CHAPTER IV - TREATMENT BEHAVIOUR OF TB PATIENTS <<Back
 
a) Treatment Failure & The Problem of Non Adherence
 
203
AU : Banerji D, Bordia NL, Singh MM, Menon KG & Pande RV
TI : Panel discussion on treatment default: administrative, organizational and sociological considerations.
SO : Tuberculosis and Chest Diseases Workers Conference, 22nd, Hyderabad, India, 3-6, 1967, p. 203-214.
DT : CP
AB :

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.

204
AU : Pande RV
TI : Treatment default of tuberculosis patients in a domiciliary service clinic at Lucknow.
SO : INDIAN J TB 1968, 15, 107-112.
DT : Per
AB :

To understand the reasons for TB patients’ default in treatment behaviour, data available at the Rajendra Nagar TB Clinic, Lucknow, from patients registered during 1964-66, were analysed. 3,609 (43%) cases out of 8,374 patients proven to have pulmonary TB were given treatment. The particulars and behaviours towards treatment, of these patients, is described. Initial and subsequent defaulters were reminded to resume treatment through: 1) a personal appeal posted to the defaulter (Type 1 action), 2) a local community leader or the head of the office was requested by post to persuade the patient (Type II action), 3) a member of the staff personally contacted the patient (Type III action). Default was not associated with gender, distance or severity of TB. Retrieved patients’ versions for possible causes of default were more reasonable than those who did not come back to treatment. Some suggestions to reduce default are offered.

KEYWORDS: SOCIAL BEHAVIOUR; DEFAULT; INDIA.
 
  <<Back