FACTORS CONTRIBUTING TO POOR ADHERENCE TO ANTITUBERCULOSIS DRUGS AMONG PATIENTS ATTENDING TUBERCULOSIS CLINIC AT KAMULI GENERAL HOSPITAL, KAMULI DISTRICT, A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.71020/jwhr.v2i8.60Keywords:
Poor Adherence, Antituberculosis Drugs, Tuberculosis Clinic, Kamuli General HospitalAbstract
Background
Tuberculosis (TB) remains a major public health challenge, particularly in low- and middle-income countries such as Uganda. Despite the availability of effective treatment, poor adherence to antituberculosis drugs continues to undermine TB control efforts. Therefore, this study aimed to assess the factors contributing to poor adherence to Ani-Tuberculosis drugs among Tuberculosis Patients at Kamuli General Hospital.
Methodology
A cross-sectional study was conducted at Kamuli General Hospital in Kamuli District, utilizing a Simple random sampling technique with 50 respondents. Quantitative data was collected using a structured questionnaire and analysed using Microsoft Excel.
Results
The study included 50 respondents, of whom a majority, 64%, were alcoholics, 64% were discriminated against, 46% failed to meet transport costs due to long distances to the hospital of greater than 4 kilometers, and 22% of respondents were reported to have used herbal medicine. Most of the respondents forgot to swallow drugs (42%), majority of about 72% of patients reported about waiting for more than an hour before being attended to, more than half 52% of the patients reported that the health workers were not friendly, most of patients had other chronic illness (40%), 8% of the respondents were reported being allergic to the drugs.
Conclusion
High percentages of respondents were not adherent to their medication. The community and demographic factors included Age, Marital status, and education level. Health-related factors included an unfriendly relationship with health workers.
Recommendation
Health care providers should educate all patients with TB before the initiation of treatment on the duration of treatment in the language locally used.
References
Gebreweld, Frezghi Hidray, Meron Mehari Kifle, Fitusm Eyob Gebremicheal, Leban Lebahati Simel,, Meron Mebrahtu Gezae, Shewit Sibhatu Ghebreyesus, Yordanos Tesfamariam , Mengsteab , and Nebiat Ghirmay Wahd . 2020. "actors influencing adherence to tuberculosis treatment in Asmara, Eritrea." Health, Population and Nutrition. doi:https://doi.org/10.1186/s41043-017-0132-y.
Bea1 et al. 2021. "Adherence and Associated Factors of Treatment Regimen in Drug-Susceptible Tuberculosis Patients." doi:https://doi.org/10.3389/fphar.2021.625078.
Bea1, Sungho, Hyesung Lee, Ju Hwan Kim, Seung Hun Jang, Hyunjin Son3, and Jin -Won Kwon. 2021. "Adherence and associated factors of treatment regimen in drug-susceptible tuberculosis patients in taiwan china." doi: https://doi.org/10.3389/fphar.2021.625078.
Bhattacharya et al. 2018. "). Barriers to treatment adherence of tuberculosis patients:." medical science and public health.
Bisara, et al., 2023. n.d. "Nonadherence to anti-tuberculosis treatment, reasons and associated factors among pulmonary tuberculosis patients in the communities in Indonesia." doi:https://doi.org/10.1371/journal.pone.0287628.
Boru et al. 2017. "Factors contributing to non-adherence with treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia." Infection and Public Health. doi:http://www.elsevier.com/locate/jiph.
Chen et al. 2020. "The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study." BMC infectious diseases,. doi:https://doi.org/10.1186/s12879-020-05354-3.
Hilka, Tanja Kastien, , Ahmed Abulfathi, , Bernd Rosenkranz, , Bryan Bennett, , Matthias Schwenkglenks, and Edina Sinanovic. 2016. "Health-related quality of life and its association with medication adherence in active pulmonary tuberculosis–a systematic review of global literature with focus on South Africa." systemic literature search. doi: https://doi.org/10.1186/s12955-016-0442-6.
Nezenega et al. 2020. "Factors Influencing Patient Adherence to Tuberculosis Treatment in Ethiopia." environmental research and public health. doi:https://doi.org/10.3390/ijerph17155626.
Rianto et al. 2024. "Development and validation of a structured questionnaire for assessing risk factors of medication non-adherence among pulmonary tuberculosis patients in Indonesia." doi:https://doi.org/10.3389/fphar.2023.1257353.
Schacht et al. 2019. "Barriers to access and adherence to tuberculosis services, as perceived by patients: A qualitative study in Mozambique." doi:https://doi.org/10.1371/journal.pgph.0001525.
Xiang, Li, and Kunhe Lin. 2024. "). Factors Associated with Non-Adherence to Treatment Among Migrants with MDR-TB in Wuhan, China: A Cross-Sectional Study." Risk Management and Healthcare Policy
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of World Health Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in any of our journals retain the copyright to their work but agree to grant Burundi Publishing the right of first publication. All articles are published under a Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This promotes transparency and fosters wide dissemination of the research.
