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Browsing Journal Articles by Subject "adherence"

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    Effects of socio-demographic factors on regimen adherence among tuberculosis patients in Kisumu Region, Kenya
    (Kenyan Journal of Nursing & Midwifery, 2018-01-01) Senghor, Morris Shisanya
    Introduction: Efforts to diagnose TB and patients on treatment have been very successful as per WHO targets for Kenya. However, there are still poor treatment outcomes in a significant number of the patients. These poor treatment outcomes have been significantly linked to poor adherence to TB treatment. Methods: This was a cross sectional descriptive study that was conducted in Kisumu East District to establish the effects of socio-demographic factors on regimen adherence among tuberculosis patients aged above 18 years attending TB clinics in Kisumu region, in Western Kenya. The data was analyzed using descriptive statistics and bivariate analysis and binary logistic regression. P values, Adjusted Odds Ratios with 95% confidence interval (CI) were used to demonstrate significance and strength of association between the socio-demographic factors and adherence. Significance was assumed at P value ≤0.05. Findings: Residence; (OR:21.8; 95% CI:5.4-87.5 ;P<0.001), number of family members(OR:5.7; 95% CI:1.7-19.1 ;P=0.005) and sex of the patient (OR:0.2; 95% CI: 0.0-0.9 ;P<0.036) were the significant socio-demographic aspects that predicted adherence. Conclusion: Therefore some socio-demographic aspects of TB patients key predictors of adherence. These aspects can serve as a guide for flagging some patient as having potential for non-adherence thus appropriate follow-up measures instituted in time. It is important to establish the effects of socio-demographic aspects on adherence in every TB care setting for appropriate follow-up.
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    The impact of co-morbidity and treatment characteristics on adherence to tuberculosis treatment in Kisumu East Sub County, Kenya
    (IOSR: Journal of Nursing and Health Science, 2017-10-01) Senghor, Morris Shisanya; Arudo, John; Oloo, James Aggrey
    Despite the great strides made in TB diagnosis and highly effective shorter periods of treatment, there are still poor treatment outcomes in a significant proportion of the patients. Poor adherence to TB treatment is one of the leading causes of poor outcomes of treatment. Kisumu East Sub county in Kenya records some of the highest adverse outcomes of care. Therefore a cross sectional descriptive study was conducted in the Sub county to establish the impact of co-morbidity and treatment characteristics on TB treatment adherence among tuberculosis patients above 18 years attending TB clinics in Kisumu East Sub county. The data was analyzed using SPSS version 21. Descriptive statistics, bivariate analysis and binary logistic regression were used in the analysis and data presented in contingency tables and figures. Significance was assumed at P value ≤0.05. Belief that TB treatment affects other treatments; (OR: 0.03; 95% CI:5. 0-0.1 ;P<0.001), retreatment (OR: 11; 95% CI: 4.2-29.6 ;P<0.001), not completing previous treatments (OR:19; 95% CI:6-73 ;P<0.001) self-discontinuation (OR:0.1; 95% CI: 0.01-1 ;P<0.049) were significant in predicting adherence. These aspects can serve as a guide for flagging some patient as having potential for non-adherence thus appropriate follow-up measures instituted in time. It is important to establish the effects of socio-demographic aspects on adherence in every TB care setting for appropriate follow-up.