Assessment of Factors Contributing to TB Treatment Adherence among Patients on TB Treatment in Kano State, Nigeria: A Case Study

• 作者: Chinwoke Isiguzo Jennifer Anyanti Omokhudu Idogho Selema Akuiyibo Stephen Ohuneni
• 来源期刊: 结核病研究(英文)
• 学科: 医学
• 关键词: TUBERCULOSIS DOTS Treatment Adherence Treatment Outcome
• 年，卷（期）: jhbyjyw_2020,（4）
• 页码范围: 209-222
• 页数: 14页
• 分类号: R73

摘要

</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></b> The WHO recommended DOTS has been proven to be very effective in the treatment of tuberculosis (TB) patients. However, despite its effectiveness, non-adherence to the treatment regimen remains a major concern in TB management. This has great consequences which include persistent infectiousness, higher rates of treatment failure, continued transmission, drug resistance, and untimely death. The aim of this study is to examine the factors and behavioural patterns that contribute to treatment adherence among TB patients in Kano State</span></span><span style="font-family:Verdana;">,</span> <span style="font-family:Verdana;">Nigeria</span><span style="font-family:""><span style="font-family:Verdana;">. <b></span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></b></span><b><i> </i></b><span style="font-family:Verdana;">A qualitative study design which included two focus group discussions (FGDs) and four key informant interviews (KIIs) were adopted for this study. In total, 20 participants were interviewed comprising 16 focus group discussion participants (8 patients on treatment and 8 individuals who have been cured) divided into two groups and four key informant interviews with 4 health workers in the selected treatment facilities. Data analysis was done by translating and transcribing the responses from the FGDs and KIIs. The transcribed data was analysed using a thematic framework procedure. <b></span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"></b></span><b><i> </i></b><span style="font-family:Verdana;">It was observed that having a good treatment supporter who was effective and very supportive was the most important factor contributing to treatment adherence. Other identified factors that contributed to treatment adherence included: good communication by health personnel, social support from relatives and communities,