Why tuberculosis patients under revised national tuberculosis control programme delay in health-care seeking? A mixed-methods research from Wardha District, Maharashtra

Why tuberculosis patients under revised national tuberculosis control programme delay in health-care seeking? A mixed-methods research from Wardha District, Maharashtra

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Background: Timely treatment of tuberculosis is imperative for its control.This can get delayed due to delay in care seeking, diagnosis or treatment initiation.Objectives: The study aims to find out the magnitude of delays in care seeking, diagnosis or treatment initiation, and understand the reasons behind these delays in Wardha district of Maharashtra, India.Methods: A mixed methods study was conducted among 275 patients selected from those enrolled under Revised National Tuberculosis Control Programme in 2014.

We collected information regarding the duration of delays and generated a free list of reasons for delays in care seeking and diagnosis.The free list items were then subjected cga 200 to cga 510 adapter to pile sorting.Two-dimensional scaling and hierarchical clustering analysis were performed to identify the various domains of reasons for delays.Results: The median delay in initial care seeking and diagnosis was 10 days each, and that for treatment initiation was 2 days.

The domains identified for delay in care feline 1-hcpch vaccine seeking were negligence toward health, health conditions, facility-related issues, and household and social reasons.The domains identified for delay in diagnosis were system-related reasons; and patient-related reasons, each of them further having two subdomains.Conclusions: Interventions for reducing the knowledge gap and stigma, increasing the accessibility of services, active case finding; capacity building of providers, quality assured sputum microscopy, and communication skills will help reduce these delays.