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

Mulenga, Chanda; Mwakazanga, David; Vereecken, Kim; Khondowe, Shepherd; Kapata, Nathan; Shamputa, Isdore Chola; Meulemans, Herman; Rigouts, Leen
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p756
Academic Journal
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.


Related Articles

  • The Use of Legal Action in New York City to Ensure Treatment of Tuberculosis. Gasner, M. Rose; Maw, Khin Lay; Feldman, Gabriel E.; Fujiwara, Paula I.; Frieden, Thomas R. // New England Journal of Medicine;02/04/99, Vol. 340 Issue 5, p359 

    Background: and Methods After an increase in the number of cases of tuberculosis, New York City passed regulations to address the problem of nonadherence to treatment regimens. The commissioner of health can issue orders compelling a person to be examined for tuberculosis, to complete treatment,...

  • Tuberculosis: 9. Treatment. Hershfield, Earl // CMAJ: Canadian Medical Association Journal;8/24/99, Vol. 161 Issue 4, p405 

    Discusses the theoretical basis for treatment of tuberculosis (TB) in Canada and describes a number of accepted regimens. Drug therapy with first-line medications such as isoniazid, rifampin, and pyrazinamide; Second-line medications, including cycloserine, ethionamide, and fluoroquinolones;...

  • User engagement with and attitudes towards an interactive SMS reminder system for patients with tuberculosis. Mohammed, Shama; Siddiqi, Osman; Ali, Owais; Habib, Ali; Haqqi, Faraz; Kausar, Maimoona; Khan, Aamir J. // Journal of Telemedicine & Telecare;Oct2012, Vol. 18 Issue 7, p404 

    We conducted a qualitative study to understand user perceptions, acceptability and engagement with an interactive SMS reminder system designed to improve treatment adherence for patients with tuberculosis (TB). Patients received daily reminders and were asked to respond after taking their...

  • TUBERCULOSIS MANAGEMENT. Jabbar, Naila; Ali, Muhammad Arif; Sohail, Umair // Professional Medical Journal;2015, Vol. 22 Issue 9, p1144 

    Background: Medical practitioners are the main source of health care for patients in Pakistan due to their availability at all times. Limited information is available related to the management of Tuberculosis (TB) among the practitioners. Study Design: Cross sectional study. Setting: Through...

  • Thioridazine: an Old Neuroleptic effective against Totally Drug Resistant Tuberculosis. AMARAL, Leonard // Acta Medica Portuguesa;Mar/Apr2012, Vol. 25 Issue 2, p118 

    Globally, tuberculosis infections continue to increase their resistance to antibiotics. Multidrug resistant tuberculosis infections (MDR TB) have progressed to extensively drug resistance status (XDR TB) and the latter have evolved in some parts of the world to totally drug resistant (TDR TB)...

  • Case 23-1995. Benatar, S.R.; Mark, E.J. // New England Journal of Medicine;7/27/95, Vol. 333 Issue 4, p241 

    The article presents a case study involving a women with severe respiratory distress, bilateral pulmonary infiltrates, and increasing pancytopenia. The patient was initially treated with erythromycin and various antibiotics, all unsuccessfully. The woman is of Haitian origin and regularly...

  • Delamanid: A new armor in combating drug-resistant tuberculosis. Xavier, Alphienes Stanley; Lakshmanan, Mageshwaran // Journal of Pharmacology & Pharmacotherapeutics;Jul-Sep2014, Vol. 5 Issue 3, p222 

    Intense search has been made in the discovery of newer anti-TB drugs to tackle the issues such as drug resistance, HIV co-infection and risk of drug-drug interactions in the management of TB. Delamanid, a newer mycobacterial cell wall synthesis inhibitor, received a conditional approval from...

  • Current medical treatment for tuberculosis. Chan, Edward D.; Iseman, Michael D. // BMJ: British Medical Journal (International Edition);11/30/2002, Vol. 325 Issue 7375, p1282 

    Discusses how instigating effective treatment regiments in a way that improves patient adherence is vital to stopping the global resurgence of tuberculosis. Chemotherapy and multidrug regimen; Number of cases of tuberculosis worldwide; Causes of tuberculosis; Drug testing; Multidrug resistant...

  • PERFIL DOS PACIENTES COM TUBERCULOSE E OS FATORES ASSOCIADOS AO ABANDONO DO TRATAMENTO. de Oliveira Giroti, Suellen Karina; Belei, Renata Aparecida; Moreno, Fernanda Novaes; Salomão, Fernando // Cogitare Enfermagem;abr-jun2010, Vol. 15 Issue 2, p271 

    The purpose of this research was to identify risk factors associated with noncompliance of the patients treated for tuberculosis. We analyzed 147 records of tuberculosis notification from the Information System for Notifiable Diseases in the city of Londrina, Paraná, in 2006. It was found...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics