Patient satisfaction with directly observed treatment and multidrug-resistant tuberculosis injection administration by lay health workers in rural Eswatini
Afr. j. prim. health care fam. med. (Online)
; 12(1): 1-10, 2020. tab
Article
in English
| AIM
| ID: biblio-1257708
Responsible library:
CG1.1
ABSTRACT
Background:
The human resources for health crisis in rural Eswatini led to a novel community-based multidrug-resistant tuberculosis (MDR-TB) treatment strategy based on task-shifting, that is delegation of directly observed treatment (DOT) and administration of MDR-TB injections, traditionally restricted to professional nurses, to lay community treatment supporters (CTSs).Aim:
This study assessed the level of patient satisfaction with receiving community-based MDR-TB care from a CTS.Setting:
The study was conducted at three MDR-TB-treating facilities in the mostly rural Shiselweni region.Methods:
A cross-sectional survey of a purposive sample of 78 patients receiving DOT and intramuscular MDR-TB injections from CTSs was carried out in 2017. Descriptive statistics and regressions were calculated.Results:
A high overall general patient satisfaction score for receiving community-based MDR-TB care from a CTS was observed. Adherence counselling, confidentiality, provider selection and treatment costs significantly (p < 0.05) influenced satisfaction. A large majority (n = 62; 79.5%) of patients indicated that they would likely recommend their significant others to receive MDR-TB care from a CTS. Respondents identified the need to provide CTSs with adequate training, regular supervision and sufficient incentives and also to broaden the scope of their services.Conclusion:
This study observed that task-shifting of DOT and MDR-TB injection administration to CTSs was supported from a patient perspective. However, adherence counselling, confidentiality, provider selection and treatment costs should be taken into account in community-based MDR-TB care programming. Further to the patients, community-based tuberculosis care could be enhanced by improving CTSs' training, supervision and incentives, and broadening the scope of their services
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Index:
AIM (Africa)
Main subject:
Patients
/
Eswatini
/
Administration, Intravesical
/
Tuberculosis, Multidrug-Resistant
/
Community Health Workers
Type of study:
Prognostic study
Country/Region as subject:
Africa
Language:
English
Journal:
Afr. j. prim. health care fam. med. (Online)
Year:
2020
Type:
Article
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