265 |
AU |
: |
Jagota P, Balasangameshwara VH, Jayalakshmi MJ &
Islam MM |
TI |
: |
An alternative method of providing supervised Short
Course Chemotherapy in District Tuberculosis Programme |
SO |
: |
Indian J TB 1997, 44, 73-77 |
DT |
: |
Per |
AB |
: |
The feasibility of involving Dais
in supervised administration of an oral 6-month SCC regimen in DTP
was studied in 2 districts. A concurrent comparison was made between
the Dai Method and the present DTP procedure, called the PHI Method,
in terms of treatment completion and cure rates at the end of treatment
period. A total of 617 patients were observed; 332 in Dai method
and 285 in PHI method. About 68% of patients in the Dai method and
33% in the PHI method took more than 75% of treatment in both intensive
and continuation phases. The outcome in terms of smear negativity
at the end of treatment period was 86.9% and 72.2% respectively.
There were 17 (5.72%) deaths in the Dai method and 16 (8.5%) in
the PHI method. Treatment completion and cure rates were significantly
higher in the Dai method. It is concluded that Dais can be used
for supervised drug administration in DTP for increasing the cure
rates.
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KEYWORDS: ADHERENCE, COMPLIANCE, DAIS; INDIA |
Patient Education at Door Steps |
266 |
AU |
: |
Jagota P, Sujatha Chandrasekaran & Sumathi G |
TI |
: |
Follow-up of Pulmonary Tuberculosis patients treated
with Short Course Chemotherapy through traditional birth attendants
(Dais) |
SO |
: |
Indian J TB 1998, 45, 89-93. |
DT |
: |
Per |
AB |
: |
The feasibility of improving adherence to and outcome
of treatment among smear positive pulmonary tuberculosis patients
by involving traditional birth attendants (Dais) in administering
anti-tuberculosis drugs was earlier studied and 86.9% were reported
to be cured, 5.72% had died and 7.38% had remained sputum positive,
at the end of 6 months. The present study reports the status of
those patients at the end of 2 years. Of the 288 patients eligible
for follow up, 283 could be contacted through home visits and interviewed
for the presence of symptoms and further treatment taken; if dead,
the cause of death was ascertained from relatives. Two sputum specimens
were also collected from the contacted patients for microscopy,
culture and drug sensitivity tests. At the end of 2 years, 79.6%
had remained relapse free 7.42% had relapsed and 3.53% remained
sputum positive (chronic cases) while 8.5% had died. Of the 251
patients interviewed, 131 still had chest symptoms, 2 years after
treatment, but only 24 of them had bacteriologically positive disease.
The remaining 7 sputum positive cases were either having non suggestive
symptoms or no symptoms.
In view of the above findings, it is considered
that DOTS delivered through Dais is feasible
|
KEYWORDS: ADHERENCE, COMPLIANCE, DAIS; INDIA |