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Original Article

Natl J Community Med. 2014; 5(1): 96-99

A Study on Patient Compliance of Tuberculosis Enrolled under Revised National Tuberculosis Control Programme

Salil Sakalle, Bhagwan Waskel, Sanjay Dixit, Dhruvendra Pandey, Suraj Sirohi, Satish Saroshe.

"Background: Tuberculosis (TB) is a global health concern, India ranks first among the world’s high-burden tuberculosis (TB) countries. Noncompliance to self adminis-tered multi drug tuberculosis treatment regimens is common and is the most important cause of failure of initial therapy and re-lapse.
Objective: To assess various as-pects of patient compliance to DOTS for the treatment of tubercu-losis, to assess the role of socio-demographic factors, life style re-lated factors, side effects of anti tu-bercular drugs in patient compli-ance.
Material & Method: A cross sec-tional Study with informed written consent was conducted in 50 Spu-tum positive tuberculosis patients enrolled under RNTCP in Mano-ramaraje TB hospital (Attached to medical college & hospital) and Prakash chandsethi Hospital (UHTC) Indore. Patients were se-lected using convenient sampling method. All sputum positive Fail-ure, relapse and defaulters were included in study. A predesigned, semi structured questionnaire was used as tool to interview the pa-tients. The data was analyzed using Microsoft office excel sheet.
Results: In total 50 patients, 42% females and 58% males were in-cluded in our study. 22% and 12% of patients had history of Infection at family and workplace respec-tively. 44 % of total patients did not complete the category I treat-ment. 28% of the patients were not compliant to current treatment of Category II. Most common reason behind non compliance was ob-taining relief from symptom of tu-berculosis.
Conclusion: The disease mainly affects the low socioeconomic stra-ta where maintenance of high level of compliance is difficult. The main reasons of low patient compliance are lack of awareness about the disease, more concern about earn-ing the wages, low motivation dur-ing drug therapy and early appear-ance of side effects.

Key words: Tuberculosis, Noncompliance, Di-rectly observed treatment short course, Defaulter, Adherence

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