Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya

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dc.contributor.authorSang, Richard Kiplangat
dc.contributor.authorObwoge, Ronald Omenge
dc.contributor.authorKangethe, Simon
dc.contributor.authorAyiro, Laban Peter
dc.contributor.authorChangeiywo, Johnson Masai
dc.date.accessioned2019-09-11T06:32:10Z
dc.date.available2019-09-11T06:32:10Z
dc.date.issued2017-07-03
dc.description.abstractTuberculosis (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.en_US
dc.description.sponsorshipCommunity Health Department, Faculty of Health Sciences, Egerton University, Nakuru, Kenya Medical Education, Moi University, Eldoret, Kenya Moi University, Quality Assurance, Eldoret, Kenya Instruction and Educational Management Department, Egerton University, Nakuru, Kenyaen_US
dc.identifier.citationRichard Kiplangat Arap Sang, Ronald Omenge Obwoge, Simon Kangethe, Laban Peter Ayiro, Johnson Masai Changeiywo. Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya. Science Journal of Public Health. Vol. 5, No. 4, 2017, pp. 329-334. doi: 10.11648/j.sjph.20170504.18en_US
dc.identifier.issn2328-7950
dc.identifier.urihttps://repository.daystar.ac.ke/handle/123456789/2967
dc.language.isoenen_US
dc.publisherScience Journal of Public Healthen_US
dc.subjectNon-Adherenceen_US
dc.subjectTB Treatmenten_US
dc.subjectDefaulteren_US
dc.subjectPatient Factoren_US
dc.subjectTuberculosisen_US
dc.titlePatient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenyaen_US
dc.typeArticleen_US

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