Reasons for non-compliance among patients treated under Revised National Tuberculosis Control Programme (RNTCP), Tiruvallur district, south India.
Article
in English
| IMSEAR
| ID: sea-110520
ABSTRACT
OBJECTIVES:
To elicit reasons for treatment default from a cohort of TB patients under RNTCP and their DOT providers.METHODS:
A total of 186 defaulters among the 938 patients registered during 3rd and 4th quarters of 1999 and 2001 in one Tuberculosis Unit (TU) of Tiruvallur district, Tamil Nadu and their DOT providers were included in the study. They were interviewed using a semi-structured interview schedule.RESULTS:
Sixteen (9%) had completed treatment, 25 (13%) died after defaulting, and 4 (2%) could not be traced. Main reasons given by the remaining 141 patients and their DOT providers were drug related problems (42%, 34%), migration (29%, 31%), relief from symptoms (20%, 16%), work related (15%, 10%), alcohol consumption (15%, 21%), treatment from other centers (13%, 4%), respectively. Risk factors for default were alcoholism (P<0.001), category of treatment (P<0.001), smear status (P<0.001), type of disease (P<0.001) and inconvenience for DOT (P<0.01).CONCLUSION:
This study has identified group of patients vulnerable to default such as males, alcoholics, smear positive cases, and DOT being inconvenient. Intensifying motivation and counselling of this group of cases are likely to improve patient compliance and reduce default.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Tuberculosis
/
Aged
/
Female
/
Humans
/
Male
/
Interviews as Topic
/
Risk Factors
/
Cohort Studies
/
Treatment Refusal
/
Patient Compliance
Type of study:
Etiology study
/
Incidence study
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Observational study
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Prognostic study
/
Qualitative research
/
Risk factors
Country/Region as subject:
Asia
Language:
English
Year:
2007
Type:
Article
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