||Juvekar SK, Morankar SN, Dalal DB, Sheela Rangan, Khanvilkar
SS, Vadair AS, Uplekar MW & Deshpande A
||Social and operational determinants of patient behaviour
in lung tuberculosis.
||INDIAN J TB 1995, 42, 87-93.
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