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Free Content Obstacles to the implementation of directly observed treatment in Ouagadougou, Burkina Faso

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SETTING: Five tuberculosis (TB) diagnosis and treatment centres in Ouagadougou, Burkina Faso.

OBJECTIVE: To identify obstacles to the direct observation of anti-tuberculosis treatment (DOT) so that it can be adapted to local contexts.

DESIGN: A cross-sectional study conducted between August and September 2002 among new and retreatment TB cases in the initial phase of treatment. Information and suggestions were collected on obstacles encountered in DOT.

RESULTS: Among 74 patients interviewed, the main difficulties were the lack of assiduity among health personnel, the daily travel, the long distances, the high transportation costs and the high number of tablets. The main suggestions were a reduction in the number of tablets taken at a time, decentralisation of places where tablets are to be taken and weekly provision of drugs.

CONCLUSION: Obstacles to DOT should be addressed to optimise the effectiveness of anti-tuberculosis treatment.

Keywords: Burkina Faso; DOT; DOTS; obstacles

Document Type: Regular Paper

Affiliations: 1: Department of Pneumology, Yalgado Ouedraogo University Health Centre, Ouagadougou, Burkina Faso 2: Research Institute of Health Sciences, Ouagadougou, Burkina Faso 3: National Tuberculosis Programme, Ouagadougou, Burkina Faso 4: Department of Internal Medicine, Yalgado Ouedraogo University Health Centre, Ouagadougou, Burkina Faso

Publication date: February 1, 2006

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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