Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini
Background: The human resources for health crisis in rural Eswatini led to a novel community-based multidrug-resistant tuberculosis (MDR-TB) treatment strategy based on task-shifting, that is delegation of directly observed treatment (DOT) and administration of MDR-TB injections, traditionally restr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2020-05-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/2257 |
| _version_ | 1819017114319585280 |
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| author | Ernest Peresu Christo J Heunis Gladys N Kigozi Diana De Grave |
| author_facet | Ernest Peresu Christo J Heunis Gladys N Kigozi Diana De Grave |
| author_sort | Ernest Peresu |
| collection | DOAJ |
| description | Background: The human resources for health crisis in rural Eswatini led to a novel community-based multidrug-resistant tuberculosis (MDR-TB) treatment strategy based on task-shifting, that is delegation of directly observed treatment (DOT) and administration of MDR-TB injections, traditionally restricted to professional nurses, to lay community treatment supporters (CTSs).
Aim: This study assessed the level of patient satisfaction with receiving community-based MDR-TB care from a CTS.
Setting: The study was conducted at three MDR-TB-treating facilities in the mostly rural Shiselweni region.
Methods: A cross-sectional survey of a purposive sample of 78 patients receiving DOT and intramuscular MDR-TB injections from CTSs was carried out in 2017. Descriptive statistics and regressions were calculated.
Results: A high overall general patient satisfaction score for receiving community-based MDR-TB care from a CTS was observed. Adherence counselling, confidentiality, provider selection and treatment costs significantly (p 0.05) influenced satisfaction. A large majority (n = 62; 79.5%) of patients indicated that they would likely recommend their significant others to receive MDR-TB care from a CTS. Respondents identified the need to provide CTSs with adequate training, regular supervision and sufficient incentives and also to broaden the scope of their services.
Conclusion: This study observed that task-shifting of DOT and MDR-TB injection administration to CTSs was supported from a patient perspective. However, adherence counselling, confidentiality, provider selection and treatment costs should be taken into account in community-based MDR-TB care programming. Further to the patients, community-based tuberculosis care could be enhanced by improving CTSs’ training, supervision and incentives, and broadening the scope of their services. |
| first_indexed | 2024-12-21T02:58:23Z |
| format | Article |
| id | doaj.art-dc1e098d19f342f78f495abc45aac45e |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-12-21T02:58:23Z |
| publishDate | 2020-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-dc1e098d19f342f78f495abc45aac45e2022-12-21T19:18:16ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362020-05-01121e1e1010.4102/phcfm.v12i1.2257716Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural EswatiniErnest Peresu0Christo J Heunis1Gladys N Kigozi2Diana De Grave3Centre for Development Support, Faculty of Economic and Management Sciences, University of the Free State, BloemfonteinCentre for Health Systems Research and Development, University of the Free State, BloemfonteinCentre for Health Systems Research and Development, University of the Free State, BloemfonteinFaculty of Business and Economics, University of Antwerp, AntwerpBackground: The human resources for health crisis in rural Eswatini led to a novel community-based multidrug-resistant tuberculosis (MDR-TB) treatment strategy based on task-shifting, that is delegation of directly observed treatment (DOT) and administration of MDR-TB injections, traditionally restricted to professional nurses, to lay community treatment supporters (CTSs). Aim: This study assessed the level of patient satisfaction with receiving community-based MDR-TB care from a CTS. Setting: The study was conducted at three MDR-TB-treating facilities in the mostly rural Shiselweni region. Methods: A cross-sectional survey of a purposive sample of 78 patients receiving DOT and intramuscular MDR-TB injections from CTSs was carried out in 2017. Descriptive statistics and regressions were calculated. Results: A high overall general patient satisfaction score for receiving community-based MDR-TB care from a CTS was observed. Adherence counselling, confidentiality, provider selection and treatment costs significantly (p 0.05) influenced satisfaction. A large majority (n = 62; 79.5%) of patients indicated that they would likely recommend their significant others to receive MDR-TB care from a CTS. Respondents identified the need to provide CTSs with adequate training, regular supervision and sufficient incentives and also to broaden the scope of their services. Conclusion: This study observed that task-shifting of DOT and MDR-TB injection administration to CTSs was supported from a patient perspective. However, adherence counselling, confidentiality, provider selection and treatment costs should be taken into account in community-based MDR-TB care programming. Further to the patients, community-based tuberculosis care could be enhanced by improving CTSs’ training, supervision and incentives, and broadening the scope of their services.https://phcfm.org/index.php/phcfm/article/view/2257community treatment supporterhuman resources for healthtask-shiftingmultidrug-resistant tuberculosisinjection administration |
| spellingShingle | Ernest Peresu Christo J Heunis Gladys N Kigozi Diana De Grave Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini African Journal of Primary Health Care & Family Medicine community treatment supporter human resources for health task-shifting multidrug-resistant tuberculosis injection administration |
| title | Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini |
| title_full | Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini |
| title_fullStr | Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini |
| title_full_unstemmed | Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini |
| title_short | Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini |
| title_sort | patient satisfaction with directly observed treatment and multidrug resistant tuberculosis injection administration by lay health workers in rural eswatini |
| topic | community treatment supporter human resources for health task-shifting multidrug-resistant tuberculosis injection administration |
| url | https://phcfm.org/index.php/phcfm/article/view/2257 |
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