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|Title: ||Quality Assessment of Directly Observed Treatment Short-Course of Tuberculosis in Afar National Regional state|
|Authors: ||Anteneh, Girma|
|Advisors: ||Damen Hailemariam (MD, MPH, PhD)|
|Copyright: ||2007 |
|Date Added: ||21-Apr-2008 |
|Publisher: ||Addis Ababa University|
Introduction: despite availability of reliable diagnostic approaches and effective drugs for over
decades, Tb remained a major public health problem, where there have been limited impacts in
reducing its global burden despite the growing adherence to the recommendations of WHO on
the use of DOTS and other interventions in many countries.
Objective: to assess the quality of Tuberculosis treatment in Afar National Regional State.
Methodology: cross sectional health institution based survey was conducted between 5th
February and 10th March in six health institutions, where records were reviewed for 270
Patients’, exit interview were made among 209 patients, six providers were interviewed and
observations were made for 49 patients. Data were entered and analyzed using SPSS 11.0 for
windows statistical software and findings at 95% confidence interval and p value of 0.05 were
reported as statistically significant.
Result: the results of the study showed that staffing qualities were poor and patterns of
supervision were weak but delivery supplies for Tb control activities were good. A relatively
higher proportion of patients were dissatisfied with the appropriateness and adequacy of working
hours and waiting time. Statistically significant correlation was observed between process quality
and output quality (clients’ satisfaction).
Conclusion And Recommendations: it was concluded that the quality of Tb treatment in Afar
National Regional State was poor where; both the quantity and the quality of staffing were not
satisfactory, the issue of refreshment training seems to be absent, the pattern of supervision was
weak and was also unplanned, inconsistent and lack feedback whenever it had been effected,
which is totally against the national guideline where it is strongly recommended as part of
program communication. Hence, mechanisms to improve the different aspects of the program
and sticking to the national TLCP manual were strongly recommended.|
|Description: ||A Thesis submitted to
School of Graduate Studies of Addis Ababa University in
Partial fulfillment of the Requirements for the
Degree of Masters in Public Health|
|Appears in:||Thesis - Public Health|
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