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Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study
BACKGROUND: TB is a major public health problem globally and Ethiopia is 8(th) among the 22 high burden countries. Early detection and effective treatment are pre-requisites for a successful TB control programme. In this regard, early health seeking action from patients’ side and prompt diagnosis as...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444375/ https://www.ncbi.nlm.nih.gov/pubmed/22621312 http://dx.doi.org/10.1186/1471-2458-12-369 |
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author | Belay, Mulugeta Bjune, Gunnar Ameni, Gobena Abebe, Fekadu |
author_facet | Belay, Mulugeta Bjune, Gunnar Ameni, Gobena Abebe, Fekadu |
author_sort | Belay, Mulugeta |
collection | PubMed |
description | BACKGROUND: TB is a major public health problem globally and Ethiopia is 8(th) among the 22 high burden countries. Early detection and effective treatment are pre-requisites for a successful TB control programme. In this regard, early health seeking action from patients’ side and prompt diagnosis as well as initiation of treatment from the health system’s side are essential steps. The aim of this study was to assess delay in the diagnosis and treatment of TB in a predominantly pastoralist area in Ethiopia. METHODS: On a cross-sectional study, two hundred sixteen TB patients who visited DOTS clinics of two health facilities in Afar Region were included consecutively. Time from onset of symptoms till first consultation of formal health providers (patients’ delay) and time from first consultation till initiation of treatment (health system’s delay) were analyzed. RESULTS: The median patients’ and health system’s delay were 20 and 33.5 days, respectively. The median total delay was 70.5 days with a median treatment delay of 1 day. On multivariate logistic regression, self-treatment (aOR. 3.99, CI 1.50-10.59) and first visit to non-formal health providers (aOR. 6.18, CI 1.84-20.76) were observed to be independent predictors of patients’ delay. On the other hand, having extra-pulmonary TB (aOR. 2.08, CI 1.08- 4.04), and a first visit to health posts/clinics (aOR. 19.70, CI 6.18-62.79), health centres (aOR. 4.83, CI 2.23-10.43) and private health facilities (aOR. 2.49, CI 1.07-5.84) were found to be independent predictors of health system’s delay. CONCLUSIONS: There is a long delay in the diagnosis and initiation of treatment and this was mainly attributable to the health system. Health system strengthening towards improved diagnosis of TB could reduce the long health system’s delay in the management of TB in the study area. |
format | Online Article Text |
id | pubmed-3444375 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34443752012-09-18 Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study Belay, Mulugeta Bjune, Gunnar Ameni, Gobena Abebe, Fekadu BMC Public Health Research Article BACKGROUND: TB is a major public health problem globally and Ethiopia is 8(th) among the 22 high burden countries. Early detection and effective treatment are pre-requisites for a successful TB control programme. In this regard, early health seeking action from patients’ side and prompt diagnosis as well as initiation of treatment from the health system’s side are essential steps. The aim of this study was to assess delay in the diagnosis and treatment of TB in a predominantly pastoralist area in Ethiopia. METHODS: On a cross-sectional study, two hundred sixteen TB patients who visited DOTS clinics of two health facilities in Afar Region were included consecutively. Time from onset of symptoms till first consultation of formal health providers (patients’ delay) and time from first consultation till initiation of treatment (health system’s delay) were analyzed. RESULTS: The median patients’ and health system’s delay were 20 and 33.5 days, respectively. The median total delay was 70.5 days with a median treatment delay of 1 day. On multivariate logistic regression, self-treatment (aOR. 3.99, CI 1.50-10.59) and first visit to non-formal health providers (aOR. 6.18, CI 1.84-20.76) were observed to be independent predictors of patients’ delay. On the other hand, having extra-pulmonary TB (aOR. 2.08, CI 1.08- 4.04), and a first visit to health posts/clinics (aOR. 19.70, CI 6.18-62.79), health centres (aOR. 4.83, CI 2.23-10.43) and private health facilities (aOR. 2.49, CI 1.07-5.84) were found to be independent predictors of health system’s delay. CONCLUSIONS: There is a long delay in the diagnosis and initiation of treatment and this was mainly attributable to the health system. Health system strengthening towards improved diagnosis of TB could reduce the long health system’s delay in the management of TB in the study area. BioMed Central 2012-05-23 /pmc/articles/PMC3444375/ /pubmed/22621312 http://dx.doi.org/10.1186/1471-2458-12-369 Text en Copyright ©2012 Belay et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Belay, Mulugeta Bjune, Gunnar Ameni, Gobena Abebe, Fekadu Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title | Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title_full | Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title_fullStr | Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title_full_unstemmed | Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title_short | Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia: A cross-sectional study |
title_sort | diagnostic and treatment delay among tuberculosis patients in afar region, ethiopia: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444375/ https://www.ncbi.nlm.nih.gov/pubmed/22621312 http://dx.doi.org/10.1186/1471-2458-12-369 |
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