||Jagota P, Sreenivas TR & Parimala N
||Improving treatment compliance by observing differences
in treatment irregularity
||INDIAN J TB 1996, 43, 75-80.
The retrospective study aims at identifying a risk
group among patients treated at the DTC & six PHIs in
Kolar district of Karnataka state in order to focus on them for
motivation and defaulter actions to improve case-holding. Since
there were differences in the number of defaults made by the First
Timers (who defaulted for the first time during the first month
of treatment) and Others (who defaulted during the subsequent months),
an in-depth analysis was undertaken to understand the behaviour
dynamics of these two groups.
There were 231 First Timers and 141 Others. The
analysis revealed that the First Timers had inferior results for
all the parameters of case-holding. Mean Defaults Rate was 0.9 for
First Timers & 0.7 for Others; Patients Lost to Treatment were
83% & 61%; Treatment Completion Rates were 25% & 59% and
Bacteriological Conversion was 58.5% & 76.9% respectively. Inconsistencies
observed in the rapidity of defaulter actions taken suggested a
possible lapse in taking defaulter actions. Thus, First Timers could
become predictors of default: They constitute the important target
group for focussing intensive efforts to improve case holding, which
is expected to improve to the extent of 30%.
|KEY WORDS: COMPLIANCE; DEFAULT; ACTION TAKING; INDIA.