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Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011

INTRODUCTION: Nigeria has one of the highest tuberculosis (TB) burdens in the world with estimated incidence of 133 per 100,000 populations. Multi-drug resistant TB (MDR-TB) is an emerging threat of the TB control in Nigeria caused mainly by incomplete treatment. This study explored factors that aff...

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Autores principales: Ibrahim, Luka Mangveep, Hadejia, Idris Suleiman, Nguku, Patrick, Dankoli, Raymond, Waziri, Ndadilnasiya Endie, Akhimien, Moses Obiemen, Ogiri, Samuel, Oyemakinde, Akin, Dalhatu, Ibrahim, Nwanyanwu, Okey, Nsubuga, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3972906/
https://www.ncbi.nlm.nih.gov/pubmed/24711884
http://dx.doi.org/10.11604/pamj.2014.17.78.3464
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author Ibrahim, Luka Mangveep
Hadejia, Idris Suleiman
Nguku, Patrick
Dankoli, Raymond
Waziri, Ndadilnasiya Endie
Akhimien, Moses Obiemen
Ogiri, Samuel
Oyemakinde, Akin
Dalhatu, Ibrahim
Nwanyanwu, Okey
Nsubuga, Peter
author_facet Ibrahim, Luka Mangveep
Hadejia, Idris Suleiman
Nguku, Patrick
Dankoli, Raymond
Waziri, Ndadilnasiya Endie
Akhimien, Moses Obiemen
Ogiri, Samuel
Oyemakinde, Akin
Dalhatu, Ibrahim
Nwanyanwu, Okey
Nsubuga, Peter
author_sort Ibrahim, Luka Mangveep
collection PubMed
description INTRODUCTION: Nigeria has one of the highest tuberculosis (TB) burdens in the world with estimated incidence of 133 per 100,000 populations. Multi-drug resistant TB (MDR-TB) is an emerging threat of the TB control in Nigeria caused mainly by incomplete treatment. This study explored factors that affect adherence to treatment among patients undergoing direct observation of TB treatment in Plateau state, Nigeria. METHODS: Between June and July 2011, we reviewed medical records and interviewed randomly selected pulmonary TB patients in their eighth month of treatment. Information on patients? clinical, socio-demographic and behavioral characteristics was collected using checklist and structured questionnaire for knowledge of treatment duration and reasons for interruption of treatment. We conducted focus group discussions with patients about barriers to treatment adherence. Data were analyzed with Epi Info software. RESULTS: Of 378 records reviewed, 229 (61%) patients were male; mean age 37.6 ±13.5 years and 71 (19%) interrupted their treatment. Interruption of treatment was associated with living > 5 km from TB treatment site (AOR: 11.3; CI 95%: 5.7-22.2), lack of knowledge of duration of treatment (AOR: 6.1; CI 95%: 2.8-13.2) and cigarette smoking (AOR: 3.4; CI 95%: 1.5- 8.0). Major reasons for the interruption were lack of transport fare (40%) and feeling well (25%). Focused group discussions revealed unfriendly attitudes of health care workers as barriers to adherence to treatment. CONCLUSION: This study revealed knowledge of the patients on the duration of treatment, distance and health workers attitude as the major determinants of adherent to TB treatment. Training for health care workers on patient education was conducted during routine supportive supervision.
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spelling pubmed-39729062014-04-07 Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011 Ibrahim, Luka Mangveep Hadejia, Idris Suleiman Nguku, Patrick Dankoli, Raymond Waziri, Ndadilnasiya Endie Akhimien, Moses Obiemen Ogiri, Samuel Oyemakinde, Akin Dalhatu, Ibrahim Nwanyanwu, Okey Nsubuga, Peter Pan Afr Med J Research INTRODUCTION: Nigeria has one of the highest tuberculosis (TB) burdens in the world with estimated incidence of 133 per 100,000 populations. Multi-drug resistant TB (MDR-TB) is an emerging threat of the TB control in Nigeria caused mainly by incomplete treatment. This study explored factors that affect adherence to treatment among patients undergoing direct observation of TB treatment in Plateau state, Nigeria. METHODS: Between June and July 2011, we reviewed medical records and interviewed randomly selected pulmonary TB patients in their eighth month of treatment. Information on patients? clinical, socio-demographic and behavioral characteristics was collected using checklist and structured questionnaire for knowledge of treatment duration and reasons for interruption of treatment. We conducted focus group discussions with patients about barriers to treatment adherence. Data were analyzed with Epi Info software. RESULTS: Of 378 records reviewed, 229 (61%) patients were male; mean age 37.6 ±13.5 years and 71 (19%) interrupted their treatment. Interruption of treatment was associated with living > 5 km from TB treatment site (AOR: 11.3; CI 95%: 5.7-22.2), lack of knowledge of duration of treatment (AOR: 6.1; CI 95%: 2.8-13.2) and cigarette smoking (AOR: 3.4; CI 95%: 1.5- 8.0). Major reasons for the interruption were lack of transport fare (40%) and feeling well (25%). Focused group discussions revealed unfriendly attitudes of health care workers as barriers to adherence to treatment. CONCLUSION: This study revealed knowledge of the patients on the duration of treatment, distance and health workers attitude as the major determinants of adherent to TB treatment. Training for health care workers on patient education was conducted during routine supportive supervision. The African Field Epidemiology Network 2014-01-31 /pmc/articles/PMC3972906/ /pubmed/24711884 http://dx.doi.org/10.11604/pamj.2014.17.78.3464 Text en © Luka Mangveep Ibrahim et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Ibrahim, Luka Mangveep
Hadejia, Idris Suleiman
Nguku, Patrick
Dankoli, Raymond
Waziri, Ndadilnasiya Endie
Akhimien, Moses Obiemen
Ogiri, Samuel
Oyemakinde, Akin
Dalhatu, Ibrahim
Nwanyanwu, Okey
Nsubuga, Peter
Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title_full Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title_fullStr Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title_full_unstemmed Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title_short Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011
title_sort factors associated with interruption of treatment among pulmonary tuberculosis patients in plateau state, nigeria. 2011
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3972906/
https://www.ncbi.nlm.nih.gov/pubmed/24711884
http://dx.doi.org/10.11604/pamj.2014.17.78.3464
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