Tuberculosis (TB) is still a major public health challenge in Nepal and worldwide. Most transmissions occur between the onset
of symptoms and the consultation with formal health care centers. This study aimed to determine the duration of delay for the
first consultation and its associated factors with unacceptable delay among the new sputum pulmonary tuberculosis cases in the
central development region of Nepal. An analytical cross-sectional study was conducted in the central development region of Nepal
between January and May 2015. New pulmonary sputum positive tuberculosis patients were interviewed by using a structured
questionnaire and their medical records were reviewed. Among a total of 374 patients, the magnitude of patient delay was 53.21%
(95% CI: 48.12–58.28%) with a median delay of 32 days and an interquartile range of 11–70 days. The factors associated with
unacceptable patient delay (duration = 30 days) were residence in the rural area (adj. OR = 3.10, 95% CI: 1.10–8.72; ?? value =
0.032) and DOTS center located more than 5 km away from their residences (adj. OR = 5.53, 95% CI: 2.18–13.99; ?? value < 0.001).
Unemployed patients were more likely to have patient delay (adj. OR = 7.79, 95% CI: 1.64–37.00; ?? value = 0.010) when controlled
for other variables.