Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia

Ahmed Hussein; Omar Dahir; Abdirisak Yusuf Ahmed; Gallad Dahir Hassan; Samio Mohamud

doi:doi:10.11648/j.cajph.20210703.18

| Peer-Reviewed

Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia

Ahmed Hussein, Omar Dahir, Abdirisak Yusuf Ahmed, Gallad Dahir Hassan, Samio Mohamud

Published in Central African Journal of Public Health (Volume 7, Issue 3)

Received: 24 March 2021 Accepted: 8 April 2021 Published: 21 June 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: Tuberculosis (TB) is a global public health issue, it’s one of the oldest diseases known to affect humans which remains one of the highest leading of mortality worldwide. The main purpose of this study was to assess the factors which influencing to non-adherence TB- Treatment (Defaulters) among TB patient at Forlanini/Lazaretto Hospital-Mogadishu-Somalia. Methodology: - descriptive cross-sectional hospital-based study was conducted among patients who were not-adhered their medication attending TBMUs (FORLANINI/LAZARETITO Hospital-Mogadishu-Somalia)-from March to May 2019. A total of 103 defaulters were the respondents during the study period by using non-probability convenient sampling method. Data were collected by using structured questionnaire. Descriptive statistics was used using SPSS version 20 statistical software. The data were showed tables, figures and graphs for describing the data. Results: This study shades light on the defaulters of tuberculosis treatment among TB patients and it shows that the male population are the most people among the population who fail to complete the TB course of medication treatment with a percentage of 79.6% and women are recorded having much less percentage of defaulting TB medication with a percentage of 20.4%. In terms of education, those who have never been to school and the secondary level are least likely to default the medication with a percentage 12.6% each, followed post graduate level with 16.5% and university level having a percentage of 19.4%. The most likely patients that can default TB medication are the primary level population with a percentage of 38.8%the unemployed and the employed population have slight difference in the percentage of people who defaults the medication of TB with 32.0% and 30.1% respectively. The mothers who are housewives have a percentage of 16.5% and finally the employers have a percentage of 21.4% TB medical treatment defaults. Conclusion: the study concluded and recommended that there are urgent needs for continuous and effective health education for the patients and their families and social support when starting the medications to ensure adherence and compliance to anti tuberculosis drug as well as regular monitoring, counseling and follow-up with the patients and access to drugs and health care centers.

Published in	Central African Journal of Public Health (Volume 7, Issue 3)
DOI	10.11648/j.cajph.20210703.18
Page(s)	144-148
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tuberculosis, Adherence, Tuberculosis Treatment, Non-adherence, Defaulters

References

[1]	Lilian Bulage et al, The Quality of Tuberculosis Services in Health Care Centres in a Rural District in Uganda: The Providers’ and Clients’ Perspective, Hindawi Publishing Corporation Tuberculosis Research and Treatment Volume 2014, Article ID 685982, 11 pages.
[2]	Belay Mergya Eticha et al, Patients’ perspectives of the quality of tuberculosis treatment services in South Ethiopia, American Journal of Nursing Science. Vol. 3, No. 4, 2014, pp. 48-55. doi: 10.11648/j.ajns.20140304.12.
[3]	World vision, an impact evaluation of the world vision managed TB program, report on the evaluation of the global fund TB program in Somalia (2013).
[4]	Dye C, Gamett GP, Sleeman K, Williams BG: Prospects for worldwide tuberculosis control under the WHO DOTS strategy. Lancet 1998, 352: 1886-91.
[5]	World Health Organization: Treatment of Tuberculosis Guidelines for National Program. WHO/CDS/TB/2003.313. Third edition. Geneva, Switzerland: World Health Organization; 2003.
[6]	Pablos-Méndez A, Knirsch CA, Barr RG, Lerner BH, Frieden TR: Non- adherence in tuberculosis treatment: predictors and consequences in New.
[7]	World Health Organization WHO, Report on Treating patients for multidrug-resistant tuberculosis in Somalia; 2014 access available: http://www.emro.who.int/som/somalia-news/multidrug-resistant tuberculosis-somalia-treatment.html.
[8]	Talbot E A, Halabi S, Manchanda R, Mwansa M A, Wells C D. Knowledge, attitude, and beliefs about directly-administered antiretroviral therapy among tuberculosis patients, Botswana 2002. Int J STD AIDS 2004; 15: 282–283.
[9]	Finlay A F, van der Walt M, Holtz T H, Thorpe, L E, Wells C D, Weyer K. Treatment outcomes of patients with multidrug resistant tuberculosis in South Africa using a standardized regimen, 1999–2000. Boston, MA: Infectious Disease Society of America, September 2004, Poster session 58, N_2101.
[10]	World Health Organization. Adherence to long term therapies: evidence for action. WHO/MNC/03.01. Geneva, Switzerland: WHO, 2003.
[11]	Sumartojo E. When tuberculosis treatment fails: a social behavioural account of patient adherence. Am Rev Respir Dis 1993; 147: 1311–1320.
[12]	Prassad R, Rizavi DM, Surya Kant and A Jain. A comparison of unsupervised treatment along with intensive health education and directly observed treatment in pulmonary tuberculosis. Indian Journal of Tuberculosis. 2001; 48 (1): 21-24.
[13]	Bhat S, Singal N, Aggarwal CS and Jain RC. Knowledge attitudes and practices of newly diagnosed sputum positive cases of pulmonary tuberculosis. Journal of Communicable Diseases. 1999; 31 (4): 247-252.
[14]	Sawsan Elbireer, David Guwatudde, Peter Mudiope, Juliet Nabbuye-Sekandi and Yukari C. Tuberculosis treatment default among HIV-TB co-infected patients in urban Uganda. Journal of Tropical Medicine and International Health. doi: 10.1111/j.1365-3156.2011.02800.
[15]	Bernard N Muture, Margaret N Keraka, Peter K Kimuu, Ephantus W Kabiru, Victor O Ombeka and Francis Oguya. Factors associated with default from treatment among tuberculosis patients in nairobi province, Kenya: A case control study. doi: 10.1186/1471-2458-11-696.

Cite This Article

Plain Text BibTeX RIS

APA Style

Ahmed Hussein, Omar Dahir, Abdirisak Yusuf Ahmed, Gallad Dahir Hassan, Samio Mohamud. (2021). Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Central African Journal of Public Health, 7(3), 144-148. https://doi.org/10.11648/j.cajph.20210703.18

Copy | Download

ACS Style

Ahmed Hussein; Omar Dahir; Abdirisak Yusuf Ahmed; Gallad Dahir Hassan; Samio Mohamud. Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Cent. Afr. J. Public Health 2021, 7(3), 144-148. doi: 10.11648/j.cajph.20210703.18

Copy | Download

AMA Style

Ahmed Hussein, Omar Dahir, Abdirisak Yusuf Ahmed, Gallad Dahir Hassan, Samio Mohamud. Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Cent Afr J Public Health. 2021;7(3):144-148. doi: 10.11648/j.cajph.20210703.18

Copy | Download

@article{10.11648/j.cajph.20210703.18,
  author = {Ahmed Hussein and Omar Dahir and Abdirisak Yusuf Ahmed and Gallad Dahir Hassan and Samio Mohamud},
  title = {Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia},
  journal = {Central African Journal of Public Health},
  volume = {7},
  number = {3},
  pages = {144-148},
  doi = {10.11648/j.cajph.20210703.18},
  url = {https://doi.org/10.11648/j.cajph.20210703.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210703.18},
  abstract = {Background: Tuberculosis (TB) is a global public health issue, it’s one of the oldest diseases known to affect humans which remains one of the highest leading of mortality worldwide. The main purpose of this study was to assess the factors which influencing to non-adherence TB- Treatment (Defaulters) among TB patient at Forlanini/Lazaretto Hospital-Mogadishu-Somalia. Methodology: - descriptive cross-sectional hospital-based study was conducted among patients who were not-adhered their medication attending TBMUs (FORLANINI/LAZARETITO Hospital-Mogadishu-Somalia)-from March to May 2019. A total of 103 defaulters were the respondents during the study period by using non-probability convenient sampling method. Data were collected by using structured questionnaire. Descriptive statistics was used using SPSS version 20 statistical software. The data were showed tables, figures and graphs for describing the data. Results: This study shades light on the defaulters of tuberculosis treatment among TB patients and it shows that the male population are the most people among the population who fail to complete the TB course of medication treatment with a percentage of 79.6% and women are recorded having much less percentage of defaulting TB medication with a percentage of 20.4%. In terms of education, those who have never been to school and the secondary level are least likely to default the medication with a percentage 12.6% each, followed post graduate level with 16.5% and university level having a percentage of 19.4%. The most likely patients that can default TB medication are the primary level population with a percentage of 38.8%the unemployed and the employed population have slight difference in the percentage of people who defaults the medication of TB with 32.0% and 30.1% respectively. The mothers who are housewives have a percentage of 16.5% and finally the employers have a percentage of 21.4% TB medical treatment defaults. Conclusion: the study concluded and recommended that there are urgent needs for continuous and effective health education for the patients and their families and social support when starting the medications to ensure adherence and compliance to anti tuberculosis drug as well as regular monitoring, counseling and follow-up with the patients and access to drugs and health care centers.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia
AU  - Ahmed Hussein
AU  - Omar Dahir
AU  - Abdirisak Yusuf Ahmed
AU  - Gallad Dahir Hassan
AU  - Samio Mohamud
Y1  - 2021/06/21
PY  - 2021
N1  - https://doi.org/10.11648/j.cajph.20210703.18
DO  - 10.11648/j.cajph.20210703.18
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 144
EP  - 148
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20210703.18
AB  - Background: Tuberculosis (TB) is a global public health issue, it’s one of the oldest diseases known to affect humans which remains one of the highest leading of mortality worldwide. The main purpose of this study was to assess the factors which influencing to non-adherence TB- Treatment (Defaulters) among TB patient at Forlanini/Lazaretto Hospital-Mogadishu-Somalia. Methodology: - descriptive cross-sectional hospital-based study was conducted among patients who were not-adhered their medication attending TBMUs (FORLANINI/LAZARETITO Hospital-Mogadishu-Somalia)-from March to May 2019. A total of 103 defaulters were the respondents during the study period by using non-probability convenient sampling method. Data were collected by using structured questionnaire. Descriptive statistics was used using SPSS version 20 statistical software. The data were showed tables, figures and graphs for describing the data. Results: This study shades light on the defaulters of tuberculosis treatment among TB patients and it shows that the male population are the most people among the population who fail to complete the TB course of medication treatment with a percentage of 79.6% and women are recorded having much less percentage of defaulting TB medication with a percentage of 20.4%. In terms of education, those who have never been to school and the secondary level are least likely to default the medication with a percentage 12.6% each, followed post graduate level with 16.5% and university level having a percentage of 19.4%. The most likely patients that can default TB medication are the primary level population with a percentage of 38.8%the unemployed and the employed population have slight difference in the percentage of people who defaults the medication of TB with 32.0% and 30.1% respectively. The mothers who are housewives have a percentage of 16.5% and finally the employers have a percentage of 21.4% TB medical treatment defaults. Conclusion: the study concluded and recommended that there are urgent needs for continuous and effective health education for the patients and their families and social support when starting the medications to ensure adherence and compliance to anti tuberculosis drug as well as regular monitoring, counseling and follow-up with the patients and access to drugs and health care centers.
VL  - 7
IS  - 3
ER  -

Copy | Download

Author Information

Ahmed Hussein

Department of Public Health, College of Medicine and Health Science, Mogadishu University, Mogadishu, Somalia
Omar Dahir

College of Medicine and Health Science, Zamzam University of Science and Technology, Mogadishu, Somalia
Abdirisak Yusuf Ahmed

Martino Hospital, Mogadishu, Somalia
Gallad Dahir Hassan

Department of Public Health, College of Medicine and Health Science, Jamhuriya University of Science and Technology, Mogadishu, Somalia
Samio Mohamud

Somali Public Health Association, Mogadishu, Somalia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Ahmed Hussein, Omar Dahir, Abdirisak Yusuf Ahmed, Gallad Dahir Hassan, Samio Mohamud. (2021). Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Central African Journal of Public Health, 7(3), 144-148. https://doi.org/10.11648/j.cajph.20210703.18

Copy | Download

ACS Style

Ahmed Hussein; Omar Dahir; Abdirisak Yusuf Ahmed; Gallad Dahir Hassan; Samio Mohamud. Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Cent. Afr. J. Public Health 2021, 7(3), 144-148. doi: 10.11648/j.cajph.20210703.18

Copy | Download

AMA Style

Ahmed Hussein, Omar Dahir, Abdirisak Yusuf Ahmed, Gallad Dahir Hassan, Samio Mohamud. Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia. Cent Afr J Public Health. 2021;7(3):144-148. doi: 10.11648/j.cajph.20210703.18

Copy | Download

@article{10.11648/j.cajph.20210703.18,
  author = {Ahmed Hussein and Omar Dahir and Abdirisak Yusuf Ahmed and Gallad Dahir Hassan and Samio Mohamud},
  title = {Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia},
  journal = {Central African Journal of Public Health},
  volume = {7},
  number = {3},
  pages = {144-148},
  doi = {10.11648/j.cajph.20210703.18},
  url = {https://doi.org/10.11648/j.cajph.20210703.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210703.18},
  abstract = {Background: Tuberculosis (TB) is a global public health issue, it’s one of the oldest diseases known to affect humans which remains one of the highest leading of mortality worldwide. The main purpose of this study was to assess the factors which influencing to non-adherence TB- Treatment (Defaulters) among TB patient at Forlanini/Lazaretto Hospital-Mogadishu-Somalia. Methodology: - descriptive cross-sectional hospital-based study was conducted among patients who were not-adhered their medication attending TBMUs (FORLANINI/LAZARETITO Hospital-Mogadishu-Somalia)-from March to May 2019. A total of 103 defaulters were the respondents during the study period by using non-probability convenient sampling method. Data were collected by using structured questionnaire. Descriptive statistics was used using SPSS version 20 statistical software. The data were showed tables, figures and graphs for describing the data. Results: This study shades light on the defaulters of tuberculosis treatment among TB patients and it shows that the male population are the most people among the population who fail to complete the TB course of medication treatment with a percentage of 79.6% and women are recorded having much less percentage of defaulting TB medication with a percentage of 20.4%. In terms of education, those who have never been to school and the secondary level are least likely to default the medication with a percentage 12.6% each, followed post graduate level with 16.5% and university level having a percentage of 19.4%. The most likely patients that can default TB medication are the primary level population with a percentage of 38.8%the unemployed and the employed population have slight difference in the percentage of people who defaults the medication of TB with 32.0% and 30.1% respectively. The mothers who are housewives have a percentage of 16.5% and finally the employers have a percentage of 21.4% TB medical treatment defaults. Conclusion: the study concluded and recommended that there are urgent needs for continuous and effective health education for the patients and their families and social support when starting the medications to ensure adherence and compliance to anti tuberculosis drug as well as regular monitoring, counseling and follow-up with the patients and access to drugs and health care centers.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Defaulters of Tuberculosis Treatment Among MDR-TB Patients Attended in Forlanini/Lazaretto Hospital, Mogadishu, Somalia
AU  - Ahmed Hussein
AU  - Omar Dahir
AU  - Abdirisak Yusuf Ahmed
AU  - Gallad Dahir Hassan
AU  - Samio Mohamud
Y1  - 2021/06/21
PY  - 2021
N1  - https://doi.org/10.11648/j.cajph.20210703.18
DO  - 10.11648/j.cajph.20210703.18
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 144
EP  - 148
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20210703.18
AB  - Background: Tuberculosis (TB) is a global public health issue, it’s one of the oldest diseases known to affect humans which remains one of the highest leading of mortality worldwide. The main purpose of this study was to assess the factors which influencing to non-adherence TB- Treatment (Defaulters) among TB patient at Forlanini/Lazaretto Hospital-Mogadishu-Somalia. Methodology: - descriptive cross-sectional hospital-based study was conducted among patients who were not-adhered their medication attending TBMUs (FORLANINI/LAZARETITO Hospital-Mogadishu-Somalia)-from March to May 2019. A total of 103 defaulters were the respondents during the study period by using non-probability convenient sampling method. Data were collected by using structured questionnaire. Descriptive statistics was used using SPSS version 20 statistical software. The data were showed tables, figures and graphs for describing the data. Results: This study shades light on the defaulters of tuberculosis treatment among TB patients and it shows that the male population are the most people among the population who fail to complete the TB course of medication treatment with a percentage of 79.6% and women are recorded having much less percentage of defaulting TB medication with a percentage of 20.4%. In terms of education, those who have never been to school and the secondary level are least likely to default the medication with a percentage 12.6% each, followed post graduate level with 16.5% and university level having a percentage of 19.4%. The most likely patients that can default TB medication are the primary level population with a percentage of 38.8%the unemployed and the employed population have slight difference in the percentage of people who defaults the medication of TB with 32.0% and 30.1% respectively. The mothers who are housewives have a percentage of 16.5% and finally the employers have a percentage of 21.4% TB medical treatment defaults. Conclusion: the study concluded and recommended that there are urgent needs for continuous and effective health education for the patients and their families and social support when starting the medications to ensure adherence and compliance to anti tuberculosis drug as well as regular monitoring, counseling and follow-up with the patients and access to drugs and health care centers.
VL  - 7
IS  - 3
ER  -

Copy | Download