Health care workers’ knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria, 2011

Ibrahim, Luka; Hadjia, Idris Suleiman; Nguku, Patrick; Waziri, Ndadilnasiya Endie; Akhimien, Moses Obiemen; Patrobas, Phillip; Nsubuga, Peter

doi:10.11604/pamj.supp.2014.18.1.3408

Cited by 23 publications

(27 citation statements)

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“…We found a considerably high prevalence of SMA practice among all respondents, which is comparable to other studies where similar and even higher prevalence of SMA was reported [8,15]. In particular, it was found that self-medication in Saudi Arabia ranged between 51 and 75% [18,31]. In addition, meta-analysis of 24 studies on this topic reported similar observations on an international level [32].…”

Section: Discussionsupporting

confidence: 88%

Knowledge, attitude, behaviour of the future healthcare professionals towards the self-medication practice with antibiotics

Benameur

Al-Bohassan

Alaithan

et al. 2019

J Infect Dev Ctries

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Introduction: Self-medication with antibiotics (SMA) is a major health problem in the developing world including the kingdom of Saudi Arabia (KSA). This practice remains an emerging challenge for the healthcare providers. A few previous studies have estimated the prevalence of SMA among the general population of KSA, but there had been no such studies on healthcare students. We aimed to estimate the prevalence of SMA among medical, non-medical students and to evaluate its determinants. Methodology: A survey-based cross-sectional study using validated questionnaire was conducted amongst students at King Faisal University in KSA. Chi-square test and logistic regression analysis were applied to identify the determinants of SMA. Results: The prevalence of SMA was 58.4% with significantly lower proportion among medical students. Tonsillitis was the most common symptom for which SMA was used and was reported by a significantly higher proportion of medical (54.1%) students. Despite, the awareness of medical students about SMA is unsafe and mal-practice (79.9%), the prevalence of SMA practice remains high. Logistic regression analysis showed that students who incorrectly, identified the effectiveness of antibiotics in treating bacterial infections, the reasons of the antibiotics discontinuation had a higher likelihood to SMA. (OR = 2.16, 95% CI: 1.52-4.503, P = 0.001), (OR = 1.575, 95% CI: 0.923-2.686, P = 0.09), respectively. Conclusions: SMA remains noticeably high among the medical students. To overcome this problem, we highly recommend improving the health education to better address this malpractice and improve the students’ knowledge, attitudes and awareness towards the antibiotics use and prescription pattern.

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Section: Discussionsupporting

confidence: 88%

Knowledge, attitude, behaviour of the future healthcare professionals towards the self-medication practice with antibiotics

Benameur

Al-Bohassan

Alaithan

et al. 2019

J Infect Dev Ctries

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“…Patient counselling remains a critical element in reducing LTFU [38] reducing LTFU pointing to integrated behavioural counselling and TB care promoting adherence to treatment protocols [41,42]. Clinicians require knowledge of TB disease and its management and excellent communications skills to ensure quality patient education and communication [43,44]. User-friendly and culturally appropriate resources presented in local languages are a potential approach.…”

Section: Discussionmentioning

confidence: 99%

‘They are inconveniencing us’ - exploring how gaps in patient education and patient centred approaches interfere with TB treatment adherence: perspectives from patients and clinicians in the Free State Province, South Africa

Moodley

Saimen

Zakhura³

et al. 2020

BMC Public Health

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Background: Tuberculosis (TB) treatment loss to follow up (LTFU) plays an important contributory role to the staggering TB epidemic in South Africa. Reasons for treatment interruption are poorly understood. Treatment interruption appears to be the culmination of poor health literacy of patients and inadequate health education provided by clinicians. We explored clinician and patient perspectives of the gaps in TB messaging that influence TB treatment LTFU. Methods: We conducted semi-structured in-depth interviews between January and May 2018 with a sample of 15 clinicians managing TB and 7 patients identified as LTFU in public clinics in the Free State Province, South Africa. Thematic analysis using a mixed deductive/inductive thematic approach was used. Results: Limited occupational opportunities, fear of disclosure and stigmatization all contributed to treatment LTFU. Patients felt that the TB messaging received was inadequate. Many of the clinicians interviewed felt that improving patient's TB knowledge would reinforce adherence to treatment and thus focused on sharing information on treatment completion, side effects and infection control. However, the inability of clinicians to establish rapport with patients or to identify social support challenged TB treatment adherence by patients. Clinicians perceived this as patients not following their instructions despite what they considered lengthy TB education. Having said this, clinicians concurred that their medical management of TB lacked the psycho-social dimension to treat a social disease of this magnitude.

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“…Due in part to the high turnover and lack of adequate number of trained health workers, health facilities were providing TB care by untrained staffs. Without adequate TB training, health care workers are not able to provide proper counseling to TB patients and this will have a negative effect on patient adherence to treatment [ 26 ]. Managing TB patients by inadequately trained health workers could generally compromise the quality of TB care and may contribute to poor treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Assessment of Challenges in Tuberculosis Control in West Gojjam Zone, Northwest Ethiopia: Health Workers’ and Tuberculosis Control Program Coordinators’ Perspectives

Gebreegziabher

Yimer

Bjune

2016

Tuberculosis Research and Treatment

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Background. Weak health systems pose many barriers to effective tuberculosis (TB) control. This study aimed at exploring health worker's and TB control program coordinator's perspectives on health systems challenges facing TB control in West Gojjam Zone, Amhara Region, Ethiopia. Methods. This was a qualitative descriptive study. Eight in-depth interviews with TB control program coordinators and two focus group discussions among 16 health workers were conducted. Purposive sampling was used to recruit study participants. Thematic analysis was used to identify and analyse main themes. Results. We found that intermittent interruptions of laboratory reagents and anti-TB drugs supplies, absence of trained and motivated health workers, poor TB data documentation, lack of adherence to TB treatment guideline, and lack of access to TB diagnostic tools at peripheral health institutions were challenges facing the TB control program performance in the study zone. Conclusions. Ensuring uninterrupted supply of anti-TB drugs and laboratory reagents to all health institutions is essential. Continuous refresher training of health workers on standard TB care and data handling and developing and implementing a sound retention strategy to attract and motivate health professionals to work in rural areas are necessary interventions to improve the TB control program performance in the study zone.

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Health care workers’ knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria, 2011

Cited by 23 publications

References 0 publications

Knowledge, attitude, behaviour of the future healthcare professionals towards the self-medication practice with antibiotics

Knowledge, attitude, behaviour of the future healthcare professionals towards the self-medication practice with antibiotics

‘They are inconveniencing us’ - exploring how gaps in patient education and patient centred approaches interfere with TB treatment adherence: perspectives from patients and clinicians in the Free State Province, South Africa

Qualitative Assessment of Challenges in Tuberculosis Control in West Gojjam Zone, Northwest Ethiopia: Health Workers’ and Tuberculosis Control Program Coordinators’ Perspectives

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