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Health seeking behaviour among pulmonary tuberculosis patients in rural part of central india

Authors:Sanjay B Nimbarte, Vasant Wagh, Deepak Selokar
Int J Biol Med Res. 2011; 2(1): 394 – 397  |  PDF File

Abstract

Aim and Objective: To investigate the factors associated with delay in care-seeking (patient delay) among smear positive tuberculosis patients, before large-scale DOTS implementation in Central India. Methods: New smear-positive patients were interviewed using a structured questionnaire. Results: Among 189 participants, the median patient, delay was 19 days. Thirty-five per cent of patients delayed seeking care for more than 1 month, of whom 41% attributed the delay to their lack of awareness about TB. Men postponed seeking care for longer periods than women (P < 0.05). The total delay resulted largely from a long patient delay when government providers were consulted first. Conclusion: Public awareness about chest symptoms and the availability of free diagnostic services should be increased. Government and private physicians should be educated to be aware about the possibility of tuberculosis when examining out-patients. Effective referrals for smear microscopy should be developed between private and public providers.