||Some implications of the observed socio-epidemiological
characteristics of out-patients attending a city tuberculosis control
||National Conference on Tuberculosis and Chest Diseases,
24th , Trivandrum, India, 3-6 Jan 1969 p. 336-342.
A socio-epidemiological study was undertaken by
the NTI on out-patients attending the LWTDTC at Bangalore to understand
the main reasons why people attended TB diagnosis and treatment
centers so as to know why they default in treatment subsequently.
During February-May 1966, a 50% random sample (comprising 2,653
persons of which 1% of the interviews were rejected) of the new
out-patients attending the TB Center for diagnosis were interviewed
by experienced social investigators before their X-ray examination.
Eighty-three percent of the out-patients came from the city while
only 17% came from the rural areas.
While a number of sociological characteristics
such as profession, religion and literacy were found not to have
any significant relationship with the patients' attendance, distance
from patient's home to the city TB Center proved to be crucial.
Further analysis of the data suggested that even in a city, a majority
of the persons with symptoms first contacted, for treatment, the
nearest health institution which typically happened to be a general
health institution. This delayed early diagnosis or referral. Of
those patients who subsequently attended the city TB Center, 37%
had not received any treatment for TB from the general health institutions,
50% got non-specific treatment and only 13% got likely or definite
TB treatment. Nineteen percent who did not have TB also got likely
or definite TB treatment. It was clear that a very complex and multi-lateral
relationship existed between the symptomatic patients, the institutions
of general health and the established specialized services. Sociological
or operational studies to examine this "complex" were
|KEYWORDS: SOCIAL BEHAVIOUR; SOCIAL AWARENESS; HEALTH