One lacunae identified during execution of the study was that due to distance many patients were providing their part of practice details on the phone only and physical verification of that doing practice could not be validated. To some extent, patients were informed about their nearest center to be regular in their practice, but only 12% could physically be verified of doing practice, Rest were relied on their version of doing SK and P practice on the phone and what their relatives and they themselves told on 3 monthly meetings of follow‑up. Future research should provide provision of travel cost inbuilt in research grant, so physical verification is more intensified.