TITLE:
Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?
AUTHORS:
Olusola Adedeji Adejumo, Olusoji James Daniel, Mustapha Gidado, Andrew Folarin Otesanya, Esther Ngozi Adejumo, Ebunoluwa O. Jaiyesimi, Oluwatoyin Esther Idowu, Olumuyiwa O. Odusanya
KEYWORDS:
Adherence, National Guidelines, Health Workers, DOTS Facilities
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.7 No.1,
January
20,
2016
ABSTRACT: Setting: Private and public tuberculosis (TB) treatment centers in Lagos State, Nigeria. Objective: To compare adherence of private and public providers of directly observed treatment short course (DOTS) in the Lagos State TB control program, Nigeria (LSTBLCP) with the national TB guidelines. Design: A retrospective review of treatment cards of TB patients managed within the first and second quarter of 2012 in 34 DOTS facilities {23 public, 7 private for profit (PFP), and 4 private not for profit (PNFP)} involved in the private public mix of the LSTBLCP. Results: Of the 1896 treatment cards reviewed, 1524 (80.4%), 132 (7.0%) and 240 (12.6%) were from public, PFP and PNFP DOTS facilities, respectively. About 19%, 25% and none of the patients managed at the public, PNFP, and PFP DOTS facilities were treated in full adherence with the national guidelines respectively. A significantly higher proportion of adults and sputum smear positive TB patients were treated in full adherence with the national guidelines (p