Source of Support: None, Conflict of Interest: None
In short course chemotherapy cash dose counts and the success of therapy lies on the completion rate of treatment. A short course regimen was implemented in pondicherry since 1984. Of the 1436 put on chemotherapy 390(27%) were lost to treatment. Distance did not seem to be a problem. Male proportion of defaulters were significantly higher than females; an increasing trend was observed with age. Lower income group patients, lost proportion was significantly higher. Socio economic factors were the main causes for these lost to treatment. By postal or in combination with home visits 179(46%) patients were retrieved and offered standard regimens. But 90(50%) were lost again. Family and community involvement with active social participation alone can contribute to the successful completion of treatment.