Factors Contributing to Tuberculosis (TB) Defaulter Rate in New Juaben Municipality in the Eastern Region of Ghana

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概要

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• Objective To identify the factors that influence compliance with the DOTs system and examine the factors related to defaulting among TB patients in New Juaben Municipality, Ghana.Methods A cross-sectional study was conducted in 2006 using a structured questionnaire on 165 TB patients who had registered in New Juaben District from January 2003 to December 2005. The odds ratios (OR) were calculated by comparing defaulters and non-defaulters in terms of sex, socio-demographic, and other relevant factors. Additional attitudes toward TB, and knowledge, and perception of TB among the patients were also evaluated.Results The response rate for the questionnaire was 84.8% (n=140). Of the respondents, 78 (55.7%) were defaulters, while 62 (44.3%) were non-defaulters. Defaulting from treatment was significantly associated with males (OR 4.73; 95% CI 2.31-9.68), distance of patient from the treatment centre (OR 6.14; 95% CI 2.94-12.83), financial status (OR 4.14; 95% CI 2.037-8.41), family support (OR 0.29; 95% CI 0.14-0.59), the attitudes of service providers (OR 2.72; 95% CI 1.36-5.45), and adverse effect of drugs (OR 3.00; 95% CI 1.48-6.09).Conclusion Treatment should be decentralized to the community level, and families of TB patients must be encouraged to fully support TB patients. There is a need for in-service training for staff to provide patients with effective counseling. Moreover social and financial support should be extended to the patients.

• 国立保健医療科学院の論文

著者

• Kodama Tomoko

  Department Of Pharmacy Gunma University Hospital

• Hyoi Nobuyuki

  Office of International Cooperation, National Institute of Public Health

• Boateng Samuel

  New Juaben Municapal, Eastern Regional Health Administration, Ghana

• Tachibana Tomoko

  Center for Information Research and Library, National Institute of Public Health

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