Browsing by Author "Changeiywo, Johnson Masai"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Healthcare Givers’ Factors that Contribute to Non-Adherence to Tuberculosis Treatment among Tb Patients in Kericho and Nakuru Counties, Kenya
    (IOSR Journal of Dental and Medical Sciences, 2017-11-28) Sang, Richard K.A.; Kangethe, Simon; Ayiro, Laban Peter; Changeiywo, Johnson Masai
    Background:Tuberculosis (TB) continues to be a major cause of high morbidity and mortality in Kenya. Adherence to TB treatment is one of the interventions that lead to increase in cure rate thus reducing mortality and emergence of Multi drug resistant tuberculosis (MDR) and high cost of treatment. This study focused on TB patients in urban and rural areas of Kericho and Nakuru Counties of Kenya. Objective: The objective of the study was to isolate the healthcare givers’ factors that contribute to non adherence to medication among Tb patients. Methods: A purposive sampling method was used to carry out a cross sectional descriptive survey with retrospective cohort of non-adherent TB patients. Target population was smear positive TB patients registered in the TB registers in the two counties, within the past six months (June-December 2015) at the commencement date of the study. Data was collected using developed interview schedules and questionnaires. Respondents were traced non-adherent smear positive TB patients (defaulters) and health care workers. Age, gender, inadequate knowledge, ignorance on need for treatment adherence, stigma, alcoholism, social and economic factors such as low income, lack of social support, low education, financial problems, drug side effects were analyzed using SPSS platform that generated graphs and tables. Results: Feeling well soon after medication initiation, drug side effects, stigma, alcoholism, low educational level, poor financial status, unemployment, shortage of Tb drugs including unavailability of pyridoxine which is essential in counteracting drug side effects were associated with defaulting. Healthcare workers were found to be poorly prepared to treat Tb patients. Existing training curricula in training institutions are deficient and wanting in components of management skills and devoid of soft skills applications. Conclusion: Socio-demographic and socio-cultural/economic factors associated with non-adherence to treatment included ignorance on need for treatment adherence, stigma, alcoholism, poverty, low income and inadequately prepared healthcare workers who seemed poor in treating Tb patients. Available training curricula in training institutions are inappropriate. Recommendations: A deliberate and sustained plan on patients’ health education regarding adherence to medication and stigma reduction must be emphasized. Staffs’ updates on Tb treatment must be regularly enhanced through continuing medical education forums. Existing training curricula in training institutions need to be revised and updated to include practical components that touch on patients’ management skills reinforced with mandatory hands on soft skills applications for all trainees.
  • Thumbnail Image
    Item
    Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya
    (Science Journal of Public Health, 2017-07-03) Sang, Richard Kiplangat; Obwoge, Ronald Omenge; Kangethe, Simon; Ayiro, Laban Peter; Changeiywo, Johnson Masai
    Tuberculosis (TB) continues to be a major cause of high morbidity and mortality in Kenya. Adherence to TB treatment is one of the interventions that lead to increase in cure rate thus reducing mortality and emergence of Multi drug resistant tuberculosis (MDR) and high cost of treatment. This study focused on TB patients in urban and rural areas of Kericho and Nakuru Counties. The study was to determine the patient factors which contribute to non-adherence to TB treatment. A purposive sampling method was used to carry out a cross sectional descriptive survey with retrospective cohort of nonadherent TB patients. Target population was smear positive TB patients registered in the TB registers in the two counties, within the past six months at the commencement date of the study. Data was collected using adopted/ developed observation forms/checklists, interview schedules and questionnaires. Respondents were traced non-adherent smear positive TB patients (defaulters), care supporters and health care workers. Collected data was analyzed using SPSS platform. Age, gender, inadequate knowledge, ignorance on need for treatment adherence, stigma, alcoholism, social and economic factors such as low income, lack of social support, low education, financial problems, drug side effects were analyzed. Feeling well soon after medication initiation, drug side effects, low educational level, poor financial status, unemployment, shortage of Tb drugs including unavailability of pyridoxine which is essential in counteracting drug side effects and were associated with defaulting. Staff should also intensify adherence counselling targeting effect of personal factor to adherence. The County of Nakuru and Kericho’s Ministry of Health to increase awareness on Tb and make the public aware of the importance of TB control.