The acquisition of MDR-TB results mainly from health system/service and patient-related factors. Previous studies showed that factors that affect health outcome can be human (patient, healthcare provider) and health system related. Poor quality of care provided to TB patients affects treatment outcome which could trigger development and spread of multidrug resistant TB. This study was conducted to assess treatment outcome of Multidrug resistant clients in Drug Resistant TB treatment centers in North Central Nigeria and assess also compliance of healthcare provider with the standard of MDR TB care and services they render. Data of 300 MDR TB clients were retrospectively collected after a review of the register and drug charts. Twenty-seven (27) participants were selected at random from the 3 states TB program and 18 health facility staff were also selected to answer questions related to compliance of facility and healthcare providers with MDR TB care/services. Response with scores zero (0) and 50% were seen as areas where compliance with the standard was lacking. Identification, training, supervision, and compensation for community treatment supporters, infection control, Socioeconomic and psychological support (including incentives, enablers), expert committee to routinely provide clinical/programmatic consultation prompt treatment initiation, use of electronic drug management system, support groups, adherence to standard operating procedures at facilities. The treatment outcome documented in the study were cured (61.7%), completed treatment (7.3%), still on treatment (17.7%), defaulted (1.3%), failed treatment (0.7%), Pre-XDR TB (4.7%), lost to follow up (1.3%), transferred out (0.7%) and died (9.7%). The study disclosed the treatment outcome of MDR TB clients and areas that compliance with standard is lacking. There is need for TB programmers to periodically assess their services and clients for continuous improvement of the program.
Published in | World Journal of Public Health (Volume 6, Issue 3) |
DOI | 10.11648/j.wjph.20210603.12 |
Page(s) | 81-88 |
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), 2021. Published by Science Publishing Group |
Assessment of Healthcare Providers, Compliance, Predictor of Treatment Failure, Treatment Outcome, MDR TB, Nigeria
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APA Style
Laura Madukaji, Ebenezer Obi Daniel, Francis Ejeh, Adewole Olanisun Olufemi, Ahmed Mamuda Bello, et al. (2021). Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome. World Journal of Public Health, 6(3), 81-88. https://doi.org/10.11648/j.wjph.20210603.12
ACS Style
Laura Madukaji; Ebenezer Obi Daniel; Francis Ejeh; Adewole Olanisun Olufemi; Ahmed Mamuda Bello, et al. Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome. World J. Public Health 2021, 6(3), 81-88. doi: 10.11648/j.wjph.20210603.12
AMA Style
Laura Madukaji, Ebenezer Obi Daniel, Francis Ejeh, Adewole Olanisun Olufemi, Ahmed Mamuda Bello, et al. Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome. World J Public Health. 2021;6(3):81-88. doi: 10.11648/j.wjph.20210603.12
@article{10.11648/j.wjph.20210603.12, author = {Laura Madukaji and Ebenezer Obi Daniel and Francis Ejeh and Adewole Olanisun Olufemi and Ahmed Mamuda Bello and Paul Olaiya Abiodun and Israel Olukayode Popoola and Kabir Yunusa Amar and Christiana Asibi Ogben and Michael Oladapo Olagbegi and Gabriel Omoniyi Ayeni and Olayinka Victor Ojo and John Danjuma Mawak}, title = {Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome}, journal = {World Journal of Public Health}, volume = {6}, number = {3}, pages = {81-88}, doi = {10.11648/j.wjph.20210603.12}, url = {https://doi.org/10.11648/j.wjph.20210603.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210603.12}, abstract = {The acquisition of MDR-TB results mainly from health system/service and patient-related factors. Previous studies showed that factors that affect health outcome can be human (patient, healthcare provider) and health system related. Poor quality of care provided to TB patients affects treatment outcome which could trigger development and spread of multidrug resistant TB. This study was conducted to assess treatment outcome of Multidrug resistant clients in Drug Resistant TB treatment centers in North Central Nigeria and assess also compliance of healthcare provider with the standard of MDR TB care and services they render. Data of 300 MDR TB clients were retrospectively collected after a review of the register and drug charts. Twenty-seven (27) participants were selected at random from the 3 states TB program and 18 health facility staff were also selected to answer questions related to compliance of facility and healthcare providers with MDR TB care/services. Response with scores zero (0) and 50% were seen as areas where compliance with the standard was lacking. Identification, training, supervision, and compensation for community treatment supporters, infection control, Socioeconomic and psychological support (including incentives, enablers), expert committee to routinely provide clinical/programmatic consultation prompt treatment initiation, use of electronic drug management system, support groups, adherence to standard operating procedures at facilities. The treatment outcome documented in the study were cured (61.7%), completed treatment (7.3%), still on treatment (17.7%), defaulted (1.3%), failed treatment (0.7%), Pre-XDR TB (4.7%), lost to follow up (1.3%), transferred out (0.7%) and died (9.7%). The study disclosed the treatment outcome of MDR TB clients and areas that compliance with standard is lacking. There is need for TB programmers to periodically assess their services and clients for continuous improvement of the program.}, year = {2021} }
TY - JOUR T1 - Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome AU - Laura Madukaji AU - Ebenezer Obi Daniel AU - Francis Ejeh AU - Adewole Olanisun Olufemi AU - Ahmed Mamuda Bello AU - Paul Olaiya Abiodun AU - Israel Olukayode Popoola AU - Kabir Yunusa Amar AU - Christiana Asibi Ogben AU - Michael Oladapo Olagbegi AU - Gabriel Omoniyi Ayeni AU - Olayinka Victor Ojo AU - John Danjuma Mawak Y1 - 2021/08/04 PY - 2021 N1 - https://doi.org/10.11648/j.wjph.20210603.12 DO - 10.11648/j.wjph.20210603.12 T2 - World Journal of Public Health JF - World Journal of Public Health JO - World Journal of Public Health SP - 81 EP - 88 PB - Science Publishing Group SN - 2637-6059 UR - https://doi.org/10.11648/j.wjph.20210603.12 AB - The acquisition of MDR-TB results mainly from health system/service and patient-related factors. Previous studies showed that factors that affect health outcome can be human (patient, healthcare provider) and health system related. Poor quality of care provided to TB patients affects treatment outcome which could trigger development and spread of multidrug resistant TB. This study was conducted to assess treatment outcome of Multidrug resistant clients in Drug Resistant TB treatment centers in North Central Nigeria and assess also compliance of healthcare provider with the standard of MDR TB care and services they render. Data of 300 MDR TB clients were retrospectively collected after a review of the register and drug charts. Twenty-seven (27) participants were selected at random from the 3 states TB program and 18 health facility staff were also selected to answer questions related to compliance of facility and healthcare providers with MDR TB care/services. Response with scores zero (0) and 50% were seen as areas where compliance with the standard was lacking. Identification, training, supervision, and compensation for community treatment supporters, infection control, Socioeconomic and psychological support (including incentives, enablers), expert committee to routinely provide clinical/programmatic consultation prompt treatment initiation, use of electronic drug management system, support groups, adherence to standard operating procedures at facilities. The treatment outcome documented in the study were cured (61.7%), completed treatment (7.3%), still on treatment (17.7%), defaulted (1.3%), failed treatment (0.7%), Pre-XDR TB (4.7%), lost to follow up (1.3%), transferred out (0.7%) and died (9.7%). The study disclosed the treatment outcome of MDR TB clients and areas that compliance with standard is lacking. There is need for TB programmers to periodically assess their services and clients for continuous improvement of the program. VL - 6 IS - 3 ER -