Assessment of treatment adherence among TB patients under public private mix (PPM TB) general practitioners’ clinics in Yangon, Myanmar.
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Date
2014-09-01
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Myanmar Medical Association
Abstract
Treatment adherence plays a key role towards the achievement of TB control programmes.
Poor or non-adherence to TB treatment among TB patients can pose the risk for drug resistance,
relapse and prolonged illness. This study is to assess the treatment adherence among TB patients
under Public-Private-Mix (PPM) DOTS program in Yangon, Myanmar and to identify the influencing
factors. A total of 175 TB patients who have been receiving anti TB treatment from the general
practitioners’ clinics were used in this cross sectional study and individually interviewed to collect
data: socio demography, clinical characteristics, adherence to anti TB treatment, knowledge,
perception, accessibility, affordability, availability and acceptability of service; and social support.
Of 175 respondent TB patients, a majority of 167 (95.4%) were adherent to the treatment whereas
8 (4.6%) were non adherent mainly due to co morbidities and suffering multiple side effects. There
were significant associations between perception, accessibility to and availability of services and
social support and treatment adherence. Co morbidity and multiple side effects had also significant
association with treatment adherence.It can be concluded that this study revealed the good adherence among TB patients and reflected some influencing factors for treatment adherence which would be beneficial to takeremedial measures for program ‘s weaknesses and for further successful implementation of PPM
DOTS program and national TB control program as well.
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Keywords
Public Private Mix (PPM TB), DOTS Program, General Practitiioners, Clinics
Citation
Thet Naing Maung. Assessment of treatment adherence among TB patients under public private mix (PPM TB) general practitioners’ clinics in Yangon, Myanmar. Myanmar Medical Journal. 2014 Sept ; 56 (2): 28-36.