1ISHAQ MUHAMMAD, 2SYED SANWER ALI, 3NASIM KARIM, 4UMRANI NASIM ISMAIL, 5KUMAR AJEET, 6JAFRI M IKRAM

ABSTRACT

Objectives: To asses the treatment compliance and effectiveness of DOTS program at a secondary health facility level. Material & Methods: A Hospital based Cross Sectional study. Patients attending TB clinic at Taluka Hospital SajawaL District Thatta Sindh. a secondary health facility during 2003-2004. A total of 240 Patients were enrolled for the study irrespective of gender, ethnicity and religion. Result: Present study showed population compliance of 82.19%, success rate of 75% & disease specific death rate (case fatality rate) of 7.5% on DOTS therapy. Conclusion: DOTS (directly observed treatment short-course) strategy for tuberculosis (TB) control as recommended by the World Health Organization has proved to be a is a very effective program for decreasing morbidity & mortality in tuberculous patients provided it is practiced properly . Key words: Tuberculosis, Patient's Compliance, DOTS Program.

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Prof. Dr. Farah Mansuri
editor@annals-ashkmdc.org

1,5 Dept. of Medicine 2 Dept. of Community Medicine 6 Final Year Student Jinnah Medical & Dental College, Karachi. 3 Dept. of Pharmacology, Dow University of Health Sciences, Karachi. 4 Medical Superintendent, Taluka Hospital Sajawal.