ABSTRACT
Background: WHO estimates that annually 3 million deaths occurs due to tuberculosis and will reach to more than one billion in 2020. In India, more than 40% of population is infected. The revised national tuberculosis control programme (RNTCP) uses directly observed treatment, short-course (DOTS) therapy strategy to reduce mortality and morbidity, reduce transmission. Compliance to DOTS therapy is one of the important factors that affect the treatment outcome. Hence this study was done to assess the drug compliance rate of adults registered under RNTCP in the past one year and first three months after starting the study and to explore the factors associated with drug compliance.Methods: A longitudinal study was done in Bahour Commune Panchayat with subjects registered under RNTCP from January 2011 to March 2012. They were followed-up by house visit, interviewed using a semi-structured questionnaire.Results: The mean age was 44±13 years, 35 (68.6%) males were illiterate. About 60 (85.7%) belong to Class IV socio-economic status; 15 (29.4%) and 33 (64.7%) of adults had smoking and alcohol intake respectively; 03 (04.3) were diabetic. The treatment compliance rates were cured 64.3% (45/70), completed 27.1% (19/70), default 2.9% (02/70), failure 5.7% (04/70).Conclusions: Male being diseased in the productive age-group, will not only affect the health of the patient but also affect the family’s economic status. Most of the males gave history of alcohol intake, for which they require constant motivation for compliance to the treatment.
ABSTRACT
Background: In India, 17 per cent or nearly 50,000 of 2.89 lakh women died as result of complication due to pregnancy in 2013. In past decade, many studies have revealed low utilization of health services by different segments of society for varying reasons. This study was conducted to assess the utilization pattern of ANC services by the pregnant women in a rural area. The objectives of the study were to assess the pattern of utilization of ANC services by pregnant and recently delivered women; to study the association between socio-demographic factors and utilization pattern among recently delivered women.Methods: A community based cross-sectional study conducted at the rural health training centre in Kancheepuram district, Tamil Nadu among pregnant women and recently delivered women using pre-designed and pre-tested questionnaire. The entire registered pregnant mothers were included for the study and survey was done through house to house visit and the analysis was done using SPSS 21.Results: Out of 170 study participants, majority 132 (77.6%) of them had their antenatal check-up at primary health centre, 138 (81.2%) have received the IFA tablets and 139 (81.8%) had early antenatal registration. And most of the study participants 108 (63.5%) did not utilize anganwadi for health education and supplementary nutrition. Number of IFA tablets consumption by mothers was significantly associated with literacy and socio-economic status of the mother with p value of 0.03 and 0.002 respectively.Conclusions: Our study results showed that better ANC services utilization pattern in our study area except anganwadi utilization.