A Study on Efficiency of Referral and Compliance of Tuberculosis Patients in Existing Network Under DOTS - Cuddalore District, Tamilnadu..
Journal Title: National Journal of Research in Community Medicine - Year 2013, Vol 2, Issue 2
Abstract
Introduction: Tuberculosis (TB) remains a major infectious killer today. There were an estimated 8.7 million new cases of TB, 1.4 million people died from TB in the World. India continue to be the number one country with largest number of new cases the world and also holds highest number of MDR-TB cases in Southeast Asia region. Poor patient adherence leads to higher relapse rates and increased drug resistance. This study on compliance and efficiency of referral was conducted among the cohort of TB patients in 2004. Objectives: To study the level of compliance among patients registered and transferred out from RMMCH TB cell to five Tuberculosis units within the district. Study design: Descriptive study. Study Population: 92 patients registered in TB cell from March2004 to June 2004 transferred out within the district. Methodology: Three separate visits were paid to assess the efficiency of referral and compliance. The first visit to check time of transferred in to the PHI to which patient was transferred out from RMMCH TB cell, second visit to assess the completion of Intensive phase and third visit to patients home to interview about treatment completion and outcome. Data were obtained through interview of PHI staff and Patients. Statistical Analysis: Using Proportions, chi-square and Pearson correlation co efficient. Results: 56% completed treatment, 12% initially defaulted,16% defaulted and 9% died. Distance was significantly associated with delay in treatment initiation but not with treatment completion. Conclusion: This study listed factors influence the compliance in initiation of treatment, completion intensive and continuation phase and the overall outcome of study cohort. This study reiterates that the patient related factors to be addressed and programme to be flexible in order to achieve compliance even today.
Authors and Affiliations
Muhammad GM, Ethirajan N
Keywords
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