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Delay in DOTS for new pulmonary tuberculosis patient from rural area of Wardha District, India

Bawankule, S and Quazi, SZ and Gaidhane, A and Khatib , N (2010) Delay in DOTS for new pulmonary tuberculosis patient from rural area of Wardha District, India. [Journal (On-line/Unpaginated)]

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Abstract

Vast majority of active tuberculosis patients seeks treatment, do so promptly, still many patients spend a great deal of time and money “shopping for health” and too often they do not receive either accurate diagnosis or effective treatment, despite spending considerable resources. Objective: To find out the time taken to, for diagnosis of tuberculosis and to put patient on DOTS from the onset of symptoms and pattern of health seeking behavior of new pulmonary tuberculosis patients. A cross-sectional rapid assessment using qualitative (FGD) and quantitative (Interview) methods conducted at DOTS center of tertiary care hospital from rural Wardha. Participants: 53 pulmonary tuberculosis patients already on DOTS, in intensive phase. Main outcome measure: Delay in initiation of DOTS & health seeking behavior Results: Median total delay for starting DOTS was 111 days, (range: 10 to 321 days). Patient delay was more than provider delay. Patients delay was more in patients above 60 years, illiterate, per-capita income below 650 Rupees and HIV TB co-infection. Pattern of health seeking behavior was complex. Family physician was the preferred health care provider. Patient visited on an average four providers and spent around 1450 rupees (only direct cost) before DOTS begin. Time taken from the onset of symptoms and start of DOT is a cause of concern for the tuberculosis control program. Early case detection is important rather than mere achieving target of 70% new case detection. Program manager needs to implement locally relevant & focused strategies for early case detection to improve the treatment success, especially in rural area of India.

Item Type:Journal (On-line/Unpaginated)
Keywords:Tuberculosis, RNTCP, DOTS treatment delays, health seeking behavior
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6991
Deposited By:Kakkilaya Bevinje, Dr. Srinivas
Deposited On:13 Sep 2010 04:53
Last Modified:11 Mar 2011 08:57

References in Article

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1. Maher D, Raviglione M. Global epidemiology of tuberculosis. Clin Chest Med 2005;26:167-82.

2. Raviglione MC, Snider D, Kochi A. Global epidemiology of tuberculosis: morbidity and mortality of a worldwide epidemic. JAMA 1995;273:220-26.

3. Frieden TR, Mulling J. Research for Action - Understanding and Controlling Tuberculosis in India, WHO Regional Office for south-East Asia, New Delhi, 2000

4. DeRiemer K, Garcia-Garcia L, Bobadilla-del-Valle et al. Does DOTS work in populations with drug-resistant tuberculosis? Lancet 2005;365:1239-45.

5. Uplekar M, Juvekar S, Morankar S, Rangan S, Nunn P. Tuberculosis patients and practitioners in private clinics in India. Int. J. Tuberc. Lung Dis. 1998;2:324-9

6. World Health Organization. WHO Report 2003. Global Tuberculosis Control Surveillance, Planning, Financing. WHO, 2003. WHO/CDS/TB/2003.316

7. Operational guidelines for Tuberculosis control. Central TB Division, Ministry of Health and Family Welfare, Government of India. 2005.

8. Enarson DA, Ashley MJ, Grzybowski S, Ostapkowicz E, Dorken E. Non-respiratory tuberculosis in Canada. Epidemiologic and bacteriologic features. Am J Epidemiol 1980;112:341-351.

9. Moudgil H, Leitch AG. Extra-pulmonary tuberculosis in Lothian 1980–1989: Ethnic status and delay from onset of symptoms to diagnosis. Respir Med 1994;88:507-510.

10. Sherman LF, Fujiwara PI, Cook SV, Bazerman LB, Frieden TR. Patient and health care system delays in the diagnosis and treatment of tuberculosis. Int J Tuberc Lung Dis 1999;3:1088-1095.

11. Ward J, Siskind V, Konstantinos A. Patient and health care system delays in Queensland tuberculosis patients, 1985–1998. Int J Tuberc Lung Dis 2001;5:1021-1027.

12. Steen TW, Mazonde GN. Pulmonary tuberculosis in Kweneng District, Botswana: delays in diagnosis in 212 smear-positive patients. Int J Tuberc Lung Dis 1998;2:627–634

13. Lienhardt C, Manneh K, Lahai G, Milligan P, McAdam K. Factors determining the outcome of treatment of adult tuberculosis cases in The Gambia. Int J Tuberc Lung Dis 1998;2:712–718

14. Anne van Bawel, JACM. The national leprosy and tuberculosis control programme of The Gambia. Progress report no. 6. The Hague, The Netherlands: KNCV, 1997

15. Lawn SD, Afful B, Acheampong JW. Pulmonary tuberculosis: Diagnostic delay in Ghanaian adults. Int J Tuberc Lung Dis 1998;2:635-640.

16. Beyers N, Gie RP, Schaaf HS et al. Delay in the diagnosis, notification and initiation of treatment and compliance in children with tuberculosis. Tuber Lung Dis 1994;75:260-265.

17. Liam CK, Tang BG: Delay in the diagnosis and treatment of pulmonary tuberculosis in patients attending a university teaching hospital. Int J Tuberc Lung Dis 1997;1:326-332

18. Oola J. Factors influencing Delayed diagnosis of tuberculosis in Mukono District Uganda. Institute of Public Health; 2001.

19. Lawn SD, Afful B, Acheampong JW. Pulmonary tuberculosis: diagnostic delay in Ghanaian adults. Int J Tuberc Lung Dis 1998;2(8):635-640.

20. Pronyk RM, Makhubele MB, Hargreaves JR, Tollman SM, Hausler HP. Assessing health seeking behaviour among tuberculosis patients in rural South Africa. Int J Tuberc Lung Dis 2001;5(7):619-627.

21. Farah MF, Rygh JH, Steen TW et al. Patient and health care system delays in the start of tuberculosis treatment in Norway. BMC Infectious Diseases 2006;6:33

22. Rajeshawari R, Balasubramanian M, Muniyandi M, Geetharamani S, Thersa X, Venkateshan P. Socioeconomic impact of tuberculosis on patients and family in India. Int J Tuber Lung Dis 1999;3:869-877.

23. Mpungu S Kiwuwa, Karamagi Charles, Mayanja Kizza Harriet Patient and health service delay in pulmonary tuberculosis patients attending a referral hospital: a cross-sectional study. BMC Public Health 2005;5:122

24. Ramana GNY, Naidu BMCS, Murthy KJR. Maping of TB treatment providers at selected sites in Andhra Pradesh State, India. 1997. WHO/TB/97.233.

25. Agarwal SP, Sehgal S, Lal SS. Public-Private Mix in the Revised National TB Control Programme in Tuberculosis Contorl in India. Central TB Division, Govrnment of India. Pg 135-142

26. Uplekar MW, Rangan S. Private doctors and tuberculosis in India. Tuberc lung Disease 1993;74:332-337

27. dos Santos MAPS , Albuquerque MFPM, Ximenes RAA et al. Risk factors for treatment delay in pulmonary tuberculosis in Recife, Brazil. BMC Public Health. 2005;5:25.

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