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|Title: ||Factors affecting implementation of community based directly observed treatment of tuberculosis, short course, in Hoima district - Uganda.|
|Authors: ||Amandu, Karl Linus|
|Keywords: ||Community health care|
|Issue Date: ||2006 |
|Abstract: ||Introduction: Tuberculosis is a communicable disease of human beings caused by Mycobacterium Tuberculosis bacteria. In CB-DOTS, tuberculosis patients are initially treated in a health centre by a health worker for two weeks before they are sent back to their communities to continue treatment, under supervision of a Community Volunteer.
Objectives: The specific objectives of the study were: To establish patient related factors influencing implementation of CB-DOTS in Hoima district; to establish community related factors affecting CB-DOTS implementation in Hoima district; and to establish health system related factors affecting CB-DOTS implementation in Hoima districts
Study design: This was a descriptive cross sectional study employing qualitative methods of data collection, intended to identify factors affecting implementation of CB-DOTS in Hoima district in 2003.
Results: The findings of the study show that not having a community volunteer, long waiting time at the health unit, distance of over 5km from the health unit, and use of other drugs in addition to the anti-TB drugs provided at the health unit, affect implementation of CB-DOTS. Tuberculosis patients who had community volunteers and those who did not experience stock-outs of anti-TB drugs at the health unit of treatment were more likely to have completed treatment. CB-DOTS patients who collect anti-TB drugs themselves from the Sub-county Health Worker were more likely not to complete treatment.
Recommendations: From the findings of the study it is recommended that community volunteers be trained before they begin to serve the communities, the district should ensure adequate supplies of anti-TB drugs and diagnostic materials at all TB treatment centers. It is further recommended that community members and HWs be sensitized on CB-DOTS and on how to humanely handle TB patients respectively. Traditional healers should also be integrated into TB care.|
|Description: ||A dissertation submitted to the School of Graduate Studies in partial fulfilment of the requirements for the award of the degree of Master of Public Health of Makerere University|
|Appears in Collections:||Thesis & Dissertations (Public-Health)|
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