Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda
Abstract Background Treatment completion among tuberculosis patients remains low across various regions of Uganda, despite implementation of directly observed treatment short course. This study evaluated the determinants of treatment completion in a rural health sub-district of south western Uganda....
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | Infectious Diseases of Poverty |
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| Online Access: | http://link.springer.com/article/10.1186/s40249-017-0313-3 |
| _version_ | 1811260157721575424 |
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| author | Edgar Mugema Mulogo Christopher Nahabwe Fred Bagenda Vincent Batwala |
| author_facet | Edgar Mugema Mulogo Christopher Nahabwe Fred Bagenda Vincent Batwala |
| author_sort | Edgar Mugema Mulogo |
| collection | DOAJ |
| description | Abstract Background Treatment completion among tuberculosis patients remains low across various regions of Uganda, despite implementation of directly observed treatment short course. This study evaluated the determinants of treatment completion in a rural health sub-district of south western Uganda. Methods In April 2012, health facility records were reviewed to identify tuberculosis patients who had been initiated on treatment between June 2008 and May 2011, in Rwampara Health Sub-District, south-western Uganda. Out of the 162 patients identified, 128 (79%) were traced and subsequently interviewed during a survey conducted in June 2012. Eleven (6.8%) of the 162 patients died, while 23 (14.2%) could not be traced. A review of records showed that 17 of those that could not be traced completed treatment while the other six did not have definitive records. Results Treatment completion among the 128 patients interviewed was 89.8%. Pre-treatment counselling (aOR = 24.3, 95% CI: 1.4–26.6, P = 0.03), counselling at the time of submission of sputum during follow up (aOR = 6.8, 95% CI: 1.4–33.7, P = 0.02), and refill of drugs on the exact appointment date (aOR = 13.4, 95% CI: 1.9–93.0, P = 0.01), were independently associated with treatment completion. Conclusions The level of treatment completion was higher than the national average, with service- related determinants identified as being critical for ensuring treatment completion. These data provide further evidence for the need to provide ongoing counselling support to tuberculosis patients. Enhancing the opportunities for counselling of tuberculosis patients should therefore be rigorously promoted as an approach to increase treatment completion in rural settings. |
| first_indexed | 2024-04-12T18:43:14Z |
| format | Article |
| id | doaj.art-4b9ffa078c2249189d4416175ddeb5ba |
| institution | Directory Open Access Journal |
| issn | 2049-9957 |
| language | English |
| last_indexed | 2024-04-12T18:43:14Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Infectious Diseases of Poverty |
| spelling | doaj.art-4b9ffa078c2249189d4416175ddeb5ba2022-12-22T03:20:42ZengBMCInfectious Diseases of Poverty2049-99572017-07-01611710.1186/s40249-017-0313-3Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western UgandaEdgar Mugema Mulogo0Christopher Nahabwe1Fred Bagenda2Vincent Batwala3Department of Community Health, Mbarara University of Science and TechnologyRwampara Health Sub-DistrictDepartment of Community Health, Mbarara University of Science and TechnologyDepartment of Community Health, Mbarara University of Science and TechnologyAbstract Background Treatment completion among tuberculosis patients remains low across various regions of Uganda, despite implementation of directly observed treatment short course. This study evaluated the determinants of treatment completion in a rural health sub-district of south western Uganda. Methods In April 2012, health facility records were reviewed to identify tuberculosis patients who had been initiated on treatment between June 2008 and May 2011, in Rwampara Health Sub-District, south-western Uganda. Out of the 162 patients identified, 128 (79%) were traced and subsequently interviewed during a survey conducted in June 2012. Eleven (6.8%) of the 162 patients died, while 23 (14.2%) could not be traced. A review of records showed that 17 of those that could not be traced completed treatment while the other six did not have definitive records. Results Treatment completion among the 128 patients interviewed was 89.8%. Pre-treatment counselling (aOR = 24.3, 95% CI: 1.4–26.6, P = 0.03), counselling at the time of submission of sputum during follow up (aOR = 6.8, 95% CI: 1.4–33.7, P = 0.02), and refill of drugs on the exact appointment date (aOR = 13.4, 95% CI: 1.9–93.0, P = 0.01), were independently associated with treatment completion. Conclusions The level of treatment completion was higher than the national average, with service- related determinants identified as being critical for ensuring treatment completion. These data provide further evidence for the need to provide ongoing counselling support to tuberculosis patients. Enhancing the opportunities for counselling of tuberculosis patients should therefore be rigorously promoted as an approach to increase treatment completion in rural settings.http://link.springer.com/article/10.1186/s40249-017-0313-3TuberculosisTreatment completionDeterminantsRural Uganda |
| spellingShingle | Edgar Mugema Mulogo Christopher Nahabwe Fred Bagenda Vincent Batwala Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda Infectious Diseases of Poverty Tuberculosis Treatment completion Determinants Rural Uganda |
| title | Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda |
| title_full | Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda |
| title_fullStr | Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda |
| title_full_unstemmed | Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda |
| title_short | Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients: a cross-sectional survey conducted in south-western Uganda |
| title_sort | determinants of treatment completion among rural smear positive pulmonary tuberculosis patients a cross sectional survey conducted in south western uganda |
| topic | Tuberculosis Treatment completion Determinants Rural Uganda |
| url | http://link.springer.com/article/10.1186/s40249-017-0313-3 |
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