|SYMPTOM AWARENESS AND ACTION TAKING OF PERSONS WITH
PULMONARY TUBERCULOSIS IN RURAL COMMUNITIES SURVEYED REPEATEDLY TO
DETERMINE THE EPIDEMIOLOGY OF THE DISEASE
|Radha Narayan & N Srikantaramu: Indian J TB
1981, 28, 125-30.
A longitudinal epidemiologic survey was carried
out in Nelamangala taluk of Bangalore district since 1961, to find
out prevalence of infection and disease of tuberculosis. During
V round of the survey 1977, after 16 years of the first round, it
was planned to study the awareness of symptoms and action taking
of persons in the community where repeated surveys consisting of
tuberculin, X-ray and sputum examinations had been carried out since
1961 and facilities for diagnosis and treatment were available since
1974. Fifty one persons aged 20 years and above, referred as X-ray
positives were interviewed by social investigators on a structured
questionnaire to elicit the awareness of symptoms and details of
action taken to seek relief.
Of the 51 satisfactorily interviewed, 41 (80.4%)
had symptoms suggestive of tuberculosis, of the 20 bacteriologically
positive cases 19 (95%) were aware of symptoms suggestive of tuberculosis,
thus registering a higher percentage of awareness than the X-ray
positives. Of those with symptoms, 58.8% sought relief, many of
them at multiple agencies such as Govt. hospitals and private practitioners,
and some at tuberculosis hospitals, on being referred there. Most
had obtained services free of cost and appreciated the available
intrinsic benefits. Prior personal or family associations were the
main reasons for seeking the services of private practitioners.
Only 23% had gone to the nearest health facilities. Lack of proper
facilities for good treatment and preference to be treated at urban
centres, were the main reasons for not availing of the services
at the nearest health facilities.
|KEY WORDS: RURAL POPULATION, SYMPTOM AWARENESS,
FELT NEED, ACTION TAKING.