Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia
Science Journal of Public Health
Volume 3, Issue 1-1, January 2015, Pages: 6-13
Received: Apr. 5, 2014; Accepted: May 16, 2014; Published: Jun. 14, 2014
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Authors
Mulatu Kassie, Department of community health, Bahir Dar health Science College, Bahir Dar city, Ethiopia
Amanu Aragaw, Academic Vice dean Bahir Dar health science college, Bahir Dar City, Ethiopia
Alemayehu Belay, Department of Health Education and Promotion, Felege Hiwot Referral Hospital, Bahir Dar City, Ethiopia
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Abstract
The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.
Keywords
Quality, DOTS, Bahir Dar City Administration, Ethiopia
To cite this article
Mulatu Kassie, Amanu Aragaw, Alemayehu Belay, Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia, Science Journal of Public Health. Special Issue: Health Behavior and Public Health. Vol. 3, No. 1-1, 2015, pp. 6-13. doi: 10.11648/j.sjph.s.2015030101.12
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