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If the agent takes the "advance retrieval" action once, only a subset of observations in TO can possibly be retrieved.
Out of 1,141 defaulters, at least 1 retrieval action was documented in 726 (64%) patients.
In only 11 (2%) instances was any retrieval action by medical officers (physicians) documented.
In those with documented retrieval action in more than half the patients it was delayed by more than 1 week.
The first retrieval action is to be conducted by the DOT provider, within 24 hours of a missed dose.
Relative to the last dose taken, the 1st retrieval action was taken within 1 week in only 328 (45%) of defaulters; an additional 87 122%) patients had retrieval actions during the second week.
Similar(53)
Zero retrieval actions were documented in 415 (36%) of the 1,141 defaulters.
Retrieval actions are by home visits and or by phone calls if that information is recorded on the treatment cards.
Retrieval actions are required to be documented on a dedicated section of the individual patient treatment card.
To prevent defaults, the programme guideline recommends prompt and repeated retrieval actions through home visits for patients missing a dose.
Instead, 68% of the documented retrieval actions were undertaken by the contractual TB programme staffs, who are few in number and cover large geographical areas.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com