SHANTA GHATAK

SHANTA GHATAK replied to "Panel Discussion: PrEP, a promising novel HIV prevention strategy" in the Adherence & Retention community.

Changing risky behaviour in this young person may not be easy as he may be suffering from some sort of obsessive compulsive disorder as well and may not have access to counselling or treatment for various socio economic reasons. That he is asking for the medicines shows that he is willing to be treated. We can offer counselling repeatedly while asking him to attend the clinic frequently when he is being given the medicine supply? ...

SHANTA GHATAK replied to "x-message reminders: are symbols better than words?" in the Adherence & Retention community.

Somehow somewhere we need to develop a patient himself as a care giver for developing their thoughts into concrete needs. May be we need to have a deeper look into the patient. We are all talking about forgetfulness, occasionally and repeatedly : may be there is a chance that not all DOT providers are at the same level of motivation and understanding a patient of DR TB? A patient who loses his money, wages, family, ...

SHANTA GHATAK replied to "The concept of "Persistence" as a complementary measure to Adherence in HIV" in the Adherence & Retention community.

Dear Friends and Colleagues, in continuation to my previous post I would like to share that Very similar situations have been dealt with in similar situations in HIV AIDS control program for retaining the patients . Only Difference between TB control and HIV-AIDS control programs being decentralized DOT and centralized ART which with gradual responsible and focused PERSISTENCE is taking a much awaited positive turn!! Thanks!

SHANTA GHATAK replied to "The concept of "Persistence" as a complementary measure to Adherence in HIV" in the Adherence & Retention community.

Interesting how our whole focus on TB control has been shifting towards PERSISTENCE. I am speaking from a different point of view now. For a long time TB treatment , diagnosis, advocacy needed prioritization at all levels. We persisted. The program managers persisted. The policy makers, the administration, the health systems, the opinion makers persisted. For a better control. PERSISTENCE has been a key challenging motivator.....it has been delivering its results over the decades. Saving ...

SHANTA GHATAK replied to "Noncompliance and cognitive impairment: suggestions and strategies for a more tailored intervention?" in the Adherence & Retention community.

Dear Clare Not too many patients will have similar conditions at a single point of time, so we may have few volunteers that may have been trained with additional skills. They can manouvre these patients through certain periods of their exacerbations. And the care , compassion, need and support will definitely vary from case to case. If you can get out a few case studies with relevant findings - maybe you will receive a better ...