Ten Years Tuberculosis Trend in Gambella Regional Hospital, South Western Ethiopia

Asebe, Getahun; Ameni, Gobena; Tafess, Ketema

doi:10.15590/mjmbr/2014/v1i1/53716

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…It is before a decade that the WHO report warned the status of TB in the Gambella Region of Ethiopia as the highest among all regional states of the country, which needs special attention with the notification rate (new and relapse) of 261 to 421 per 100,000 people [ 16 ]. To this effect, the newly adopted Sustainable Development Goals (SDGs) demand to achieve of universal health coverage in which effective treatment for all TB-infected people has been stipulated under its target.…”

Section: Introductionmentioning

confidence: 99%

“…In Gambella regional state, a few TB treatment outcomes and associated factors studies have been made so far [ 16 ]. Hence, the study in this regard in Gambella regional state (the region which leads in terms of TB burden and its comorbidities in Ethiopia) by reaching each TB patient household in person in the districts of the region has paramount importance for the country.…”

Section: Introductionmentioning

confidence: 99%

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Nonadherence Predictors to Tuberculosis Medications among TB Patients in Gambella Region of Ethiopia

Kebede

Jing

Girma

et al. 2022

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Background. Global tuberculosis (TB) disease deaths rise comparable to the one seen in 2015 (by 200,000) or even in 2012 (by 400,000) as a result of the potential impact of the COVID-19 pandemic. Ethiopia’s Gambella region is leading for years in terms of TB cases and its comorbidities. The TB control program effectiveness depends on in large on the patients completing the appropriate treatment regimen. Hence, the objective of this study was to determine the determinants of nonadherence to anti-TB drug treatment among patients in Gambella regional state of Ethiopia. Methods. A case-control study was conducted on cohorts of TB patients sampled from four public health facilities in Gambella Region from January 2019 to 2020, followed by 18 months of follow-up. The total sample size was 296 patients (74 cases and 222 controls) with a response rate of 97.3% (288 : 72 nonadhered cases and 216 controls). Cases (nonadhered) were TB patients who missed 10% of the doses while controls were patients, who completed 90% or more doses. Results. TB patients, who perceived stigma [AOR = 2.7 at 95% CI (1.1–6.6) with P value <0.05], failed to receive any counseling during the treatment course [AOR = 65.24 at 95% CI (11.69–363.95) with P value <0.01], patients who used to smoking during treatment [AOR = 15.4 at 95% CI (7.7–30) with P value <0.01], taking TB medications regularly has no benefits [AOR = 6.8 at 95% CI (1.8–24.9) with P value <0.05], and patients believing TB disease as not severe [AOR = 8.38 at 95% CI (2.0–34.6) with P value <0.05] were significantly or highly significantly associated with nonadherence to anti-TB drugs medications. Conclusion. The determinants of nonadherence to anti-TB treatment among TB patients in the Gambella region during the study period were the absence of counselling services, and patients’ behavior (smoking habits, undermining the severity of TB disease, lack of trust in the outcomes of regular medications, and perceived stigmatization). Accordingly, capacitating healthcare providers and workers at all TB clinics for effective counseling , preventing perceived stigma by protecting the patient’s secrecy, and routine health education has paramount importance for effective TB control in Gambella.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nonadherence Predictors to Tuberculosis Medications among TB Patients in Gambella Region of Ethiopia

Kebede

Jing

Girma

et al. 2022

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Assessment of Two Years’ Sputum Smear Results among Tuberculosis Suspected Patients in Gambella Regional Hospital, Western Ethiopia

Wolde

Fereja

2018

International Journal of Microbiology

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Background Determining burden of pulmonary tuberculosis (PTb) may be associated with success of directly observed theraphy (DOT) services in high PTb areas, such as Gambella, Ethiopia. Objective To assess burden of sputum smear positive SSP-PTb reports in Gambella Regional Hospital, in two consecutive years: mid 2013 to 2015. Methods From March 2013 to February 2015, PTb suspected patients' sputum Acid Fast Bacilli test results were collected from laboratory registration book of Gambella Regional Hospital, western Ethiopia. Results Of the total 3064 results, the proportions of males and individuals whose age is between 16 and 25 years were 1823 (59.5%) and 1046 (34.1%), respectively. Majority of samples were coming from newly PTb suspected patients (2587, or 84.4%); and of them, SSP-PTb cases were 9.9%. The overall SSP-PTb cases decreased by 2.1% in March 2014 to February 2015 as compared to March 2013 to Feburary 2014. Meanwhile, AFB smear negative cases were significantly associated with being male [1.384 (1.064–1.801)] and being of age group 16–25 years [1.517 (1.007–2.287)]. Conclusion In Gambella region, although the distribution of AFB smear results had no significant yearly variations and the overall burden of SSP cases was decreased, still a lot of work needs to be undertaken on the PTb prevention and control program.

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Factors Influencing Women’s Reproductive Health

Zahan

2014

ABC j. adv. res.

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Women in the developing countries are often found in poor health and overburdened with work; most are anemic, many suffer from malnutrition and parasitism. Especially during pregnancy and childbirth they suffer from iron and adequate health care services. Older women and men have distinct reproductive and sexual health issues which are often inadequately addressed. Mainly women’s health status is affected by complex biological, social and cultural factors which are interrelated and can only be addressed ia comprehensive manner. Reproductive health is determined not only by the quality and availability of health care, but also by socio-economic development levels and women’s position in society. In its 1994 World Report on Women's Health, the Federation states that women's health is often compromised not by lack of medical knowledge, but by infringements on women's human rights.

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Ten Years Tuberculosis Trend in Gambella Regional Hospital, South Western Ethiopia

Cited by 6 publications

References 10 publications

Nonadherence Predictors to Tuberculosis Medications among TB Patients in Gambella Region of Ethiopia

Nonadherence Predictors to Tuberculosis Medications among TB Patients in Gambella Region of Ethiopia

Assessment of Two Years’ Sputum Smear Results among Tuberculosis Suspected Patients in Gambella Regional Hospital, Western Ethiopia

Factors Influencing Women’s Reproductive Health

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