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    Kala Azar TB Prem Jyoti

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    Prabir Kumar Chatterjee
    This document discusses the challenges in providing healthcare services to the Malto tribal community. They live in remote, hard-to-reach villages with lack of basic facilities like water, sanitation, transport and communication. The community also has high rates of poverty, illiteracy and difficulties retaining long-term health staff. Specific health issues discussed include increasing cases of Kala azar mainly in children, difficulties diagnosing it, prolonged treatment and side effects. Tuberculosis is also prevalent in all age groups and often presents late. The tribal health program has achieved high compliance rates through strategies like subsidies, health education in the local language, and community involvement.

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    Kala Azar TB Prem Jyoti

    Uploaded by

    Prabir Kumar Chatterjee
    65 views3 pages
    This document discusses the challenges in providing healthcare services to the Malto tribal community. They live in remote, hard-to-reach villages with lack of basic facilities like water, sanitation, transport and communication. The community also has high rates of poverty, illiteracy and difficulties retaining long-term health staff. Specific health issues discussed include increasing cases of Kala azar mainly in children, difficulties diagnosing it, prolonged treatment and side effects. Tuberculosis is also prevalent in all age groups and often presents late. The tribal health program has achieved high compliance rates through strategies like subsidies, health education in the local language, and community involvement.

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    Feb 2009 EHA Dr Isac David

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    This document discusses the challenges in providing healthcare services to the Malto tribal community. They live in remote, hard-to-reach villages with lack of basic facilities like water, sanitation, transport and communication. The community also has high rates of poverty, illiteracy and difficulties retaining long-term health staff. Specific health issues discussed include increasing cases of Kala azar mainly in children, difficulties diagnosing it, prolonged treatment and side effects. Tuberculosis is also prevalent in all age groups and often presents late. The tribal health program has achieved high compliance rates through strategies like subsidies, health education in the local language, and community involvement.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    65 views3 pages

    Kala Azar TB Prem Jyoti

    Uploaded by

    Prabir Kumar Chatterjee
    This document discusses the challenges in providing healthcare services to the Malto tribal community. They live in remote, hard-to-reach villages with lack of basic facilities like water, sanitation, transport and communication. The community also has high rates of poverty, illiteracy and difficulties retaining long-term health staff. Specific health issues discussed include increasing cases of Kala azar mainly in children, difficulties diagnosing it, prolonged treatment and side effects. Tuberculosis is also prevalent in all age groups and often presents late. The tribal health program has achieved high compliance rates through strategies like subsidies, health education in the local language, and community involvement.

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    CHALLENGES IN

    REACHING MALTO
    COMMUNITY

    Primitive tribal group


    Remote, hard-to-reach
    villages
    Lack of basic facilities:
    water, sanitation, transport
    and communication
    Poor literacy
    Poor economic status
    Difficulty in sustaining
    long-term staff for health
    programmes
    Kala azar
    Increasing incidence – children mainly affected
    Difficulties in diagnosis –
    Aldehyde & K39
    Bone marrow – painful; lack of trained LT
    Prolonged treatment, side-effects
    Co-infections: Malaria, TB
    Resistance to I line drug – SSG
    Reservoir of PKDL
    Tuberculosis
    All types and all ages
    Late presentation

    Highlights of TB Programme:
    •POTS, Down-payment at start of
    treatment, Subsidy
    •Health education in own language – at
    various levels
    •Compliance rate:
    • Community ~ 95%
    • Hospital based ~ 85%

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