Accessibility and Utilization of Tuberculosis Directly Observed Therapy in Primary Health Care Facilities in Katsina State, North West Nigeria
Tuberculosis is a public health problem in Katsina
state. Previous effort to decrease the burden of TB was substantially targeted
at the secondary and tertiary level of care. The new strategy calls for the
decentralization of DOTS at the PHC level. This study assessed the resources
for diagnosis and treatment of TB, utilization of services in PHC facilities in
Katsina state. The study design was a cross-sectional descriptive study and it
enrolled 225 TB patients in 32 health facilities through a multi-stage sampling
technique. A structured interviewer-administered questionnaire was used to
obtain data from respondents. Qualitative data were also collected using KII.
The data was analyzed using SPSS version 20-software package. For the
qualitative aspect, content analysis was done for KII. Of the Health facilities studied 7 (28%) were diagnostic centres
while 25 (72%) were treatment (intake) centres. The mean age of TB patients was
39+13 years also the mean duration since the commencement of treatment was 3
months. The mean duration time before reaching the hospital was 39 + 27
minutes. The majority (98.5%) of TB patients had easy access to a health
facility. About one third (34.4%) of the health facilities had and were using a
microscope. In conclusion, the study revealed that resources for TB diagnosis
were not adequate in most of the health facilities. However, resources for TB
treatment were sufficient. The state government should provide more support in
making TB resources adequate in all facilities.
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