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ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 25-28

Study on default and its factors associated among Tuberculosis patients treated under DOTS in Mayurbhanj District, Odisha


Department of Epidemiology and Parasitic Diseases, National Center for Disease Control, New Delhi, India

Correspondence Address:
Ms. Sudipta Basa
176/E, 2nd Floor, Prajapat Nagar, Gautam Nagar, New Delhi - 110 049
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-2010.158125

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Background: Defaulting from tuberculosis (TB) treatment has been one of the major obstacles to treatment management and an important challenge for TB control. Understanding of various factors accounting for treatment default could help to achieve better compliance from patients. Thus the aim of the study is to estimate number of defaulters out of total TB patients registered under DOTS from January to June 2005 and to study the reasons for default in Mayurbhanj district, Orissa. Materials and Methods: A cross-sectional study was done by interviewing 41 defaulters using pre-tested semi-structured questionnaire to elicit reasons for default. Data was analyzed using Epi-info-(3.5.1), to find statistical significance among the variables. Results: Of the total 41 defaulters among 550 patients registered, only 31 could be interviewed, 10 were untraceable at the address provided. Default rate in our study was 7.5%. Majority of patients (73%) had defaulted during intensive phase of the treatment. A higher default rate associated with age group of 40-60 years, males and employed groups. The main reasons for default was due to drug toxicity (42%), feeling better so discontinued (35.5%), alcoholism (19.4%), migration (6.45%), wrong ideas (6.45%), DOTS provider absent (3.2%), DOTS provider rudeness (3.2%), and other reasons (9.7%), which includes family problems, timing inconvenient, and carelessness. Risk factors significantly associated were male, age, alcoholism, and distance of more than 5 km from treatment center. Conclusions: The majority of patients have defaulted in intensive phase of treatment. All efforts should be made to retrieve these patients and return them to treatment to achieve the expected goal of Revised National Tuberculosis Control Programme (RNTCP).


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