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AUTHORíS REPLY
Year : 2017  |  Volume : 61  |  Issue : 1  |  Page : 59  

Patient and health system delays among adult smear-positive tuberculosis patients diagnosed at medical colleges of Puducherry in South India


1 Assistant Professor, Department of Community Medicine and Family Medicine, All Institute of medical Sciences, Bhubaneswar, Odisha, India
2 Professor, Department of Community Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India

Date of Web Publication16-Feb-2017

Correspondence Address:
Ramesh Chand Chauhan
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar - 751 019, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_357_16

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How to cite this article:
Chauhan RC, Purty AJ. Patient and health system delays among adult smear-positive tuberculosis patients diagnosed at medical colleges of Puducherry in South India. Indian J Public Health 2017;61:59

How to cite this URL:
Chauhan RC, Purty AJ. Patient and health system delays among adult smear-positive tuberculosis patients diagnosed at medical colleges of Puducherry in South India. Indian J Public Health [serial online] 2017 [cited 2017 Mar 24];61:59. Available from: http://www.ijph.in/text.asp?2017/61/1/59/200257

Sir,

I appreciate the interest of the researcher toward the article on patient and health system delays among smear-positive Tuberculosis patients.[1] As suggested, the sample size calculation should have taken into consideration the incidence of tuberculosis in Tamil Nadu and Puducherry (the states from which the patients were enrolled) as done in the Eastern Mediterranean Region study in seven countries.[2] However, the delay can be presented in terms of duration as well as proportion of patients with duration more than median/average.[3] We analyzed the delay in both ways where the proportion of individuals with delay more than median was also assessed. Further, in terms of duration, some interval between the onset of symptoms and diagnosis and initiation of treatment is inevitable, the authors calculated the duration from the onset of the symptoms to the diagnosis and initiation of the treatment.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.





 
   References Top

1.
Purty AJ, Chauhan RC, Natesan M, Cherian J, Singh Z, Sharma Y. Patient and health system delays among adult smear-positive tuberculosis patients diagnosed at medical colleges of Puducherry in South India. Indian J Public Health 2016;60:77-80.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
World Health Organization: WHO EMRO Report 2006. Diagnostic and Treatment Delay in Tuberculosis an In-Depth Analysis of the Health-Seeking Behaviour of Patients and Health System Response in Seven Countries of the Eastern Mediterranean Region. Available from: http://www.applications.emro.who.int/dsaf/dsa710.pdf. [Last accessed on 2016 Oct 18].  Back to cited text no. 2
    
3.
Thakur R, Murhekar M. Delay in diagnosis and treatment among TB patients registered under RNTCP Mandi, Himachal Pradesh, India, 2010. Indian J Tuberc 2013;60:37-45.  Back to cited text no. 3
    




 

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