Patient Experience under India's Revised National Tuberculosis Control Programme in Pondicherry

dc.contributor.advisorSreeramoju, Pranavien
dc.contributor.committeeMemberPerl, Trish M.en
dc.contributor.committeeMemberBarnes, Artien
dc.creatorBian, Louisen
dc.date.accessioned2018-06-04T18:52:48Z
dc.date.available2018-06-04T18:52:48Z
dc.date.created2018-06
dc.date.issued2018-04-03
dc.date.submittedJune 2018
dc.date.updated2018-06-04T18:46:21Z
dc.description.abstractWhile India's Revised National Tuberculosis Control Programme (RNTCP) has been a success on a statistical and national scale, awareness of the program and tuberculosis (TB) still remains low in many areas of India. In Puducherry (previously known as Pondicherry), a survey of 50 RNTCP patients reveals that only 40% had heard of TB before diagnosis, only 16% suspected that they had TB, and only 10% had heard of directly observed treatment short-course (DOTS). Women were more likely than men to have heard of TB (50% vs 35.3%, respectively) and DOTS (25% vs 2.9%, respectively), likely due to targeted TV advertisements during the day when men are out working. As expected, patients with more years of schooling were more likely to have heard of TB. Men were more likely to report missing doses, but women were more likely to report side effects. As income and years of schooling increased, the likelihood of seeking private treatment also increased likely due to less crowding and faster treatment in private settings. Most patients were happy with their experienced under RNTCP, major complaints included side effects of taking the pills, missing work in order to obtain pills, and facing the stigma of having TB. Reported compliance was high overall, but 44% of patients reported missing at least one dose during the course of their treatment. While RNTCP has come a long way in reducing the morbidity and mortality of TB, it still has a long way to go especially in population awareness and prevention of multi-drug resistant TB.en
dc.format.mimetypeapplication/pdfen
dc.identifier.oclc1038532891
dc.identifier.urihttps://hdl.handle.net/2152.5/5315
dc.language.isoenen
dc.subjectAdaptation, Psychologicalen
dc.subjectDirectly Observed Therapyen
dc.subjectIndiaen
dc.subjectTuberculosisen
dc.titlePatient Experience under India's Revised National Tuberculosis Control Programme in Pondicherryen
dc.typeThesisen
dc.type.materialtexten
thesis.degree.departmentUT Southwestern Medical Schoolen
thesis.degree.disciplineGlobal Healthen
thesis.degree.grantorUT Southwestern Medical Centeren
thesis.degree.levelDoctoralen
thesis.degree.nameM.D. with Distinctionen

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