An Investigation into the Continued Cases of Lost to Follow-Up Tb Patients: A Case Study of Kawaala Health Centre Iv in Kampala, Uganda.

ABSTRACT This study was conducted to establish the extent to which background factors have perpetuated the cases of lost to follow-up in the Tuberculosis treatment despite the government of Uganda intervention to providing universal free treatment and care for patients in all public health facilities. Patients’ lack of motivation to complete treatment and rehabilitation remains a challenge. The study was conducted as a across sectional investigation through the review and analysis of registers of all 298 patients that were enrolled on TB treatment from January to December 2016 at Kawaala HCIV. A univariate analysis of the data was done using measures of central tendency. Demographic variables were compared using the Chi-square tests. The study established more males (62.4%) contracted Tuberculosis and more HIV positive patients (55.1%) contracted the disease as an opportunistic co- infection. Although a higher percentage of (63.2%) of TB patients was cured, the study further established that (5.4%) was still worryingly high and this occurrence was more commonly among patients of 15 years and more (93.3%). This study concluded that there is a clear co-relation between background factors and Lost To Follow-Upamong TB patients and therefore recommends that further interventions in TB treatment should specifically target these but also make aim for other possible variables like mass sensitization and education, community linkages efforts play a central role in attaining desired TB treatment success targets.

TABLE OF CONTENTS

ACKNOWLEDGMENTS

APPROVAL

DEDICATION

DECLARATION .

iv

LIST OF ACRONYMS AND ABBREVIATIONS v

TABLE OF CONTENTS

ABSTRACT ~aii

CHAPTER ONE 1

INTRODUCTION 1

1.0 Introduction 1

1.1 Background 1

1 .2Problem statement 4

1.3 Objectives of the Study 4

1.3.1 General Objective 4

1.3.2 Specific Objectives of the Study 5

1.4 Research Questions 5

1.5 Significance of the study 5

1.6 Scope of the study 6

CHAPTER TWO 8

LITERATURE REVIEW 8

2.0 Introduction 8

2.1 Definition of Lost to Follow-up 8

2.2 GOU Interventions in TB Treatment 9

2.3Background factors associated with Lost to Follow-ups during TB treatment 12

vi

CHAPTER THREE .15

METHODOLOGY 15

3.0 Introduction 15

3.1 Research Design 15

3.2AreaofStudy 15

3.3 Study population 16

3.4. Sample Size 16

3.5 Data Collection Methods and Instruments 16

3.6 Data Quality Control 16

3.7 Procedure 16

3.8 Data Analysis 17

3.9 Limitationsof the Study 17

3.10 Ethical Considerations 18

CHAPTER FOUR 19

PRESENTATION OF THE FINDINGS 19

4.1 Characteristics of Patients 19

CHAPTER FIVE 23

DISCUSSION OF THE FINDINGS 23

REFERENCES 30

APPENDIX I 33

RESEARCH BUDGET 33

APPENDIX II 34

TIME FRAMEWORK 34