Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys
Background: Delays in accessing effective health care plays a pivotal role in increasing Tuberculosis (TB) transmission within the community. Patna, North India, with high levels of poverty and weak public health system, faces huge challenges for achieving effective TB control. The study aims to det...
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doaj-0bef22398494411a8579c56f53440d382020-11-25T02:28:56ZengAtlantis PressJournal of Epidemiology and Global Health2210-60062019-04-017410.1016/j.jegh.2017.08.001Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveysNerges MistryEunice LoboShimoni ShahSheela RanganYatin DholakiaBackground: Delays in accessing effective health care plays a pivotal role in increasing Tuberculosis (TB) transmission within the community. Patna, North India, with high levels of poverty and weak public health system, faces huge challenges for achieving effective TB control. The study aims to determine delays that occur from onset of TB symptoms until initiation of pulmonary TB (PTB) treatment among patients in Patna. Methods: Of the 109 self-reporting TB patients identified through an active household survey, 64 PTB patients were interviewed. First care seeking, TB diagnostic and treatment initiation durations were calculated and delays defined for new and retreatment patients and minors and adults. Outliers exhibiting extreme delays were additionally identified. Results: A cross sMean total pathway duration for TB care was 40 days, with diagnostic duration contributing to 58% of the duration. No significant differences were noted between new and retreatment patients. Minors, comprising of 30% of total PTB patients accessed care faster than adults, but showed significantly higher diagnostic duration (38 days vs. 17 days). Preference for private sector, chemists and allopaths was seen throughout the pathway. Discussion: Patna requires a more effective harnessing of the private sector augmented with reliable diagnostic investigations and a focus on quality.https://www.atlantis-press.com/article/125905832/viewDelaysPathways to carePatnaPrivate providersPulmonary tuberculosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nerges Mistry Eunice Lobo Shimoni Shah Sheela Rangan Yatin Dholakia |
spellingShingle |
Nerges Mistry Eunice Lobo Shimoni Shah Sheela Rangan Yatin Dholakia Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys Journal of Epidemiology and Global Health Delays Pathways to care Patna Private providers Pulmonary tuberculosis |
author_facet |
Nerges Mistry Eunice Lobo Shimoni Shah Sheela Rangan Yatin Dholakia |
author_sort |
Nerges Mistry |
title |
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys |
title_short |
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys |
title_full |
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys |
title_fullStr |
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys |
title_full_unstemmed |
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys |
title_sort |
pulmonary tuberculosis in patna, india: durations, delays, and health care seeking behaviour among patients identified through household surveys |
publisher |
Atlantis Press |
series |
Journal of Epidemiology and Global Health |
issn |
2210-6006 |
publishDate |
2019-04-01 |
description |
Background: Delays in accessing effective health care plays a pivotal role in increasing Tuberculosis (TB) transmission within the community. Patna, North India, with high levels of poverty and weak public health system, faces huge challenges for achieving effective TB control. The study aims to determine delays that occur from onset of TB symptoms until initiation of pulmonary TB (PTB) treatment among patients in Patna.
Methods: Of the 109 self-reporting TB patients identified through an active household survey, 64 PTB patients were interviewed. First care seeking, TB diagnostic and treatment initiation durations were calculated and delays defined for new and retreatment patients and minors and adults. Outliers exhibiting extreme delays were additionally identified.
Results: A cross sMean total pathway duration for TB care was 40 days, with diagnostic duration contributing to 58% of the duration. No significant differences were noted between new and retreatment patients. Minors, comprising of 30% of total PTB patients accessed care faster than adults, but showed significantly higher diagnostic duration (38 days vs. 17 days). Preference for private sector, chemists and allopaths was seen throughout the pathway.
Discussion: Patna requires a more effective harnessing of the private sector augmented with reliable diagnostic investigations and a focus on quality. |
topic |
Delays Pathways to care Patna Private providers Pulmonary tuberculosis |
url |
https://www.atlantis-press.com/article/125905832/view |
work_keys_str_mv |
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