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Free Content Socio-economic factors affecting the success of tuberculosis treatment in six counties of Shandong Province, China

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SETTING: Tuberculosis (TB) control in rural China is of high priority in health policy making.

OBJECTIVE: To investigate treatment success among rural TB patients and the determinants of patient and case management and to explore the current status of DOTS implementation in rural China.

METHODS: A patient-based study was conducted in six counties of Shandong Province, China. Study sites were selected by multi-stage random sampling. Subjects were rural smear-positive pulmonary TB patients registered with the county TB dispensaries at study sites who completed treatment during the period October 2006 to September 2007.

RESULTS: This study observed a success rate of 74.5% among 501 participants. The cure rate, of 50.5%, was much lower than the national level. There was a difference in treatment success rates across counties. Factors independently affecting treatment success were patient income, study site, and home visits and supervision by town and village health workers.

CONCLUSIONS: Enhancing financial resources for TB control and effective involvement of human resources are crucial to achieving success with the DOTS strategy in rural China.

Keywords: China; DOTS; rural area; treatment success; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan, China 2: Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan 3: Tuberculosis Control Centre of Shandong Province, Jinan, China 4: Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan, China; and University of Tokyo Hospital, Tokyo, Japan

Publication date: April 1, 2010

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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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