Socio-cultural context of TB treatment: a case study of Southern Gujarat
Mankodi, K. (1982) Socio-cultural context of TB treatment: a case study of Southern Gujarat. Indian Journal of Tuberculosis, 29 (2). pp. 86-92.
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Existence of public medical faculties does not ensure their acceptance, contrary to what was assumed by the NTP. Besides their limited reach in the whole community, their case holding is marred by defaulters. Defaulters are not necessarily the poor and the underprivileged, but are as likely lo be those who indulge in medical consumerism out of considerations of status. To secure better case finding and case holding, involvement of private medical practitioners is suggested along with possible means of enlarging the “catchment area” of the DTC, like identifying special target groups among whom self-referrals and particularistic informal referrals can be encouraged selectively, and emphasising the superiority of routine diagnostic and curative activities of the DTC vis-a-vis private practitioners, so as lo give a sociological “face lift” to the DTP, which will attract more of those patients who pay more, and get less, from private practitioners.
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