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Journal articles on the topic "Patient compliance – Ethiopia – Addis Ababa"
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Alemu, Tadesse, Tirhas Tadesse, and Getasew Amogne. "Glycemic control and its determinants among patients with type 2 diabetes mellitus at Menelik II Referral Hospital, Ethiopia." SAGE Open Medicine 9 (January 2021): 205031212110230. http://dx.doi.org/10.1177/20503121211023000.
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Objective: The objective of the study was to explore the level of glycemic control and its determinants among patients with type 2 diabetes mellitus at Menelik II Referral Hospital, Addis Ababa, Ethiopia. Methods: Cross-sectional study design was employed. The sample size was determined using a single proportion formula and 245 patients with type 2 diabetes mellitus were involved in this study. Systematic sampling method was used to select the study subjects. Standard questionnaire was used to collect patient’s biographic data, economic data, self-care activities, and patient compliance to medications. Summary statistics of a given data were calculated. Logistic regression model was used to measure the relationship between the outcome and predictor variable. Direction and strength of association was expressed using odds ratio and 95% confidence interval. Result: More than three-fourth, 191 (80.3%) of diabetic patients had poor glycemic control. Poor glycemic control was found to be 7.03 times higher among diabetic patients with duration of 5–10 years (adjusted odds ratio = 7.03, 95% confidence interval = 2.7–18.6). Similarly, diabetic patients with a duration of above 10 years were poorly controlled their blood sugar level (adjusted odds ratio = 2.3, 95% confidence interval = 1.028–5.08) in comparison to diabetic patients with a duration of fewer than 5 years. It was also found that compliance with a specific diet was significantly associated with good control of blood sugar level (adjusted odds ratio = 3.7, 95% confidence interval = 1.24–11.13). Conclusion: The magnitude of patients with poor glycemic control was high. Duration of diabetes and non-compliance with diets high in fruits, vegetables, and diets low in fat and sugar were significantly related to uncontrolled blood glucose levels. Therefore, developing strategies targeted toward improving blood glucose control with special attention to diabetes mellitus (DM) patients with a duration of ⩾5 years and those who poorly comply with their diet was strongly recommended.
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Baye, Assefa Mulu, Andualem Ababu, Regasa Bayisa, Mahdi Abdella, Edessa Diriba, Minyechel Wale, and Muluken Nigatu Selam. "Perspectives of compounding pharmacists on alcohol-based hand sanitizer production and utilization for COVID-19 prevention in Addis Ababa, Ethiopia: A descriptive phenomenology study." PLOS ONE 16, no. 4 (April 29, 2021): e0250020. http://dx.doi.org/10.1371/journal.pone.0250020.
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Background Globally, the safety of patients and healthcare providers is at risk due to health care-associated infections (HCAIs). World Health Organization and the Centers for Disease Control and Prevention recommend using alcohol-based hand rub (ABHR) for hand hygiene in healthcare settings to prevent HCAIs. Irrational use of ABHR will have undesirable consequences including wastage of products, exposure of healthcare providers to infections and emergence of microbial resistance to the alcohol in hand sanitizers. This study aimed to explore the perspective and experiences of compounding pharmacists on production and utilization of ABHR solution for coronavirus disease in 2019 (COVID-19) prevention in public hospitals of Addis Ababa, Ethiopia. Methods A descriptive qualitative study using in-depth interview of 13 key-informants serving as compounding pharmacists in public hospitals of Addis Ababa, Ethiopia, was conducted. The study participants were identified and selected by purposive sampling. All transcribed interviews were subjected to thematic analysis and transcripts were analyzed manually. Findings The compounding pharmacists in this study had a mean age of 30.6 (±3.1) years and nine of the thirteen participants were men. Ten participants believed that the compounding practice in their respective sites followed the principles of good compounding practice. More than half of the participants did not believe that ABHR products were used rationally in health facilities. They argued that users did not have enough awareness when and how to use sanitizers. Most of the interviewees reported that compounding personnel had no formal training on ABHR solution production. Study participants suggested incentive mechanisms and reimbursements for experts involved in the compounding of ABHR solutions. Conclusion Three of the compounding pharmacists indicated that ABHR production in their setting lack compliance to good compounding practice due to inadequate compounding room, quality control tests, manpower and equipment. Despite this, most study participants preferred the in-house ABHR products than the commercially available ones. Thus, training, regular monitoring and follow-up of the hospital compounding services can further build staff confidence.
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Aynalem, Getasew Amogne, Tadesse Alemu Bekele, Tirhas Tadesse Berhe, and Getabalew Endazenew. "Factors affecting adherence to lifestyle modification among patients with hypertension at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia, 2019." SAGE Open Medicine 9 (January 2021): 205031212110125. http://dx.doi.org/10.1177/20503121211012523.
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Introduction: Adherence to lifestyle modification in addition to medication adherence is very important in preventing complications. Nevertheless, lifestyle modification guidelines are not widely followed by patients with hypertension. The objective of the study was to explore the predictors of compliance with lifestyle modification among patients with hypertension at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia, 2019. Method: A descriptive cross-sectional study design was used. A total of 384 patients with hypertension were included in this study. A systematic sampling method was used to select study participants. The data were collected through an interview method by using a structured questionnaire. The data were entered and analyzed using SPSS. Each variable was summarized using summary statistics. To measure the association between lifestyle modification and its predictors, a bivariate and multivariate logistic regression model was used. P-value < 0.05, odds ratio (OR), and 95% confidence interval (CI) were used to determine statistical significance, direction, and strength of association. Results: Two hundred six (53.6%) patients with hypertension had poor adherence to the recommended lifestyle modification. Male patients with hypertension were more adherent to lifestyle modification compared with female patients (adjusted OR (AOR) = 0.60, 95% CI: 0.39–0.92). The rate of poor adherence was 1.86 times higher among patients with hypertension diagnosis of <5 years compared with patients with hypertension diagnosis of ⩾5 years(AOR = 1.86, 95% CI: 1.19–2.89). Patients who were adherent to their medication were 2.13 times to have poor adherence to lifestyle modification compared with medication non-adherent patients (AOR = 2.13, 95% CI: 1.38–3.27). Conclusion: High proportions of patients with hypertension were non-adherent to lifestyle modification. Sex, age, duration of the disease, and medication adherence were significantly associated with lifestyle modification adherence. Close follow-up of female patients, the elderly, and patients with a short duration of hypertension is recommended.
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Chargualaf, Michael J., Tieumy T. Giao, Anna C. Abrahamson, David Steeb, Miranda Law, Jill Bates, Teshome Nedi, and Benyam Muluneh. "Layered learning pharmacy practice model in Ethiopia." Journal of Oncology Pharmacy Practice 25, no. 7 (January 7, 2019): 1699–704. http://dx.doi.org/10.1177/1078155218820105.
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Purpose Ethiopia is home to a growing population of more than 100 million people. Healthcare in the region functions with a shortage of oncologists. Pharmacists as well as other healthcare providers can assist with expanding patient access to cancer care. A pilot project was proposed to provide education, determine areas to expand pharmacy services in oncology, and recommend interventions at Tikur Anbessa Specialized Hospital and Addis Ababa University. Methods A layered learning practice model comprising of a clinical pharmacist, a post-graduate year two oncology pharmacy resident, and two fourth-year student pharmacists was constructed for the experience. Through collaboration with the College of Pharmacy at Addis Ababa University, an international experience was developed to provide education and advance pharmacy practice at Tikur Anbessa Specialized Hospital. Results Based on findings from a needs assessment, the participants collaborated with key stakeholders to develop practices and procedures for the implementation of high-dose methotrexate and for comprehensive chemotherapy order review. In addition, 17 didactic lectures were provided to nine students enrolled in the Master of Pharmacy in Pharmacy Practice at the College of Pharmacy at Addis Ababa University. Conclusion This experience provided educational and clinical impact using a layered learning practice model, consisting of a clinical pharmacist, pharmacy resident, and pharmacy students in an international setting. There is significant potential for clinical pharmacy to positively impact patient care in the oncology setting in Ethiopia. Future initiatives for advancement include the safe handling of hazardous agents, additional therapeutic drug monitoring, and outpatient oncology pharmacist practice.
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Mulugeta, Tigist Tedla. "Patient Safety Culture among Health Workers in Addis Ababa regional Hospitals, Ethiopia." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 7, no. 2 (June 28, 2019): 153–66. http://dx.doi.org/10.21522/tijph.2013.07.02.art017.
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Abera, Rodas Getachew, Boaz Arka Abota, Melese Hailu Legese, and Abebe Edao Negesso. "Patient satisfaction with clinical laboratory services at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia." Patient Preference and Adherence Volume 11 (July 2017): 1181–88. http://dx.doi.org/10.2147/ppa.s132397.
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Gebremariam, Alem, Adamu Addissie, Alemayehu Worku, Selamawit Hirpa, Mathewos Assefa, Lydia E. Pace, Eva Johanna Kantelhardt, and Ahmedin Jemal. "Breast and cervical cancer patients’ experience in Addis Ababa city, Ethiopia: a follow-up study protocol." BMJ Open 9, no. 4 (April 2019): e027034. http://dx.doi.org/10.1136/bmjopen-2018-027034.
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IntroductionCancer is an emerging public health problem in Ethiopia, with breast and cervical cancers accounting for over half of all newly diagnosed cancers in women. The majority of women with breast and cervical cancer are diagnosed at late stage of the disease and most patients do not receive care consistent with global standards. However, little is known about the health-seeking behaviours, barriers to early detection and treatment, patient-reported outcomes, financial burden and survival of women with breast and cervical cancer in the country. Therefore, this study aims to document the experience of women with breast and cervical cancer from recognition of symptoms to diagnosis, treatment and survivorship/mortality in Addis Ababa city, Ethiopia.Methods and analysisA prospective follow-up study using mixed methods (both quantitative and qualitative) will be employed. All women newly diagnosed with breast and cervical cancer from 1 January, 2017 to 30 June 2018 in Addis Ababa will be included in the study. Interviewer-administered questionnaires will be used to collect information about medical consultations after recognition of symptoms, health-seeking behaviours, treatment received, barriers to early detection and treatment, and survivorship care. In-depth interview will be conducted on purposefully selected women with breast and cervical cancer. The primary outcomes of the study are time intervals (patient and diagnostic waiting times), stage at diagnosis and survival. Multivariable analysis will be employed to determine the contributions of independent variables on the outcomes of interest. HRs with 95% CIs will be calculated for time-to-event outcomes. Qualitative data will be analysed using thematic analysis.Ethics and disseminationThis protocol is ethically approved by Institutional Review Board of Addis Ababa University. Verbal informed consent will be obtained from study participants. Results will be disseminated in international peer-reviewed journals and presented in relevant conferences.
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Tamrat, Girmaye, Mensur Osman, Nigussie Deyessa, Mulat Taye, Ronald Lett, and Abebe Bekele. "Delay of emergency surgical interventions in Ethiopia: Patient and health system factors." East and Central African Journal of Surgery 23, no. 2 (September 28, 2018): 59–65. http://dx.doi.org/10.4314/ecajs.v23i2.2.
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Background: The objectives of this study were to evaluate outcomes among patients with acute abdomen and abdominal trauma who presented at either of 2 referral hospitals in Addis Ababa, Ethiopia, and to determine the factors associated with delay as well as the effects of prehospital and in-hospital delay on outcome. Methods: We conducted a 1-year prospective cross-sectional study, which included all cases of surgically treated acute abdomen and abdominal trauma admitted to St Paul General Specialized Hospital, Addis Ababa, Ethiopia and Gondar University Hospital, Gondar, Ethiopia. Standardized data collection forms were completed for all cases from 1 May 2008 to 30 April 2009. Data were analyzed using Epi Info version 6 and SPSS version 13. Results: A total of 504 patients were studied. Diagnoses were: intestinal obstruction (34.6 %), appendicitis (33 %), and perforated peptic ulcer (3.6 %). Sixty-six percent of patients over 45 years of age, 60% of females, and 61% of intestinal obstruction cases were operated on within 3 days of illness onset. The 35% of patients who were operated on more than 3 days after the development of symptoms had a mortality of 67%. Fifty-four percent of the cases with a total prehospital and in-hospital time of more than 3 days had initially visited other health institutions. Conclusions: Delay of surgical intervention of more than 3 days for acute abdomen or abdominal trauma adversely affected outcomes. Women, patients older than 45 years of age, patients with intestinal obstruction, and those who were referred from other health facilities were delayed and had adverse outcomes. Keywords: delay in surgery; acute abdomen; abdominal trauma; surgical systems improvement
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Gebrekidan, Gezahegn, Gezahegn Tesfaye, Mitiku Teshome Hambisa, and Negussie Deyessa. "Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia." Tuberculosis Research and Treatment 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/720432.
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Ensuring provision of good quality tuberculosis (TB) care, especially in private for profit health facilities, is an important component of TB control strategy to reduce poor medical practice which results in multidrug resistant TB (MDR-TB). The aim of this study was to investigate quality of TB care in private health facilities of Addis Ababa. A facility based cross-sectional study was conducted based on Donabedian’s structure-process-outcome model of health care quality. Quality of care was determined by adherence to National TB Program guidelines, treatment success rate, and client satisfaction. Exit interview was conducted on 292 patients on the intensive phase of treatment and 384 patient records were reviewed in eight private health facilities. Initial diagnostic AFB test was done for 95.4% of pulmonary TB patients. Most important components of TB care recommended by national guidelines were delivered for a significant proportion of patients. Majority (75%) of the clients were found to be satisfied with each component of TB care. The treatment success rate was 90.9%. The quality of TB care was fairly good. However, only 77.7% of the patients were counseled for HIV testing. Strengthening HIV counseling and testing, tackling shortage of streptomycin and laboratory reagent at private TB clinic is crucial.
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Yifter, Helen, Afrah Omer, Seid Gugsa, Abebaw Fekadu, Abraham Kebede, Tewodros Gebremariam, Addisu Melkie, and Negussie Deyessa. "Early detection and management of major non-communicable diseases in urban primary healthcare facilities in Ethiopia: a study protocol for a type-3 hybrid implementation-effectiveness design." BMJ Open 11, no. 1 (January 2021): e040564. http://dx.doi.org/10.1136/bmjopen-2020-040564.
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IntroductionIntegrating early detection and management of non-communicable diseases in primary healthcare has an unprecedented role in making healthcare more accessible particularly in low- and middle-income countries such as Ethiopia. This study aims to design, implement and evaluate an evidence-based intervention guided by the HEARTS technical package and implementation guide to address barriers and facilitators of integrating early detection and management of hypertension, diabetes mellitus and cardiovascular diseases in primary healthcare settings of Addis Ababa.MethodologyWe will employ a type-3 hybrid implementation-effectiveness study from November 2020 to May 2022. This study will target patients ≥40 years of age. Ten health centres will be randomly selected from each subcity of Addis Ababa. The study will have four phases: (1) Baseline situational analysis (PEN facility-capacity assessment, 150 observations of patient healthcare provider interactions and 697 patient medical record reviews), (2) Consolidated Framework for Implementation Research (CFIR) inspired qualitative assessment of barriers and facilitators (20 in-depth interviews of key stakeholders), (3) Design of intervention protocol. The intervention will have capacity enhancement components including training of non-communicabledisease (NCDservice providers, provision of essential equipment/supporting materials and monthly monitoring and feedback and (4) Implementation monitoring and evaluation phase using the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework. Outcomes on early detection and management of NCDs will be assessed to examine the effectiveness of the study.Ethics and dissemination planEthical clearance was obtained from the Addis Ababa University, College of Health Sciences Institutional Review Board and Addis Ababa Health Bureau. We plan to present the findings from this research in conferences and publish them in peer-reviewed journals.
Dissertations / Theses on the topic "Patient compliance – Ethiopia – Addis Ababa"
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Gebreselassie, Fasil Taye. "Investigating the Compliance with Universal Precautions among Health Care Providers in Tikur Anbessa Central Referral Hospital, Addis Ababa, Ethiopia." Thesis, University of Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3888_1280431366.
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This study has reveled the levels of knowledge and compliance towards Universal Precautions and examined the factors that are influential in having a positive and negative effect on their adoption by healthcare practitioners in practice. Despite acceptable knowledge regarding the potential for infection and mechanisms to prevent these infections, this study has found out that health care workers are not as compliant with universal precautions as they need to be. The findings that compliance correlated directly with knowledge, with in-service training and with availability of protective equipment, provide important indications for future interventions. Therefore a regular on job refreshing training program on Universal Precautions, a written guideline and reminder poster on Universal Precautions and personal protective equipment need to be made available for all health care providers in every department of the hospital for better compliance.
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Tessema, Lulit Tamene. "Exploring Anti-retroviral theraphy (ART) adherence in the context of trait emotional intelligence." Diss., 2013. http://hdl.handle.net/10500/11894.
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M.A. (Public Health)Anti-Retroviral Therapy (ART) adherence is a crucial component of the patient management framework for people living with Human Immune Deficiency Virus (HIV). Trait emotional intelligence is “the constellation of behavioural-dispositions and self-perceived abilities to recognise, process, and utilise emotion-laden information”. The purpose of the study was to determine whether there was a correlation between ART adherence behaviour and behavioural-dispositions related to trait emotional intelligence among HIV/AIDS infected people receiving ART at the regional public hospitals in Addis Ababa. The study used observational, analytical, and cross-sectional research design. The participants were selected through a proportionally stratified systematic random sampling method. Data collection was through a structured self-report questionnaire format. The findings showed that 79.1% had optimal ART adherence behaviour; 84.4% had average trait emotional intelligence. The research finding showed a statistically significant positive correlation between ART adherence behaviour and behavioural-dispositions related to trait emotional intelligence at (r =0.417, n=392, P<0.001).
Health Studies
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Haile, Yeneneh Getachew. "Strategies to improve effectiveness of hospital leadership in Addis Ababa." Thesis, 2020. http://hdl.handle.net/10500/26566.
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In hospitals of Addis Ababa, there is a high turnover of leaders while patient and health
workers’ satisfaction is low, and safety and quality are in dire situations. The purpose of
this study was to explore and propose strategies to improve effectiveness of hospital
leadership in order to enhance the quality of health care provided in hospitals through
improving health workers’ empowerment, job satisfaction and patient safety culture.
Thus, a sequential explanatory mixed method research design was used. The research
had three phases, in which the first phase used five structured questionnaires explored
leadership styles, the health workers’ satisfaction and empowerment, patient safety
culture, and the patient experience of quality of health care; while the second involved a
qualitative study (content analysis); and third phase focused on the preparation of a
strategy document.
Data in the form of interview responses was gathered from 75 leaders, 542 health
workers, 532 patients and 11 key informants. The analysis shows that, overall, hospital
leaders considered themselves more transformational (M=2.98, SD=0.41) than
transactional (M=2.85, SD=0.46). Job satisfaction of private and public hospital health
workers were 70.8 % and 57.1 % respectively (P-value<0.001). In addition, private
hospital workers had a higher score in structural and psychological empowerment than their pubic hospital counterparts; the difference was statistically significant in all
dimensions (P-value <=0.03). The analysis reveals that public and private hospitals’
mean total patient safety scores were 3.58 and 3.77 respectively (P-value=0.02). Finally,
the “overall rating of hospital” was better for private hospitals: 84.8% and 88.4 %
respectively (P-value=0.03).
The study makes a number of observations. It notes that, firstly, transformational
leadership has direct and strong correlation with structural and psychological
empowerment (r=0.70, P-value=0.04 and r=0.83, P-value=0.01 respectively). Secondly, structural empowerment has a direct and significant effect on psychological
empowerment (β=0.28, P-value=<0.01); and minimal indirect effect on patient safety
culture through psychological empowerment (β=0.05, P-value=<0.05). Thirdly, health
worker job satisfaction also has had a direct effect on patient safety culture (β=0.44, Pvalue=<
0.01. The fourth and final observation is that psychological empowerment has
had a direct and statistically significant effect on patient safety culture (β=0.19, Pvalue=<
0.01). These observations indicate that, although private hospitals are better in
every dimension of this study, the current hospitals situation in Addis Ababa needs urgent
attention. Hence, the identification and recommendation for the preparation of eight
strategic priority areas along with key interventions seeking to improve the hospital
leaders’ effectiveness.Health Studies
D. Litt. et Phil. (Health Studies)
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Woldeyes, Belete Getahun. "Evaluation of directly observed tuberculosis treatment strategy in Ethiopia : patient centeredness and satisfaction." Thesis, 2016. http://hdl.handle.net/10500/22074.
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Text in English with questionnaire in AmharicPurpose: The purpose of the study was to evaluate the effectiveness of the tuberculosis directly observed treatment, short-course (DOTS) strategy with respect to patient centeredness and satisfaction, and propose a model in support of the DOTS strategy in Addis Ababa, Ethiopia. Method: The study was conducted in Addis Ababa, Ethiopia using a mixed-method approach. An interviewer-administered questionnaire was used to collect quantitative data from 601 randomly selected TB patients who were on TB treatment followup in 30 health facilities.Three focus group discussions were conducted with 23 TB experts purposefully selected from 10 sub-city health offices and health bureau. Moreover, telephonic interviews were conducted with 25 defaulted TB patients who had been attending TB treatment in the health facilities. The quantitative data were described using mean, median, percentage and frequencies. Logistic regression and exploratory factor analysis were used to extract associated factors using SPSS version 21 software. Thematic analysis was used for qualitative data analysis. Deductive and inductive reasoning was used to propose a descriptive model with substantiating literatures. Findings: Of the 601 TB patients included, 40% of them perceived they had not received a patient-centred TB care (PC-TB care) with DOTS strategy. Gender (AOR=0.45, 95%CI 0.3, 0.7), good communication (AOR=3.2, 95%CI 1.6, 6.1), treatment supporter (AOR=3.4, 95%CI 2.1, 5.5) were associated with the perceived PC-TB care. Thirty-seven percent of TB patients were following their TB treatment with feeling of dissatisfaction with DOTS strategy. Gender (AOR=2.2; 95%CI 1.3, 3.57), place of residence (AOR=3.4; 95%CI 1.6, 7.6), presence of symptoms (AOR=0.6, 95%CI 0.40, 0.94) and treatment-supporter (AOR=4.3, 95%CI 2.7, 6.8) were associated with satisfaction of TB patients. TB experts and defaulted TB patients pointed out that DOTS strategy is not providing comprehensive PC-TB care except the provision of facility choice where to follow during initiation of the treatment. DOTS delivery system inflexibility, loose integration, HCPs’ characteristic, communication skill and motivation and the community awareness were explored factor with patient centeredness of DOTS. DOTS delivery system, incompatible of diagnosis and patient beliefs were the identified categories to default. The proposed PC-TB care model core constructs are patient, community, health care providers, health care organisation and TB care delivery system. The core constructs are directed by policy and monitoring and evaluation components. Conclusion: DOTS strategy is limited to provide fully integrated PC-TB care and did not provide full satisfaction to TB patients. Therefore, a support that makes the TB care patient-centred are important and the proposed PC-TB care model needs to be tested, practiced and evaluated for its performance toward increments of patient centeredness of TB care.
Health Studies
D.Litt. et Phil. (Health Studies)
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Woldemariam, Yenealem Tadesse. "Perceptions of nurses on disclosure of children's HIV positive status in Addis Ababa, Ethiopia." Diss., 2012. http://hdl.handle.net/10500/6392.
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A quantitative, descriptive, explorative survey was conducted to explore and
describe nurses’ perceptions of disclosure to children of their HIV positive status in
Addis Ababa. 100 nurses working in six conveniently sampled health centres
participated by completing a self-administered questionnaire. The findings
revealed that the majority of participants were of the opinion that children have the
right to know their HIV status, participate in their own treatment, and that
disclosure contributes towards improved adherence. Forty-one of the participants
said that it is nurses’ role to support caregivers in the disclosure process. But
56.3% felt they lacked the training to disclose to children that they are infected
with HIV. Accordingly, it is recommended that relevant and applied training is
required to equip nurses with the knowledge and skills to disclose to children their
status. The importance of nurses’ proactive role in disclosure to children of their
HIV status needs to be emphasised.Health Studies
M.A. (Public Health)
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Aragaw, Getahun Sisay. "Adherence by health care providers' National Tuberculosis guidelines." Diss., 2011. http://hdl.handle.net/10500/5092.
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This study examined healthcare providers’ adherence to the national Tuberculosis
guidelines (NTG) during the diagnosis and treatment of TB in Addis Ababa, Ethiopia
using a descriptive, cross-sectional study design. Data were collected from 233
medical records using checklists.
Adherence of healthcare providers to the NTG during the diagnosis of TB was 60.9%
(n=67) for female and 56.1% (n=69) for male TB patients. However, 91.8% (n=101)
female and 90.2% (n=111) male TB patients had been prescribed the correct
numbers of anti-TB pills, complying with the NTG recommendations. There was an
over-diagnosis of smear negative pulmonary Tuberculosis (PTB) as only 2.6% (n=2)
of the 76 smear negative PTB patients were diagnosed correctly.
Healthcare providers’ compliance with the NTG could be enhanced by providing
appropriate in-service education, maintaining accurate records of all TB patients and
providing supportive supervision to identify and address shortcomings.