Factors Associated with Treatment Defaulter Among Tuberculosis Patients Registered Under RNTCP In Surat City, Gujarat


  • Khushbu Patel SMIMER, Surat
  • Kinjal Patel SMIMER, Surat
  • Dhwani Patel SMIMER, Surat
  • Prakash Patel SMIMER, Surat
  • Swati Patel SMIMER, Surat
  • RK Bansal SMIMER, Surat


Tuberculosis, previously treatment defaulter, Surat, new case of TB


Introduction: Defaulting from treatment has been one of the major drawbacks to treatment management and represents an important challenge for TB control program. This study was conducted to assess factors associated with treatment defaulter among TB patients in Surat city.

Method: All TB patients registered RNTCP in Surat city from July to August 2016 were include in study. This study was comparing previously treatment defaulter and newly diagnosed TB patients.

Result:  In this study observed that male gender, age more than 30 years, migrant status, illiteracy unskilled labour word, lower socio-economic class, tobacco consumption, alcohol habite were significantly associated (P<0.05) with previous treatment defaulter compare to newly diagnosed cases associated factors with defaulter in Surat city.

Conclusion: We conclude that previous treatment defaults are more in cases with more than 30 years, male, migrant, from low socioeconomic strata, illiterate, engaged in daily unskilled labour work, having habit of tobacco & alcohol, and exposed to passive smoking.


TB India 2016 Revised National TB Control Programme Annual Status Report”, New Del-hi,2016.www.tbcindia.nic.in

Romanus V, Julander I, Blom-Bulow B, Larsson LO, Normann B, Boman G (2000). Shortages in Swedish tu-berculosis care. Good results only in 71 percent of cases after 12-month treatment as shown in a current study. Lakartidningen, 97: 5613–5616.

Vijay S, Balasangameswara VH, Jagannatha PS, Saroja VN, Kumar P. Defaults among TB patients treated under DOTS in Bangalore City: A search for Solution. Indian J Tuberc 2003;50:185 95.

Munro SA, Lewin SA, Smith HJ, Engel ME, Fretheim A, Volmink J. Patient adherence to tuberculosis treatment: A systematic review of qualitative research. PLoS Med. 2007; 4: e238. doi:10.1371/journal.pmed.0040238 PMID:17676945

Farah MG, Tverdal A, Steen TW, Heldal E, Brantsaeter AB, Bjune G (2005). Treatment outcome of new culture positive pulmonary tuberculosis in Norway. BMC Public Health, 5: 14. doi: 10.1186/1471-2458-5-14.

Zellweger JP, Coulon P (1998). Outcome of patients treated for tuberculosis in Vaud County, Switzerland. Int. J. Tuberc. Lung Dis., 2:372–377.

Steyn M, van der Merwe N, Dick J, Borcherds R, Wilding RJ (1997).Communication with TB patients; A neglected dimension of effective treatment? Curationis, 20: 53–56.

Shargie EB, Lindtjørn B (2005). DOTS improves treat-ment outcomes and service coverage for tuberculosis in South Ethiopia: A retrospective trend analysis. BMC Pub-lic Health, 5: 62. doi:10.1186/1471-2458-5-62.

Kilpatrick GS (1987). Compliance in relation to tubercu-losis. Tubercle,68: 31–32.

Chaulet P (1990). Compliance with chemotherapy for tuberculosis.Responsibilities of the Health Ministry and of physicians. Bull. Int.Union Tuberc. Lung Dis., 66: 33–35.

Datiko DG, Yassin MA, Chekol LT, Kabeto LE, Lindtjørn B (2008). The rate of TB-HIV co-infection depends on the prevalence of HIV infection in a community. BMC Public Health, 8: 266. doi:10.1186/1471-2458-8-266.

Balasubramanian R, Garg R, Santha T, Gopi PG, Subramani R, Chandrasekaran V, et al. Gender disparities in tuberculosis: Report from a rural DOTS programme in south India. Int J Tuberc Lung Dis. 2004;8:323–32. [Pub Med]

Arora VK, Singla N, Sarin R. Profile of geriatric patients under DOTS in Revised National Tuberculosis Control Programme. Indian J Chest Dis Allied Sci. 2003;45:231–5. [Pub Med]

Santha T, Garg R, Frieden TR, Chandrasekaran V, Subramani R, Gopi PG, et al. Risk factors associated with default, failure and death among tuberculosis patients treated in a DOTS programme in Tiruvallur District, South India, 2000. Int J Tuberc Lung Dis. 2002;6:780–8. [Pub Med]

Jaiswal A, Singh V, Ogden JA, Porter JD, Sharma PP, Sarin R, et al. Adherence to tuberculosis treatment: Les-sons from the urban setting of Delhi, India. Trop Med Int Health. 2003;8:625–33. [Pub Med]

Mishra P, Hansen EH, Sabroe S, Kafle KK. Adherence is associated with the quality of professional-patient inter-action in directly observed treatment short-course, DOTS. Patient Educ Couns. 2006;63:29–37. [Pub Med]

Gopi PG, Vasantha M, Muniyandi M, Chandrasekaran V, Balasubramanian R, Narayanan PR. Risk factors for non-adherence to directly observed treatment (DOT) in a rural tuberculosis unit, South India. Indian J Tuberc. 2007;54:66–70. [Pub Med]

Thomas C. A literature review of the problems of delayed presentation for treatment and non-completion of treat-ment for tuberculosis in less developed countries and ways of addressing these problems using particular im-plementations of the DOTS strategy. J Manag Med. 2002;16:371–400. [Pub Med]

9..Chatterjee P, Banerjee B, Dutt D, Pati R, Mullick A. A comparative evaluation of factors and reasons for de-faulting in tuberculosis treatment in the states of West Bengal, Jharkhand and Arunachal Pradesh. Indian J Tu-berc. 2003;50:17–21.

Jaggarajamma K, Sudha G, Chandrasekaran V, Nirupa C, Thomas A, Santha T, et al. Reasons for non-compliance among patients treated under Revised Na-tional Tuberculosis Control Programme (RNTCP), Tiru-vallur district, south India. Indian J Tuberc. 2007;54:130–5. [PubMed]

Bernard N Muture, Margaret N Keraka, Peter K Kimuu, Ephantus W Kabiru, Victor O Ombeka and Francis Oguya. Factors associated with default from treatment among tuberculosis patients in nairobi province,Kenya: A case control study. BMC Public Health 2011, 11:696

Demissie, M. and Kabede, D. (1994). Defaulting from tuberculosis treatment at the Addis Ababa TB Centre and factors associated with it, Ethiopian Medical Journal, 32(2): 97-106

Daniel, O.J. Oladapo, O.T. and Alausa, O.K. (2006). De-fault from treatment programme in Sagamu, Nigeria, Ni-geria Journal of Medicine 15 (1): 63-7.

Chan-Yeung, M. Noertjojo, K. Leung, c.c. Chan, S.L. and Tam, C.M. (2003).Prevalence and predictors of default from tuberculosis treatment in HongKong, Hong Kong Medical Journal, 9(4): 263-8

Comolet, T.M. Rakotomalala, R. and Rajaonarioa, H. (1998). Factors determining compliance with tuberculosis treatment in urban environment, Tamatave, Madagascar, International Journal of tuberculosis and Lung diseases, 2(11): 891-897

Veeramani G.* and Madhusudhan S. Scholars Research Library Study on default among tuberculosis patients treated under directly observed treatment short course. Der Pharmacia Lettre, 2015, 7 (12):163-168

Sudipta Basa, Srinivas Venkatesh study on default and its factors associated among Tuberculosis patients treat-ed under DOTS in Mayurbhanj Distict, Odisha, 2015 IP;

Pandit N, Choudhary SK. Indian J Community Med 2006;31:241_3.

Jakubowiak, W.M. Bogorodskaya, E.W. Borisov, E.S. Danilova, D.1. and Kourbatova, E. K. (2007). Risk factors associated with default among new pulmonary TB pa-tients and social support in six Russian regions, The In-ternational Journal ofTB and Lung Disease, 11 (1): 46-53

Bumburidi, E. Ajeilat, S. Dadu, A. Aitmagambetova, I. Ershova, J. Fagan, R. and avorov, M.D. (2006). Progress toward tuberculosis control and determinants of treat-ment outcomes, Kazakhstan, 2000-2002, MMWR, 2006155 (SUPOl); 11-15

Jaggarajamma K, Muniyandi M, Chandrasekaran V, Sudha G, Thomas A, Gopi PG, et al. Indian J Tuberc 2006;53:33_6




How to Cite

Patel K, Patel K, Patel D, Patel P, Patel S, Bansal R. Factors Associated with Treatment Defaulter Among Tuberculosis Patients Registered Under RNTCP In Surat City, Gujarat. Natl J Community Med [Internet]. 2016 Sep. 30 [cited 2024 Jun. 23];7(09):763-7. Available from: https://njcmindia.com/index.php/file/article/view/1052



Original Research Articles