Failure to initiate treatment for tuberculosis patients diagnosed in a community survey and at health facilities under a DOTS programme in a district of south India

Gopi, P G and Chandrasekaran, V and Subramani, R and Narayanan, P R (2005) Failure to initiate treatment for tuberculosis patients diagnosed in a community survey and at health facilities under a DOTS programme in a district of south India. Indian Journal of Tuberculosis, 52 (3). pp. 153-156. ISSN 0019-5705

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Abstract

We studied the proportion and fate of tuberculosis patients who were not initiated on treatment (initial defaulters) in Tiruvallur district of Tamilnadu, where DOTS strategy was implemented. These patients were visited to find out the reason for default. Treatment was not initiated in 57 (23.5%) of the 243 sputum positive cases diagnosed in a community survey and 156 (14.9%) of 1049 patients diagnosed in health facility. Men were more likely not to have treatment initiated. The common reasons stated for initial default were unwillingness, symptoms being mild, personal reasons and dissatisfaction. There is an urgent need to improve the patient’s perception of treatment and strengthen the health systems’ capabilities to reduce initial default.

Item Type:	Article
Uncontrolled Keywords:	Initial Defaulter, Tuberculosis
Subjects:	Tuberculosis > Epidemiological Research
Divisions:	Epidemiology
Depositing User:	Dr. Rathinasabapati R
Date Deposited:	26 Nov 2013 11:09
Last Modified:	09 Mar 2016 07:03
URI:	http://eprints.nirt.res.in/id/eprint/695

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