A cross sectional study to estimate delay in diagnosis and treatment of tuberculosis (TB) among patients attending urban health centre in an urban slum area
Journal Title: Public Health Review - Year 2018, Vol 5, Issue 1
Abstract
Background: RNTCP (Revised National Tuberculosis Control Program) is an application in India of the (World Health Organisation) WHO recommended (Directly Observed Treatment Short Course) DOTS strategy. Early diagnosis and immediate initiation of treatment are essential for an effective TB control program. Delay under RNTC programme is of types: patients delay, health care systems delay, DOTS delay and total delay. Objectives: To determine average delay on part of patient and health system in diagnosis of tuberculosis, treatment delay in starting DOTS and total delay. Methodology: A cross-sectional descriptive study of 464 tuberculosis patients was conducted in an urban health center (UHC) of an urban slum area of Mumbai. Patients registered under RNTCP during 1 year i.e. from 1st January to 31st December 2016 were interviewed regarding their complaints and reporting to a health care facility (time taken and typeprivate or government), time taken for diagnosis and starting treatment. Thus, four types of delay were calculated. Results: Among 464 patients, mean patient’s delay, health system delay and total delay were 21.09 days (median 15), 14.41 days (median 6) and 35.50 days (median 21) respectively. Almost 60% of total delay was constituted from patient’s delay. Mean treatment delay was 2.84 days (median 3.19). Total delay was significantly longerin females. Almost, 40% of the patients reported to a health facility within 15 days of onset of symptoms. Conclusion: Patient delay was significantly more among sputum negative pulmonary TB patients than sputum positive patients. Health system delay to diagnose TB was more if private practitioners were approached first. Only 11% (35) pulmonary TB patients were advised sputum examination as the first investigation by private practitioners.
Authors and Affiliations
Tarun S. Patel, V. P. Goswami, Khilit N. Lilhore, Jitesh S. Kuwatada
Keywords
Related Articles
- EP ID EP338595
- DOI 10.17511/ijphr.2018.i1.01
- Views 130
- Downloads 0
Prevalence of reproductive morbidity and its determinants among ever married women of reproductive age group (15-45 years) in a rural area of Kozhikode
Background: Reproductive ill health contributes about 20% of global burden of ill health among women. To achieve the goal of universal access to reproductive health, the burden of the illness and their risk factors shoul...
A study of tobacco consumption among the adult population in the urban slums of Silchar, Assam
Objective: To assess the prevalence, the various forms and the different correlates of tobacco consumption in the Urban Slums of Silchar, Assam. Materials and Methods: A crossectional study was conducted in the Urban slu...
Assessment of knowledge and attitude regarding organ donation: a community based Study
Background: Organ transplants can save lives. People needing tissue transplants can also be of any age. In some cases, tissues can save lives. Aim of the study is to assess and determine the co- relation between the know...
A prospective study on the clinical profile and outcome of patients with hyponatremia in a tertiary care centre in Kerala, South India
Background: Hyponatremia is the commonest electrolyte disturbance seen in hospitalized patients. The presence of hyponatremia worsens the prognosis in ill patients. Aims: To study the clinical profile and outcome of pati...
Effect of nurse directed rehabilitation programme on quality of life among patients with HIV attending care and support centers of Kottayam district, Kerala, South India
Background: HIV has become a long-term condition, which not only affect the physical health, but also lead to psychological and social problems. Nurse directed rehabilitation programme may help people by improving their...