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Assessment of Factors Contributing to Noncompliance with Tuberculosis Treatment among Tuberculosis Patients in Selected Areas

Poonam Ingalkar null, Poonam Ingalkar1 null, Lata Sukare2 null, Pascaline David3 null

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Community and Public Health Nursing 5(1):p 21-30, January – April 2020. | DOI: https://doi.org/10.21088/cphn.2455.8621.5120.4

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Poonam Ingalkar, Lata Sukare, Pascaline David. Assessment of Factors Contributing to Noncompliance with Tuberculosis
Treatment among Tuberculosis Patients in Selected Areas. Community and Public Health Nursing. 2020;5(1):21–30.

Timeline

Received : January 02, 2020         Accepted : February 15, 2020          Published : March 31, 2020

Abstract

Background: TB is a worldwide public health problem that is closely associated with poverty, malnutrition, overcrowding, substandard housing, and inadequate health care. Mortality and morbidity rates continue to rise; Mycobacterium Tuberculosis infects an estimated one third of the world’s populations and remains the leading cause of the death from infectious disease in the world. According to WHO, an estimated 1.6 million deaths resulted from TB in 2005 (WHO, 2007). In 2005 there were 14, 093 reported cases of TB in the United States, a 3.8% decline from the previous year. However, two prevalent public health concerns remain about TB. First is the increase in the number of TB cases attributable to multi-drug resistant organisms (MDR-TB) and extensive drug-resistant organisms (XDR-TB). These forms of TB have been found worldwide and a threat to public health as a potential epidemic that is considered practically untreatable. Objective: To assess the factors contributing to noncompliance with tuberculosis treatment among tuberculosis patients in selected areas of the city. Methodology: A Non experimental study with descriptive research design is used among 100 Tuberculosis patients with noncompliance to tuberculosis treatment in selected areas of the city and are available at the time of data collection. The Purposive sampling technique is used. Data was collected on total four factors contributing to noncompliance these are patient related factors, health system related factors, disease and medicine related factors and socioeconomic related factors. The collected data was coded, analysed by using descriptive statistics and inferential statistics. Result: As perpatient related factors to noncompliance revels that majority of participants have knowledge regarding Antituberculosis drugs, which is given by health care worker. As per health care system related factors data revels that health care facilities are easily available and convenient for them. As per disease and medicine related factors data revels that all participant experience drug related side effect, these are nausea & vomiting & loss of appetite. All participants responded they did not feel better throughout the Antituberculosis treatment therapy. As per socioeconomic related factors data revels that majority of participant had financial problem as their job & salary affected because of illness & treatment. So majority of participant stopped Antituberculosis treatment. Conclusion: Non-compliance was found to be influenced by multiple factors like experiencing different side effects of Antituberculosis treatment, not feeling better throughout therapy, fear of social isolation and impact on job & salary which finally affect socioeconomic condition.
 

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

Provide information related to the Ethics Committee approval with approval number OR write This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.

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Cite this article

 

Poonam Ingalkar, Lata Sukare, Pascaline David. Assessment of Factors Contributing to Noncompliance with Tuberculosis
Treatment among Tuberculosis Patients in Selected Areas. Community and Public Health Nursing. 2020;5(1):21–30.

Licence:



Received Accepted Published
January 02, 2020 February 15, 2020 March 31, 2020
DOI: https://doi.org/10.21088/cphn.2455.8621.5120.4

Keywords

Tuberculosis; Non-compliance; Antituberculosis treatment.

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Timeline

Received January 02, 2020
Accepted February 15, 2020
Published March 31, 2020

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