||Tuberculosis, a problem of human suffering.
||NTI NL 1969, 7, 68-77.
The methods of measuring the dynamics of behaviour
of the tuberculous patient, the social consequence of a TB case
in the family and neighbourhood or the economic burden of the disease
to the nation is still in the embryonic stage. Negative reactions
from family and associates could lead to the patient's denial of
having TB, thus endangering the patient and the community. Since
the NTP came into being, TB patients can expect a correct diagnosis
and prompt treatment. As the patient's interest in treatment will
decline when suffering is reduced, it is urged that the patient
be motivated (preferably, at the start of the treatment regimen)
to acquire a compulsive, obsessive, daily habit for drug consumption
for at least a year. As the social security measures in the country
are meagre, domiciliary treatment rather than institutionalization
should be offered to reduce the extent of disruption to the economic
and social life of the patient.
Another important area of concern is the measurement
of suffering. With the revolutionary changes in the treatment of
TB, the prior acute, physical suffering and mental agony of the
TB patient has given way to a generalised form of distress. Using
behavioural techniques such as group interviews of the patient amidst
his/ her family and projective techniques will provide a thorough
knowledge of the personality, values, expectations and social interactions
of the TB patient. This knowledge could help explain why patients
fail to avail diagnostic and treatment services offered to them
and, enable the NTP to continue the felt-need oriented approach.
|KEYWORDS: SOCIAL ASPECTS; SOCIAL BEHAVIOUR; INDIA.