Characteristics and Status of Treatment for Multi-Drug-Resistant Tuberculosis (MDRTB) Patients in a TB-DOTS Centre in the Province of Jolo, Sulu, Philippines
DOI:
https://doi.org/10.31674/mjn.2024.v16i01.006Abstract
Background: The study focuses on the characteristics and status of treatment for multi-drug-resistant tuberculosis (MDRTB) at the TB-DOTS Centres of Jolo Sulu from 2018 to 2019. Objective: The study's primary goal is to describe and investigate MDRTB treatment characteristics and status, as well as identify factors that influence treatment. Methods: A mixed-methods research design through an explanatory sequential approach was used. The quantitative approach employed data mining of existing and available data records of MDR-TB clients at respective health centres at Jolo and Sulu and tools assessing factors influencing treatment. The qualitative approach was done through interviews with the MDR-TB clients, and total remuneration and purposive sampling were applied in selecting participants. The data gathered were presented using frequency and percentage distribution and processed using SPSS v.21, and themes and subthemes were extracted and analyzed using In-Vivo qualitative software. Results: MDR-TB clients were mostly mid-adults and heads of families, with a treatment history focusing more on pulmonary relapse (the first line of defense) and poor treatment outcomes. The factors that influenced treatment were financial constraints, lack of knowledge, distance, transportation, and work. Themes derived include contagious yet treatable disease, challenging family socio-economic status, role justification, and treatment centres as havens. Conclusion: The study highlights the need for a comprehensive assessment of the status of the health condition of TB clients and patients enrolled at the TB-DOTS centre of Jolo Sulu. Nursing plays a vital role in managing and treating TB in these areas. The findings suggest that financial constraints, lack of knowledge, and access to treatment are significant barriers to MDRTB treatment. The study emphasizes the need for interventions to improve TB treatment outcomes and reduce the burden of MDRTB in the community.
Keywords:
Multi-Drug Resistant, Philippines, Tuberculosis, Treatment, TB-DOTSDownloads
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