E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme

Babu Dilip, Anurupa M S, Satish Ghatage, Swathi S Aithal.

Abstract
Background: According to the Revised National Tuberculosis Control Program guidelines, childhood contacts of a smear positive tuberculosis (TB) cases should be screened for symptoms of TB and if there are any children aged <6 years they should be provided with isoniazid daily for a period of 6 months. Several studies have reported that adherence to isoniazid preventive therapy (IPT) is generally poor, particularly in high-burden and low-resource settings. According to TB India 2014 annual report, 35% of eligible children are not initiated on Isoniazid chemoprophylaxis.

Objectives: This study was aimed to determine the coverage of isoniazid chemoprophylaxis and factors influencing it.

Materials and Methods: A cross-sectional study was conducted from January 1, 2016, to December 31, 2016, among the household contacts aged ≤6 years of sputum smear positive pulmonary TB patients (newly diagnosed and previously treated) registered under Davangere TB unit from July 1, 2015, to June 30, 2016, after taking permission from institutional ethical committee. A pre-tested, semi-structured questionnaire was used to collect data and analyzed in SPSS v16.

Results: Out of 39 child contacts, 24 (61.5%) were screened to rule out active TB disease. None of them were diagnosed to be suffering from TB. Among these screened 24 contacts, IPT was initiated in 21 contacts. Hence, total coverage of isoniazid chemoprophylaxis was 53.84%. The main factor responsible was gender discrimination for female child, lower education status of the mother and suboptimal screening efforts and initial home visit by the health-care staff.

Conclusion: Uptake of IPT is suboptimal. Capacity building activities and ACSM activities regarding the TB and its prevention as to be strengthened. More studies are required in this regard in other regions.

Key words: Tuberculosis; Chemoprophylaxis; Prevention


 
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Pubmed Style

Dilip B, S AM, Ghatage S, Aithal SS. A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. Int J Med Sci Public Health. 2021; 10(1): 97-100. doi:10.5455/ijmsph.2021.01011202103062021


Web Style

Dilip B, S AM, Ghatage S, Aithal SS. A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. http://www.ijmsph.com/?mno=49707 [Access: October 01, 2021]. doi:10.5455/ijmsph.2021.01011202103062021


AMA (American Medical Association) Style

Dilip B, S AM, Ghatage S, Aithal SS. A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. Int J Med Sci Public Health. 2021; 10(1): 97-100. doi:10.5455/ijmsph.2021.01011202103062021



Vancouver/ICMJE Style

Dilip B, S AM, Ghatage S, Aithal SS. A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. Int J Med Sci Public Health. (2021), [cited October 01, 2021]; 10(1): 97-100. doi:10.5455/ijmsph.2021.01011202103062021



Harvard Style

Dilip, B., S, . A. M., Ghatage, . S. & Aithal, . S. S. (2021) A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. Int J Med Sci Public Health, 10 (1), 97-100. doi:10.5455/ijmsph.2021.01011202103062021



Turabian Style

Dilip, Babu, Anurupa M S, Satish Ghatage, and Swathi S Aithal. 2021. A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. International Journal of Medical Science and Public Health, 10 (1), 97-100. doi:10.5455/ijmsph.2021.01011202103062021



Chicago Style

Dilip, Babu, Anurupa M S, Satish Ghatage, and Swathi S Aithal. "A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme." International Journal of Medical Science and Public Health 10 (2021), 97-100. doi:10.5455/ijmsph.2021.01011202103062021



MLA (The Modern Language Association) Style

Dilip, Babu, Anurupa M S, Satish Ghatage, and Swathi S Aithal. "A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme." International Journal of Medical Science and Public Health 10.1 (2021), 97-100. Print. doi:10.5455/ijmsph.2021.01011202103062021



APA (American Psychological Association) Style

Dilip, B., S, . A. M., Ghatage, . S. & Aithal, . S. S. (2021) A study on coverage of isoniazid chemoprophylaxis among the household contacts of smear positive pulmonary tuberculosis cases aged <6 years under Revised National Tuberculosis Control Programme. International Journal of Medical Science and Public Health, 10 (1), 97-100. doi:10.5455/ijmsph.2021.01011202103062021





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