Compliance in pulmonary tuberculosis patients using directly observed treatment short course

Abstract

Five hundred newly diagnosed cases of pulmonary tuberculosis patients were studied at Iwo Local Government tuberculosis (TB) control clinic Alaye, Iwo, Osun state of Nigeria. The study was to determine (a) the rate of compliance to anti-tuberculous drugs in newly diagnosed pulmonary tuberculosis (PTB) patients over a 2-ycar period in Iwo, Nigeria treated with directly observed treatment short-course (DOTS). DOTS is a short course treatment lasting 6 - 8 months and (b) the effect of DOT S and the use of home visitors on compliance with a view to formulating a model that can be used all over Nigeria to stem the resurgencc of PTB. All newly diagnosed cases of P T B at Iwo, Osun state of Nigeria were treated with DOT S over a two-year period. TB home visitor provided with a motorcycle was used throughout the treatment period with free drug provision by Damien Foundations of Belgium based in Ibadan, Nigeria. The rate of compliance was noted in all cases. Total (100 percent) compliance and cure rate were recorded with the use of DOTS and TB home visitor in this study. The home visitor carried out 50 visitations during the study period. The use of DOTS with free drug provision and the use of home visitor as used in this study confirmed its effectiveness in enhancing compliance and hence cure of PTB. The study is a model that can be adopted for the whole of Nigeria and other countries globally if tuberculosis must be controlled.