IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-8-11901 Original Research Paper TREATMENT OUTCOMES AND THEIR DETERMINANTS AMONGST TUBERCULOSIS PATIENTS AT A DOTS CENTER IN URBAN SLUM Chaitali A Borgaonkar Dr. Dr Mridula J Solanki Dr. Dr Ratnendra R Shinde Dr. August 2017 6 8 01 02 ABSTRACT

 Introduction: Tuberculosis is a major public health problem across the globe and especially in India. The long duration of DOTS makes monitoring of the treatment extremely important. This study was planned in DOTS centre of urban slum area to study treatment outcomes and their determinants amongst TB patients.

 

Objectives:

1. To assess the treatment outcome of TB patients enrolled in DOTS clinic of UHC.
2. To analyze the determinants of treatment outcome amongst these TB patients.
3. To suggest recommendations to improve performance of the DOTS centre.

Methodology:

This study was a retrospective secondary data based study done in DOTS centre of urban slum area. Data for a 2 years’ period was collected for this study from past records. Confidentiality was maintained by using patient numbers instead of names. Significance testing was done using the chi–square tests.

Results & Observations:

A total of 891 patients got included over the period of two years. 829 of these were adult patients, while 62 were from pediatric age group. Extra Pulmonary TB and male gender were significantly associated with treatment success. However, males had significantly higher default as well as death/failure/MDR conversion. Around 25% patients were either transferred out or had an unknown outcome. A large proportion of patients also had an unknown HIV status.

Conclusions: Cat–I treatment, Extra–Pulmonary TB and male patients had better outcomes. The data archiving processes need an up–gradation. Also better collaboration between RNTCP and NACO activities is required. Further studies must be carried to find out socio–demographic determinants.