosis cases prevalent in the district can be detected by the existing staffs with an easily manageable work-load.
在作为国家项目一部分的印度地区结核病项目中,肺结核病例的发现和治疗被纳入了一般卫生服务。通过这种整合,为了预测可能取得的成果,了解该项目将给现有卫生机构带来的额外工作量,并评估这些机构发现病例和进行治疗的潜力是很有必要的。本文所述的操作性研究是在印度南部一个地区的项目条件下进行的,该研究使用痰涂片直接显微镜检查进行诊断,考察了农村卫生机构发现病例的潜力以及这种病例发现所涉及的额外工作量。在研究过程中发现的条件下,很明显,该地区现有的工作人员在工作量易于管理的情况下,能够发现相当比例(至少65%)的肺结核现患病例。