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001-es BibID:BIBFORM099690
Első szerző:Abute, Lonsako
Cím:Directly observed treatment short-course compliance and associated factors among adult tuberculosis cases in public health institutions of Hadiya zone, Southern Ethiopia / Lonsako Abute, Yohannes Kebede, Tigist Astale, Bayu Begashaw Bekele, Tegene Legese
Dátum:2016
ISSN:2141-2375
Megjegyzések:Tuberculosis (TB) is a major public health problem in Ethiopia. This is at various levels of prevention; connected to early detection, prompt treatment seeking and compliance behavior of patients. DOTS is important strategy to tackle its prevalence and severity among public. In addition, development of MDRTB is another emerging agenda which mainly happens as a result of poor compliance to treatment regimen. The main aim of this study is assessing DOT treatment compliance and associated factors among adult patients of TB treatment service. Facility based cross- sectional study triangulated with indepth interview was conducted between March and April, 2015 in public health facilities of Hadiya zone. Data were collected from 203 respondents selected by simple random sampling using pre-tested structured questionnaire. Ethical clearance was collected from the ethical clearance committee of Jimma University, College of health science. We used adapted instrument composed of behavioral, therapy, social and facility related variables. Descriptive statistic and logistic regression analysis were employed to identify factors associated with DOTS compliance in TB patients. We used odds ratio and 95%CI to declare significant factor fits. Then quantitative data were triangulated with qualitative data. Finally, the findings were presented in narrative texts, tables and graphs. A total of 203 tuberculosis patients were interviewed; nearly three quarters (75.9) were rural dwellers. 142 (70%) of the respondents were compliant with in the last seven days. Majority (84%) of the respondents were morning time compliant. Average number of day that patient takes the drug in 1 week is 6.6 and most of them (72.50%) takes seven days. Phase of treatment, knowledge, getting encouragement, perceived severity, distance from health facility and getting advice were significantly associated at p-value<0.05 with DOTS compliance. Moreover distance and getting advice in intensive phase and absence of symptom, waiting time and getting encouragement in continuation phase were significantly associated. DOTS compliance in this study is poor relative to other studies. Special attention on compliance counseling should be given for those patients who have no symptom in continuation phase, distant patients in intensive phase and those who did not get social support.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Adult patients
compliance
DOTS treatment
Megjelenés:Journal of Infectious Diseases and Immunity. - 8 : 1 (2016), p. 1-9. -
További szerzők:Kebede, Yohannes Astale, Tigist Bekele, Bayu Begashaw (1988-) (PhD hallgató) Legese, Tegene
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001-es BibID:BIBFORM099700
Első szerző:Bekele, Bayu Begashaw (PhD hallgató)
Cím:Determinants of measles recurrent outbreak in South West Ethiopia: an obstacle for implementation of infectious disease eradication in the country / Bayu Begashaw Bekele, Tegene Legese, Abeba Daniel, Abera Kumalo, Hamid Yimam, Tafesse Lamaro
Dátum:2018
Megjegyzések:Background: For long time several diseases combating measures were taken in Ethiopia through integrated diseases surveillance and response strategy. Although these prevention mechanisms had done, still some communicable diseases are seldom occurring in limited parts of Ethiopia. Consequently, we have conducted to assess the measles cases and its determinants in South West Ethiopia. Methods: A rapid cross sectional study was conducted following epidemics in June 2016 to evaluate factors associated with measles recurrence in South West Ethiopia. Multivariable logistic regression model was used. Variables with p value less than 0.05 claimed as the significant over the dependent variable. Results: Among total of 192 children 45 (23.3 percent) children were found with manifestations of measles sign and symptoms in South West Ethiopia. About twenty five percent of children were not fully immunized. Although this was high incidence only two variables were significantly associated with measles incidence. These were mothers or family members who had adequate knowledge and fully vaccinated for vaccinated children have less risk of acquiring measles after controlled for wealth quintiles, sex of child, maternal education, occupation, residence, house sanitation and distance from health center. Conclusion: this study claimed being not fully vaccinated and limited knowledge of mothers and care givers towards diseases exposed children to develop measles. Special focus should be given to improve coverage of full vaccination and creating mass awareness. Consequently, through health education and information are important the way forwards for combating and eliminating measles from country.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Measles
Cases
Children
Control
South West Ethiopia
Megjelenés:EC Microbiology. - 14 (2018), p. 1-8. -
További szerzők:Legese, Tegene Daniel, Abeba Kumalo, Abera Yimam, Hamid Lamaro, Tafesse
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