TB Clinic

MHRC TB Clinic - MAHAVIR PPM DOTS

Former President William J Clinton of USA visited Mahavir Hospital and appraised Dr. K.J.R. Murthy for his contribution made towards PPM DOTS. President Clinton declared a patient cured after administering the last TB dose under the DOTS Programme on 24th March, 2000 in the presence of Chief Minister Mr. N. Chandra Babu Naidu and Dr. K.J.R. Murthy.

The Revised National TB Control Programme (RNTCP) and Public-Private Mix (PPM) DOTS was launched in Hyderabad in July 1995, and is implemented by Bhagwan Mahavir Hospital & Research Center (BMMRC). First, PPM DOTS carried out initially in 1,00,000 population in 1995 and after one year it was extended to 5,00,000 population, funded by Department for International Development (DFID-UK) and sponsored by WHO, Geneva.

The strategy employed was to sensitize all the 110 private providers in the area assigned, for referral of symptomatics to the hospital, for sputum examination and utilize their hospital’s facilities for DOTS. After successful implementation for 3 years, the programme was scaled up to 5,00,000 population in October 1998 and grant-in-aid has been sanctioned by Government of Andhra Pradesh.

All the 320 Private Providers in the entire area were sensitized to support the programme. The Private Provider referral rate has been consistently around 45%, while self-referrals were about 50% and the rest being referred from the neighbouring government clinics. The cure rates continued to be more than 95% though detection was between 70-80%. The approach is being diligently continued with the trust hospital functioning as an interface.

Every year Mahavir Hospital receives ₹5,30,000 from Government for Operational Research, study diagnosis, and treatment activity.

Mahavir Hospital releases ₹4,68,000 p.a for disbursement of salaries for TB Clinic Staff.

The Mahavir TU 5 lakh population is divided into two TUs:

• TU Mahavir, population 2,21,845 - ward 6-block 2, ward 10- block 1 to 6, ward 12-block 1 & 2, ward 9- block 4.
• TU Banjara Hills, population 2,00,600 - ward 8- block 1 & 2. The grant-in-aid for two TUs may be received from April, 2018.

Staff

• Dr. Ramakrishna, MBBS – Medical Officer
• Mohd. Wajid Ali Khan – Senior Treatment Supervisor
• Ms. Manoramma – Nurse, DMC Mahavir
• Mohd. Haseebuddin – TB Health Visitor, DMC Mahavir
• Ravi – Laboratory Technician, DMC Mahavir
• Mohd. Adil – TB Health Visitor, DMC Syed Nagar
• Shabana Khatoon – Laboratory Technician, DMC Syed Nagar
• V.V. Chandra Narayana – TB Health Visitor, DMC Banjara Hills
• Anil Kumar – Laboratory Technician, DMC Banjara Hills
• Syed Azam – TB Health Visitor, DMC Apollo
• Lakshmi Prasanna – Laboratory Technician, DMC Apollo