Title:
Factors Influencing Outcomes of Tuberculosis Treatment among HIV-Positive TB Patients in Taraba State, North-Eastern Nigeria
Authors:
Nzunde, Markus
Year:
2015
PAGE:
xii, 78
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
Tuberculosis, TB, HIV, Treatment Outcome, Mortality and Treatment Adherence
Abstract:
Background: Tuberculosis (TB) and Human Immunodeficiency virus (HIV) infection remain the leading causes of morbidity and mortality among infectious diseases in Nigeria and Taraba State in particular. Objective: To explore factors influencing the treatment outcome of TB among TB/HIV co-infected patients in Taraba State in order to make recommendation to improve treatment outcome. Method: Analysis of cohort of TB/HIV patients registered in the state in 2013 using Microsoft Excel and EPI Info7 and a literature review was done to identify relevant information on study objectives. An adapted socio-ecological conceptual framework was used to analyse the factors influencing treatment outcomes. Findings: Death rate (DR) and cure rate (CR) were significantly associated with HIV positive status (p<0.001). Poverty, high levels of stigma and the weak TB/HIV integration and collaboration could be factors influencing the high death rate among TB/HIV co-infected patients in Taraba State. Other factors identified are low knowledge and misconception about TB/HIV, adverse drug effects, co-morbidity, weak intersectoral collaboration and weak community engagement in TB/HIV interventions. Conclusion: Several factors were identified that could contribute to high DR among HIV positive TB patients. Therefore, exploring intersectoral collaborations, community enggagement and strengthening of health system may go a long way to contribute to reducing the high DR.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Health Unit
Country:
Nigeria
Region:
Western Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2015 Nzunde
Document type:
Thesis/dissertation
File:
ngmgc9IV6E_20161103090441862.pdf