Universität zu Köln

Phalkey, Revati K., Kroll, Mareike, Dutta, Sayani, Shukla, Sharvari ORCID: 0000-0002-7029-5532, Butsch, Carsten ORCID: 0000-0002-7152-8318, Bharucha, Erach and Kraas, Frauke ORCID: 0000-0002-3498-6758 (2015). Knowledge, attitude, and practices with respect to disease surveillance among urban private practitioners in Pune, India. Glob. Health Action, 8. S. 1 - 11. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1654-9880

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Abstract

Background: Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveillance. Our goal was to identify what barriers and facilitators determine their participation in current and future surveillance efforts. Design: A questionnaire-based survey was conducted among 258 practitioners (response rate 86%). Data were processed using SPSS (TM) Inc., Chicago, IL, USA, version 17.0.1. Results: Knowledge regarding surveillance, although limited, was better among allopathy practitioners. Surveillance practices did not differ significantly between allopathy and alternate medicine practitioners. Multivariable logistic regression suggested practicing allopathy [odds ratio (OR) 3.125, 95% confidence interval (CI) 1.234-7.915, p = 0.016] and availability of a computer (OR 3.670, 95% CI 1.237-10.889, p = 0.019) as significant determinants and the presence of a laboratory (OR 3.792, 95% CI 0.998-14.557, p = 0.052) as a marginal determinant of the practitioner's willingness to participate in routine disease surveillance systems. Lack of time (137, 55%) was identified as the main barrier at the individual level alongside inadequately trained subordinate staff (14, 6%). Main extrinsic barriers included lack of cooperation between government and the private sector (27, 11%) and legal issues involved in reporting data (15, 6%). There was a general agreement among respondents (239, 94%) that current surveillance efforts need strengthening. Over a third suggested that availability of detailed information and training about surveillance processes (70, 33%) would facilitate reporting. Conclusions: The high response rate and the practitioners' willingness to participate in a proposed pilot non-communicable disease surveillance system indicate that there is a general interest from the private sector in cooperating. Keeping reporting systems simple, preferably in electronic formats that minimize infrastructure and time requirements on behalf of the private practitioners, will go a long way in consolidating disease surveillance efforts in the state. Organizing training sessions, providing timely feedback, and awarding continuing medical education points for routine data reporting seem feasible options and should be piloted.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Phalkey, Revati K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kroll, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Dutta, Sayani UNSPECIFIED UNSPECIFIED UNSPECIFIED Shukla, Sharvari UNSPECIFIED orcid.org/0000-0002-7029-5532 UNSPECIFIED Butsch, Carsten UNSPECIFIED orcid.org/0000-0002-7152-8318 UNSPECIFIED Bharucha, Erach UNSPECIFIED UNSPECIFIED UNSPECIFIED Kraas, Frauke UNSPECIFIED orcid.org/0000-0002-3498-6758 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-418935
DOI:	10.3402/gha.v8.28413
Journal or Publication Title:	Glob. Health Action
Volume:	8
Page Range:	S. 1 - 11
Date:	2015
Publisher:	TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1654-9880
Language:	English
Faculty:	Faculty of Mathematics and Natural Sciences
Divisions:	Faculty of Mathematics and Natural Sciences > Department of Geosciences > Geographisches Institut
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SUPPORT; SYSTEM Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41893