Reasons for patient delays & health system delays for tuberculosis in south India

Soans, Shashi J (2011) Reasons for patient delays & health system delays for tuberculosis in south India. Indian JOurnal of Community Health, 23 (2). pp. 87-89. ISSN 0971-7587

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Abstract

Background: Globally, the burden of Tuberculosis is escalating. Early diagnosis and prompt initiation of tuberculosis treatment is essential for an effective tuberculosis control programme. Objectives: To study the self reported reasons for patient and health system (diagnosis & treatment) delays in Tuberculosis patients. Methods: A community based cross sectional study was conducted among 98 new sputum positive TB cases aged > 15 years registered under RNTCP from Oct 2006 to June 2007 & receiving treatment under DOTS in Udupi taluk by interviewing them. Results: Total 98 patients were recruited and 68% were males. Out of 17 patients with patient delays, 82% felt that their symptoms were not severe, 71% felt that patient delay was due to lack of awareness and 71% did not take it seriously. Out of 86 patients with health system delays, 82.6% of patients mentioned that doctor has not advised for sputum examination, 76.7% of patients told that they first consulted a private doctor, 21% of them mentioned that doctor was unaware to diagnose TB. Conclusion: Symptoms not severe is the main reason for the patient delay and doctor didn’t advise for sputum examination is the main reason for health system delays.

Item Type: Article
Uncontrolled Keywords: Tuberculosis; patient; doctor; health system delays.
Subjects: Medicine > KMC Manipal > Community Medicine
Depositing User: KMC Library
Date Deposited: 14 Dec 2017 04:57
Last Modified: 14 Dec 2017 04:57
URI: http://eprints.manipal.edu/id/eprint/150263

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