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Article: Factors influencing treatment outcomes of tuberculosis patients attending health facilities in Galkayo Puntland, Somalia

TitleFactors influencing treatment outcomes of tuberculosis patients attending health facilities in Galkayo Puntland, Somalia
Authors
KeywordsMultidrug resistant tuberculosis
Risk factors
Somalia
Tuberculosis
Treatment outcomes
Issue Date2020
Citation
Journal of Public Health, 2020, Epub 2020-09-03 How to Cite?
AbstractAim: This study evaluated the underlying factors associated with poor tuberculosis (TB) treatment outcomes among patients attending health care facilities in Galkayo, Puntland, Somalia. Methods: An institution-based cross-sectional study was conducted between 2016 and 2017 in three selected TB clinics. Data were collected from 400 TB patients, through medical record review and structured questionnaire. Multivariate logistic regression analyses were performed. Results: Of the 400 TB respondents, 57.3% were new cases, 12.3% had smear-negative TB and 12.5% had extrapulmonary TB. The median age was (35.66 ± 13.16) with majority being male (65.5%). Overall, 85% of patients were successfully treated, 9.7% failed and 5.3% defaulted. Multivariate analysis revealed that patient’s body weight (odds ratio [OR]: 1.078); diabetes (OR: 8.022); family size (OR: 3.851); patients’ delay in diagnosis (OR: 11.946); frequency of receiving anti-TB medication (OR: 9.068); smoker (OR: 5.723); category of patients (retreatment versus new, OR: 5.504; retreatment versus transfer in, OR: 4.957); health facilities (OR: 6.716) and treatment duration (OR: 132.091) were independent factors associated with poor TB outcomes. Conclusions: Our findings highlight the need to improve TB services for vulnerable groups. They also emphasize the need for health system strengthening, public awareness and risk of treatment interruption. This may reduce both patients’ delay in seeking care and TB treatment failure in Galkayo district.
Persistent Identifierhttp://hdl.handle.net/10722/294792
ISSN
2023 Impact Factor: 3.6
2023 SCImago Journal Rankings: 0.981
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKassim, Said Abasse-
dc.contributor.authorCote, Andre-
dc.contributor.authorKassim, Said Mohamed-
dc.contributor.authorAbbas, Muhammad-
dc.contributor.authorBaig, Mirza Muhammad Faran Ashraf-
dc.contributor.authorAhmed, Abdiweli Mohamed-
dc.contributor.authorHussein, Mahamoud M-
dc.contributor.authorLi, Xiaobo-
dc.contributor.authorChen, Rui-
dc.date.accessioned2020-12-10T09:47:54Z-
dc.date.available2020-12-10T09:47:54Z-
dc.date.issued2020-
dc.identifier.citationJournal of Public Health, 2020, Epub 2020-09-03-
dc.identifier.issn1741-3842-
dc.identifier.urihttp://hdl.handle.net/10722/294792-
dc.description.abstractAim: This study evaluated the underlying factors associated with poor tuberculosis (TB) treatment outcomes among patients attending health care facilities in Galkayo, Puntland, Somalia. Methods: An institution-based cross-sectional study was conducted between 2016 and 2017 in three selected TB clinics. Data were collected from 400 TB patients, through medical record review and structured questionnaire. Multivariate logistic regression analyses were performed. Results: Of the 400 TB respondents, 57.3% were new cases, 12.3% had smear-negative TB and 12.5% had extrapulmonary TB. The median age was (35.66 ± 13.16) with majority being male (65.5%). Overall, 85% of patients were successfully treated, 9.7% failed and 5.3% defaulted. Multivariate analysis revealed that patient’s body weight (odds ratio [OR]: 1.078); diabetes (OR: 8.022); family size (OR: 3.851); patients’ delay in diagnosis (OR: 11.946); frequency of receiving anti-TB medication (OR: 9.068); smoker (OR: 5.723); category of patients (retreatment versus new, OR: 5.504; retreatment versus transfer in, OR: 4.957); health facilities (OR: 6.716) and treatment duration (OR: 132.091) were independent factors associated with poor TB outcomes. Conclusions: Our findings highlight the need to improve TB services for vulnerable groups. They also emphasize the need for health system strengthening, public awareness and risk of treatment interruption. This may reduce both patients’ delay in seeking care and TB treatment failure in Galkayo district.-
dc.languageeng-
dc.relation.ispartofJournal of Public Health-
dc.subjectMultidrug resistant tuberculosis-
dc.subjectRisk factors-
dc.subjectSomalia-
dc.subjectTuberculosis-
dc.subjectTreatment outcomes-
dc.titleFactors influencing treatment outcomes of tuberculosis patients attending health facilities in Galkayo Puntland, Somalia-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/pubmed/fdaa146-
dc.identifier.scopuseid_2-s2.0-85122842211-
dc.identifier.hkuros320910-
dc.identifier.isiWOS:000754035300056-
dc.identifier.issnl1741-3842-

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