This paper describes an audit of a community-based tuberculosis treatment program involving directly observed therapy in South Africa.
A program audit of 2473 consecutive tuberculosis patients in Hlabisa Health District, KwaZulu/Natal, South Africa, was conducted between 1991 and 1994.
Monthly admissions increased from 34 per month in 1991 to 66 in 1994.
Of 2186 patients managed in Hlabisa, 1903 (87%) received directly observed therapy.
Of those receiving directly observed therapy, 1034 (55%) were supervised by volunteers ; 743 (72%) of these were supervised by storekeepers.
Among those patients managed locally, 1679 (85%) of 1967 surviving patients completed treatment.
Completion rates for patients supervised by health workers and non-health workers were the same.
Completion fell from a high of 90% in 1992 to 78% in 1994.
Mortality increased from 5% in 1991 to 10% in 1994.
Community-based directly observed therapy that uses an intermittent drug regime and volunteers as supervisors can achieve high treatment completion rates for tuberculosis, even in resource-poor settings.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Chimiothérapie, Antituberculeux, Traitement, Milieu rural, République Sud Africaine, Afrique, Diagnostic, Observance médicamenteuse, Superviseur, Homme, Evaluation, Programme sanitaire, Santé communautaire
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Chemotherapy, Antituberculous agent, Treatment, Rural environment, South Africa, Africa, Diagnosis, Drug compliance, Supervisor, Human, Evaluation, Sanitary program, Community health
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0396282
Code Inist : 002B02S07. Création : 10/04/1997.