ArticleJournal of epidemiology and global health2017
Pulmonary tuberculosis in Patna, India: Durations, delays, and health care seeking behaviour among patients identified through household surveys.
Article in Journal of epidemiology and global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Such a long journey: What health seeking pathways of patients with drug resistant tuberculosis in Mumbai tell us.PloS one · 2019Trial
- "Fragmented care pathway in a layered TB care system": a grounded theory approach to understand care pathways and delays in TB care in Odisha.BMC health services research · 2026Article
- Delays in tuberculosis care among the top-ten-tuberculosis-high burden countries in the world: a scoping review.The Journal of the Egyptian Public Health Association · 2026Review
- Strengthening TB care pathways: Integrating informal and AYUSH practitioners for early diagnosis and referral.PLOS global public health · 2026Article
- A methodological review of patient healthcare-seeking journeys from symptom onset to receipt of care.BMJ global health · 2025Review
- Impact of multiple consultations and switching in treatment-seeking in tuberculosis: Mathematical modelling and optimal control.PloS one · 2025Article
- Individual journeys to tuberculosis care in Nigeria's private sector during the COVID-19 pandemic.BMJ global health · 2024Article
- Facilitators and barriers to Tuberculosis case notification among private health facilities in Kampala Capital City, Uganda.PloS one · 2024Article
- A Comparative Analysis of Patient Profiles and Health Service Utilization between Patent Medicine Vendors and Community Pharmacists in Nigeria.Healthcare (Basel, Switzerland) · 2023Article
- Engaging the Private Health Service Delivery Sector for TB Care in India-Miles to Go!Tropical medicine and infectious disease · 2023Review
- Why and where?-Delay in Tuberculosis care cascade: A cross-sectional assessment in two Indian states, Jharkhand, Gujarat.Frontiers in public health · 2023Article
- Intersections of informal work status, gender and tuberculosis diagnosis: Insights from a qualitative study from an Indian setting.PloS one · 2023Article
- Care-seeking practices for non-communicable chronic conditions in a low-income neighborhood in Southern India.PLOS global public health · 2023Article
- Gaps and Interventions across the Diagnostic Care Cascade of TB Patients at the Level of Patient, Community and Health System: A Qualitative Review of the Literature.Tropical medicine and infectious disease · 2022Review
- Tuberculosis Pathways to Care and Transmission of Multidrug Resistance in India.American journal of respiratory and critical care medicine · 2022Article
- Prescribing practices for presumptive TB among private general practitioners in South Africa: a cross-sectional, standardised patient study.BMJ global health · 2022Article
- Engaging with the private healthcare sector for the control of tuberculosis in India: cost and cost-effectiveness.BMJ global health · 2021Article
- Engaging Informal Private Health Care Providers for TB Case Detection: Experiences from RIPEND Project in India.Tuberculosis research and treatment · 2021Article
- Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review.Risk management and healthcare policy · 2021Review
- Patient and health system delay among TB patients in Ethiopia: Nationwide mixed method cross-sectional study.BMC public health · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelays in accessing effective health care plays a pivotal role in increasing Tuberculosis (TB) transmission within the community. Patna, North India, with high levels of poverty and weak public health system, faces huge challenges for achieving effective TB control. The study aims to determine delays that occur from onset of TB symptoms until initiation of pulmonary TB (PTB) treatment among patients in Patna.
methodsOf the 109 self-reporting TB patients identified through an active household survey, 64 PTB patients were interviewed. First care seeking, TB diagnostic and treatment initiation durations were calculated and delays defined for new and retreatment patients and minors and adults. Outliers exhibiting extreme delays were additionally identified.
resultsA cross sMean total pathway duration for TB care was 40days, with diagnostic duration contributing to 58% of the duration. No significant differences were noted between new and retreatment patients. Minors, comprising of 30% of total PTB patients accessed care faster than adults, but showed significantly higher diagnostic duration (38days vs. 17days). Preference for private sector, chemists and allopaths was seen throughout the pathway. DISCUSSION: Patna requires a more effective harnessing of the private sector augmented with reliable diagnostic investigations and a focus on quality.
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