Herdin Record #:
Factors Affecting the Patients' Treatment Leader the National Tuberculosis Control Program .
|1anita r. pereyra
This descriptive study described the selected patients' personal factors-age, sex, educational attainment, family income, health related habits including food intake, exercise, sleeping hours, lifesylte such as drinking alcohol, smoking, gambling, attitude towards the disease and attitude towards treatment. The staff factors include work attitude, attitude towards patient, and supervision of client. Clinical unit factors include accessibility of health facility and availability of supplies.
Specifically it aimed to know how do patients' personal related factors, staff factors and clinical unit factors affect the effectiveness of treatment outcomes among the national TB Control Program.
The respondents were one hundred eighty (180) sputum smear - positive TB patients treated in the health center of the eighteen (18) Barangays of Mariveles.
The instruments used were locally made point like type of questionnaire.
The statistical treatment used were frequency count, mean and percentage to describe the profile of TB respondents while Pearson's Product Moment, Coefficient of Correlation, Coefficient of determination, T-test (Test of Relationship) were used in determining the influence of patient's profile, staff and clinic factors in the level of effectiveness of treatment outcome among NTP patients.
Coefficient of determination was used in determining which among the variables greatly influenced the effectiveness of NTP among TB patients.
The study revealed the following findings: The TB patients' age fall between the bracket of 15-44 years old, majority are males, have reached High School and mostly belong to poor families. On client related habits, majority of the TB patients have very advisable eating habits, advisable sleeping pattern but most of them have inadequate exercise. While majority of the TB patients never or seldom drink alcohol, most of them never engage in gambling, and a relatively high percentage never smoke, a majority of them still do smoke at various description as seldom to always. Relatively, TB patients have highly preferable attitude towards the disease and towards the treatment. The patients' perception to the staff in terms of attitude towards work, and attitude towards the patient are both highly preferable, likewise the TB patients find the supervision of clients as highly effective. They also claim that health facilities in Mariveles are extremely accessible while supplies are extremely available and that the treatment outcome of the TB patients in Mariveles is cured. Among the patient factors such as age, sex, educational training, and monthly income, only sex was found to have significant relationship with the level of effectiveness of the treatment outcome of TB patients. The health related habits of TB patients like eating habit, exercise and sleeping pattern were of no significance to the treatment outcome while on client life style related factors, there is a significant effect between drinking, gambling and the level of effectiveness of the TB patients' treatment outcome. Similarly, the TB patients' attitude towards the disease, and the attitude towards the treatment have both significant effect on the level of the effectiveness of the treatment outcome of TB patients. On the other hand, staff related factors like attitude of staff towards work, attitude towards the patient and supervision of clients, just like clinical factors such as accessibility of facilities and availability of staff have no effect to the level of effectiveness of the treatment outcome among TB patients. Their attitude towards the treatment greatly affects the level of the effectiveness of the treatment outcome among the TB patients.
In the light of the findings are the recommendations as follows; Multi-Assistance Program for TB patients and their family by the Local Government Units and Non-Government organization. Provision of incentive to Health Workers and other treatment partner for every cured TB patient. Strengthen promotion campaign of health programs and services at all levels. Review of DOTS implementation and develop new strategies like Issuance of Contract of Agreement between the health unit and the patient. Develop Holistic Health Information, education & Communication (IEC) for different groups Advocacy and Social Mobilization at all levels such as Program endorsement by known personalities in the area and Mobilization of cured patients in program promotions.
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|bataan peninsula state university