Health Programs Department, Churches Health Association of Zambia, Lusaka, Zambia.
Department of public health school of medicine and health sciences, University of Lusaka, Lusaka, Zambia.
Glob Public Health. 2024 Jan;19(1):2307979. doi: 10.1080/17441692.2024.2307979. Epub 2024 Jan 29.
Tuberculosis is a global health concern n impacting communities, health systems, and economies This study assessed the TB treatment outcomes among individuals aged 15+ at Chawama first level hospital in Lusaka, Zambia, using a retrospective design focussing on individuals notified in 2020. The sample was described using descriptive statistics. The Pearson Chi-square test and logistics regression were used to analyse the characteristics of the patients influencing the treatment outcomes at 5% significant level. Out of 404 participants, 83.4% of them had successful treatment outcomes. Varied outcomes were noted in sex, patient type, TB type, HIV status, and DOT plan, but lacked significance. Odds of success were lower by 72.4% for those aged 65+ compared to those aged 15-24 years Similarly, after adjusting for other variables, the odds of success were lower by 72.9% . This study yielded an encouraging 83.4% TB success rate highlighting the potential for improvement to meet WHO targets. Notably, individuals aged 65+ showed a distinct pattern with lower treatment success odds, suggesting a need for focussed interventions. Special attention to elderly patients and targeted TB program interventions are recommended.
结核病是一个全球性的卫生问题，影响着社区、卫生系统和经济。本研究使用回顾性设计，重点关注 2020 年通报的病例，评估了赞比亚卢萨卡 Chawama 一级医院 15 岁及以上个体的结核病治疗结果。使用描述性统计对样本进行描述。使用 Pearson Chi-square 检验和逻辑回归分析在 5%的显著水平上影响治疗结果的患者特征。在 404 名参与者中，83.4%的人治疗结果成功。在性别、患者类型、结核病类型、艾滋病毒状况和直接观察治疗方案方面，结果存在差异，但缺乏显著性。与 15-24 岁年龄组相比，65 岁及以上年龄组的成功几率低 72.4%。同样，在调整其他变量后，成功的几率低 72.9%。这项研究取得了令人鼓舞的 83.4%的结核病成功率，这表明有可能改善以达到世卫组织的目标。值得注意的是，65 岁及以上的个体表现出明显的治疗成功率较低的模式，表明需要有针对性的干预措施。建议特别关注老年患者和有针对性的结核病规划干预措施。
