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Epidemiology and policy
P1-198 Study of spatial distributions and effect of the patient distance from health center on default and interrupted therapeutic outcomes in tuberculosis disease using GIS and GPS, IN Urmia, Iran, during 2004–2009
  1. G Kolifarhood1,
  2. S Dastgiri2,
  3. S Salarilak3,4,
  4. N Khosravi1,
  5. A N nejad4,
  6. B Neamati4,
  7. D Khorasani4,
  8. P Mikaili4,
  9. A Yousefzade4,
  10. Y Mohammadpour4,
  11. R Ghareaghaji4
  1. 1Zanjan University of Medical Science, Zanjan, Iran
  2. 2Tabriz University of Medical Science, East Azerbaijan, Iran
  3. 3Islamic Azad University of Iran, Tabriz Branch, Medical Faculty, Tabriz, Iran
  4. 4Urmia University of Medical Science, West Azerbaijan, Iran

Abstract

Objective To determine of the spatial distributions of tuberculosis (TB) and effect of patient distance from the health center on default or interrupted therapeutic outcomes in Urmia, Iran, during 2004–2009.

Material and Methods In this cross sectional study we used the data of 452 new TB cases, which have been recorded by TB management center in Urmia, capital of West Azerbaijan province, during a five-year period. In order to identifying the significant geographical clusters, we used the “Average Nearest Neighbour” method. Linear regression method was used to determine linear correlation between patients distance and number of default and interrupted therapeutic outcomes.

Results Five countryside areas had significantly spatial clusters of TB (p<0.0001). As the distance of patient from TB health center are increased, the number of the default and interrupted cases were also increased (r2=0.25, p=0.04). In comparison with the number of default and interrupted cases and the mean distances of TB health center, wherever mean distance was more than 1 Km, number of default and interrupted cases were more than 3 (p=0.02).

Conclusion Spatial distributions of tuberculosis disease in Urmia are not randomly and suburban areas need more serious attentions by policy makers and health planners. According to the health system in Iran, health posts has not actively role in treatment of TB patients at urban settings. As a result, if the health posts are contributed to in the TB treatment programs, the patient distance from the treating health centers will decreased and subsequently the positive therapeutic outcomes will grow.

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