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Patient and health system delays in the diagnosis and treatment of tuberculosis in Gandaki, Nepal

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  • Bikram Singh Dhami
  • Damaru Prasad Paneru
  • Sagar Parajuli
  • KC Aarati
  • Dhirendra Nath

Abstract

Delays in accessing healthcare worsen disease outcomes, increasing Tuberculosis (TB) transmission rates and mortality. Prolonged delays may contribute to drug-resistant TB strains in some cases, this study assessed delays in diagnosis and treatment among TB patients in Gandaki, Nepal. A cross-sectional study was conducted among a randomly selected sample of 194 TB patients enrolled in Direct Observed Treatment Short-course (DOTS) therapy. The data were collected through face-to-face interviews using a semi-structured interview schedule, which was developed through literature review and adaptation of the World Health Organization’s multi-country study. Multivariate logistic regression was employed to identify factors associated with delays in diagnosis and treatment, considering a p value

Suggested Citation

  • Bikram Singh Dhami & Damaru Prasad Paneru & Sagar Parajuli & KC Aarati & Dhirendra Nath, 2025. "Patient and health system delays in the diagnosis and treatment of tuberculosis in Gandaki, Nepal," PLOS Global Public Health, Public Library of Science, vol. 5(6), pages 1-22, June.
    • Handle: RePEc:plo:pgph00:0004676
    DOI: 10.1371/journal.pgph.0004676
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