Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia

Mulatu Kassie; Amanu Aragaw; Alemayehu Belay

doi:doi:10.11648/j.sjph.s.2015030101.12

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Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia

Mulatu Kassie, Amanu Aragaw, Alemayehu Belay

Published in Science Journal of Public Health (Volume 3, Issue 1-1)

Received: 5 April 2014 Accepted: 16 May 2014 Published: 14 June 2014

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Abstract

The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.

Published in	Science Journal of Public Health (Volume 3, Issue 1-1) This article belongs to the Special Issue Health Behavior and Public Health
DOI	10.11648/j.sjph.s.2015030101.12
Page(s)	6-13
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), 2014. Published by Science Publishing Group

Keywords

Quality, DOTS, Bahir Dar City Administration, Ethiopia

References

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[2]	FMOH. Tuberculosis national survey in Ethiopia. 1st edition July 2011; Addis Ababa
[3]	FMOH. Manual for Tuberculoses, Leprosy and TB/HIV prevention and control program, 5th edition. 2011.
[4]	Edwards D. The Definition of Quality and Approaches to Its Assessment, 2003.
[5]	Donabedian A. An introduction to quality assurance in health care. New York: Oxford University Press, Inc. 2003.
[6]	World Health organization. WHO 2012 Global Tuberculosis Control report. Geneva: World Health Organization; 2012.
[7]	F MH. Guideline for Program and clinical management Of Drug resistant tuberculosis First edition, April 2009.
[8]	WHO. Treatment of tuberculosis guideline. 4th edition, 2009.
[9]	Marta S. Confronting a hidden disease: Tuberculosis in Roma Community. Roma. www.soros.org/initiatives/health/focus/roma.
[10]	Sweta G, Sanjay G, d Dig amber B. Rea-sons for interruption of anti-tubercular treatment as reported by patients with tuberculosis ad-mitted in a tertiary care institution in India, 2007.
[11]	Samuel A, Tomoko K. Factors Contri-buting to Tuberculosis (TB) Defaulter Rate in New Juaben Municipality in the Eastern Region of Ghana. Journd of the National Institute of Public Health　2010.
[12]	Nour El-Din M, Elhoseeny T, and Mohsen A.M. Factors affecting defaulting from DOTS therapy under the national pro-gramme of tuberculosis control in Alexandria, Egypt, 2010.
[13]	Lienhardt C. and Rustomjee R. Improving Tuberculosis control: an interdisciplinary approach. The Lancet 2006; 367:949-950
[14]	Madebo T. Clinical and operational challenges in the control of TB in South-ern Ethiopia. Center for international Health University of Bergan Norway, 2003.
[15]	Hill P. C, Stevens W, Hill J. Bah, S. DonkoA. R... Risk factors for defaulting from TB treatment: a prospective cohort study of 301 cases in Gambia. The International Journal of TB and lung diseas-es.2003.
[16]	Mengiste M, Tesfaye W, Madley R. The quality of TB diagnosis in destrict of Tigray Region of Northern Ethiopia. Ethiopian Journal Health Development Journal. 2005
[17]	Mengiste M, James N, John W, Amanuel G, Tassew T... Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts, May 2009.
[18]	Girma A. Quality Assessment of Directly Observed Treatment Short-Course of Tu-berculosis in Afar National Regional State,2007.(Not published)
[19]	Taddese G, Challi J, and Fitsum G. Assessment of Quality of Care Delivered for Infectious Pulmonary Tuberculosis Patients in Jimma Zone, 2008.

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Mulatu Kassie, Amanu Aragaw, Alemayehu Belay. (2014). Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Science Journal of Public Health, 3(1-1), 6-13. https://doi.org/10.11648/j.sjph.s.2015030101.12

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ACS Style

Mulatu Kassie; Amanu Aragaw; Alemayehu Belay. Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Sci. J. Public Health 2014, 3(1-1), 6-13. doi: 10.11648/j.sjph.s.2015030101.12

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AMA Style

Mulatu Kassie, Amanu Aragaw, Alemayehu Belay. Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Sci J Public Health. 2014;3(1-1):6-13. doi: 10.11648/j.sjph.s.2015030101.12

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@article{10.11648/j.sjph.s.2015030101.12,
  author = {Mulatu Kassie and Amanu Aragaw and Alemayehu Belay},
  title = {Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {1-1},
  pages = {6-13},
  doi = {10.11648/j.sjph.s.2015030101.12},
  url = {https://doi.org/10.11648/j.sjph.s.2015030101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.s.2015030101.12},
  abstract = {The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.},
 year = {2014}
}

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TY  - JOUR
T1  - Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia
AU  - Mulatu Kassie
AU  - Amanu Aragaw
AU  - Alemayehu Belay
Y1  - 2014/06/14
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.s.2015030101.12
DO  - 10.11648/j.sjph.s.2015030101.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 6
EP  - 13
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.s.2015030101.12
AB  - The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.
VL  - 3
IS  - 1-1
ER  -

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Author Information

Mulatu Kassie

Department of community health, Bahir Dar health Science College, Bahir Dar city, Ethiopia
Amanu Aragaw

Academic Vice dean Bahir Dar health science college, Bahir Dar City, Ethiopia
Alemayehu Belay

Department of Health Education and Promotion, Felege Hiwot Referral Hospital, Bahir Dar City, Ethiopia

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APA Style

Mulatu Kassie, Amanu Aragaw, Alemayehu Belay. (2014). Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Science Journal of Public Health, 3(1-1), 6-13. https://doi.org/10.11648/j.sjph.s.2015030101.12

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ACS Style

Mulatu Kassie; Amanu Aragaw; Alemayehu Belay. Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Sci. J. Public Health 2014, 3(1-1), 6-13. doi: 10.11648/j.sjph.s.2015030101.12

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AMA Style

Mulatu Kassie, Amanu Aragaw, Alemayehu Belay. Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia. Sci J Public Health. 2014;3(1-1):6-13. doi: 10.11648/j.sjph.s.2015030101.12

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@article{10.11648/j.sjph.s.2015030101.12,
  author = {Mulatu Kassie and Amanu Aragaw and Alemayehu Belay},
  title = {Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {1-1},
  pages = {6-13},
  doi = {10.11648/j.sjph.s.2015030101.12},
  url = {https://doi.org/10.11648/j.sjph.s.2015030101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.s.2015030101.12},
  abstract = {The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.},
 year = {2014}
}

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TY  - JOUR
T1  - Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia
AU  - Mulatu Kassie
AU  - Amanu Aragaw
AU  - Alemayehu Belay
Y1  - 2014/06/14
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.s.2015030101.12
DO  - 10.11648/j.sjph.s.2015030101.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 6
EP  - 13
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.s.2015030101.12
AB  - The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.
VL  - 3
IS  - 1-1
ER  -

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