Study of supervision by household members in the prevention of defaults of the patients taking short course chemotherapy for pulmonary tuberculosis
Journal Title: Medpulse International Journal of Medicine - Year 2017, Vol 4, Issue 3
Abstract
Background: The default is the biggest challenge in TB control due to the length and complexity of TB treatment. A key component of the DOTS strategy for tuberculosis control is direct observation of treatment. Supervision can be done by a family member and should undertake this role. Aim: To identify default and cure rates among patients taking short course chemotherapy for pulmonary tuberculosis supervised by household members. Material and Methods: A total of 140 patients with newly diagnosed pulmonary TB were supervised by household members like spouses, mothers and father, brother or sister. All members were trained by TB program staff to properly administer anti-TB drugs to the patient and to mark the patient's treatment card after each dose was administered. Results: In present study, 72.85% (102/140) of the supervisors were the patient's spouse, 20% (28/140) were the mother and 7.14% (10/140) were other (father, brother, sister). Of these household members, 37.14% (52/140) worked outside of the home. All the patients supervised by household members were cured totally. Conclusion: The high cure rate by using household members in present study suggests that these members can be utilized as supervisors in DOTS strategies in settings with limited resources.
Authors and Affiliations
Arsh Kumar Garg, Swetabh Purohit
Keywords
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- EP ID EP479382
- DOI 10.26611/1021436
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