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Knowledge, attitude, and practices with respect to disease surveillance among urban private practitioners in Pune, India

Phalkey, Revati K.; Kroll, Mareike; Dutta, Sayani; Shukla, Sharvari; Butsch, Carsten; Bharucha, Erach; Kraas, Frauke

Authors

Revati K. Phalkey revati.phalkey@nottingham.ac.uk

Mareike Kroll

Sayani Dutta

Sharvari Shukla

Carsten Butsch

Erach Bharucha

Frauke Kraas



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™ 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.

Citation

Phalkey, R. K., Kroll, M., Dutta, S., Shukla, S., Butsch, C., Bharucha, E., & Kraas, F. (2016). Knowledge, attitude, and practices with respect to disease surveillance among urban private practitioners in Pune, India. Global Health Action, 8(28413), https://doi.org/10.3402/gha.v8.28413

Journal Article Type Article
Acceptance Date Sep 1, 2015
Publication Date Oct 1, 2016
Deposit Date Nov 4, 2016
Publicly Available Date Nov 4, 2016
Journal Global Health Action
Print ISSN 1654-9716
Electronic ISSN 1654-9880
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
Volume 8
Issue 28413
DOI https://doi.org/10.3402/gha.v8.28413
Keywords knowledge-attitude-practice; private practitioners; disease surveillance; barriers and facilitators
Public URL http://eprints.nottingham.ac.uk/id/eprint/38497
Publisher URL http://www.globalhealthaction.net/index.php/gha/article/view/28413
Related Public URLs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592845/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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