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|Title: ||Risk factors for non-adherence to follow-up among patients treated for trypanosomiasis in Terego County, Arua District|
|Authors: ||Wamboga, Charles Wetaka|
Tsetse fly infestation – Sub-Saharan countries
Terego County – Arua – District – Uganda
Sleeping sickness - Uganda
|Issue Date: ||Jun-2003 |
About 60 million people are at risk of infection with Trypanosomiasis in 36 tsetse fly-infested sub-Saharan countries. Uganda is the only country known to have both species, distributed in two foci. The northern & northwestern foci have the Tb gambiense spp, while Tb rhodensiense is found in the southeastern region (Richman-LR, 1980). Non-adherence to follow-up has been estimated at 33% in Arua district; however, its predictors have not been studied.
The aim of this study was to establish risk factors for non-adherence to follow-up among patients treated for trypanosomiasis in Terego County, Arua district.
This was an unmatched case- control study that was carried out in Terego county, Arua district between February-April 2003. One hundred forty cases and 140 controls were studied. Cases were patients who were treated for Trypanosomiasis but did not complete the follow up schedule and controls were patients treated for Trypanosomiasis and did complete the follow-up schedule. Simple random sampling was used to select the cases and the controls from a sampling frame that was developed using records of patients treated between Jan 1997-Jan 2001who fulfilled the eligibility criteria. Quantitative data from respondents was collected using a structured questionnaire and qualitative data was obtained from key informants (DVCO, SSAs). Quantitative data was entered in EPI INFO version 6.04 statistical software and exported to SPSS version 10.0 for analysis while qualitative data was collected as text and analyzed along themes. Risk estimation was done using odds ratios while 95% confidence intervals and the p-values were used to test for significance of association.
Two hundred eighty individuals were studied. The predictors found to be independently associated with non-adherence to follow up protocol in Arua district after adjusting for other variables are the following: Fear of laboratory investigative procedures especially the lumbar puncture, lack of transport, staying at a distance >5kms to the health facility, feeling better, mild disease at presentation and having been passively screened.
Perceived consequences of lab procedures, severity of the disease and poor accessibility are important predictors for non-adherence to follow up and do influence an individual's care seeking behavior.|
|Description: ||A dissertation submitted in partial fulfillment of the requirements for the award of the degree of Master of Science in Clinical Epidemiology and Biostatistics of Makerere University|
|Appears in Collections:||Theses & Dissertations (Sch. of Med.)|
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