Socio-economic factors affecting the success of tuberculosis treatment in six counties of Shandong Province, China
Abstract: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.
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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