ASSESSMENT OF EFFECT OF MDR-TB/TB ON SOCIAL, FUNCTIONAL AND ECONOMIC WELL BEING OF PATIENTS ?? A CROSS SECTIONAL STUDY

Abstract

Shiv Kumar Yadav1, Rahul Damor2, S. L. Kantharia3, Mani Tiwari4

CONTEXT: Tuberculosis is a contagious disease with social stigma attached to it. Various problems which are social and economic in nature are faced by TB patient. Therefore, it is essential to explore the overall effect of MDR-TB/TB on health and patients perception of Well-being. AIMS: To Document the effect of MDR-TB/TB on social, functional and economic well-being of patients.

SETTINGS AND DESIGN: A Cross-sectional study, Conveniently Recruited 68 MDR-TB Patients and 136 non - MDR-TB Patients (from Rural as well as urban Area of Surat District) diagnosed by CBNAAT were interviewed for investigating the effect of Tuberculosis.

METHODS AND MATERIAL: A pre-tested standardized semi-structured questionnaire was used. Data was collected about socio-demographic profile of patients and interpreted in table. Data about effect of MDR-TB/TB was collected on Likert Scale and Frequency was calculated and Data was plotted on multiple bar charts.

RESULTS: As compared to healthy status in the past, 93% MDR-TB and 82% TB patients have decreased ability to do work, about half of MDR-TB Patients and TB Patients have detiorated relations with family members, 67% of study participants have developed disharmonious relations with neighbor’s, 55% of Study participants have decreased income, 88% of study participants have decreased performance in day to day activities and 78% of study participants have faced discordial and disrespectful behavior from co-workers.

CONCLUSION: Working ability more detiorated in MDR-TB patients while rest of the effect on social, functional and economic well-being is same in both TB and Multi Drug Resistant TB patients. This study emphasizes very clearly that social stigma still persist in community about Tuberculosis which needs to be eliminated in community by behavior change communication by health workers at all levels of health care.

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