Tuberculosis Default: A Qualitative Exploration in Rural Puducherry
Journal Title: National Journal of Research in Community Medicine - Year 2014, Vol 3, Issue 3
Abstract
Objective: The present study was done to explore the various reasons for tuberculosis default. Material and Methods: A qualitative design (semi-structured interview) was adopted. The list of defaults (n = 5) (RNTCP definition) was obtained from the tuberculosis registers of Primary Health Centre adjacent to our Medical College. We used semi-structured open ended questionnaire for interview of tuberculosis. Additionally, freelisting exercise was also undertaken with nine Directly Observed Treatment Short course (DOTS) providers to capture their perceived reasons. Manual Content analysis was done and themes were generated. We used Anthropac software for analysis of free listing. Results: Seven themes were derived from the data. These were related to job requirements, addictions, side-effects, family problems, family response, awareness level, and the role of health service providers. According to the DOTS provider, vomiting (Smith’s S value – 0.6), Job requirement (0.4), Illiteracy (0.4), long duration of treatment (0.4) and side-effects (0.4) were the common reasons for default in tuberculosis treatment. Conclusions: Hence, pre-treatment counselling of patients and the role of health care providers for motivation and follow-up of patients should be stressed for addressing these barriers in treatment completion
Authors and Affiliations
Thirunavukarasu MR, Lopamudra Lopamudra, Dongre AR
Keywords
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