Determinants of treatment completion among rural smear positive pulmonary tuberculosis patients:a cross-sectional survey conducted in south-western Uganda

作     者：Edgar Mugema Mulogo Christopher Nahabwe Fred Bagenda Vincent Batwala Mulogo Edgar Mugema;Nahabwe Christopher;Bagenda Fred;Batwala Vincent

作者机构：Department of Community HealthMbarara University of Science and TechnologyPO Box 1410MbararaUganda Rwampara Health Sub-DistrictPO Box 1MbararaUganda 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：940-946页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100214[医学-肿瘤学] 10[医学] 

基　　金：The research was financially supported by the Joint Clinical Research Centre’s(JCRC)International Clinical,Operational and Health Services Research(COHRE)program in Uganda The JCRC’s COHRE program did not participate in the design of the study,data collection,analysis,and interpretation of the data or the writing of the paper 

主　　题：Tuberculosis Treatment completion Determinants Rural Uganda 

摘      要：Background:Treatment completion among tuberculosis patients remains low across various regions of Uganda,despite implementation of directly observed treatment short *** study evaluated the determinants of treatment completion in a rural health sub-district of south western ***: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 *** of the 162 patients identified,128(79%)were traced and subsequently interviewed during a survey conducted in June ***(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 ***: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 ***:The level of treatment completion was higher than the national average,with service-related determinants identified as being critical for ensuring treatment *** data provide further evidence for the need to provide ongoing counselling support to tuberculosis *** the opportunities for counselling of tuberculosis patients should therefore be rigorously promoted as an approach to increase treatment completion in rural settings.