I am a student interested in how DOTS is administered on the ground. I am aware that TB drugs often have bad side effects; are there ever situations in which a patient does not want to take his or her medication? If so, what is the role of the provider? Do you follow the patient's wishes or urge them to take the medication, in the interest of public health and preventing the development of drug resistance?
More generally, in your experience with TB care, where do providers draw the line between individual rights and public health concerns?
Thanks for all your help.