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jsmc-10015


KNOWLEDGE OF TUBERCULOUS PATIENTS ON DISEASE AND THEIR TREATMENT OUTCOME OF DOTS PROGRAM WITH EMPHASIS ON WHO STRATEGY IN KIRKUK–IRAQ


Mohammed Omer Mohammed *, Bushra Mohammed Ali *and Suheila Shams-el-den Tahir **


*     Department of Medicine, School of Medicine, Faculty of Medical Sciences , University of Sulaimani.
**   Department of Family and community Medicine, School of Medicine, Faculty of Medical Sciences , University of Sulaimani.
*** Kirkuk Directorate of Health. 


Submitted: 28/4/2011; Accepted: 14/9/2011


ABSTRACT


Background 

Tuberculosis has got high priority within the health sector as a major public health problem and directly observed therapy short course (DOTS) strategy has been planned to be implemented widely to control the disease and its management.

Objectives 

To assess knowledge of the patients’ on various aspects of tuberculosis and show the six mutually exclusive outcome of treatment regimen under directly observed therapy short course (DOTS).

Patients and Methods 

A prospective case follow up study has been carried out on 110 patients attending consultation clinic for Chest and Respiratory Diseases in Kirkuk, for the period from the 1st of April to 31st of December 2009.Tuberculous patients were followed up for the next six months period under DOTS program including two phases

Results
 

Regarding knowledge of patients about routes of transmission and risk factors, there was statistically significant difference between different educational levels (P<0.05), the highest percentage being among secondary school level patients (28.6%). Occupation had a significant effect on patients’ knowledge on treatment regimen , in high score knowledge group (4-6) among students was 100%which was statistically significant. The outcome of treatment regimen was 99.1% treatment success (cure and completed treatment); 0.9% had relapsed and no unfavorable outcome was noticed.

Conclusion 

Overall knowledge of patients was low regarding routes of transmission, risk factors and treatment regimen.


KEYWORDS

Tuberculosis, DOTS, WHO, Kirkuk.