Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Factors associated with tuberculosis treatment outcomes in Opuwo District Hospital- Kunene Region, Namibia 2013-2015

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 52. doi:10.11604/pamj.cp.2017.3.52.199

Submitted: 09 Oct 17   Accepted: 09 Oct 17   Published: 23 Oct 17

Key words: Factors, tuberculosis, treatment outcomes

© Silas Nghishihange et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/52/abstract

Corresponding author: Kofi Nyarko, Namibia Field Epidemiology and Laboratory Training Program, Windhoek, Namibia (konyrako22@yahoo.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Factors associated with tuberculosis treatment outcomes in Opuwo District Hospital- Kunene Region, Namibia 2013-2015

Silas Nghishihange1, Kofi Nyarko1,&, Micheal Shikongo1, Ligola Akwenye1

 

1Namibia Field Epidemiology and Laboratory Training Program, Windhoek, Namibia

 

 

&Corresponding author
Kofi Nyarko, Namibia Field Epidemiology and Laboratory Training Program, Windhoek, Namibia

 

 

Abstract

Introduction: globally, tuberculosis (TB) causes about 1.5 million deaths annually. Namibia is among the high burden TB countries with high mortality rates (33/100 000). Tuberculosis is curable; however, treatment outcomes can be influenced by various factors. We conducted a study to describe patients on anti-TB medication and to identify factors associated with poor treatment outcomes in Opuwo District Hospital, 2013-2015.

 

Methods: we conducted a descriptive, cross sectional study by reviewing TB patientís treatment cards from 2013-2015. Data were described in respect of person, place and time. We generated frequencies and proportions. Chi-square test of significance was used to determine association at p-value < 0.05. Logistic regression was performed to determine factors associated with treatment outcomes and the results were presented as Odds Ratio with 95% confidence interval.

 

Results: a total of 358 patients were on TB treatment with the case fatality of 6% (n = 21). The majority 53% (191/358) were males while 47% (167/358) females. The mean age of patients who were on treatment was 35 years, (SD 17, 6), ranged from (1-84) years. Most patients on treatment were from rural areas 71% (291/358). Of 358, 26% (n = 92) patients have completed treatment while 13% (48/358) were lost to follow up. Lost to follow was significantly higher among rural residents, compare to urban residents, (OR = 5, 95% CI: 1.18-21.0). Being employed was protective against loss to follow up compare to those who were unemployed (OR = 0.3, 95% CI: 0.15-0.58). Dying from TB while on treatment was associated with TB co-infected with HIV, (OR = 4.0, 95% CI: 1.7-10.23).

 

Conclusion: employment status, HIV status and residential addresses were associated with tuberculosis treatment outcome. Health education on importance of TB treatment adherence was conducted. We recommend a comprehensive study to determine the factor associated with lost to follow up among TB patient.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)