Reasons For Non-Compliance and Profile of Tuberculosis Patients in Urban Area of Indore

Authors

  • Sonia Tiwari Sri Aurobindo Medical College & PG Inst, Indore (M.P.)
  • R R Wavare Sri Aurobindo Medical College & PG Inst, Indore (M.P.)

Keywords:

RNTCP, DOTS, Non-compliance

Abstract

Background: India has nearly 30% of global tuberculosis burden with 280,000 deaths due to TB each year. Objective of the present study was to see the reasons for non-compliance and profile of tuberculosis patients in urban area of Indore.

Methods: Four Tuberculosis Units from the Indore urban area were included in the study. 150 patients were enrolled in the study. The profile and reasons for non-compliance of the patients was recorded using semi-structured questionnaire.

Results: There were 39.33% patients between 25-44 years and 51.33% patients were above 45 years. Ratio of males to females was (0.97:1). Reasons for missed doses 26.66% work related travel, 15% DOTS timing coinciding with working hours, 18.33% forgot to come, 8.33% illness or death in their family, 18.75% out of station, 12.5% onset of agricultural season.

Conclusions: Reasons for non-compliance are preventable. The DOTS provider must re-enforce implications of irregular or incomplete treatment at every appropriate encounter with patient.

References

Directly Observed Treatment Short Course: Tubercu-losis cure for all ICMR Bulletin, March 2001,Vol .31,No.3,37-43.

Guideline for clinical and Operational Management of Drug Resistant TB, IUATLD;2013[cited 2013 Nov 5].Available from www.aspb.es/vit b.

Revised National Tuberculosis Control Programme. Revised Schemes for NGO’s and private providers. Central TB Division (CTD), Directorate General of Health Services, Ministry of Health and Family Wel-fare, New Delhi India, 2008.

Health organization, 25:339(1961).

Directorate General Of Health Services [Inter-net].Ministry Of Health and Family Welfare, Govern-ment Of India;2013[cited 2013 June 30].Available from:http//www.mohfw.in/.

P. Kumar Social classification: Need for constant updating, IJCM: Vol. 18, Issue no.2, Page 60-61.

Bhat. S et al. Revised National Tuberculosis Control Programme: An Urban Experience.

Nagpaul DR, Vishwanath MK, Dwarkanath G, A Socio-Epidemiological study of out patients attend-ing a city tuberculosis clinic in India to judge the place of specialized centers in a tuberculosis control programme, Bulletin of WHO,1970,43,17-34.

Jagota P, Sreenivas TR, Parimala N, Improving Treatment compliance by observing differences in treatment irregularity. International Journal of Tuber-culosis and Lung Disease, 1996:43, 75.

World Health Organization, Global Tuberculosis Con-trol: WHO report 2000, WHO/CDS/TB/2000, Gene-va, 2000.

A Mishra et al. A study of effectiveness of DOTS on Tuberculosis patients treated under RNTCP Pro-gramme, NTI Bulletin 2007, 43/3&4, 47-50.

MdSalahuddin Ansari et al. The role of socio-economic factors responsible for non-compliance of directly observed treatment short course among Tu-berculosis patients, Journal of Medicine and Health Sciences; 18(2), August 2011.

Paudel DP, Treatment Compliance of tuberculosis and factors associated in Bhaktapur district, Nepal, Journal of Health and Allied Sciences 2010, Vol. 1, No. 1, Page 38-43.

K. Jaggarajamma et al. Reasons for non-compliance among patients treated under Revised National Tu-berculosis Control Programme (RNTCP), Tiruvallur, South India, Indian Journal of Tuberculosis, 2007, 54:130-135.

Mansthi NRR, Rajana MS, Parauramali BG: A study on the effectiveness of DOTS on tuberculosis patients treated under RNTCP: Indian journal of public health, Vol. xxxxx (1):2006, 57-63.

Ref-Nepali RB and Paneru DP ,Compliance to Direct-ly Observed Treatment Short-Course(DOTS) Chemo-therapy among the patients of pulmonary tuberculo-sis in Banke district of Nepal, Journal of Health and Allied Sciences, 2013,Vol 3.N0.1,Pg 17-20.

Satoskar, Kale, Bhandarkars pharmacology and pharmacotherapeutics 14thediton vol.2, Bombay pop-ular prakashanpvt. Ltd. 35-c PanditMadanmo-hanmarg, Prem building Bombay-40034, page 86.

Downloads

Published

2015-03-31

How to Cite

1.
Tiwari S, Wavare RR. Reasons For Non-Compliance and Profile of Tuberculosis Patients in Urban Area of Indore. Natl J Community Med [Internet]. 2015 Mar. 31 [cited 2024 Dec. 22];6(01):55-9. Available from: https://njcmindia.com/index.php/file/article/view/1130

Issue

Section

Original Research Articles