A study on reasons for nonadherence to 99DOTS among HIV-tuberculosis coinfected patients in Davanagere district, Karnataka
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 10
Abstract
Background: Ensuring the patient’s adherence is the critical challenge in tuberculosis (TB) treatment. To monitor the adherence to anti-TB drugs in HIV-TB coinfected patients, 99 directly observed treatment short (99DOTS) course has been introduced. Objectives: The objectives of the study were to know the reasons for nonadherence to 99DOTS among HIV-TB coinfected patients. Materials and Methods: A community-based cross-sectional study was conducted among 85 HIV-TB coinfected patients on 99DOTS in Davanagere district. A pretested semi-structured questionnaire was used to collect the data from October to December 2016. Data were analyzed using SPSS software v16.0. Descriptive statistics such as frequency and percentage were calculated. Results: Of 85 study subjects, 81 (95%) of them were found to be nonadherent. Multiple factors were reasons for nonadherence, i.e. did not take TB medication (53%), not aware that they should call daily (35%), do not know how to use mobile phone (30%), network problem and mobile issues (20%), and used to call from any of the unregistered phone numbers (17%). Forgot to call after taking medication (6%) and registered phone number was of neighbors/relatives (5%). Reasons for not taking the medications were forgot to take medications (26%), discontinued because of too many pills (11%), avoid the side effects (9%), improvement in health (7%), alcohol intake (6%), due to other illness (6%), and stigma at home (3%). Conclusions: HIV-TB coinfected patients on 99DOTS were found to be nonadherent because of multiple reasons. Orientation regarding the importance of adherence to drugs and calling daily after medication only from a registered number is required before initiation of treatment.
Authors and Affiliations
Satish Ghatage, Anurupa M S, Swathi S Aithal, Shubha D B, Navinkumar Angadi
Keywords
Related Articles
- EP ID EP488094
- DOI 10.5455/ijmsph.2018.0618015062018
- Views 108
- Downloads 0
An analytical study of number, position, size and direction of nutrient foramina of femur
Background: Bones are structures that adapt to their mechanical environment and from a fetal age also adapt to the presence of naturally occurring holes called as nutrient foramina, which are narrow tunnels that c...
Cardiovascular disease determinants: burden and knowledge among women in a rural community of Delhi
Background: Cardiovascular diseases (CVDs) are becoming major health burden in developing countries such as India. Rural women are reported to have high CVD-related mortality rates and are less likely to receive approp...
Determinants of low birth weight in a rural area of Tamil Nadu, India: a case–control study
Background: Birth weight of a child is an important indicator for reproductive health and general status of the population. Low birth weight (LBW) is considered as the single most predictor of infant mortality, espec...
Prevalence of hypertension and its associated risk factors among Kolkata-based policemen: A sociophysiological study
Background: In India, very sparse data are available on the prevalence of noncommunicable diseases such as hypertension among the police force, as a speci fi c occupational group. Objectives: To determine the preva...
A cross-sectional study on prevalence, pattern, and perception of self-medication practices among medical students
Background: Self-medication is the use of medical products to treat self-recognized disorders or symptoms, also stated as irregular or continued use of a prescribed drug for chronic or recurrent disease. It is comm...