Factors contributing for Non-compliance with TB treatment among TB patients: in Sodo Woreda, Gurage Zone, SNNPR.

Abstract

Background: Tuberculosis affects individuals of all ages and both sexes. In order to the TB control program is concerned many country extensive expansion of DOTS service and response many commitments. Regardless of such, efforts, TB is still the major public health problem because of default rate is high and non-compliance common and it is a common cause of morbidity and mortality. TB treatment compliance is a complex behavioural issue. In order to improve treatment outcomes for TB, it requires a full understanding of the factors that prevent people from taking their medications correctly including factors that could help them complete treatment. Objective: To explore factors contributing for Non-compliance with TB treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Nation 2013/2014. Methods: A qualitative, phenomenological study design using in-depth interviews was conducted. The Data was collected by using pre-tested open-ended topic guide. The method employed was in-depth interview. Data analysis was begun with transcription. Transcripts were coded using ATLAS.ti- 7.software using content analysis. Results: The most frequently mentioned reason for non-compliance to treatment was economic factors, distance to health facility, using traditional healing system, side-effect of the drug, felt well, daily labourers, food security, patient-provider relationship and lack of community and family support. Although the drugs were given free of charge, many patients were non-compliance because of lack of money. Conclusion: Non- compliance to TB treatment amongst TB patients in Sodo Woreda Gurage Zone Southern Nation is associated with non-availability of food whilst taking TB treatment, poor interpersonal communication between healthcare providers and patients, beliefs in traditional medicines for curing TB, long distance to the health care facility, economic factors, becoming daily labourers, side-effect of the drug, stigma and shame, feeling that the size of the tablet is too big and the pill burden (too many pills to take daily). To overcome the most important barriers in treatment compliance, more sustained health education campaigns should be directed towards patients, health care providers, patients’ close contacts, and the community at each visit using local language.