CHAPTER I - SOCIOLOGICAL APPROACH TO HEALTH CARE & TB CONTROL <<Back
 
b) Socio-Cultural, Socio-Economic & Demographic Aspects
 
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AU : Juvekar SK, Morankar SN, Dalal DB, Sheela Rangan, Khanvilkar SS, Vadair AS, Uplekar MW & Deshpande A
TI : Social and operational determinants of patient behaviour in lung tuberculosis.
SO : INDIAN J TB 1995, 42, 87-93.
DT : Per
AB :

Two hundred and ninety nine patients registered for treatment with the public health services-103 with rural PHC`s and 196 with urban TB clinics in Pune district were interviewed in order to understand social and operational determinants that influence treatment behaviour in lung TB. Detailed quantitative as well as qualitative information was elicited. The study showed that despite weak, if not missing, health educational inputs, patients' understanding of TB was satisfactory. Their preference for private doctors over public health services for TB, their frequent change of health providers for diagnosis as well as treatment, their poor treatment adherence despite knowledge of its ill-effects and their related actions perceived clearly as deleterious to their own good were influenced more by social, economic, and operational factors than by their self-destructive attitude and behaviour. The study concluded that it was the availability, affordability and acceptability of health facilities for TB-factors related primarily to the provider behaviour- that deserved greater and priority attention. Attempts at rectifying provider behaviour were likely to be more productive than those at disciplining patients.

KEYWORDS: SOCIAL BEHAVIOUR, SOCIO-ECONOMICS, HEALTH PROVIDER; INDIA.
 
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