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Treatment Adherence Status of the TB Patients Notified from Private Sector and its Associated Factors: Findings of a Secondary Data Analysis from West Bengal, India
Dey, A.; Lahiri, A.; Jha, S.S.; Sharma, V.; Shanmugam, P.; Chakrabartty, A.K. Treatment Adherence Status of the TB Patients Notified from Private Sector and Its Associated Factors: Findings of a Secondary Data Analysis from West Bengal, India. Indian Journal of Tuberculosis 2022, 69, 334–340, doi:10.1016/j.ijtb.2021.06.001.
Dey, A.; Lahiri, A.; Jha, S.S.; Sharma, V.; Shanmugam, P.; Chakrabartty, A.K. Treatment Adherence Status of the TB Patients Notified from Private Sector and Its Associated Factors: Findings of a Secondary Data Analysis from West Bengal, India. Indian Journal of Tuberculosis 2022, 69, 334–340, doi:10.1016/j.ijtb.2021.06.001.
Dey, A.; Lahiri, A.; Jha, S.S.; Sharma, V.; Shanmugam, P.; Chakrabartty, A.K. Treatment Adherence Status of the TB Patients Notified from Private Sector and Its Associated Factors: Findings of a Secondary Data Analysis from West Bengal, India. Indian Journal of Tuberculosis 2022, 69, 334–340, doi:10.1016/j.ijtb.2021.06.001.
Dey, A.; Lahiri, A.; Jha, S.S.; Sharma, V.; Shanmugam, P.; Chakrabartty, A.K. Treatment Adherence Status of the TB Patients Notified from Private Sector and Its Associated Factors: Findings of a Secondary Data Analysis from West Bengal, India. Indian Journal of Tuberculosis 2022, 69, 334–340, doi:10.1016/j.ijtb.2021.06.001.
Abstract
Objective: In India, yearly, estimated one million TB cases are missing from notification, mostly from private sector. The large number of patients in private sector has raised concerns for suboptimal quality of care. This study was conducted to find out the treatment adherence status among the private TB patients and factors associated with poor adherence.Data Source: Secondary project data, obtained through adherence monitoring house visit by NGO workers. Data collected by reviewing different records available with the patients & data was entered into the CommCare HQ, an open-source mobile platform designed for data collection.Methods: Descriptive observational study.Results: Default rate among private patients was 5%. Commonest reasons stated for being a defaulter were ‘Medicine is not good’ (30%), ‘Travel’ (28.6%), ‘Cost of treatment’ (21.8%) and ‘Side effects’ (11.6%). Despite best of efforts only 36.9% defaulter could be retrieved. Higher default rate was associated with 15-59 years age, males, earning member of the family, addiction, DR-TB, continuation phase of treatment, previous history of TB, presence of symptoms and inability to walk.Conclusion: Privately treated TB patients are vulnerable to non-adherence. Once defaulted, it is difficult to retrieve them. Economically productive age group is at higher risk of being defaulter. Strict adherence monitoring for private TB patients and extensive advocacy communication & social mobilization program in the community, workplaces and institutions is a need of hour.
Medicine and Pharmacology, Epidemiology and Infectious Diseases
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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