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. 2004 Dec 29:4:68.
doi: 10.1186/1471-2458-4-68.

An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment

Frederick A D Kaona  1 , Mary Tuba, Seter Siziya, Lenganji Sikaona
Affiliations

An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment

Frederick A D Kaona et al. BMC Public Health. .

Abstract

Background: The treatment guidelines for tuberculosis treatment under Directly Observed Treatment, Short-course (DOTS) have been a common strategy for TB treatment in Zambia. The study was carried out in Ndola, Zambia, to investigate factors contributing to treatment non-adherence and knowledge of TB transmission among patients on TB treatment, in order to design a community-based intervention, that would promote compliance.

Methods: A household-based survey was conducted in six randomly selected catchment areas of Ndola, where 400 out of 736 patients receiving TB treatment within the six months period, were recruited through the District's Health Management Board (DHMB) clinics. All patients were interviewed using a pre-tested structured questionnaire, consisting of i. Socio-demographic characteristics ii. Socio-economic factors iii. Knowledge about TB transmission and prevention iv. Patterns in health seeking behaviour and v. TB treatment practices at household level.

Results: Most male TB patient respondents tended to be older and more educated than the female TB patient respondents. Overall, 29.8% of the patients stopped taking their medication. There were 39.1% of the females and 33.9% of the males, who reported that TB patients stopped taking their medication within the first 2 months of commencing treatment. Age, marital status and educational levels were not significantly associated with compliance. The major factors leading to non-compliance included patients beginning to feel better (45.1% and 38.6%), lack of knowledge on the benefits of completing a course (25.7%), running out of drugs at home (25.4%) and TB drugs too strong (20.1% and 20.2%). There was a significant difference [OR = 1.66, 95% CI 1.23, 2.26] in TB knowledge, with more males than females reporting sharing of cups as a means for TB transmission, after adjusting for age, marital status and educational levels. Significantly [p = 0.016] more patients who had resided in the study for less than two years (59%) were more likely to report mother to child transmission of TB, compared to 41.2% of those who had been in the area for more than 2 years.

Conclusion: This study established that 29.8% of TB patients failed to comply with TB drug taking regimen once they started feeling better.

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Figures

Figure 1
Figure 1
Months since starting treatment at which most TB patients stopped taking drugs formula image Male formula image Female
See this image and copyright information in PMC

References

    1. HIV/AIDS in Zambia: Background Projections Impacts Interventions. Ministry of Health and Central Board of Health Lusaka, Zambia. 1997.
    1. Central Statistical Office [Zambia], Central Board of Health [Zambia], ORC Macro Zambia Demographic Health Survey (2001–2002) Calverton, Maryland, USA: central Statistical Office, Central Board of Health, and ORC Macro. 2003. pp. 155–161.
    1. Zambia National HIV/AIDS/TB Council Zambia National HIV/AIDS Strategic Plan Summary, 1999–2001, Lusaka, Zambia. 1999.
    1. Sukwa TY, Kaona ADF, Musonda MR. Preliminary Report on Multicentre Study on Factors Determining Deferential Spread of HIV in African Towns (Ndola site) Ndola Tropical Diseases Research Centre. 1999.
    1. Horizons Program. Ndola Demonstration Project a midterm analysis of lessons learned. Nairobi Kenya: Population Council. 2002.

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