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Management of pulmonary tuberculosis patients in an urban setting in Zambia: a patient's perspective

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dc.contributor.author Mulenga, C.
dc.contributor.author Mwakazanga, D.
dc.contributor.author Vereecken, K.
dc.contributor.author Khondowe, S.
dc.contributor.author Kapata, N.
dc.contributor.author Shamputa, I. C.
dc.contributor.author Meulemans, H.
dc.contributor.author Rigouts, L.
dc.date.accessioned 2010-12-17T13:14:16Z
dc.date.available 2010-12-17T13:14:16Z
dc.date.issued 2010
dc.identifier.issn 1471-2458
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-10-756
dc.identifier.other ITG-M1B
dc.identifier.other ITG-P3B
dc.identifier.other ITG-MLA
dc.identifier.other MULTI
dc.identifier.other MICRO
dc.identifier.other U-MYCOB
dc.identifier.other PARAS
dc.identifier.other U-SCHISTO
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Electronic
dc.identifier.other Abstract
dc.identifier.other UPD28
dc.identifier.other FTA
dc.identifier.uri http://hdl.handle.net/10390/6394
dc.description.abstract BACKGROUND: Zambia continues to grapple with a high tuberculosis (TB) burden despite a long running Directly Observed Treatment Short course programme. Understanding issues that affect patient adherence to treatment programme is an important component in implementation of a successful TB control programme. We set out to investigate pulmonary TB patient's attitudes to seek health care, assess the care received from government health care centres based on TB patients' reports, and to seek associations with patient adherence to TB treatment programme. METHODS: This was a cross-sectional study of 105 respondents who had been registered as pulmonary TB patients (new and retreatment cases) in Ndola District between January 2006 and July 2007. We administered a structured questionnaire, bearing questions to obtain individual data on socio-demographics, health seeking behaviour, knowledge on TB, reported adherence to TB treatment, and health centre care received during treatment to consenting respondents. RESULTS: We identified that respondents delayed to seek treatment (68%) even when knowledge of TB symptoms was high (78%) or when they suspected that they had TB (73%). Respondent adherence to taking medication was high (77%) but low adherence to submitting follow-up sputum (47%) was observed in this group. Similarly, caregivers educate their patients more often on the treatment of the disease (98%) and drug taking (100%), than on submitting sputum during treatment (53%) and its importance (54%). Respondent adherence to treatment was significantly associated with respondent's knowledge about the disease and its treatment (p < 0.0001), and with caregiver's adherence to treatment guidelines (p = 0.0027). CONCLUSIONS: There is a need to emphasise the importance of submitting follow-up sputum during patient education and counselling in order to enhance patient adherence and ultimately treatment outcome en
dc.language English en
dc.subject Bacterial diseases en
dc.subject Pulmonary en
dc.subject Tuberculosis en
dc.subject Mycobacterium tuberculosis en
dc.subject Control programs en
dc.subject DOTS en
dc.subject Compliance en
dc.subject Health care seeking behavior en
dc.subject Attitudes en
dc.subject Associations en
dc.subject Government health care en
dc.subject Health services en
dc.subject Patient's perspective en
dc.subject Knowledge en
dc.subject Sociodemographic aspects en
dc.subject Medical consumption en
dc.subject Sputum en
dc.subject Treatment guidelines en
dc.subject Zambia en
dc.subject Africa, Southern en
dc.title Management of pulmonary tuberculosis patients in an urban setting in Zambia: a patient's perspective en
dc.type Article-E en
dc.citation.issue 756 en
dc.citation.jtitle BMC Public Health en
dc.citation.volume 10 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/21138565
dc.citation.jabbreviation BMC Public Health en


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