Unmatched case control study on risk factors of defaulter among newly diagnosed TB patients on DOTS registered under RNTCP in Hooghly district, West Bengal, India

Authors

  • Arkajyoti Mallick Diploma in Public Health, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
  • Santanu Haldar Diploma in Public Health, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
  • Soma Sarkar Diploma in Public Health, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
  • Santanu Kundu Diploma in Public Health, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
  • Samik Sinha Diploma in Public Health, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
  • Sanjoy K. Sadhukhan Department of Public Health Administration, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174233

Keywords:

Case control, Defaulter, DOTS, West Bengal, India

Abstract

Background: Tuberculosis is still a major public health problem in India and in addition to this, non-adherence to DOTS makes it more difficult to manage and increase risk of drug resistance. The objective was to study the factors associated with defaulter to DOTS among newly diagnosed TB patients treated under RNTCP registered in Hooghly district, West Bengal, India.

Methods: A community based unmatched case control study was conducted with the help of predesigned pretested schedule among 99 defaulters and 103 non defaulters aged 15 years and above and registered between 1st April 2013 to 31st March 2014. Data was analyzed using SPSS software (version 20). Univariate analysis was done to find out the association of outcome with different variables under study. Variable with odd ratio 3 or more included in multivariate logistic regression model.

Results: If patients were main earning member, smoker, lacking of perception regarding fatality of TB, having information source other than DOTS provider and sub center as treatment center, were found as significantly associated with defaulting in final multivariate regression model.

Conclusions: An approach, towards modification of smoking behavior, adequate health education and information dissemination and qualitative improvement of treatment center including training of health staffs are essential for treatment adherence. 

References

WHO (2012), Tuberculosis Control in South East Asia Region, Regional Report, cited at Park K. Park‘s Textbook of preventive and social medicine. 23rd ed. Jabalpur: Banarasidas Bhanot; 2013: 166.

MOHFW. TB India, Revised National TB Control Programme, Annual status report, Central TB Division, DGHS, New Delhi; 2013.

Vijay S, Balasangameswara VH, Jagannatha PS, Saroja VN, Kumar P. Defaults among TB patients treated under DOTS in Bangalore City: A search for Solution. Indian J Tuberc. 2003;50:185-95.

DTO. Quarterly report, Revised National TB Control Programme, District TB Office, Hooghly District, 2014.

Lamsal DK, Lewis OD, Smith S, Jha N. Factors related to defaulters and treatment failure of tuberculosis patients in the DOTS program in the Sunsari District of Eastern Nepal. SAARC J Tuberculosis Lung Dis HIV/AIDS. 2009;6(1):47-55.

Bagchi S, Ambe S, Kumar NS. Determinants of poor adherence to anti tuberculosis treatment in Mumbai, India. Int J Prevent Med. 2010;1(4):223- 32.

Fleiss JL. Statistical methods for rates and proportions. 3rd ed. London: Wiley-Interscience; 2003.

Dudala S, Reddy K, Prabhu G. Prasad’s socio-economic status classification- An update for 2014. Int J Res Health Sci. 2014;2(3):875-78.

Shargie EB, Lindtjørn B. Determinants of treatment adherence among smear-positive pulmonary tuberculosis patients in Southern Ethiopia. PLoS Med. 2007;4(4):165-9.

Pandit N, Choudhary SK. A study of treatment compliance in directly observed therapy for tuberculosis. Indian J Community Med. 2006;31(4):241-3.

Downloads

Published

2017-09-22

How to Cite

Mallick, A., Haldar, S., Sarkar, S., Kundu, S., Sinha, S., & Sadhukhan, S. K. (2017). Unmatched case control study on risk factors of defaulter among newly diagnosed TB patients on DOTS registered under RNTCP in Hooghly district, West Bengal, India. International Journal Of Community Medicine And Public Health, 4(10), 3678–3684. https://doi.org/10.18203/2394-6040.ijcmph20174233

Issue

Section

Original Research Articles