2012
DOI: 10.3402/gha.v5i0.14385
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Towards an empowerment approach in tuberculosis treatment in Cape Town, South Africa: a qualitative analysis of programmatic change

Abstract: BackgroundTuberculosis rates in the world remain high, especially in low- and middle-income countries. International tuberculosis (TB) policy generally recommends the use of directly observed therapy (DOT) to ensure treatment adherence.ObjectiveThis article examines a change in TB treatment support that occurred in 2005 in South Africa, from DOT to the enhanced TB adherence programme (ETA).DesignSeven key individuals representing academics, policy makers and service providers involved in the development of the… Show more

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Cited by 12 publications
(8 citation statements)
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“…Most previous studies have acknowledged that unsupervised treatment was taking place under DOTS. DOTS was perceived to be useful only for a few average patients, suggesting a mismatch between patient needs and the existing strategy . Geographic and economic disadvantages were the most common reasons for non‐compliance with DOTS in our study, as has also been found in other studies .…”
Section: Discussionsupporting
confidence: 82%
“…Most previous studies have acknowledged that unsupervised treatment was taking place under DOTS. DOTS was perceived to be useful only for a few average patients, suggesting a mismatch between patient needs and the existing strategy . Geographic and economic disadvantages were the most common reasons for non‐compliance with DOTS in our study, as has also been found in other studies .…”
Section: Discussionsupporting
confidence: 82%
“…It often strengthens patients to overcome problems that may jeopardize adherence [29]. Studies have shown that counselling enhances patients' adherence to TB treatment [30]- [32]. In this study, pre-treatment counselling was associated with treatment interruption.…”
Section: Factors Associated With Treatment Interruptionmentioning
confidence: 70%
“…3 The WHO defines empowerment as a process through which people gain greater control over decisions and actions affecting their health. 4 …”
Section: Introductionmentioning
confidence: 99%