In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India

Barnhoorn, Florie; Adriaanse, H

doi:10.1016/0277-9536(92)90271-q

Cited by 150 publications

(101 citation statements)

References 14 publications

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“…The default rate of TB patients decreasing across years in this study was in contrast to that reported from Gambella Regional Hospital [24]. The observable difference in default rate and trend in the study area might be due to the valuable effect of DOTs, an increase in patients' awareness of infectious diseases, satisfaction with the health provider, and expansions of health institutions in the country, which can alleviate the effects of distance on treatment outcomes, as illustrated by previous studies on determinants of defaulter [30][31][32][33].…”

Section: Discussioncontrasting

confidence: 59%

Outcome of Tuberculosis patients under directly observed short course treatment in western Ethiopia

Ejeta

Chala

Arega

et al. 2015

J Infect Dev Ctries

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Introduction: Treatment outcome is an important indicator of tuberculosis control programs, as suggested by the World Health Organization. However, this has not been well documented in the study area. This work contributes to a better understanding this issue. Methodology: A five-year (2009-2013) retrospective cohort study was conducted between April and May 2014, in six randomly selected health institutions providing tuberculosis treatment in western Ethiopia. Bivariate and multivariate logistic regression analyses were used to assess the association between treatment outcomes and predictor variables. Results: A total of 1,175 tuberculosis patients with a mean (standard deviation) age of 29.91 (13.99) were involved in the study. The majority of the study participants had smear-negative pulmonary tuberculosis (39.7%) and extrapulmonary tuberculosis (39.7%). Of all the study participants, 14.5% were cured, 56.3% completed treatment, 0.2% had treatment failure, 8.1% died during follow-up, 7.1% were reported as defaulters, and 13.8% were transferred out to another health institution. The overall treatment success rate was 70.8% and show progressive increases over the course of the study. The associated predictors were enrollment years, HIV co-infection, and sputum smear follow-up in the second, fifth, and seven months. Conclusions: The treatment success rate was unsatisfactory in spite of improvement seen over the study period. Thus, continued follow-up of patients, with frequent supportive supervision during the course of treatment, and provision of early detection and follow-up for HIV infection need to be strengthened to achieve an effective treatment outcome.

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Section: Discussioncontrasting

confidence: 59%

Outcome of Tuberculosis patients under directly observed short course treatment in western Ethiopia

Ejeta

Chala

Arega

et al. 2015

J Infect Dev Ctries

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“…The study also revealed that the knowledge on TB and its treatment was associated with patient's compliance with the treatment as with other studies showing the association between the compliance behavior of a patient and his/her knowledge of specific aspect of the disease. 6 Unlike this, a study (WHO, 2002) 7 noted no association between knowledge of TB and completion of treatment. Along with its effective result in TB treatment, DOTS strategy also offers the patients opportunity to gain information regarding TB and to maintain good relationship with the providers.…”

Section: Discussionmentioning

confidence: 86%

“…Because of the fear of difficulty in finding partner for marriage, parents may be reluctant to send girls of marriageable age for treatment. 6 Presence of treatment supervisors and availability health education from them were also found to be associated with compliance of the patients with the treatment. The patients who meet treatment supervisor regularly might feel comfortable to collect the drugs and would be encouraged to regular treatment.…”

Section: Discussionmentioning

confidence: 95%

Compliance with DOTS among tuberculosis patients under community based DOTS strategy in Palpa District, Nepal

Nepal

Shiyalap

Sermsri

et al. 2012

Int J Infection & Microbiol

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INTRODUCTION: Palpa is one of the rural districts of Nepal with high incidence of tuberculosis (TB) where Community Based Directly Observed Treatment Short Course (DOTS) strategy was being trailed to make TB services accessible at community level. In spite of this, it has high defaulter rate; every year more than 5% patients had defaulted from the treatment and death due to TB was around 6%. The study, therefore, aimed to assess the patients’ compliance to the treatment and its associated factors.MATERIALS AND METHODS: A quantitative crosssectional study was carried out using structured interview schedule. All registered TB patients (n=101) who were on treatment were enrolled in the study.RESULTS: TB patients of younger age group were found to be more compliant to the treatment (p=0.02). Side effect of the drugs was the major reason for the non compliance (36.00%). More than half of the TB patients had poor knowledge on TB and its treatment. Compliance was found to be significantly associated with knowledge (p=0.02) and perception (p=0.02) of the patients towards TB. Similarly, the study showed positive association between the compliance and service accessibility (distance: p=0.00), availability of treatment supervisor (p=0.01) and health education (p=0.02).CONCLUSIONS: Patients’ compliance with the TB treatment was found to be associated with their knowledge and perception on TB and its treatment. Health education and proper counseling was deemed necessary for the patients. Service accessibility along with communication skills training to the providers including community health volunteers can increase compliance rate

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“…16 The influence of age on bed nets use was surprising and may indicate that younger people are more likely to heed health education messages. Also, according to a theory of adoption of innovations commonly used in applied social psychology, young people are likely to be innovators or early adopters of preventive technologies.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the use of bed nets in Mbarara municipality of Uganda.

Nuwaha¹

2001

The American Journal of Tropical Medicine and Hygiene

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Abstract. In order to identify independent predictors for bed net use, respondents from 643 households selected randomly from 21 clusters were interviewed in Mbarara municipality, Uganda. Respondents answered questions about demographic characteristics, social economic conditions, causes and transmission of malaria, beliefs about severity and complications of malaria, malaria morbidity and health care-seeking behavior, perceived control of malaria prevention, beliefs about utility of bed nets, perceived susceptibility to malaria, and whether they use bed nets or not. Univariate and multivariate logistic regression analyses were used to identify predictors for bed net use. Fifty-five percent (356 of 643) of the households had bed net users. The independent factors that favored bed net use were as follows: 1) age Ͻ 30 years, 2) ownership of a television, 3) having mosquito nets in ventilators of the house, 4) being a skilled worker or a professional, or owning a major business, 5) living in a permanent house, 6) believing that bed nets prevent malaria, 7) believing that bed nets are worth their cost, 8) not believing that convulsions cannot be cured by modern medicine, and 9) believing that bed nets are not expensive. The strongest predictors of bed net use are living in a permanent house and agreeing that bed nets are worth their cost, with adjusted odds ratios of 4.29 (95% confidence interval, 2.76-6.71) and 3.93 (95% confidence interval, 2.5-26.13), respectively. These data suggest that in order to increase the use of bed nets, the price of bed nets needs to be reduced and educational messages that stress the favorable use of bed nets need to be increased.

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In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India

Cited by 150 publications

References 14 publications

Outcome of Tuberculosis patients under directly observed short course treatment in western Ethiopia

Outcome of Tuberculosis patients under directly observed short course treatment in western Ethiopia

Compliance with DOTS among tuberculosis patients under community based DOTS strategy in Palpa District, Nepal

Factors influencing the use of bed nets in Mbarara municipality of Uganda.

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