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Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya

Received: 9 September 2016     Accepted: 12 November 2016     Published: 12 December 2016
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Abstract

Tuberculosis is an infectious disease caused by mycobacterium tuberculosis (MTB) which is transmitted through the air or by ingesting infected milk or meat (bovine Tb). It is major public health problem worldwide. The study sought to determine factors contributing to patient defaulting to tuberculosis treatment in Nakuru East and West Sub-Counties, Nakuru County. The study adopted a descriptive cross-sectional study design. The target populations were patients who had defaulted TB treatment in various health facilities of Nakuru East and West Sub-Counties, Nakuru County. They were estimated to be 70 clients according to District Health Information System, 2015. The study utilized convenient sampling method to access the respondents among the traced TB defaulters. Interview schedule was used as data collection tool. Data collected was analyzed by use of Statistical Package for Social Sciences (SPSS) version 21 and presented by use of tables. The study result found that majority of the respondents was male 38 (90.5%) while the minority was female 4 (4%). Counseling services to were; 7 (16.7%) only counseled during the first visit for treatment, 17 (40.5%) on each visit, 13 (31%) once a while 5 (11.9%) were never counseled 26 (61.9%) of the respondents were casual laborers, 3 (7.1%) were self-employed, 3 (7.1%) were employed and 7 (16.7%) were dependants and that 2 (9.5%) of the respondents believed that TB can be cured using traditional medicine while 40 (90.5%) did not belief that. The study recommends that health education should be intensified within the communities, focusing on all the TB patients to be intensified, particularly at the beginning of treatment, with reinforcement at each visit using the local language. This intensification should be comprehensive to include duration of treatment, possible side effects and how to deal with them, consequences of not completing TB treatment and the dangers of using traditional medicines during TB treatment.

Published in Journal of Family Medicine and Health Care (Volume 2, Issue 4)
DOI 10.11648/j.jfmhc.20160204.23
Page(s) 108-113
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Tuberculosis Treatment, Defaulting, Compliance, Contributing Factors

References
[1] Bernard, N, Margaret, N, Peter, K, Emphantus. W, Vicort, V, D And Francis O (2011). Factors associated with default form treatment among tuberculosis patients in Nairobi province Kenya; a care control study. Nairobi Kenya university f Nairobi.
[2] Beuchamp, T. L. and Childress, J. F. (2009). Principles of biomedical ethics. 6th edition. New York: Oxford university press.
[3] Caminero. JA (2008). Likelihood of generating MDR- TB and XDR- Tb under adequate national tuberculosis control programme implementation. International journal for TB and lung diseases 12 (8); 869-877.
[4] Carpara, J. (2009). Convenience sampling applied to research. New York: Oxford.
[5] Comb S. K. (2010). The practice of nursing research: conduct, critique and utilization. 5th edition. St Louis: Saunders Elsevier.
[6] Connolly. C, Davies, G. R. & Wilkinson, D. (2009). Who fails to complete tuberculosis treatment. International Journal against Tuberculosis and Lung Disease, 3 (12): 1 081-7.
[7] Eastwood, S. V. & Hill, P. C. (2008). A gender-focused qualitative study of barriers to accessing tuberculosis treatment in the Gambia, West Africa. International Journal for Tuberculosis and Lung Diseases, 8 (1): 70-75.
[8] Gad, A, Ahmed, M. A, Aida, A. A, Zahira, M. & Sunny, S. (2010). Compliance with anti-tuberculosis drugs among tuberculosis patients in Alexandria, Egypt PLosMed, 3 (2): 244-250.
[9] Gandhi, R. (2010). Treatment compliance and its contributory factors on pulmonary TB. Unpublished Masters dissertation. Bangalore: University of Health Sciences.
[10] Glatthaar, E. (2013). Tuberculosis Control in South Africa. The South African Medical Journal, 17: 36-41.
[11] Gnennassi A (2007). Factors that contribute to non-compliance with TB treatment in regional TB centre; Burkina Faso medical journal.
[12] Hodgson, I. J, Desclaux, A. & Mukasa, D. S. (2009). Barriers to better care for people with AIDS in developing countries, British Medical Journal, 329: 1281-1283.
[13] International Union against TB and Lung Disease (IUATLD). (2010). Management of TB: A guide to the essentials of good practice. 6th edition. Paris: Misereor.
[14] ITECH (2008). Physician training on the use of the national guidelines for the management of Tb.
[15] Jonakan, N. &Senevirate, R. (2011). Factors contributing to medication noncompliance of newly diagnosed smear positive pulmonary TB patients, Asia Pacific Journal Public health, 2 (23): 315-323.
[16] Kamolratanakul, A. (2009). Patient adherence to TB treatment in low income societies, Unpublished Masters dissertation, Harare: University of Zimbabwe.
[17] Kaona, F. A, Tuba, M, Siziya, S. & Sikaona, L. (2011). An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment. BMC public health, 29 (4): 68.
[18] Laserso RF and Wells, CD, (2007). Reaching the target for TB control the impact of HIV World Health Organization bulleting 85 (5) 1. 377-381.
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  • APA Style

    Ronald Omenge Obwoge, Emily Sigilai, Richard K. A. Sang. (2016). Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya. Journal of Family Medicine and Health Care, 2(4), 108-113. https://doi.org/10.11648/j.jfmhc.20160204.23

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    ACS Style

    Ronald Omenge Obwoge; Emily Sigilai; Richard K. A. Sang. Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya. J. Fam. Med. Health Care 2016, 2(4), 108-113. doi: 10.11648/j.jfmhc.20160204.23

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    AMA Style

    Ronald Omenge Obwoge, Emily Sigilai, Richard K. A. Sang. Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya. J Fam Med Health Care. 2016;2(4):108-113. doi: 10.11648/j.jfmhc.20160204.23

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  • @article{10.11648/j.jfmhc.20160204.23,
      author = {Ronald Omenge Obwoge and Emily Sigilai and Richard K. A. Sang},
      title = {Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya},
      journal = {Journal of Family Medicine and Health Care},
      volume = {2},
      number = {4},
      pages = {108-113},
      doi = {10.11648/j.jfmhc.20160204.23},
      url = {https://doi.org/10.11648/j.jfmhc.20160204.23},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160204.23},
      abstract = {Tuberculosis is an infectious disease caused by mycobacterium tuberculosis (MTB) which is transmitted through the air or by ingesting infected milk or meat (bovine Tb). It is major public health problem worldwide. The study sought to determine factors contributing to patient defaulting to tuberculosis treatment in Nakuru East and West Sub-Counties, Nakuru County. The study adopted a descriptive cross-sectional study design. The target populations were patients who had defaulted TB treatment in various health facilities of Nakuru East and West Sub-Counties, Nakuru County. They were estimated to be 70 clients according to District Health Information System, 2015. The study utilized convenient sampling method to access the respondents among the traced TB defaulters. Interview schedule was used as data collection tool. Data collected was analyzed by use of Statistical Package for Social Sciences (SPSS) version 21 and presented by use of tables. The study result found that majority of the respondents was male 38 (90.5%) while the minority was female 4 (4%). Counseling services to were; 7 (16.7%) only counseled during the first visit for treatment, 17 (40.5%) on each visit, 13 (31%) once a while 5 (11.9%) were never counseled 26 (61.9%) of the respondents were casual laborers, 3 (7.1%) were self-employed, 3 (7.1%) were employed and 7 (16.7%) were dependants and that 2 (9.5%) of the respondents believed that TB can be cured using traditional medicine while 40 (90.5%) did not belief that. The study recommends that health education should be intensified within the communities, focusing on all the TB patients to be intensified, particularly at the beginning of treatment, with reinforcement at each visit using the local language. This intensification should be comprehensive to include duration of treatment, possible side effects and how to deal with them, consequences of not completing TB treatment and the dangers of using traditional medicines during TB treatment.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Factors Contributing to Patient Default of Tuberculosis Treatment in Health Facilities Within Nakuru East and West Sub-Counties-Kenya
    AU  - Ronald Omenge Obwoge
    AU  - Emily Sigilai
    AU  - Richard K. A. Sang
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    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.jfmhc.20160204.23
    AB  - Tuberculosis is an infectious disease caused by mycobacterium tuberculosis (MTB) which is transmitted through the air or by ingesting infected milk or meat (bovine Tb). It is major public health problem worldwide. The study sought to determine factors contributing to patient defaulting to tuberculosis treatment in Nakuru East and West Sub-Counties, Nakuru County. The study adopted a descriptive cross-sectional study design. The target populations were patients who had defaulted TB treatment in various health facilities of Nakuru East and West Sub-Counties, Nakuru County. They were estimated to be 70 clients according to District Health Information System, 2015. The study utilized convenient sampling method to access the respondents among the traced TB defaulters. Interview schedule was used as data collection tool. Data collected was analyzed by use of Statistical Package for Social Sciences (SPSS) version 21 and presented by use of tables. The study result found that majority of the respondents was male 38 (90.5%) while the minority was female 4 (4%). Counseling services to were; 7 (16.7%) only counseled during the first visit for treatment, 17 (40.5%) on each visit, 13 (31%) once a while 5 (11.9%) were never counseled 26 (61.9%) of the respondents were casual laborers, 3 (7.1%) were self-employed, 3 (7.1%) were employed and 7 (16.7%) were dependants and that 2 (9.5%) of the respondents believed that TB can be cured using traditional medicine while 40 (90.5%) did not belief that. The study recommends that health education should be intensified within the communities, focusing on all the TB patients to be intensified, particularly at the beginning of treatment, with reinforcement at each visit using the local language. This intensification should be comprehensive to include duration of treatment, possible side effects and how to deal with them, consequences of not completing TB treatment and the dangers of using traditional medicines during TB treatment.
    VL  - 2
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    ER  - 

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Author Information
  • Department of Community Health, Faculty of Health Sciences, Egerton University, Nakuru, Kenya

  • Department of Tuberculosis and Leprosy, Ministry Health, Nakkuru County, Kenya

  • Department of Community Health, Faculty of Health Sciences, Egerton University, Nakuru, Kenya

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