A cross sectional study on evaluation of satisfaction level of TB patients enrolled for directly observed treatment, short course chemotherapy in a district of Central India

2016-12-05T05-14-15Z
Source: International Journal of Community Medicine and Public Health
Neeraj Rai, S. P. Singh, S. S. Kushwah, Deepak Dubey.
Background: DOTS therapy has been recognized as the best cost effective approach to tuberculosis control. It is also a key strategy of Indias Revised National Tuberculosis Control Programme. Evaluating patients satisfaction is an important method of measuring the quality of health services. Satisfied patients are more likely to utilize health services and comply with medical treatment thus patients satisfaction is a key determinant in treatment success. Whereas there is a paucity of data regarding patients satisfaction with tuberculosis treatment services provided at different DMC cum DOTS centers in district Rewa. Thus present study is a small attempt to assess patients satisfaction level with DOTS services. Methods: A cross sectional study was carried out at 15 DMC cum DOTS Centers of Rewa district, Madhya Pradesh from 1st July 2007 to 30th June 2008. These centers were selected by simple random sampling. All patients who were registered from July to September 2007 and also receiving DOTS therapy at these DMC cum DOTS Centers were included in this study. Results: In the study, of all 337 patients, 241 (71.5%) were fully satisfied and remaining 96 (28.5%) were satisfied somewhat with the health services. majority of the patients expressed satisfaction with timing of DOTS Centres (93.17%) including waiting time for medical care (86.05%) as well as behavior of staff (90.20%). While most of the patients were dissatisfied due to frequent visits to DOTS centers (37.1%) and total duration of DOTS therapy (29.1%). Conclusions: In the study overall satisfaction with TB services is good. However there is some dissatisfaction particularly with frequent visits to DOTS centers and total duration of DOTS therapy. So there is an urgent need to address these issues by the concerned authorities.


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