Diversité et égalité en matière de santé et de soins Libre accès

Abstrait

Treatment Outcomes of Patients with Tuberculosis in Districts of Buriezuria, Jabitehinan and Fenoteselam administrative town health facilities, North West Ethiopia

Daniel Tarekegn Worede* and Getnet Bizengaw Abitew

Background: Assessment of treatment outcome, monitoring and evaluation of its Risk factors of Directly Observed Treatment are among the major important indicators for performance of tuberculosis prevention and control program.

Objectives: The aim of this study was to assess anti-TB treatment outcomes and associated factors among patients with tuberculosis in Districts of Buriezuria, Jabitehinan and Fenoteselam town government owned health institution.

Methods: Retrospective data (2012-2016) of tuberculosis patients (n=832) registered for Anti-TB treatments at Districts of Buriezuria, Jabitehinan and Fenoteselam town government owned health facility, were reviewed. Data were entered using Epi-info and transported to SPSS version 20 for analysis. Descriptive Statistics and binary regression models were used to present data. The odds ratio and 95% confidence intervals were calculated. A P-Value of <0.05 was considered statistically significant.

Results: The overall treatment success rate was 82.5%. The odds of HIV negative TB patients were about four times more likely to have successful treatment outcome than the odds of TB patients with unknown HIV sero-status (AOR=4.4(1.83,10.79)). Study subjects whose age group is <14 years (AOR=3.6(1.56,8.57)), 15-24 years (AOR=1.9(1.09,3.54)) and 25-34years of age (AOR=2.6(1.40,5.15)) were four, two and three times more likely to have successful treatment outcome compared to those age group >50 years of age respectively. Urban dwellers were two times more likely to have successful treatment outcome compared to their rural counterparts (AOR=2.2(1.50, 3.33)). Pulmonary tuberculosis patients were also three times more likely to have successful treatment outcome(AOR=2.9(2.00,4.46)) compared to EPTB patients.

Conclusion and recommendation: The overall treatment success rate was lower than National Treatment success rate target 87%. Patients who are HIV negative, whose age<14 years, whose age 15-24 years, 25-34years, urban residents and those having Pulmonary tuberculosis TB patients were identified associated factors for successful tuberculosis treatment outcome