CHAPTER I - SOCIOLOGICAL APPROACH TO HEALTH CARE & TB CONTROL <<Back
 
b) Socio-Cultural, Socio-Economic & Demographic Aspects
 
054
AU : Juvekar SK, Morankar SN, Dalal DB, Sheela Rangan, Khanvilkar SS, Vadair AS, Uplekar MW & Deshpande A
TI : Social and operational determinants of patient behaviour in lung tuberculosis.
SO : INDIAN J TB 1995, 42, 87-93.
DT : Per
AB :

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 PROVIDER; INDIA.
 

 
  CHAPTER II - HEALTH SERVICES  
 
c) Involvement of Private Practitioners
 
159
AU : Uplekar MW, Juvekar SK, Parande SD, Dalal DB, Khanvilkar SS, & Sheela Rangan
TI : Tuberculosis management in private practice and its implications
SO : INDIAN J TB 1996, 43, 19-22
DT : Per
AB :

This study of 81 rural and 96 urban private medical practitioners, which included 67 allopaths and 110 nonallopaths, was conducted to understand how patients of lung TB are diagnosed and treated in their clinics as well as their interactions with and perceptions regarding the public health services available for TB control. A majority of private doctors gave little importance to sputum examination and considered X-ray of the chest as the single most important diagnostic test for lung TB. They were neither aware of nor employed inexpensive standard regimens for treating their patients. While all private doctors used SCC in the treatment of lung TB, few regimens used by them conformed to the ones recommended under the NTP. Private doctors were aware of but sceptical about TB treatment available at public health facilities.

KEY WORDS: PRIVATE PRACTITIONER; INDIA
 
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