Table of Contents Author Guidelines Submit a Manuscript
Pulmonary Medicine
Volume 2014, Article ID 132047, 5 pages
http://dx.doi.org/10.1155/2014/132047
Research Article

Factors Influencing Early Health Facility Contact and Low Default Rate among New Sputum Smear Positive Tuberculosis Patients, India

1Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh 176001, India
2Kalpana Chawla Government Medical College, Karnal, Haryana, India

Received 13 November 2013; Revised 3 February 2014; Accepted 4 February 2014; Published 6 March 2014

Academic Editor: Hisako Matsumoto

Copyright © 2014 Ashok Kumar Bhardwaj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Early case identification and prompt treatment of new sputum smear positive case are important to reduce the spread of tuberculosis (TB). Present study was planned to study the associated factors for duration to contact the health facility since appearance of symptoms and treatment default. Methodology. It was prospective cohort study of TB patients already registered for treatment in randomly selected TB units (TUs) in Himachal Pradesh, India. Relative risk (RR) was calculated as risk estimate to find out the explanatory variables for early contact and default. Results. Total 1607 patients were recruited and 25 (1.5%) defaulted treatment. Patients from nuclear family (aRR: 1.37; 1.09–1.73), ashamed of TB (aRR: 1.32; 1.03–1.70), wishing to disclose disease status (aRR: 1.79; 1.43–2.24), but aware of curable nature (aRR: 1.67; 1.17–2.39) and preventable (aRR: 1.35; 1.07–1.70) nature of disease, contacted health facility early since appearance of symptoms. Conclusion. Better awareness and less misconceptions about disease influences the early contact of health facility and low default rate in North India.