Abstract
Efficient management of chronic illness remains a common clinical problem. Non-adherence to a prescribed medical regimen remains a tremendous barrier to the effective medical management of chronic diseases and is considered one of the most serious problems that the medical world faces in the present. Tuberculosis is one such chronic disease which has been a prevalent problem in most of the developing nations, including India. In this paper, we describe an ethnographic study conducted in the state of Assam, with the objective of deciphering the multiple factors that are associated with the failure of the treatment regimen of Tuberculosis, viz. the DOTS (Directly Observed Treatment Short course) programme under RNTCP (Revised National Tuberculosis Control Programme).
Highlights
Observed Treatment, Short-course (DOTS) strategy, implemented as a part of Revised National Tuberculosis Control Program (RNTCP), is a systematic comprehensive package introduced in India in 1993 for TB control
This paper aims at eliciting a study conducted in areas of Assam to understand the factors behind poor patient adherence to DOTS in typical Indian settings so that proper interventions can be developed or modified to promote adherence and bridge the gap between clinical efficacy of these interventions and their effectiveness when used in the field, and increase the overall effectiveness and efficiency of tuberculosis treatment
An ethnographic study was conducted in two socio-economic settings, rural and urban, to get a better understanding of the factors behind poor adherence to DOTS in the Indian scenario
Summary
Observed Treatment, Short-course (DOTS) strategy, implemented as a part of Revised National Tuberculosis Control Program (RNTCP), is a systematic comprehensive package introduced in India in 1993 for TB control. It is imperative for the patients to take these medicines in prescribed dosages regularly for a minimum of six months for successful treatment in the direct observation of a DOTS provider Adherence to such a long term treatment is often found to be a major issue which hinders the DOTS program from achieving the desired efficiency [3]. This paper aims at eliciting a study conducted in areas of Assam to understand the factors behind poor patient adherence to DOTS in typical Indian settings so that proper interventions can be developed or modified to promote adherence and bridge the gap between clinical efficacy of these interventions and their effectiveness when used in the field, and increase the overall effectiveness and efficiency of tuberculosis treatment. This would lead to a program with higher rates of adherence and a better treatment rate
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