{"id":51418,"date":"2019-08-20T18:32:56","date_gmt":"2019-08-20T13:02:56","guid":{"rendered":"https:\/\/blogadmin.forumias.com\/?page_id=51418"},"modified":"2019-08-20T18:33:05","modified_gmt":"2019-08-20T13:03:05","slug":"answered-inspite-of-various-efforts-and-policies-tuberculosis-is-still-a-big-problem-in-india-discuss-various-reason-for-this-give-some-solutions-to-prevent-tuberculosis","status":"publish","type":"page","link":"https:\/\/forumias.com\/blog\/answered-inspite-of-various-efforts-and-policies-tuberculosis-is-still-a-big-problem-in-india-discuss-various-reason-for-this-give-some-solutions-to-prevent-tuberculosis\/","title":{"rendered":"[Answered] \u201cInspite of various efforts and policies, Tuberculosis is still a big problem in India.\u201d Discuss various reason for this. Give some solutions to prevent Tuberculosis."},"content":{"rendered":"\n<table class=\"wp-block-table\"><tbody><tr><td><strong>Demand of the question<\/strong> <br><strong>Introduction.<\/strong> Contextual Introduction. <br><strong>Body.<\/strong> Reasons for poor TB control in India. Solutions for the same. <br><strong>Conclusion. <\/strong>Way forward. <\/td><\/tr><\/tbody><\/table>\n\n\n\n<p>SDG 3.3 envision to \u2018end of epidemic of tuberculosis by 2030\u2018. Tuberculosis is an infectious airborne bacterial disease caused by Mycobacterium tuberculosis, which most commonly affects the lungs but can also damage other parts of the body. According to WHO\u2019s 2018 Global TB Report, India accounted for 27% of the total new TB infections in 2017, the highest in the world. The prevention and control of TB is a challenge, requiring the united efforts of all the stakeholders. <\/p>\n\n\n\n<p><strong>Reasons\nfor failure of TB control in India:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Poverty:\n<\/strong>The\nsocial conditions of millions of people in India is still far away from normal.\nPoverty is still a big problem in India associated with problems of\nundernourishment and poor and unhygienic living conditions. A majority of TB\npatients in India are due to to undernourishment. Further poverty impact their\nability to get treated.<\/li><li><strong>Underreporting:\n<\/strong>One\nof the major factor of TB prevalence in India is under-reporting of TB cases.\nThis leave risk of spread of TB to other healthy individuals.<\/li><li><strong>Wrong\nDiagnosis: <\/strong>Biomarkers and other diagnostics that identify individuals at highest\nrisk of progression to disease are inadequate. Further doctors in India are\nless and untrained quacks most of the time mis-diagnose the disease.<\/li><li><strong>Treatment:\n<\/strong>Inequitable\naccess to quality diagnosis and treatment remains a major issue in combating\ntuberculosis. Further, the private sector which contributes a major part of TB\ncare is fragmented, made up of diverse types of healthcare providers, and\nlargely unregulated. <\/li><li><strong>Drug\nresistance to TB: <\/strong>Standard TB treatment is not followed uniformly across the private\nsector, resulting in the rise of drug resistance. Patients on getting treated\nfor symptoms do not follow the complete treatment dosage and regime. Due to\nlack of consistent follow-up of treatment regimens, situation often turn into Multi-drug\nresistance TB and Extreme-drug resistance TB.<\/li><li><strong>Outdated\nDrugs: <\/strong>The drugs used to treat TB, especially multi drug-resistant TB, are\ndecades old. It is only recently that Bedaquiline and Delamanid (drugs to treat\nMDR-TB) has been made available. However, access to such drugs remain low. <\/li><li><strong>Issues\nwith RNCTP:<\/strong> Weak implementation of Revised National TB control program at state\nlevel is another major concern. <\/li><li><strong>Other\nissues:<\/strong> Many other issues like human resource shortage, payment delays,\nprocurement delays and drug stock-outs add to TB prevalence. <\/li><li><strong>Social\nStigma: <\/strong>Patients often hesitate to seek treatment or deny their condition\naltogether for fear of social discrimination and stigmatisation. <\/li><\/ol>\n\n\n\n<p><strong>Solutions\nto the issue:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Government should build\naccountability among health professionals and ensure sufficient and sustainable\nfinancing to provide access to prevention and treatment.<\/li><li>All hospitals should\ncreate an after care system in which every TB case should be followed up\nregularly at periodic intervals.<\/li><li>It is important to\naddress the social conditions and factors which contribute to and increase\nvulnerability to tuberculosis. <\/li><li>Concerted efforts\nshould be made to address the issues of undernourishment, diabetes, alcohol and\ntobacco use.<\/li><li>We need to\nsensitise healthcare providers to issues faced by those with TB and ensure they\nact in a non-discriminatory manner.<\/li><li>We must provide\nboth treatment and legal literacy to people with TB, so that they understand\ntheir rights and can speak up if these are violated.<\/li><li>It is important to\ninvest more in R&amp;D to come up with new drug regimens for responding to the\nspread of drug-resistant strains. <\/li><li>Mass awareness\ncampaigns against social taboos regarding TB should be done through media\neducating people about the disease, precautions and its cure.<\/li><\/ol>\n\n\n\n<p>Tuberculosis remains the biggest killer disease in India. It is the active involvement of TB survivors and champions that can give an impetus to a collective efforts to improve public understanding of TB, reducing stigma and prevent discrimination to end TB in India.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Demand of the question Introduction. Contextual Introduction. Body. Reasons for poor TB control in India. Solutions for the same. Conclusion. Way forward. SDG 3.3 envision to \u2018end of epidemic of tuberculosis by 2030\u2018. Tuberculosis is an infectious airborne bacterial disease caused by Mycobacterium tuberculosis, which most commonly affects the lungs but can also damage other&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/answered-inspite-of-various-efforts-and-policies-tuberculosis-is-still-a-big-problem-in-india-discuss-various-reason-for-this-give-some-solutions-to-prevent-tuberculosis\/\">Continue reading <span class=\"screen-reader-text\">[Answered] \u201cInspite of various efforts and policies, Tuberculosis is still a big problem in India.\u201d Discuss various reason for this. Give some solutions to prevent Tuberculosis.<\/span><\/a><\/p>\n","protected":false},"author":61,"featured_media":49132,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-51418","page","type-page","status-publish","has-post-thumbnail","hentry","entry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages\/51418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/61"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=51418"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages\/51418\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media\/49132"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=51418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}