Screening of Non-Communicable Diseases and their Risk Factors among Tuberculosis Patients in Delhi: A Mix Method Study
DOI:
https://doi.org/10.47203/IJCH.2023.v35i02.015Keywords:
Diabetes, DOTS Centre, Hypertension, National Tuberculosis Elimination Program (NTEP), Pulmonary TBAbstract
Background: India has the highest burden of tuberculosis in the world. It is experiencing an increasing burden of noncommunicable
diseases, thereby facing a dual disease burden. Recent evidence shows an association between TB and noncommunicable diseases like diabetes, CVD and chronic respiratory infections.
Aims and Objectives: To assess the feasibility of screening for NCDs and risk factors for NCDs among patients with TB in DOTS centers of a medical college in Delhi and ascertain challenges for the same among providers and patients.
Methodology: It was a mixed-methods study with a quantitative component (cross-sectional study using questionnaires, anthropometric measurements and records review) and a qualitative component (descriptive study using interview data).
Results: Among the 139 patients screened, ten new cases of hypertension and six new patients were diagnosed with DM. Outof- pocket expenditure for tests was a concern of the patients. Health care providers found the screening tool easy to use but were apprehensive about increased workload
Conclusion: The study provide useful visions for incorporating NCDs into routine TB care through DOTS centers under RNTCP/NTEP.
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References
WHO. Global status report on non-communicable diseases 2019. Geneva, Switzerland : World Health Organization: 2019:p176.
WHO. India: first to adapt the Global Monitoring Framework on non-communicable diseases (NCDs). [Internet]. 2019. Available from: http://www. who.int/features/2019/ncd-india/ en/
Regional of SEA, WHO. Tuberculosis Control in South-East Asia Region. Annual Report. New Delhi, India: SEARO, WHO; 2019. 435
WHO. Integration of prevention and control Non-communicable diseases and Tuberculosis: a case for action (Internet) 2019 [Accesed On 2019 Aug 27]. Available from: http:/who.int/global-coordination-mechanism/working-groups/Policy Brief on NCDs and TB FOR DISPATCH.pdf.
Creswell J, Raviglione M. Omani S, Migliori GB, Uplekar M, Blanc L, et al. Series: “Update on tuberculosis” - Tuberculosis and non-communicable diseases: Neglected links and missed opportunities. Eur Respir J. 2011;37(5):1269-82
Huaman MA, Henson D, Ticona E, Sterling TR, Garvy BA. Tuberculosis and Cardiovascular Disease: Linking the Epidemics. Trop Dis Travel Med vaccines [Internet].2015:1(1):I. Available from: http://tdtmvjournal.biomedcentral.com/articles/ 10.1186/s40794-015-0014-5
Gebreyohannis T, Shibeshi W. Asres K. International Diabetes Federation (1DF), Litwak L, Goh S-Y, et al. Follow-up to the Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases The. UN New York [Internet]. 2013;5(1):37-44. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/20431354
WHO. The End TB Strategy. J Chem Inf Model. 20l9; 53(9):1689-99.
World Health Organization. Chapter 6 Non communicable diseases [Internet]. [cited 2019 Sep 16J. Available from: http://www.who.intigho/publicationsImdgs- sdas/MDGs- SDGs20 I 5_chapter6.pdf?tia= I
World Health Organization. Package of Essential Non communicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings WHO Library Cataloguing-in-Publication Data [Internet]. 2010 [cited 2019 Sep 16].
Workneh MH, Bjune GA, Yimer SA. Assessment of health system challenges and opportunities for possible integration of diabetes mellitus and tuberculosis services in South-Eastern Amhara region, Ethopia: a qualitative study. BMC Health Serv Res 2016;16:135
WHO.Global TB Report 2019.Geneva ;WHO;2019
Raghuraman S,Vasudevan KP,Govindaraja. S,Chinnakalo P,Panigrahi KC.Prevalence of Diabetes Mellitus among Tuberculosis Patients in Urban Puducherry.N. Am J Med Sci 2014;6:30-4
Kottarah M,Manvila R,V.Achutan,Nair S. prevalence of Diabetes Mellitus in tuberculosis patients: hospital based study.Int J Res Med Sci2015;3:2810-4
Sharma U, Kishore J, Garg A, Anand T, Chakraborty M, Lali P. Dyslipedmia and associated risk factors in resettlement colony of Delhi. J Clin Lipidol 2013; 7:653±60. https://doi.org/10.1016/j.jacl.2013.06.003 PMID: 24314364
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults. JAMA 2013: E1±14. https://doi.org/10.1001 /jama.2013.284427 PMID: 24352797
WHO. WHO STEPS Instrument (Core and expanded) [Internet] Geneva: WHO [cited 22nd September 2019]. Available from
http://www.who.int/ chp/steps/Instrument.pdf
Raghuraman S,Vasudevan KP,Govindaraja. S,Chinnakalo P,Panigrahi KC.Prevalence of Diabetes Mellitus among Tuberculosis Patients in Urban Puducherry.N. Am J Med Sci 2019;6:30-4
Kottarah M, Manvila R,V.Achutan,Nair S. prevalence of Diabetes Mellitus in tuberculosis patients: hospital based study .Int J Res Med Sci2015;3:2810-4
Prakash BC,Ravish KS ,Prabhakar B,Ranganath TS,Naik B, Satyanarayana S, et al. Tuberculosis-diabetes Mellitus bi-directional screening at a tertiary care centre, South India. Public Health Actin 2013;3:S18-22
India Tuberculosis-diabetes study G. Screening of Patients with tuberculosis for diabetes Mellitus in India .Trop Med Int Heal 2013 ;18:636-45
Marak B, Kqur P, Rao SR, Selvaraju S. Non -communicable disease comorbidities and risk factors among tuberculosis patients, Meghalya, India. Indian J Tuberc 2019,63:123-5
Segert AB, Rudolf F, Wejse C, Neupane D, Tuberculosis and hypertension-a systematic review of the literature .Int J Infect Dis 2017; 56:54-61.
Vishwanathan V, Kumptla S, Aravindalochanan V, Rajan R, Chinnasamy C, Srinivasan R, et al. Prevalence of diabetes and pre-diabetes and associated risk factors among tuberculosis patients in India. PLoS One 2012; 7:e41367.
Vasudevan U, Selvamani Y. Rise of health risks among adults in India: a quick look at NFHS-4 fact sheets (internet) (Cited 2019 Sept 21); available from: http://webcatch.googleusercontent.
com/search?q=catch:kVAGRpqweoEJ:socialspectrum.in/index.php/sp/article/download/41/36+&cd=6&hl=en&ct =clnk&gl=in36
Garg A, Anand T, Sharma U, Kishore J, Chakraborty M, Ray PC, et al. prevalence of risk factors for chronic non-communicable diseases using WHO steps approach in an adult population in Delhi. J Fam Med Prim Care 2014; 3: 112-8.
O.O.Oguntibeju, E.J.Truter and A.J.Esterhuyse (2013). The role of fruit and vegetable consumption in human health and disease prevention, diabetes mellitus-insights and perspectives, Prof. Oluwafemi Oguntibeju (Ed.), InTech, DOI:10.5772/50109. Available from: https://www.intechopen.com/books/diabetes-mellitus-insights-and-perspectives/therole-of-fruit-and-vegetable-consumption-in-human-healthand-disease-prevention
Gupta KB, Gupta R, Atreja A, Verma M, Vishvkarma S. Tuberculosis and nutrition. Lung India 2009; 26:9-16.
Guessogo WR, Mandengue SH, Assomo Ndemba PB, Medjo UO, Minye EE, Ahmaidi S, et al. Physical and functional follow up of tuberculosis patients in initial intensive phase of treatment in Cameroon using the six min walk test. J Exerc Rehabil 2016;12:333-9
Mohammed S, Nagla S, Morten S, Asma E, Arja A. Illness perceptions and quality of life among tuberculosis patients in Gezira, Sudan. Afr Health Sci 2015;15:385-93
Khademi N, Babanejad M, Asadmobini A, Karim H. The association of age and gender with risk factors of noncommunicable diseases among employees in west of Iran. Int J Prev Med 2017;8:9.
Vasudevan U, Selvamani Y. Rise of Health Risks among Adults in India: A Quick Look at NFHS-4 Fact Sheets [Internet]. [cited 2017 Jun 21];Available from: http://webcache.googleusercontent. com/search?q=cache:kVAGRpqweoEJ:socialspectrum.in/index.php/sp/article/download/41/36+&cd=6&hl=en&ct=clnk&gl=in
Garg A, Anand T, Sharma U, Kishore J, Chakraborty M, Ray PC, et al. Prevalence of Risk Factors for Chronic Noncommunicable Diseases Using WHO Steps Approach in an Adult Population in Delhi. J Fam Med Prim care 2014; 3:112±8.
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