Background
Contacting patients with tuberculosis have a substantial risk of developing the disease. Household contact screening has recently been recommended as a strategy to enhance case detection in high-burden countries. But there is no enough information in Gondar town regarding household contact screening practice among TB patients.Objective
The aim of this study was to assess the magnitude of household contact screening adherence and its associated factors among adult tuberculosis patients attending at health facilities in Gondar town, Northwest Ethiopia.Methods
An institution-based cross-sectional study was conducted from March 1 to 30, 2019 on 404 tuberculosis patients attending at health facilities in Gondar Town. Epi-Info version 7 for data entry and SPSS version 20 for data analysis were used. Descriptive statistics were carried out to illustrate the means, standard deviations, and frequencies. Bivariable and multivariable logistic regression analyses were used to identify significantly associated variables with the dependent variable.Results
From 412 study populations, 404 were completed the study with 98.06% response rate. The overall household contact TB screening adherence was 47.5% (95% CI: 43.1, 52.5). In the multivariable analysis, having certificate and above educational level (AOR=2.83, 95% CI:1.40,5.67), having sufficient knowledge about TB (AOR=8.26, 95% CI:4.34,15.71), being satisfied with health care service (AOR=3.26, 95% CI:1.58,6.76), health education given by health care workers (AOR=2.60, 95% CI:1.54,4.40),and having HIV/AIDS co-infection (AOR=3.54, 95% CI:1.70,7.39), were factors associated with household contact TB screening adherence.Conclusion
Compared to other previous studies, the current finding was high but it was low as compared with WHO and Ethiopian Ministry of Health recommendations (all persons having TB contact should be screened). Educational status, knowledge on TB, satisfaction with delivered health care service, health education given by HCWs about TB and HIV/AIDS co-infection were factors associated with household contact TB screening practice. Thus, strengthening household TB contact screening and educational programs regarding the risk of getting TB infection from household contacts is crucial.
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On 05 Dec, 2019
On 05 Dec, 2019
Posted 15 Oct, 2019
On 02 Dec, 2019
Received 13 Nov, 2019
On 01 Nov, 2019
On 30 Oct, 2019
Invitations sent on 27 Oct, 2019
On 12 Sep, 2019
On 11 Sep, 2019
On 11 Sep, 2019
On 03 Sep, 2019
Received 02 Sep, 2019
Received 27 Aug, 2019
On 13 Aug, 2019
On 08 Aug, 2019
On 01 Aug, 2019
Invitations sent on 01 Aug, 2019
On 29 Jul, 2019
On 29 Jul, 2019
On 24 Jul, 2019
On 05 Dec, 2019
On 05 Dec, 2019
Posted 15 Oct, 2019
On 02 Dec, 2019
Received 13 Nov, 2019
On 01 Nov, 2019
On 30 Oct, 2019
Invitations sent on 27 Oct, 2019
On 12 Sep, 2019
On 11 Sep, 2019
On 11 Sep, 2019
On 03 Sep, 2019
Received 02 Sep, 2019
Received 27 Aug, 2019
On 13 Aug, 2019
On 08 Aug, 2019
On 01 Aug, 2019
Invitations sent on 01 Aug, 2019
On 29 Jul, 2019
On 29 Jul, 2019
On 24 Jul, 2019
Background
Contacting patients with tuberculosis have a substantial risk of developing the disease. Household contact screening has recently been recommended as a strategy to enhance case detection in high-burden countries. But there is no enough information in Gondar town regarding household contact screening practice among TB patients.Objective
The aim of this study was to assess the magnitude of household contact screening adherence and its associated factors among adult tuberculosis patients attending at health facilities in Gondar town, Northwest Ethiopia.Methods
An institution-based cross-sectional study was conducted from March 1 to 30, 2019 on 404 tuberculosis patients attending at health facilities in Gondar Town. Epi-Info version 7 for data entry and SPSS version 20 for data analysis were used. Descriptive statistics were carried out to illustrate the means, standard deviations, and frequencies. Bivariable and multivariable logistic regression analyses were used to identify significantly associated variables with the dependent variable.Results
From 412 study populations, 404 were completed the study with 98.06% response rate. The overall household contact TB screening adherence was 47.5% (95% CI: 43.1, 52.5). In the multivariable analysis, having certificate and above educational level (AOR=2.83, 95% CI:1.40,5.67), having sufficient knowledge about TB (AOR=8.26, 95% CI:4.34,15.71), being satisfied with health care service (AOR=3.26, 95% CI:1.58,6.76), health education given by health care workers (AOR=2.60, 95% CI:1.54,4.40),and having HIV/AIDS co-infection (AOR=3.54, 95% CI:1.70,7.39), were factors associated with household contact TB screening adherence.Conclusion
Compared to other previous studies, the current finding was high but it was low as compared with WHO and Ethiopian Ministry of Health recommendations (all persons having TB contact should be screened). Educational status, knowledge on TB, satisfaction with delivered health care service, health education given by HCWs about TB and HIV/AIDS co-infection were factors associated with household contact TB screening practice. Thus, strengthening household TB contact screening and educational programs regarding the risk of getting TB infection from household contacts is crucial.
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