A Study on Prevalence of Initial Defaulters among Sputum Smear Positive TB Patients and Their Reasons under RNTCP in Jamnagar District, Gujarat, India
Journal Title: Healthline - Year 2017, Vol 8, Issue 2
Abstract
Introduction: The smear positive TB patients who aren’t put on treatment after diagnosis are called ‘Initial defaulters’. Annually, many patients are diagnosed with TB under RNTCP, but many of them don’t return to the program after diagnosis. This study is an attempt to identify reasons of such initial defaulting. The Objective of the study is to measure prevalence of initial defaulters, its reasons and its association with socio-demographic factors. Methods: It’s a cross-sectional study covering all TB Units of Jamnagar district, and all TB patients diagnosed between 1st January, 2012 and 31st December, 2013. They were screened for initial defaulting. Data collected and field visits planned between 1st January 2016 and 31st September 1016. Results: Reported initial default rate was 5.12%, but actual default rate was only 2.39%. Initial defaulting rate was higher in Jamnagar TU compared to other TUs and in males compared to females. About 74.36% patients started anti-TB treatment from private institute. Conclusion: There was a discrepancy between reported ID patients and actual ID patients, as many were put on later in subsequent quarters. Majority TB patients started private treatment. Defaulting rate was higher in middle aged patients.
Authors and Affiliations
Pradeep R. Pithadia, Kishor M. Dhaduk, Meet M. Chauhan, Dipesh V. Parmar, Firoz D. Ghanchi, Bharti B. Dholakiya
Keywords
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