Tuberculosis patients not covered by treatment in public health services: findings from India's National Family Health Survey 2015-16

Tropical Medicine & International Health : TM & IH
Geeta PardeshiJugal Kishore

Abstract

Half of the TB patients in India seek care from private providers resulting in incomplete notification, varied quality of care and out-of-pocket expenditure. The objective of this study was to describe the characteristics of TB patients who remain outside the coverage of treatment in public health services. Cross-sectional data from National Family Health Survey-4 (2015-16) were analysed using logistic regression analysis. TB treatment was the dependent variable. Sociodemographic factors and place where households generally seek treatment were independent variables. Prevalence of self-reported TB was 308.17/100 000 population (95% CI: 309.44-310.55/100 000 population) and 38.8% (95% CI: 36.5-41.1%) of TB patients were outside care of public health services - 3.3% did not seek treatment and 35.3% accessed treatment from private sector. Factors associated with not seeking treatment were age <10 years [OR = 3.43; 95% CI (1.52-7.77); P = 0.00]; no/preschool education [OR = 1.82; 95% CI (1.10-3.34); P = 0.02]; poorest wealth index [OR = 1.86; 95% CI (1.01-3.34); P = 0.04] and household's general rejection of the public sector when seeking health care [OR = 1.69; 95% CI (1.69-2.26); P = 0.00]. Factors associated with seeking treatmen...Continue Reading

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Citations

Jan 14, 2020·Food Security·Soumya GuptaPrabhu L Pingali
Jul 3, 2019·BMJ Global Health·Sumit MazumdarMadhukar Pai
Mar 2, 2021·The Indian Journal of Tuberculosis·Khushali VashiJasmin Patel

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