?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Delay+in+DOTS+for+new+pulmonary+tuberculosis+patient+from+rural+area+of+Wardha+District%2C+India&rft.creator=Bawankule%2C+S&rft.creator=Quazi%2C+SZ&rft.creator=Gaidhane%2C+A&rft.creator=Khatib+%2C+N&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Vast+majority+of+active+tuberculosis+patients+seeks+treatment%2C+do+so+promptly%2C+still+many+patients+spend+a+great+deal+of+time+and+money+%E2%80%9Cshopping+for+health%E2%80%9D+and+too+often+they+do+not+receive+either+accurate+diagnosis+or+effective+treatment%2C+despite+spending+considerable+resources.+Objective%3A+To+find+out+the+time+taken+to%2C+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%3A+53+pulmonary+tuberculosis+patients+already+on+DOTS%2C+in+intensive+phase.+Main+outcome+measure%3A+Delay+in+initiation+of+DOTS+%26+health+seeking+behavior+Results%3A+Median+total+delay+for+starting+DOTS+was+111+days%2C+(range%3A+10+to+321+days).+Patient+delay+was+more+than+provider+delay.+Patients+delay+was+more+in+patients+above+60+years%2C+illiterate%2C+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%25+new+case+detection.+Program+manager+needs+to+implement+locally+relevant+%26+focused+strategies+for+early+case+detection+to+improve+the+treatment+success%2C+especially+in+rural+area+of+India.&rft.publisher=Dr.+B.S.+Kakkilaya&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2010-07-30&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F6991%2F1%2F2010-1-5.pdf&rft.identifier=++Bawankule%2C+S+and+Quazi%2C+SZ+and+Gaidhane%2C+A+and+Khatib+%2C+N++(2010)+Delay+in+DOTS+for+new+pulmonary+tuberculosis+patient+from+rural+area+of+Wardha+District%2C+India.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F6991%2F