Quality and rural-urban comparison of tuberculosis care in Rivers State, Nigeria

Tobin-West, Charles; Isodje, Anastasia

doi:10.11604/pamj.2016.24.60.8497

Cited by 17 publications

(37 citation statements)

References 9 publications

(13 reference statements)

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“…This could be linked to lack of comprehension on TB information on the part of either the patient or nurse due to insufficient training on TB. 17,18 In a setting where the knowledge of healthcare staff is limited, this may in turn limit the extent of information that is communicated, and how well the information is communicated to the patients. Ibrahim et al has shown a link between knowledge of health care workers and patients' acceptability of counselling and treatment compliance.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria

Oladimeji

Tsoka-Gwegweni

Adeyinka

et al. 2018

Int J Community Med Public Health

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Background: Inadequate knowledge and misconceptions about tuberculosis (TB) contribute to the burden of the disease by influencing patients' behavior and attitude towards the disease and undermining infection control efforts. This study assesses the level of knowledge, attitude and perception of TB and its management among TB-infected patients. Methods: A descriptive cross-sectional was used to interview 712 TB patients using a semi-structured questionnaire between June and October 2016. Bivariate and multivariate analyses were performed with SPSS version 20. Results: About 70% had a good knowledge of TB. Patients' perception of stigma was high (37.5%). A high proportion of the patients had a poor perception of their illness (88%). Healthcare workers attitude was rated as satisfactory by 97.2% of respondents. Patients who had good knowledge about TB experienced high self-stigma (42%) compared to those who had poor knowledge (27.2%), p<0.05. Poor knowledge of TB was highest among relapse TB cases. Respondents with poor TB knowledge were less likely to be male (OR: 0.66; 95% CI: 0.46, 0.95), married (OR: 0.24; 95% CI: 0.10, 0.55; p=0.001) and have tertiary education (OR: 0.06; CI: 0.37, 0.87; p=0.010). Patients with good knowledge about HIV and in the richest wealth status were 91% less likely to have high perceived stigma (OR: 0.09, 95%CI: 0.02, 0.35; p=0.001). Conclusions:The level of knowledge of TB among patients is satisfactory, however perception of illness is poor. Tuberculosis diagnosis can create self-stigma because of the fear of being isolated and discriminated which may determine the success of treatment.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria

Oladimeji

Tsoka-Gwegweni

Adeyinka

et al. 2018

Int J Community Med Public Health

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“…A facility observational checklist was used to assess the infrastructure in each facility [additional le 2]. This checklist was adapted from tools used on a previous study [7] and had questions on the waiting area, status of the examination room, drug storage area, sanitary facilities and infrastructure ( oor, walls, roofs etc). The quantitative data was obtained from o cers in charge of the TB facilities (focal persons) and the most senior health workers.…”

Section: Quantitative Componentmentioning

confidence: 99%

“…The KIIs were used to explore factors in uencing the quality of TB service delivery. The key informant interview guides were adapted from tools used on a previous study [7] and had questions and probes on TB treatment guidelines and protocols, availability of skilled and trained TB staff, diagnostics and laboratory services in the facilities, health information system for TB service provision and reporting, drug supplies and logistics, challenges and recommendations for improved TB service provision.…”

Section: Qualitative Componentmentioning

confidence: 99%

General and Tuberculosis-Specific Service Readiness in two states in Nigeria

Oluwasanu¹,

Hassan

Adebayo³

et al. 2020

Preprint

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Background : Tuberculosis is the world’s deadliest infectious disease and a leading cause of death in Nigeria. The availability of a functional healthcare system is critical for effective TB service delivery and attainment of national and global targets. This study was designed to assess readiness for TB service delivery in Oyo and Anambra states of Nigeria. Methods: This was a facility-based study with a mixed-methods convergent parallel design. A multi-stage sampling technique was used to select 42 primary, secondary, and tertiary healthcare facilities in two TB high burden states. Data were collected using key informant interviews, a semi-structured instrument adapted from the WHO Service Availability and Readiness Assessment tool and facility observation using a checklist. Quantitative data were analysed using descriptive and inferential statistics while qualitative data were transcribed and analysed thematically. Data from both sources were integrated to generate conclusions. Results: The domain score for basic amenities in both states is 48.8%; 47.0% in Anambra and 50.8% in Oyo state with 95% confidence interval [-15.29, 7.56]. In Oyo, only half of the facilities (50%) have access to constant power supply compared to 72.7% in Anambra state. The overall general service readiness index for both states is 69.2% with Oyo state having a higher value (73.3%) compared to Anambra with 65.4% (p=0.56). The domain score for availability of staff and TB guidelines is 57.1% for both states with 95% confidence interval [-13.8, 14.4]. Indicators of this domain with very low values were staff training for the management of HIV and TB co-infection and training on MDR -TB. Almost half (47.6%) experienced a stock out of TB drugs in the 3 months preceding the study. The overall tuberculosis-specific service readiness index for both states is 75%; this was higher in Oyo (76.5%) than Anambra state (73.6%) (p=0.14). Qualitative data revealed areas of deficiencies for TB service delivery such as inadequate infrastructure, poor staffing, and gaps with continuing education on TB management. Conclusions : The weak health system remains a challenge and there must be concerted actions and funding by the government and donors to improve the TB healthcare systems.

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“…Tuberculosis (TB) is a chronic infectious disease affecting any part of the body but more commonly the lungs [1]. It is one of the most prevalent human infections and is the second leading cause of deaths from infectious diseases worldwide [2]. In 2013, 80% of TB cases occurred in 22 high-burden countries leading to 1.5 million deaths.…”

Section: Introductionmentioning

confidence: 99%

“…Following diagnosis, TB patients admitted at the private hospitals are required to pay additional fees for accommodation and feeding. If in any way the care provided in these facilities is found to be substandard, then this will result in poor treatment outcomes, persistent infectiousness as well as possible emergence and spread of drug-resistant strains [2].…”

Section: Introductionmentioning

confidence: 99%

Patients and Health System-Related Factors Impacting on Tuberculosis Program Implementation in Resource-Constrained Settings: Experience from Multi-TB Facilities in Oyo State, South-West of Nigeria

Oladimeji¹,

Tsoka-Gwegweni²,

Mlangeni³

et al. 2018

Mycobacterium - Research and Development

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Background: Tuberculosis (TB) is one of the most prevalent human infections and is the second leading cause of deaths from infectious diseases worldwide, and Nigeria is the fourth among the 22 high-burden countries in the world for tuberculosis even though the exact burden of TB in Nigeria is not known. Methods: The study used exploratory cross-sectional design. A multistage stratified random sampling technique was used to select 680 participants from 16 DOTS facilities in one state in Nigeria. Results: The results show that 59.25% (410) of individuals believed that the quality of access to care was excellent, 78.44% (542) of individuals believed that the appearance of the healthcare facility they attended was excellent, 75.40% (518) of individuals believed that there were many people accessing healthcare facilities and 82.33% (559) reported that they waited less than 30 minutes at a healthcare facility. Conclusions: Providing good quality care to patients is an ongoing practice that requires continued consultation with everybody involved including patients who are at the receiving end of the service in order to evaluate and improve on the services rendered. Such practices will motivate compliance to treatment and a collaborative relationship between patients and healthcare providers in TB management. Despite several challenges affecting treatment and patient care, this study reports that healthcare provision

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Quality and rural-urban comparison of tuberculosis care in Rivers State, Nigeria

Cited by 17 publications

References 9 publications

Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria

Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria

General and Tuberculosis-Specific Service Readiness in two states in Nigeria

Patients and Health System-Related Factors Impacting on Tuberculosis Program Implementation in Resource-Constrained Settings: Experience from Multi-TB Facilities in Oyo State, South-West of Nigeria

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