Abstract of Dissertation

Keyword : TB; RNTCP; DOTS; Rural Tuberculosis Patients

Objective : To compare the profiles of urban and rural tuberculosis patients of Alirajpur District, MP and to recommend measures to reduce the prevalence of TB in Alirajpur District, MP

Background : Tuberculosis (TB) continues to be a major public health problem in India, with over 1.9 million new cases annually, making it the highest TB burden country in the world. It accounts for one-fifth of the world’s new TB cases, and two-thirds of the cases in the Southeast Asia region. For the second time, India has been ranked number one around the globe for leading TB deaths. In 2016 approximately 423,000 patients died from TB and this accounts for a third of the global 1.4 million deaths

Methodology : A cross-sectional study was conducted in Alirajpur District, MP on 232 registered rural and urban tuberculosis patients in TB cell as sample size through convenient sampling technique. A semi-structured questionnaire was formulated, and it adopted a quantitative analysis approach to deduce the findings of the collected data. Questionnaires were distributed randomly among villages. The questions included in the questionnaire required the respondents to fill out their history of TB within their family. Interviews were also conducted randomly in the villages. Interviews were used besides the questionnaire because a lot of information can be collected from interviews as opposed to questionnaires.

Findings : the study estimated that out of 232 sample TB registered cases around 88% belonged to Rural Population and 12% to Urban population again suggesting a wide gap between the two and rural population is far greater vulnerable to TB due to their lifestyle and lack of help-seeking attitude and also due to lack of grass root medical facilities in Rural parts to a greater extent. Also, the results showed that male gender is most vulnerable to TB as 65% of the sample study of TB cases was mail as compared to 35% of female affected TB cases.

Recommendations : The study established that rural populations are more susceptible to TB. Children in the rural areas are mostly infected with TB due to malnutrition, exposure to smoke and so on. Those children in rural do not have adequate access to quick medical services like those in the urban areas. In connection to that, the tribal parents in the rural areas believe in traditional healing methods which are mostly not effective. , more men are vulnerable to TB compared to women. This can further be explained by the gender distinctions in the social interaction patterns because men have more chances of interacting with individuals outside their homes even those with TB which is largely attributed to the cultural opinions about the women having more restrictions in their functions around their home and community at large; this, in turn, makes them less likely to ask for help outside. The study explains for the social responses which indicate that the women are mandated to support their spouses while the suffering from TB but a man, on the other hand, does not have a similar mandate to support his spouse.