A study on reasons for nonadherence to 99DOTS among HIV-tuberculosis coinfected patients in Davanagere district, Karnataka

Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 10

Abstract

Background: Ensuring the patient’s adherence is the critical challenge in tuberculosis (TB) treatment. To monitor the adherence to anti-TB drugs in HIV-TB coinfected patients, 99 directly observed treatment short (99DOTS) course has been introduced. Objectives: The objectives of the study were to know the reasons for nonadherence to 99DOTS among HIV-TB coinfected patients. Materials and Methods: A community-based cross-sectional study was conducted among 85 HIV-TB coinfected patients on 99DOTS in Davanagere district. A pretested semi-structured questionnaire was used to collect the data from October to December 2016. Data were analyzed using SPSS software v16.0. Descriptive statistics such as frequency and percentage were calculated. Results: Of 85 study subjects, 81 (95%) of them were found to be nonadherent. Multiple factors were reasons for nonadherence, i.e. did not take TB medication (53%), not aware that they should call daily (35%), do not know how to use mobile phone (30%), network problem and mobile issues (20%), and used to call from any of the unregistered phone numbers (17%). Forgot to call after taking medication (6%) and registered phone number was of neighbors/relatives (5%). Reasons for not taking the medications were forgot to take medications (26%), discontinued because of too many pills (11%), avoid the side effects (9%), improvement in health (7%), alcohol intake (6%), due to other illness (6%), and stigma at home (3%). Conclusions: HIV-TB coinfected patients on 99DOTS were found to be nonadherent because of multiple reasons. Orientation regarding the importance of adherence to drugs and calling daily after medication only from a registered number is required before initiation of treatment.

Authors and Affiliations

Satish Ghatage, Anurupa M S, Swathi S Aithal, Shubha D B, Navinkumar Angadi

Keywords

Related Articles

Nutritional status of elderly people using Mini Nutritional Assessment tool in an urban slum of Hyderabad

Background: The elderly people are growing rapidly in India, and nutrition is an important element of health among them. Objectives: The objectives of this study were to assess the nutritional status of the elderly in an...

Bacterial colonization of epidural catheters used for short-term postoperative analgesia: a microbiological examination and risk factor analysis

Background: Epidural catheter-related infections are very rare, but if occurs, the complications are debilitating and life-threatening. The route by which the infection spreads is still under debate with the prime su...

Menstrual hygiene practices among adolescent schoolgirls of rural Mangalore, Karnataka

Background: Adolescence represents one of the critical transitions in life and is characterized by a tremendous pace in growth and changes. Despite the fact that menstruation is a healthy biological process, the issue of...

 Metaplastic breast cancer : Pathological subtypes, clinical presentation, imaging characteristics, Immunohistochemistry, treatment and prognosis

 Metaplastic breast cancer is a rare subtype of breast cancer that is histologically heterogeneous, being composed of both sarcomatous and epithelial components. It presents as rapidly growing palpable masses. Inci...

Assessment of nutrition, morbidity, and immunization status of under-five children attending government tertiary care hospital

Background: Morbidity and mortality of under-five children is an important indicator of overall development of the country. The problems of malnutrition among under-five children can be used to determine the need for nut...

Download PDF file
  • EP ID EP488094
  • DOI 10.5455/ijmsph.2018.0618015062018
  • Views 105
  • Downloads 0

How To Cite

Satish Ghatage, Anurupa M S, Swathi S Aithal, Shubha D B, Navinkumar Angadi (2018). A study on reasons for nonadherence to 99DOTS among HIV-tuberculosis coinfected patients in Davanagere district, Karnataka. International Journal of Medical Science and Public Health, 7(10), 805-808. https://www.europub.co.uk/articles/-A-488094