Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya
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Date
2017-07-03
Journal Title
Journal ISSN
Volume Title
Publisher
Science Journal of Health
Abstract
Tuberculosis (TB) is one of the world’s deadliest
communicable diseases and remains a global public health
problem with significant morbidity and mortality.[1, 2]
Globally, the tuberculosis (TB) mortality rate has fallen by
41 % since 1990, and the world is on track to reach the global
target of a 50 % reduction during 2015. [3] However, global
TB control has faced many challenges, with an estimated 8.7
million incident cases in 2011 and 1.4 million deaths from
TB since 2011.
Non adherence to TB treatment leads to high increase in
morbidity and mortality, prolonged TB infectiousness, multi
drug resistance, relapse and death and high cost of TB
treatment which translates to increased burden not only to the
nation but to the community TB control interventions.
Noncompliance to prescribed drug regimens is a major challenge
to attainment of TB treatment goal which is to cure patients
once they start treatment. Progress in responding to
multidrug-resistant TB (MDR-TB) remains slow, [3]
particularly in high-burden countries where the incidence of
MDR-TB is unacceptably high [3, 4]. In addition, global
economic crises and reduced investments in health services
threaten national tuberculosis control programs. [3, 5]
The Kenya National Tuberculosis, Leprosy and Lung
Disease Program (NTLD-P) has been implementing
initiatives towards achieving internationally agreed TB
control targets whose immediate short-term goal was to
achieve 70/85 targets – that is, to detect 70 % of infectious
TB and cure 85% of the detected cases and then sustain this
effort over a long time. The Kenya TB treatment defaulter
rate is 15% [8] Adherence to TB treatment is one of the
factors that lead to increase in cure rate and reduction in
morbidity and mortality and also decreased emergence of
multi drug resistant tuberculosis (MDR TB). Emergence of
MDR TB results in high cost of treatment. Though TB does
not discriminate on age, sex or education these factors are
thought to influence its spread. Previous research in different
contexts [7] has shown that there exist many factors
influencing non-compliance. They range from individual
patient, health care provider, health care delivery patterns and
socio-economic related factors.
Description
Journal Article
Keywords
Non-Adherence, TB Treatment, Defaulter, Patient Factor, Tuberculosis
Citation
Sang, R. A. et al. Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya. Science Journal of Health. 5(4). pp 329-334. 10.11648/j.sjph.20170504.18