Task shifting for tuberculosis control
A qualitative study of community-based directly observed therapy in urban Uganda
Bibliographic Data
| ID | 15541237 |
|---|---|
| Authors | David Kaawa‐mafigiri (0000-0002-2699-4248, Makerere University, corresponding author), Janet W Mcgrath (Case Western Reserve University), Christopher C Whalen (0000-0002-8081-0665, University of Georgia) |
| Year | 2011 |
| Volume | 7 |
| Issue | 3 |
| Pages | 270-284 |
| Publication date | 2011-02-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2011.552067 |
| PMID | 21360381 |
| PMCID | PMC3603570 |
| OpenAlex | W2045299282 |
| Language | EN |
| Citations received | 10 |
| References cited | 16 |
This qualitative study of task shifting examined tuberculosis (TB) therapy under modified community-based directly observed treatment short-course (CB-DOTS) in Kampala, Uganda. New TB patients selected one of two strategies: home-based DOTS and clinic-based DOTS. Relevant socio-economic characteristics, treatment-seeking experiences and outcomes were assessed over eight months of follow-up. Of 107 patients recruited, 89 (83%) selected home-based DOTS. Sixty-two patients (70%) under home-based DOTS and 16 patients (89%) under clinic-based DOTS had successful outcomes following completion of tuberculosis therapy. Treatment supporters' provision of social support beyond observing drug ingestion contributed to successful outcomes under both strategies. Home-based DOTS provides continuity of social support during therapy, strengthening the potential for treatment success. Conventional health facility-based DOTS can be modified in resource-limited urban Africa to offer a viable DOTS strategy that is sensitive to personal preference. Shifting the task of DOTS support away from only qualified health workers to include laypersons in the patients' social-support network may contribute to meeting World Health Organization (WHO) treatment targets. We recommend an intervention evaluating this modified DOTS strategy on a larger scale in TB high-burden, resource-poor urban settings
Directly Observed Therapy · Environmental health · Family medicine · Geography · Pathology · Qualitative research · Social science · Sociology · Task (project management · Tuberculosis · Tuberculosis control · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Psychology · Tuberculosis Research and Epidemiology
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Surveillance or support
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| Unique citing works | 10 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2011 - 2026 (16) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 10 |