ArticleBMJ open2019
Tuberculosis notification in a private tertiary care teaching hospital in South India: a mixed-methods study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Review: missed tuberculosis cases in India: a systematic analysis of diagnostic, treatment, and reporting gaps.BMC health services research · 2025Pooled it
- Article
- What ails tuberculosis notification from the private sector in urban India: a qualitative study among stakeholders in Bengaluru City, southern India.Frontiers in public health · 2025Article
- Molecular identification ofAfrican health sciences · 2024Article
- Cohort study on association between catastrophic costs and unfavorable tuberculosis treatment outcomes among TB-HIV and TB-diabetes comorbid patients in India.BMC public health · 2024Article
- Facilitators and barriers to Tuberculosis case notification among private health facilities in Kampala Capital City, Uganda.PloS one · 2024Article
- Under-Reporting of Tuberculosis Disease among Children and Adolescents in Low and Middle-Income Countries: A Systematic Review.Tropical medicine and infectious disease · 2023Review
- Implementation of a tuberculosis elimination project, India 2018-2019.Bulletin of the World Health Organization · 2023Article
- Article
- Tuberculous Meningitis in Children: A Forgotten Public Health Emergency.Frontiers in neurology · 2022Article
- Article
- Controlling the drug-resistant tuberculosis epidemic in India: challenges and implications.Epidemiology and health · 2021Article
- Closing the reporting gap for childhood tuberculosis in South Africa: improving hospital referrals and linkages.Public health action · 2020Article
- Acceptability of mandatory tuberculosis notification among private practitioners in Yogyakarta, Indonesia.BMC research notes · 2019Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesIndia contributes approximately 25% of the 'missing' cases of tuberculosis (TB) globally. Even though ~50% of patients with TB are diagnosed and treated within India's private sector, few are notified to the public healthcare system. India's TB notification policy mandates that all patients with TB are notified through Nikshay (TB notification portal). We undertook this study in a private hospital to assess the proportion notified and factors affecting TB notifications. We explored barriers and probable solutions to TB notification qualitatively from health provider's perspective. STUDY
settingPrivate, tertiary care, teaching hospital in Bengaluru, South India. METHODOLOGY: This was a mixed-methods study. Quantitative component comprised a retrospective review of hospital records between 1 January 2015 and 31 December 2017 to determine TB notifications. The qualitative component comprised key informant interviews and focus groups to elicit the barriers and facilitators of TB notification.
resultsOf 3820 patients diagnosed and treated, 885 (23.2%) were notified. Notifications of sputum smear-positive patients were significantly more likely, while notifications of children were less likely. Qualitative analysis yielded themes reflecting the barriers to TB notification and their solutions. Themes related to barriers were: (1) basic diagnostic procedures and treatment promote notification; (2) misconceptions regarding notification and its process are common among healthcare providers; (3) despite a national notification system other factors have prevented notification of all patients; and (4) establishing hospital systems for notification will go a long way in improving notifications.
conclusionsThe proportion of patients with TB notified by the hospital was low. A comprehensive approach both by the hospital management and the national TB programme is necessary for improving notification. This includes improving awareness among healthcare providers about the requirement for TB notifications, establishing a single notification portal in hospital, digitally linking hospital records to Nikshay and designating one person to be responsible for notification.
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