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Epidemiology and policy
SP3-71 Quality assessment of directly observed treatment of tuberculosis in Dhaka city
  1. S Satter1,
  2. M A Hafez2,
  3. M Flora3,
  4. M Shahjahan2,
  5. A Afroz2
  1. 1International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh
  2. 2Bangladesh Institute of Health Sciences (BIHS), Dhaka, Bangladesh
  3. 3National Institute of Public Health & Social Medicine (NIPSOM), Dhaka, Bangladesh

Abstract

Introduction Quality of directly observed treatment (DOT) is key factors for successful TB control programme. This study was conducted to assess the quality of directly observed treatment of tuberculosis in Dhaka city to enhance Stop TB strategy supported by National Tuberculosis Programme (NTP), Bangladesh.

Methods Data were collected from 11 DOT centers located in 11 out of 90 wards in Dhaka city using a two-stage systematic sampling technique. All the facilities providing DOT services were the primary sampling unit for this study. A total of 62 pulmonary tuberculosis cases selected were interviewed at home.

Results Mean ages of the patients were 31±12 years, 61.3% were male and 84% literate. About 95% patients gave 3 sputum samples whereas only 62% followed correct procedure for giving sputum for diagnosis. 73% of the patients swallowed drug at home. About 74% respondents swallowed drug under direct observation. Treatment follow-up schedule was followed by 88% smear positive and 93% smear negative patients. Patients had highly positive attitude towards DOT though 58% of the patients showed average knowledge level regarding tuberculosis. Overall 78% patients showed adherence to DOT. Level of education showed significant association (p<0.05) with patients' “opinion about necessity of direct observation” and “following of sputum giving procedure correctly for diagnosis.

Conclusion Although patients level of knowledge was average but showed highly positive attitude and good adherence towards DOT. Strict monitoring, frequent sensitisation and assistance regarding diagnosis and treatment follow-up may increase the adherence as well as quality of DOT.

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