Tuberculosis (TB) is still a leading cause of morbidity and mortality in Kenya. Kenya is one of the 22 countries responsible for 80 percent of the global TB burden. The country has risen from 13th to 15th place among the 22 countries. The defaulter rate for TB treatment in Kenya is 15% [1]. The purpose of the study was to identify the factors associated with TB treatment non-adherence at the individual, health care provider, facility, and community levels. A cross-sectional descriptive survey was conducted in Kenya's Baringo County, which included both urban and rural areas. Data was collected using a self-administered questionnaire, interview schedules, and a checklist. Respondents were identified using TB patient defaulter registers and health workers. It was decided to use convenience sampling. SPSS version 20 was used to analyze the data. The study discovered that non-adherence to treatment was linked to a number of factors, including patient-related, health worker-patient relationships, health care delivery patterns, and socio-cultural factors. They were found to be associated with both intensive (46%) and continuation (54% ) treatment phases. 45 percent of smoking patients associated it with non-adherence, while 58 percent of drinking patients associated it with non-adherence. 53 percent of patients associated it with walking distance to access services, 41 percent of defaulters associated it with symptoms relief during treatment making them not to adhere to treatment, and 52 percent associated it with forgetfulness or carelessness.
Author (S) Details
Dr. Ronald Omenge Obwoge
Department of Community Health, Faculty of Health, Egerton University, Kenya
Dr. Richard K. Sang
Department of Community Health, Faculty of Health, Egerton University, Kenya.
Dr. Aurelius Wakube
Department of Community Health, Faculty of Health, Egerton University, Kenya
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