Shisanya, Morris Senghor (2017) Predictors of TB Treatment Adherence among Patients Aged above 18 Years Attending TB Clinic in Kisumu East Sub-County. Masters thesis, Masinde Muliro University of Science and Technology.
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Abstract
Tuberculosis (TB) contributes 2.7% of total Disability Adjusted Life Years (DALY) in low income countries. It is also the leading infectious cause of mortality and morbidity in these countries. Kenya is one of the countries with the highest burden of tuberculosis globally. The country still has poor treatment outcomes in a significant number of patients. These poor treatment outcomes have been considerably linked to TB treatment adherence problems. The study area, Kisumu East sub-County, had the lowest TB treatment cure rates (81%) in the country versus the recommended 85%. This can be linked to treatment adherence problems. Therefore, a cross sectional descriptive study was conducted to establish the predictors of TB treatment adherence among patients aged above 18 years attending TB clinics in Kisumu East sub-County. A total of 250 respondents were interviewed. Random numbers were used to assign respondents to the study from TB permanent register. An interviewer administered structured questionnaire was used to collect data from the respondents on the social, demographic, behavioral, biological, treatment and health system predictors of TB treatment adherence. The data was analyzed using descriptive statistics for sociodemographic variables and bivariate analysis as the selection criteria for inclusion in the binary logistic regression analysis. A p values (p≤0.05), Odds Ratios and 95% confidence interval (CI) were used to demonstrate association between selected variables. Adherence among the respondents was at 90.5% (226 respondents). Number of family members (OR: 6; 95%CI: 2-19;p= 0.005), having a family member to remind the patient when to take the drugs (OR:4; 95%CI:2-13;p=0.007) and time taken before seeking health care (OR: 3.7; 95%CI: 2.2-6.7; p<0.001) were significantly associated with adherence. This study is the first to estimate adherence level in the study area. Patients’ sociodemographic predictors of adherence should form basis for flagging some patients for adherence counseling, psychosocial support and community follow-up. The information generated from this study could be used by local TB programs for their Advocacy Communication and Social Mobilization (ACSM) in targeting the specific adherence predictors in the region.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 03 Dec 2018 12:40 |
| Last Modified: | 03 Dec 2018 12:40 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5634 |
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