Research Article
Volume 7 Issue 8 - 2018
Factors Influencing the Abandonment of Tuberculosis Treatment at Health Center May 1, 2016-2017, Maputo City, Mozambique
Germano Manuel Pires1*, Martina da Graça Alexandre2 and Sérgio A Rodrigues Chicumbe1
1Instituto Nacional de Saúde (INS) - Health Systems Research Unit, Ministry of Health, Mozambique
2Instituto Superior de Ciências de Saúde (ISCISA), Maputo, Mozambique
*Corresponding Author: Germano Manuel Pires, Instituto Nacional de Saúde (INS) - Health Systems Research Unit, Ministry of Health, Mozambique.
Received: May 21, 2018; Published: July 06, 2018
Citation: Germano Manuel Pires., et al. “Factors Influencing the Abandonment of Tuberculosis Treatment at Health Center May 1, 2016- 2017, Maputo City, Mozambique”. EC Pulmonology and Respiratory Medicine 7.8 (2018): 539-544.
Abstract
Background: Although Tuberculosis (TB) is a preventable and curable disease, it is a major public health problem, especially in developing countries. Mozambique is among the 30 countries with the greatest burden of TB and its control is becoming more and more a challenge because of the high number of HIV-TB co-infection associated with patients abandoning TB treatment.
Method: A qualitative study was carried out which, through a semi-structured interview script, interviewed in February 2018, sixteen patients who abandoned treatment between 2016 - 2017 and who were enrolled in the tuberculosis treatment program of the Health Center May 1. The selection of the patients was for convenience and it was possible to locate their residences with the help of the health committee agents. Each patient found was explained about informed consent if he accepted to be part of the research, would sign the consent. The data collected were organized into frequencies, and some responses were analyzed according to their content.
Results: All 16 patients participated in the study had simple pulmonary TB for the first time and most of them were male (65.5%). The average age of respondents was 37.5 years and most were single. Most patients knew how long they should take the treatment, but most of the patients abandoned the treatment in a period equal to or greater than two months. In general, having felt cured, lack of food, side effects of medications associated with addictions especially the consumption of alcohol, were the main causes of abandonment to treatment.
Conclusion: The abandonment of tuberculosis treatment remains a major challenge for the tuberculosis program. Most patients who dropped out of treatment in this study had a low level of schooling, revealing a need for health professionals to interact with communities to increase awareness of treatment compliance. These results also demonstrate the need to intensify community DOTS activities, especially in their active searches, to reduce dropout rates.
Keywords: Tuberculosis; Treatment Abandonment; Health Center May 1; Maputo; Mozambique
Copyright: © 2018 Germano Manuel Pires., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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