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Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan

BACKGROUND: The World Health Organization has recommended a patient-centered approach to tuberculosis drug administration. A central element of the patient-centered strategy is the use of treatment supporters to evaluate and elevate adherence to the treatment regimen and to address poor adherence wh...

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Autores principales: Hussain, Sana, Hasnain, Jamshed, Hussain, Zareen, Badshah, Masroor, Siddique, Hafeez, Fiske, Christina, Pettit, April
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044441/
https://www.ncbi.nlm.nih.gov/pubmed/30008966
http://dx.doi.org/10.2174/1874279301810010037
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author Hussain, Sana
Hasnain, Jamshed
Hussain, Zareen
Badshah, Masroor
Siddique, Hafeez
Fiske, Christina
Pettit, April
author_facet Hussain, Sana
Hasnain, Jamshed
Hussain, Zareen
Badshah, Masroor
Siddique, Hafeez
Fiske, Christina
Pettit, April
author_sort Hussain, Sana
collection PubMed
description BACKGROUND: The World Health Organization has recommended a patient-centered approach to tuberculosis drug administration. A central element of the patient-centered strategy is the use of treatment supporters to evaluate and elevate adherence to the treatment regimen and to address poor adherence when it occurs. This study was led to determine the part of various treatment supporters in the successful completion of treatment. METHOD: This study was conducted in two locales of Sindh, Hyderabad and Mirpurkhas. Information gathered included age, gender, regions, sort of treatment supporters (relatives, community and health facility workers) and treatment outcomes. RESULTS: Of the 773 patients incorporated into the study, 86.8% picked a family supporter, 7.63% selected community worker and 5.56% chose health facility worker as their treatment supporter. Women and younger patients were more likely to prefer that family members supervise their treatment. Treatment achievement rates among the patients regulated by the three kinds of treatment supporters, were not altogether unique in relation to each other (p=0.23 Chi square). CONCLUSION: The study demonstrates that TB patients ought to be urged to pick the supporter of their inclination as selection of treatment supporter outside the health system does not adversely affect TB treatment outcomes in limited resource settings.
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spelling pubmed-60444412018-07-13 Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan Hussain, Sana Hasnain, Jamshed Hussain, Zareen Badshah, Masroor Siddique, Hafeez Fiske, Christina Pettit, April Open Infect Dis J Article BACKGROUND: The World Health Organization has recommended a patient-centered approach to tuberculosis drug administration. A central element of the patient-centered strategy is the use of treatment supporters to evaluate and elevate adherence to the treatment regimen and to address poor adherence when it occurs. This study was led to determine the part of various treatment supporters in the successful completion of treatment. METHOD: This study was conducted in two locales of Sindh, Hyderabad and Mirpurkhas. Information gathered included age, gender, regions, sort of treatment supporters (relatives, community and health facility workers) and treatment outcomes. RESULTS: Of the 773 patients incorporated into the study, 86.8% picked a family supporter, 7.63% selected community worker and 5.56% chose health facility worker as their treatment supporter. Women and younger patients were more likely to prefer that family members supervise their treatment. Treatment achievement rates among the patients regulated by the three kinds of treatment supporters, were not altogether unique in relation to each other (p=0.23 Chi square). CONCLUSION: The study demonstrates that TB patients ought to be urged to pick the supporter of their inclination as selection of treatment supporter outside the health system does not adversely affect TB treatment outcomes in limited resource settings. 2018-05-18 2018 /pmc/articles/PMC6044441/ /pubmed/30008966 http://dx.doi.org/10.2174/1874279301810010037 Text en https://creativecommons.org/licenses/by/4.0/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode.This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Hussain, Sana
Hasnain, Jamshed
Hussain, Zareen
Badshah, Masroor
Siddique, Hafeez
Fiske, Christina
Pettit, April
Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title_full Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title_fullStr Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title_full_unstemmed Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title_short Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan
title_sort type of treatment supporters in successful completion of tuberculosis treatment: a retrospective cohort study in pakistan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044441/
https://www.ncbi.nlm.nih.gov/pubmed/30008966
http://dx.doi.org/10.2174/1874279301810010037
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