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Journal Articles
Gender differences in delays in diagnosis and treatment of tuberculosis
Fazlul Karim, Md. Akramul Islam, AMR Chowdhury, Eva Johansson and Vinod K Diwan

Vol - 22, August - 2007
Health Policy and Planning

Objective: To assess the gender variations in delay from symptom onset to help seeking, diagnosis and treatment of tuberculosis (TB) using DOTS at community level, in 10 subdistricts of Bangladesh with 2.5 million people under a non-governmental organizationís (Building Resources Across Communities, or BRAC) DOTS programme for TB control.

Design: †A cross-sectional survey of 1000 newly diagnosed pulmonary TB patients (500 women and 500 men).

Findings: Women, in comparison with men, had significantly longer mean and median delays in total delay (63.2 and 61.0 days vs. 60.3 and 53 days, respectively), total diagnostic delay (61.2, 60.0 vs. 58.5, 52.0 days), patientís delay (51.9, 50.0 vs. 48.7, 42.0 days) and treatment delay (2.0, 1.0 vs. 1.9, 1.0 day). Patientís mean and median delays were longer than the health system delay. However, patient gender showed strong association with total delay, total diagnostic delay and patientís delay. Older age of women was significantly associated with longer patient and treatment delay categories, respectively.

Conclusion: †Compared with men, women experienced longer delays at various stages of the clinical process of help seeking for TB. This warrants appropriate measures to improve the situation.

Health Policy and Planning

 
 

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