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Directly Observed Treatment Short-Courses(DOTS)

DOTS program was a first collaborative research project between DHKUH and National Tuberculosis Control Center, funded by SAARC Tuberculosis and HIV/AIDS Center, Nepal. The research project aimed to determine the impact of COVID-19 pandemic on DOTS program of Tuberculosis through assessing: a) the challenges due to COVID-19 pandemic on management of tuberculosis, mainly the usage of DOTS Clinic in the form of Anti-Tuberculosis Treatment (ATT) adherence to the patients and b) Facilitators and barriers to strengthen DOTS services.

We analyzed the pre-COVID, during-COVID and post-COVID data from 21 selected DOTS centers across Nepal (7 provinces and 21 districts) to determine the average (mean difference) of ATT adherence to TB patients. Additionally, we employed 117 qualitative interviews of the TB patients enrolled in the selected DOTS centers along with interviews of 35 DOTS center In-charges. Interviews were also conducted with TB focal personnel at the local, provincial, and federal level to understand health providers’ perspectives on the facilitators and barriers of the COVID-19 pandemic on the DOTS program. A total of 21 interviews were conducted with TB focal persons at the local level (municipality offices). Similarly, we interviewed health providers from corresponding health offices(n=37) and provincial health offices(n=6). At the central level, we interviewed the focal person of NTCC and MoHP respectively.


Team Members:
DH Team: Dr. Biraj Karmacharya, Ruby Shrestha,

Project Team: Ruby Shrestha, Roshan Kasti, Priya Shrestha, Anusha Basnet, Supriya Kharel