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Abstract

ADHERENCE TO DOTS THERAPY AMONG DIAGNOSED CASES OF TUBERCULOSIS IN RURAL AREAS OF WEST GODAVARI DISTRICT

Kanisetti Sidharth, Dr. K. Chandra Sekhar*, Dr. B. Devi Madhavi and Dr. Saleh Abd El Fattah Al Gabbany

ABSTRACT

Background: India is the second most populated country in the world, and one-fourth of global incident Tuberculosis (TB) cases occur in India annually. However, several advances in the field of diagnosis and drugs have developed and the disease has shown a downward trend. Still education about adherence of the treatment play a important role in the reduction of tuberculosis burden in the country. Objectives: To determine the adherence to DOTS Therapy among diagnosed cases of Tuberculosis in rural area of West Godavari district and to identify the factors for non-adherence among the tuberculosis patients registered under RNTCP, who are non-adherent to DOTS therapy. Methodology: This was a community based cross sectional study carried out in the rural field practice area of Alluri Sitarama Raju Academy of Medical Sciences, during the study period from July 2016 to August 2016. From TB registry, about 27 cases were selected through simple random method. Data was entered in MS office Excel 2007 Sheet. Data was represented in the form of tables and figures and necessary statistical tests like chi square tests were applied. Results: Out of 27 TB patients, 15/27 (55.5%) were taking drugs regularly labelled them as adherent and 44.5% of the study population is not adherent to TB treatment. Maximum number of DOT providers (74%) were health workers in this study as TB treatment providers. Among the non adherent people, about 58.3% of Tb patients were missing the doses due to out of station of the individuals and another 16.6 % of Tb patients were not taking medicines because of feeling better tendency. Conclusions: Based on the study results, adherence of the Tuberculosis medication among the study population was low. There is a need to create more awareness about TB treatment advantages, duration of the treatment and also need to insist on importance of the adverse events of the untreated TB.

Keywords: Age, Adherence, DOTS provider, Reasons for not adherent.


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