Relationship between Patients Perception of Recovery, Distance to Health Facility and Tuberculosis Treatment Default in Ebonyi State, Nigeria


Relationship between Patients Perception of Recovery, Distance to Health Facility and Tuberculosis Treatment Default in Ebonyi State, Nigeria


Chikere Ifeanyi Ebirim1, Chijioke Akurunwa Agbaka2, Daniel Egbule3, Amobi Mkpuma1, Ugonma Winnie Dozie1, Judith Ezelotte 1
1Department of Public Health, Federal University of Technology Owerri, Nigeria.
2Eastern Summit Specialist Clinics, 37 Orlu Road, Amakohia Imo State
3National Agency for the Control of AIDS


International Research Journal of Public Health-2D code

With the current launch of End TB Strategy by World Health Organization, this is a global call to reduce Tuberculosis death by 95percent and tuberculosis incidence by 90 percent by the year 2035. It becomes imperative to investigate some factors that may hinder the achievement of this goal and find solution to these limiting factors. The aim of this study was to determine the influence of distance to Direct Observation Treatment (DOT) centre on one hand and patients’ perception of improved prognostic outcome on tuberculosis treatment default. A random sample of 150 tuberculosis patients on treatment between May – August 2016 attending different health centers in Ebonyi State, Nigeria were interviewed. Data were collected using self-administered questionnaires from consenting TB patients. Chi-square statistical technique at 5 percent level of significance was used to test the null hypothesis of no relationship. Results indicated that 83 of the 150 TB patients defaulted in their treatment regimen, giving a default rate of 55.3 percent. Residential distance to health /DOT center was statistically associated with Tuberculosis (TB) treatment default, default increased with travel distance between patients’ residence and treatment center (X2 = 16.7003; df = 2; p < 0.001). Also, patients’ experience of disappearance of signs and symptoms as evidence of improved prognosis (perception of recovery) of TB illness was statistically associated with TB treatment default (X2 = 12.5468, df = 4, P = 0.014 ). This study emphasized the need for suitable specific measures for reducing treatment non-compliance as well as proper and repeated motivation of patients during treatment e.g. referring patients to nearby DOT centers, improving contact and default tracing, DOTS expansion and consolidation etc.


Keywords: Tuberculosis, treatment default, non-compliance, treatment adherence, residential propinquity, DOT centre, perception of recovery

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