Gugssa Boru Cherinet, Shimels Tariku, Bilal Arebu I
Kolfe Keranyo Sub-City Food, Medicine and Health Care Administration and Control Authority, Addis Ababa, Ethiopia.
Ethiopian Federal Police Commission Health Service Directorate, Medical Logistics and Pharmaceutical Service Coordination, P.O. Box 21652, Addis Ababa, Ethiopia.
J Infect Public Health. 2017 Sep-Oct;10(5):527-533. doi: 10.1016/j.jiph.2016.11.018. Epub 2017 Feb 8.
Poor adherence by tuberculosis (TB) patients to their medication contributes not only to the worsening of their TB situation but also paves a way for incidence of drug resistance. This study, hence, aims to explore factors contributing for non-adherence of TB treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia. A qualitative study, which included 22 in-depth interviews from four health centers and seven health posts, was conducted from February 25 to April 27, 2014. Although the drugs were given free of charge, many patients were unable to adhere to their treatment because of one or a combination of the following factors; lack of adequate food, poor communication between healthcare providers and patients, beliefs in traditional healing system, unavailability of the service in nearby health facilities, side-effect and pill burden of the drugs, stigma and discrimination. The patients take their anti-TB medications under difficult circumstances and experienced a wide range of interacting factors. This, in turn, has resulted for non-adhered treatment taking behavior by many patients. Health professionals and policy makers should be aware of such factors and initiate sustained educational campaigns directed towards all parties in the study area to obtain a good success with TB treatment.
结核病患者对药物治疗的依从性差不仅会导致其结核病病情恶化，还为耐药性的产生铺平了道路。因此，本研究旨在探究埃塞俄比亚南部古拉格地区索多县结核病患者不坚持结核病治疗的影响因素。2014年2月25日至4月27日开展了一项定性研究，该研究包括对四个健康中心和七个卫生站的22名患者进行深入访谈。尽管药物是免费提供的，但由于以下一个或多个因素的综合作用，许多患者无法坚持治疗：缺乏足够的食物、医护人员与患者之间沟通不畅、对传统治疗体系的信仰、附近医疗机构无法提供该服务、药物的副作用和服药负担、耻辱感和歧视。患者在困难的情况下服用抗结核药物，并经历了多种相互作用的因素。这反过来又导致许多患者出现不坚持治疗的行为。卫生专业人员和政策制定者应意识到这些因素，并针对研究区域内的所有相关方开展持续的教育活动，以在结核病治疗方面取得良好成效。
