Support and unmet needs of patients undergoing multidrug-resistant tuberculosis (MDR-TB) treatment in southern Nigeria.

Journal: The International journal of health planning and management

Volume: 35

Issue: 4

Year of Publication: 2021

Affiliated Institutions:  Department of Community Health and Psychiatry, University of West Indies, Mona, Jamaica. German Leprosy and TB Relief Association, Enugu, Nigeria. Department of Social Work, Faculty of Social Sciences, University of Nigeria, Nsukka, Nigeria. Department of Internal Medicine, Alex Ekwueme Federal Teaching Hospital (AE-FETHA), Abakaliki, Nigeria. Ebonyi State Tuberculosis and Leprosy Control Programme, State Ministry of Health, Abakaliki, Nigeria. Centre for Development and Reproductive Health, Enugu, Nigeria.

Abstract summary 

Multidrug-resistant tuberculosis (MDR-TB) is presently a major public health threat. MDR-TB patients face diverse financial and psychosocial difficulties. Researchers conducted in-depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding, generation of themes, and thematic memo writing. The key findings were as follows: Out of the 42 patients, 30 (71.4%) were males and 12 (28.6%) were females. All patients received financial stipends for transport and monthly social support. The patients however needed more financial support than they received (suggesting high unmet financial needs). Patients suffered depressive mood before and during treatment but received inadequate mental health/psychosocial care and treatment. Patients developed hearing impairment as a major adverse drug reaction, but the care and treatment they received were inadequate. In conclusion, the programmatic support provided for MDR-TB patients' financial and mental health/psychosocial needs and auditory drug side effects fell short of their need. Programmes for control of MDR-TB should increase budgetary allocations and ramp up mechanisms for provision of mental health/psychosocial support and care/treatment for drug side effects.

Authors & Co-authors:  Oshi Daniel D Chukwu Joseph J Nwafor Charles C Chukwu Ngozi E NE Meka Anthony O AO Anyim Moses M Ukwaja Kingsley N KN Alobu Isaac I Ekeke Ngozi N Oshi Sarah N SN

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization. Multi-drug Resistant Tuberculosis (MDT-TB). https://www.who.int/tb/challenges/mdr/MDR-RR_TB_factsheet_2017.pdf?ua=1 .
Authors :  10
Identifiers
Doi : 10.1002/hpm.2929
SSN : 1099-1751
Study Population
Males
Mesh Terms
Adult
Other Terms
financial incentives;multidrug-resistant tuberculosis;psychosocial support;social protection;unmet needs
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Nigeria
Publication Country
England