Health Seeking Behaviour among Patients with Tuberculosis Attending Tribal Health Care Centres of H.D. Kote Taluk, Mysuru District (original) (raw)
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PLOS ONE, 2021
Background and objectives Understanding the drivers for care-seeking among those who present with symptoms of TB is crucial for early diagnosis of TB and prompt treatment, which will in turn halt further TB transmission. While TB is a challenge among the tribal population, little is known about the care-seeking behaviour and the factors influencing care-seeking behaviour among the tribal population across India. Methodology This community-based descriptive study was carried out in 17 states of India across 6 zones, covering 88 villages from tribal districts with over 70% tribal population. The sample population included individuals ≥15 years old who were screened through an interview for symptoms suggestive of pulmonary TB (PTB), currently and/or previously on anti-TB treatment. Those with symptoms were then assessed on their health-seeking behavior using a semi-structured interview schedule. Results Among 74532 eligible participants screened for symptoms suggestive of TB, 2675 (3.6...
Innovative Publication, 2016
Background: Delay in Tuberculosis diagnosis and treatment is associated with increased transmission, morbidity and mortality. Patient and provider factors are responsible for such delays. We conducted a study to estimate these delays and identify associated factors among new sputum positive (NSP) Tuberculosis patients in Tumkur district, Karnataka. Methods: We interviewed 234 NSP patients to collect information on their health seeking behavior. We conducted univariate and multivariate analysis to identify factors associated with longer delays. Results: Median patient, health system and total delay were 15, 13 and 36 days respectively. Significant factors associated with total delay included patients' knowledge about Tuberculosis, seeking care from non-specialized individuals as the first action, consulting >2 health facilities before diagnosis and consulting private health facilities. Patients with low family income and those who had high expenditure on consultations before initial diagnosis were associated with patient and health system delay respectively. Conclusion: It is necessary to increase community awareness about Tuberculosis symptoms and availability of free treatment at public health facilities. Educating private physicians about the need for maintaining a high index of suspicion of tuberculosis and sensitizing drugstore owners to refer the chest symptomatic to government health facilities would also help in reducing these delays.
Treatment Seeking Behaviour of Tuberculosis Among Boro Tribe in India*
Studies of Tribes and Tribals, 2005
The aim of present paper is to understand the treatment seeking behaviour and cost of tuberculosis treatment among Boro tribe. Data for the present study have been collected from 102 Boro Tribe Households in Kokrajhar District of Assam through both quantitative and qualitative techniques. It has been found that total of 12 individuals are suffering from tuberculosis in the study village, whereas 9 cases are defaulters, 7 have been cured and 2 have died. It should be noted that, irrespective of their social status and economic condition, once they know that they are suffering from tuberculosis, they never go to traditional healer. Most of the current tuberculosis patients go to other state for treatment for about 120KM because of inadequate infrastructure and poor accessibility of district tuberculosis Centre. Patients cannot complete the full course of medicine, mainly due to the financial constraints. Then, what happen to district tuberculosis Centre? Which is supposed to provide f...
AimTo determine the prevalence of pulmonary tuberculosis, socio-cultural practices and health seeking behaviour of tribal people in four districts of Odisha.MethodologyThis was an action research study with qualitative and quantitative design following a sequential approach implemented in a 4-phased manner. It was carried out in the 6 selected villages from July,2015 to June,2017. The screening for active TB among chest symptomatics is followed as per the guidelines of the (RNTCP) Revised National Tuberculosis Control Program in India.ResultsIn all, 1455 households were surveyed in the 6 tribal dominated villages of 4 districts, namely Balangir, Dhenkanal, Kandhmal and Mayurbhanj. Total population of the villages was 6681. Based on the eligibility, 5144 (97.7%) individuals were screened. About 139 (2.3%) could not be screened due to non-availability in their households during day time. Out of these, 126 chest symptomatic individuals were identified. Sputum samples were collected fro...
International Journal Of Community Medicine And Public Health, 2020
Background: Successful tuberculosis control requires specific behaviors from patients and health providers. Therefore, understanding behaviors is fundamental to design interventions to strengthen tuberculosis control programs, including communication interventions. The aim of this study was to assess the healthcare-seeking behavior of pulmonary tuberculosis (PTB) patients in Jabalpur district.Methods: Cross-sectional study was conducted among category I new sputum positive PTB patients identified from nine designated microscopy centres from November 2013 to October 2014. Calculated sample size of 135 with a multistage random sampling method was used. Student’s t-test and Chi-square test were used along with descriptive statistics.Results: Mean age of patients was 33.87 (14.3) years, males constituted 66.7%, 72.5% patients belonged to below class IV socioeconomic status. Cough was experienced by 91.1% subjects, followed by fever (69.6%). First action was consulting a health care prov...
Knowledge and health seeking behaviour of tuberculosis patients in Kerala, India
International Journal of Community Medicine and Public Health, 2016
Tuberculosis (TB), the ancient scourge of man, continues to be a major global public health problem in the twentyfirst century. According to World Health Organization (WHO), one-third of the world's population is estimated to have Mycobacterium tuberculosis. The Revised National Tuberculosis Control Programme (RNTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, launched in 1997 has expanded across the country in a phased manner. Full nationwide coverage was achieved in March 2006. In spite of its impressive performance in terms of case detection and cure rates, the programme has many challenges due to the different health seeking pattern. Patients with undiagnosed pulmonary TB predominantly ABSTRACT Background: Patients confront several problems in timely and effective utilization of TB health facilities which have often delayed diagnosis of TB. It is hence the need of the hour to look beyond the case detection rates towards other factors that can promote early diagnosis. Methods: A community-based cross-sectional study was conducted among newly diagnosed smear positive pulmonary tuberculosis patients aged ≥15 years on the Intensive Phase of treatment. A pretested semi-structured questionnaire was used to study knowledge, stigma, health seeking behaviour and other factors. Results: The predominant symptom for seeking care was cough (93.0%). 45.7% of patients sought the services of a health care provider within 2 weeks. Modern medicine was the preferred system for 94.7% of the patients. The majority (58.6%) of the patients consulted a private health facility. Illiterates and Below Poverty Line patients preferred government facilities. The average number of consultations before diagnosis was 3.11±1.9. 34.1% had adequate knowledge about tuberculosis and women had a significantly higher knowledge score. low per capita income, smoking and alcohol use, cough alone, cough with other symptoms, history of TB in Family, distance more than ≥ 5 km to health facility showed significant association with delayed health-seeking action (>14 days). Conclusions: Private practitioners and private hospitals were the predominant health providers preferred by the study subjects for the first consultation. Delayed health seeking action was probably due to the presence of a cough alone and coughs with other symptoms, history of tuberculosis among the family members and increased distance to TB health facility.
https://www.ijhsr.org/IJHSR\_Vol.13\_Issue.4\_April2023/IJHSR-Abstract27.html, 2023
Introduction: As India endeavours to eliminate TB by 2025, detection of TB cases plays a major role in marching towards that goal. Health seeking delay increases the TB burden as those who remain undetected spreads TB; hence it is essential to describe the pattern of health seeking behaviour and socio-demographic profile of the TB patients. Methods: A community based cross-sectional study conducted among new adult TB patient 18 years and above registered in government health facilities of sonitpur district, Assam. Health seeking delay, the first place of care seeking, Reason for the delay and socio demographic characteristics was collected by a pre tested and structured schedule, entered in MS excel and analysed in epi-info. Results: 54% reported health seeking delay, 42% pharmacy as first place of health seeking and 70% had misperception of TB symptoms to be mild and will resolve by self-medication. Conclusion: More than half of the study participants reported health seeking delay implying a poor knowledge of TB symptoms requiring improvement of health literacy and active involvement of pharmacy workers and traditional medicine healers in TB case detection.
Perception of Tuberculosis Treatment in Tribal area of Akole Block of Ahmednagar, Maharashtra
International Journal of Clinical and Biomedical Research, 2020
Introduction: The family’s knowledge and perception of any disease are essential conditions to formulate effective health policies to combat the disease. The tribal populations of India are likely to live discrete hard to reach geographic areas with their common cultural and socio-religious beliefs which are quite different from the general population. The present study was aimed to evaluate attitude with regards to the treatment of tuberculosis among the tribal community in Akole block of Ahmednagar District, Maharashtra. Methods: This was a qualitative cross-sectional study conducted in the tribal community. The study participants were subjected to a well-structured questionnaire which contained questions about the demographics and attitude of the patients concerning tuberculosis. Results: Twenty patients were included in the study, of which 12 (60%) were males while 8 (40%) were females. Majority of study participants opined that the treatment of tuberculosis should be free (19, ...
Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country
Texila International Journal of Public Health, 2021
In Nepal, the estimated incident cases are 0.07 million, of them, 0.03 million people are diagnosed and enrolled in the treatment annually, and numbers of undiagnosed people living with tuberculosis (TB) might be a threat to achieving END TB strategy targets. Understanding health-seeking behaviour and care pathways is crucial to reducing missed cases and decreasing TB transmission. The objective of the study was to identify the health-seeking behavior of TB patients and understand the reasons behind TB diagnostic and treatment delays in Nepal. This was a cross-sectional, population-based survey carried out in 99 clusters of 55 districts (total of 77) of Nepal. Primary Sampling Units were Village Development Committees or Municipalities and wards selected using systematic proportional to population size method. Of the total 54,200 people who attended in the survey, 1,825 had a history of TB and asked their health-seeking practice. 62% and 72% of the TB patients utilised the government health facilities for diagnosis and treatment. 18% of the TB patients said that they received diagnosis services, and 16% of patients took their treatment from outside of the country, especially India, due to fear of stigma and easy access to the services. The majority of the TB patients utilised government health facilities to receive diagnosis and treatment services. Some of the participants sought TB services from private health care providers, and a significant proportion of participants received them from India due to difficulty in accessing local services and fear of stigma and discrimination.
IAR Consortium, 2022
TB accounts for approximately 40% of adult deaths. In almost half of these cases, the disease remains undiagnosed until death. The economic burden of seeking care remains a barrier for TB patients. Patients experiencing TB symptoms may initially seek relief by using self-prescribed medication or by consulting a health care provider who does not request patient (TB) investigations despite repeated visits. Patient delay depends on patients’ knowledge, attitudes and beliefs, which are associated with rural residence, low access to health centre, old age, poverty, gender (depending on country customs), alcohol and other substance dependence, immigration background, low education, low awareness of TB, self-treatment and stigma. Through this article, we wish to review the health seeking behavior of patients suffering from Tuberculosis.