Publications by authors named "Chinnappareddy Ravichandra"

India adopted changes in NTEP (Erstwhile RNTCP, Revised National TB Program, renamed as National TB Elimination Program) in the recent years with an aim to End TB by 2025 way ahead of the global target of ending TB by 2030. It is taking a long time for the changes to trickle down to the grass root level to change the behavior of the ground level force to understand and adopt to the changes that are being ordered and several other changes that are being pushed to the field in tandem. This has made field workers to be on their toes to understand and implement all the changes.

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Training is the backbone of any public health program and it is true for a vast program like TB. It is urgent when the program is aiming to End TB. The strategy that is followed in India for capacity building of TB workers is presented in this article.

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Background: In April 2018, the Government of India launched '' (NPY), a cash assistance scheme (500 Indian rupees [~8 USD] per month) intended to provide nutritional support and improve treatment outcomes among tuberculosis (TB) patients.

Objective: To compare the treatment outcomes of HIV-infected TB patients initiated on first-line anti-TB treatment in five selected districts of Karnataka, India before (April-September 2017) and after (April-September 2018) implementation of NPY.

Methods: This was a cohort study using secondary data routinely collected by the national TB and HIV programmes.

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Of patients with multidrug-resistant tuberculosis (MDR TB), <50% complete treatment. Most treatment failures for patients with MDR TB are due to death during TB treatment. We sought to determine the proportion of deaths during MDR TB treatment attributable to TB itself.

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Article Synopsis
  • Tuberculosis (TB) patients in Vellore, India, face significant delays and high out-of-pocket costs before starting treatment, often exceeding their household income.
  • A study of 880 newly diagnosed adult pulmonary TB patients found that 65% initially sought care at private health facilities, which contributed to increased medical expenses and delays in treatment.
  • Factors like being under 40 years old and having diabetes were linked to higher costs and longer waits for treatment, emphasizing the need to direct patients to public health centers as a first option for care.
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