Factors Affecting Adherence to Tuberculosis Medication Among Tuberculosis Patients in Amai Community Hospital, Amolatar District

Table of Contents

DECLARATION ............................................................................................................................................................I

APPROVAL ................................................................................................................................................................. II

LIST OF ACRONYMS .................................................................................................................................................. III

TABLE OF CONTENTS ................................................................................................................................................ IV

LIST OF TABLES.............................................................................................................................................................. VI

LIST OF FIGURES............................................................................................................................................................ VI

ABSTRACT ............................................................................................................................................................... VII

INTRODUCTION ........................................................................................................................................................ VII

CHAPTER ONE: INTRODUCTION............................................................................................................... 1

1.0 GENERAL INTRODUCTIONS ...........................................................................................................................1

1.1 BACKGROUND INFORMATION...............................................................................................................................1

1.2 STATEMENT OF THE PROBLEM ......................................................................................................................3

1.3 RESEARCH OBJECTIVES ..............................................................................................................................................4

1.3.1 Broad Objective....................................................................................................................................................4

1.3.2 Specific Objectives...............................................................................................................................................4

CHAPTER TWO: LITERATURE REVIEW................................................................................................... 8

2.0 GENERAL INTRODUCTIONS ................................................................................................................. 8

2.1 REVIEW OF PREVIOUS LITERATURE......................................................................................................................8

3.1 STUDY AREA......................................................................................................................................................14

3.3 STUDY DESIGN...................................................................................................................................................14

3.4 SAMPLE SIZE DETERMINATION...........................................................................................................................14

3.5 SAMPLING METHOD............................................................................................................................................14

3.6. INCLUSION AND EXCLUSION CRITERIA ..............................................................................................................15

3.6.1 Inclusion Criteria ................................................................................................................................................15

3.7 DATA COLLECTION METHOD ..............................................................................................................................15

3.8 DATA ANALYSIS AND PRESENTATION.................................................................................................................16

3.10 STUDY LIMITATIONS AND DELIMITATIONS .......................................................................................................16

3.11 STUDY QUALITY CONTROL ...............................................................................................................................16

3.12 ETHICAL CONSIDERATION ................................................................................................................................16

CHAPTER FOUR: STUDY RESULTS AND FINDINGS ...............................................................................................18

4.0 GENERAL INTRODCUTIONS.................................................................................................................................18

4.1 SOCIO DEMOGRAPHIC DATA................................................................................................................................18

4.1.1 Age .....................................................................................................................................................................18

4.1.2 Gender ................................................................................................................................................................20

4.1 FACTORS AFFECTING ADHERENCE TO TB MEDICATIONS....................................................................................23

4.1.1 LEVEL OF AWARENESS ABOUT TB DRUGS ..................................................................................................................23

4.1.3 The distribution of patients by HIV/TB Co –infection. .....................................................................................23

4.3 THE PROPORTION OF TB PATIENTS AT VARIOUS STAGES OF TREATMENT COMPLETION .....................................25

CHAPTER FIVE: DISCUSSIONS, CONCLUSION AND RECOMMENDATIONS......................................28

5.0 GENERAL INTRODUCTIONS.................................................................................................................................28

5.1 DISCUSSIONS......................................................................................................................................................28

5.1 The contributing factors to non adherence to TB treatment ..................................................................................28

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5.2 The proportion of tuberculosis patients.................................................................................................................29

5.3 The roles of community health workers in TB management.................................................................................30

5.2 Conclusions ...........................................................................................................................................................30

5.3 Recommendations .................................................................................................................................................31

REFERENCES................................................................................................................................................32

APPENDICES .................................................................................................................................................34

APPENDIX I: RESEARCH QUESTIONNAIRE SHEET:....................................................................................................34

APPENDIX II: WORK PLAN .......................................................................................................................................39

APPENDIX III: RESEARCH BUDGET ..........................................................................................................................40

APPENDIX IV: CONSENT FORM ................................................................................................................................41

APPENDIX V: LETTER OF INTRODCUTIONS..........................................................................................................................42

APPENDIX VI: MAP OF UGANDA SHOWING AMOLATAR DISTRICT ..........................................................................................43

APPENDIX VII: MAP OF AMOLATAR DISTRICT ....................................................................................................................44