Developing ‘community TB health‘ a statistical model for ranking of districts TB programme performance in Rajasthan, India

P.K. Anand

Volume : VIII, Issue : VI, June - 2019

Developing ‘community TB health‘ a statistical model for ranking of districts TB programme performance in Rajasthan, India

P. K. Anand

Abstract :

OBJECTIVES: Ranking of areas has been in use to attract attention of decision makers, and users. India is one among top 20 high TB burden countries. Measures of ranking the geographical areas based on overall scenario of tuberculosis burden, care, and therapeutic effectiveness are hardly available in medical literature. Objectives of the study were (1) To develop a statistical model �Community TB health� incorporating TB programme indicators selectively and (2) to apply this model in ranking the districts TB programme performance. METHODS Annual reports of Revised National Tuberculosis Control Programme (RNTCP) from 2011–2014 were reviewed. Retrospective epidemiological study was undertaken. A statistical model �community TB health� has been developed incorporating selective RNTCP indicators based on their significance in tuberculosis health in community. RESULTS The model summarises 9 RNTCP indicators describing four separate aspects of the programme i.e. magnitude of ongoing transmission of TB, case detection rates, treatment effectiveness and drug sensitivity profile. Study identified worst and best performing districts on the basis of ranking by �community TB health� score. The study also highlights the clustering of best and worst districts in studied years. CONCLUSIONS A statistical model �Community TB health� has been developed utilizing RNTCP indicators from different aspects of programme. Developed model can be used in ranking geographical areas for community TB health