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Free Content Shared vision—a health education project designed to enhance adherence to anti-tuberculosis treatment [Planning and Practice]

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Setting: Two adjacent Cape Town Local Authority health clinics in Cape Town, South Africa, were selected. Clinic A was designated the ‘intervention clinic’ and Clinic B the ‘control clinic.’

Objective: To assess whether the combined strategy of a patient-centred interview plus the issuing of a patient education booklet would have the effect of increasing the adherence of notified pulmonary tuberculosis (TB) patients to prescribed treatment.

Design: A controlled intervention study was implemented using a cohort of the first 60 consecutive patients notified with pulmonary TB at both Clinic A and Clinic B; the patient cohort thus consisted of 120 patients.

Results: The risk of patient non-adherence to anti-tuberculosis treatment was significantly reduced at the intervention clinic compared to the control clinic.

Conclusion: The results of this study indicate the need for further operational research to assist health providers in developing standardised protocols of health education to enhance adherence to treatment in patients who require protracted treatment regimens.
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Keywords: South Africa; adherence; health education; treatment compliance; tuberculosis treatment

Document Type: Regular Paper

Affiliations: National Tuberculosis Research Programme, Medical Research Council, Tygerberg, South Africa

Publication date: April 1, 1997

More about this publication?
  • 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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