THE IMPACT OF PATIENTSâ€™ KNOWLEDGE ON USING COMMUNITY-BASED TUBERCULOSIS CARE IN THE LOBATSE DISTRICT OF BOTSWANA

Omphemetse Rankosha; Valerie Janet Ehlers

doi:10.25159/2520-5293/153

Authors

Omphemetse Rankosha Botswana Department of Health, National Tuberculosis Programme
Valerie Janet Ehlers Department of Health Studies, University of South Africa

DOI:

https://doi.org/10.25159/2520-5293/153

Abstract

Tuberculosis (TB), though declining, continues to be a global health problem fuelled by Human Immuno Deficiency Virus (HIV) infections. The dual TB/HIV epidemic in subSahara Africa (SSA) has necessitated re-thinking of economically viable TB control methods, including community-based TB care (CTBC).Â

This study attempted to identify factors affecting patientsâ€™ utilisation of CTBC in one district of Botswana in order to recommend ways to enhance the uptake of CTBC. The individual structured interviews attempted to identify respondentsâ€™ demographic characteristics, TB-related knowledge, attitudes concerning CTBC, support structures, factors influencing the adoption of a specific directly observed treatment (DOT) option as these factors could influence TB patientsâ€™ participation in the CTBC programme.

Individual structured interviews were conducted with 101 TB patients in the Lobatse District who were registered for directly observed treatment (DOT) for TB in public health facilities from January 2011 to August 2013. Univariate logistic regression models were used.Â Participation in CTBC was used as an outcome.

The main predictors for participation in CTBC included, knowledge about and attitudes towards CTBC (p=0.0003), perceived barriers and enablers (p=0.0279) and patientsâ€™ satisfaction (p=0.0315) with the CTBC services.Â

Identified barriers should be addressed and enablers strengthened to enhance TB patientsâ€™ utilisation of CTBC services.

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