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Research on behaviors and delay in seeking health services of tuberculosis patient at Nam Dinh province in 2013

Objectives: To describe the knowledge, behaviors seeking health services and determine the time from onset of symptoms until the tuberculosis disease was diagnosed. Subjects and methods: Cross-sectional study by interviewing 341 tuberculosis patients, who registered tuberculosis treatment in 4 districts of Nam Dinh province in 2013. | Journal of military pharmaco-medicine no5-2018 RESEARCH ON BEHAVIORS AND DELAY IN SEEKING HEALTH SERVICES OF TUBERCULOSIS PATIENT AT NAM DINH PROVINCE IN 2013 Nguyen Dinh Tuan*; Nguyen Viet Nhung*; Le Van Bao** SUMMARY Objectives: To describe the knowledge, behaviors seeking health services and determine the time from onset of symptoms until the tuberculosis disease was diagnosed. Subjects and methods: Cross-sectional study by interviewing 341 tuberculosis patients, who registered tuberculosis treatment in 4 districts of Nam Dinh province in 2013. Results: Patients lacked knowledge about tuberculosis, only 57.8% of patients correctly understood the cause of the disease, 36.1% of patients agreed to vaccinate against tuberculosis for infants and 27.6% agreed to go early examination when having signs of tuberculosis. Behavior seeking health care services for the first time when tuberculosis patients with suggestive symptoms of tuberculosis in the commune health station was 49.9% and in district general hospital was 58.7% and in private health facilities was 31.7%. The time from the onset of symptoms until the diagnosed tuberculosis was fairly long, an average of 1.2 months. The most common reason that patients , delay in detecting tuberculosis was that they didn t think they had tuberculosis with 74.2%, and economic difficulties accounted for 17.5%. Conclusion: Patient lacked knowledge about tuberculosis, behaviors seeking health services of tuberculosis patients mainly in primary health facilities, time from onset of symptoms until tuberculosis diagnosed fairly long. * Keywords: Tuberculosis behaviors; Health services; Tuberculosis patient; Nam Dinh province. INTRODUCTION Vietnam still has a high burden of tuberculosis (TB), ranks 16th out of 30 countries with the highest number of tuberculosis patients in the world and ranks 13th out of 30 countries with a burden of multidrug-resistant TB [1]. Nowadays, private health services have been developing, while people .