||Banerji D, Bordia NL, Singh MM, Menon KG & Pande
||Panel discussion on treatment default: administrative,
organizational and sociological considerations.
||Tuberculosis and Chest Diseases Workers Conference,
22nd, Hyderabad, India, 3-6, 1967, p. 203-214.
The panel discussion highlighted some basic administrative,
organizational, technical and patient factors relevant to the problem
of Treatment Default in the TB programme. In urban areas, the proper
motivation of the patients, keeping of suitable records, prompt
defaulter-action, adequate supply of drugs and the need to provide
suitable facilities for patients coming from outside the clinic
area, constituted the key administrative and organizational factors
affecting treatment default. Regarding technical considerations,
there was a need for a more precise definition of a case. It was
pointed out that a large proportion of the patients were not really
defaulters either because they were not cases of pulmonary TB at
all or the patients took treatment from outside the clinic. Also,
many so-called defaulters took the treatment after the expiry of
the 12 months, while some were resistant to the treatment offered
at the time of their first registration. In rural areas, the TB
programme could only be strengthened with a concurrent strengthening
of the over-all health administration.
|KEYWORDS: DEFAULT; INDIA.