Family and Social Support in Treatment Adherence of MDR TB Patient in Nepal

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DOI: 10.21522/TIJPH.2013.08.01.Art019

Authors : Anita Dhungana Shah

Abstract:

Background: Multidrug resistance is one of the emerging public health issue around the world as the treatment is challenging due to loss to follow up and side effects. Multiple factors are responsible for the adherence of treatment. Side effects of drugs, lengthy treatment duration, and complicated treatment procedures are major hindrances in treatment of MDR TB. Similarly, family and social support have prime role in maintaining the treatment adherence among the patients.

Objective: The objective of this study was to find out the role of family and social support in treatment adherence of MDR patients.

Methods and material: Focus Group Discussion and group discussion were conducted in 2 treatment centers NTC and GENETUP. The information collected through FGD and group discussion were translated, transcribed and then respective themes were constructed under which analysis was performed.

Results: Majority of the respondents had received family support for their treatment. Respondents reported that main reasons behind non-adherence of TB was due to side effects of the drugs. Almost 1/3rd of the respondents felt discrimination from the society while many of them are not engaged in any income generation due to weakness and physical symptoms. The disease status has been disclosed to only close ones in most of the cases rather than the neighbors. Social stigma and discrimination are the reasons behind not disclosing their status.

Conclusion: This study shows that family are the one who are close to the patient and their support plays a crucial role for treatment adherence. Societal support is also necessary but the various stigmas associated with the disease have resulted to hide the disease in community.

Keywords: Adherence, Family and social support, MDR TB, Resistance, Nepal.

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