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Original Research 


Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions

Divija Pillai, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, Velavan Anandan.

Cited by (6)

Abstract
Background: India accounts for one-fourth of the global incident tuberculosis (TB) case load and tops the list of high-burden countries. Initial default and loss to follow-up are important challenges in achieving the objectives of the Revised National TB Control Programme (RNTCP).

Objective: A study was carried out to estimate the proportion of initial defaulters, reasons for initial default, and recommendations to reduce initial default.

Materials and Methods: A record-based study was carried out to identify the initial defaulters among new sputum-positive TB patients diagnosed during 1 year (2013) in four medical colleges of Puducherry. On the basis of the completeness of recorded residential address and availability of the patients, 38 patients were contacted and enrolled in the study. A pretested and predesigned questionnaire was used to interview the patients and open-ended questions were used to elicit the reason for initial default.

Results: The proportion of initial default among all the four medical colleges was 15.1%. Patient-related factors for initial default were long distance to the health facility, lack of support from the family members, being advised against alcohol consumption while taking treatment, monetary constraints, job constraints, not convinced about results by the health facility, stigma related to TB, and lack of awareness regarding TB. Health system-related factors were unpleasant experience with the health system, lack of dissemination of adequate information regarding further course of action to the patients, and nonavailability of the laboratory staff.

Conclusion: The magnitude of initial default was found to be high in Puducherry and most of the reasons for initial default found in this study were preventable. Systematic methods to prevent initial default need to be chalked out by program managers in collaboration with various medical colleges under the RNTCP.

Key words: Initial default, tuberculosis, interventions, Puducherry


 
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How to Cite this Article
Pubmed Style

Pillai D, Purty AJ, Prabakaran S, Singh Z, Soundappan G, Anandan V. Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. Int J Med Sci Public Health. 2015; 4(7): 957-960. doi:10.5455/ijmsph.2015.30012015196


Web Style

Pillai D, Purty AJ, Prabakaran S, Singh Z, Soundappan G, Anandan V. Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. http://www.ijmsph.com/?mno=178784 [Access: October 16, 2018]. doi:10.5455/ijmsph.2015.30012015196


AMA (American Medical Association) Style

Pillai D, Purty AJ, Prabakaran S, Singh Z, Soundappan G, Anandan V. Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. Int J Med Sci Public Health. 2015; 4(7): 957-960. doi:10.5455/ijmsph.2015.30012015196



Vancouver/ICMJE Style

Pillai D, Purty AJ, Prabakaran S, Singh Z, Soundappan G, Anandan V. Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. Int J Med Sci Public Health. (2015), [cited October 16, 2018]; 4(7): 957-960. doi:10.5455/ijmsph.2015.30012015196



Harvard Style

Pillai, D., Purty, A. J., Prabakaran, S., Singh, Z., Soundappan, G. & Anandan, V. (2015) Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. Int J Med Sci Public Health, 4 (7), 957-960. doi:10.5455/ijmsph.2015.30012015196



Turabian Style

Pillai, Divija, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, and Velavan Anandan. 2015. Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. International Journal of Medical Science and Public Health, 4 (7), 957-960. doi:10.5455/ijmsph.2015.30012015196



Chicago Style

Pillai, Divija, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, and Velavan Anandan. "Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions." International Journal of Medical Science and Public Health 4 (2015), 957-960. doi:10.5455/ijmsph.2015.30012015196



MLA (The Modern Language Association) Style

Pillai, Divija, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, and Velavan Anandan. "Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions." International Journal of Medical Science and Public Health 4.7 (2015), 957-960. Print. doi:10.5455/ijmsph.2015.30012015196



APA (American Psychological Association) Style

Pillai, D., Purty, A. J., Prabakaran, S., Singh, Z., Soundappan, G. & Anandan, V. (2015) Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions. International Journal of Medical Science and Public Health, 4 (7), 957-960. doi:10.5455/ijmsph.2015.30012015196





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