Study of factors related to health and health care delivery system amongst defaulters in DOTS centre in Warangal district of Telangana state
Journal Title: Medpulse International Journal of Community Medicine - Year 2017, Vol 3, Issue 3
Abstract
Background: Tuberculosis (TB) is a major public health problem in the world and is a social disease with medical aspects. Quality of health and health care delivery system plays an important role in the status of tuberculosis (TB) control, by influencing timely diagnosis, adherence and treatment completion. The present study was carried out to find out the factors related to health care system among TB defaulters. Methods: A cross sectional study was carried among 106 defaulters of TB patients in 3 TB units (TU) out of 7 TB units in Warangal district, attached to District Tuberculosis Centre (DTC) from July 2014 to May 2015 by interview technique utilising a pretested and structured questionnaire to collect the data. Statistical analysis was done by using percentage, proportions and chi-square test whenever necessary. Results: Most of the defaulters had received their initial treatment in PHC’s 41(38.7%) followed by in private hospitals i.e., 36 (34%) and the observed difference between 3 groups was found to be statistically significant. 50.9% of defaulters took treatment for only 1-3 months and the difference among 3 TU’s found to be statistically significant while taking medicines. 62.3% of the DOTS providers were friendly and 26.4% providers were indifferent and very unfriendly towards the study population. 73.6% of families got counselled by health workers and 54.7% of patients were supervised by health worker while taking medicines. Medicines always available only in 88.7% of DOTS centres and 22.6% of DOTS centres were far away from residence of defaulters. Side effects as a reason for default of treatment between 3 TU’s was found not to be statistically significant. Conclusion: The study concluded that default was a major barrier to be dealt in the success of RNTCP program. Majority of defaulted between 1-3 months from anti-TB treatment and 26.4% of families of defaulters didn‘t get counselled by health workers. Only 54.7% of patients were supervised by Health Workers. Most common side effect experienced by study group was vomiting and abdominal pain- GI upset. There was an opinion received from patients that staff in DOTS centres should be well trained to treat complications.
Authors and Affiliations
Tagaram Ramchandra, Niharika Lakkoju
Keywords
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