Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study.

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Abstract Text:

Daiyu Hu,Xiaoyun Liu,Jing Chen,Yang Wang,Tao Wang,Wei Zeng,Helen Smith,Paul Garner,Daiyu Hu,Xiaoyun Liu,Jing Chen,Yang Wang,Tao Wang,Wei Zeng,Helen Smith,Paul Garner,

Introduction China has an estimated 5 million people with tuberculosis (TB). Official policy is that treatment of all patients is directly observed by health workers; completion rates are reported to be in excess of 90%, and drugs should be supplied for free. However, some research suggests there is a gap between the official policies and practice. METHODS Survey of TB patients in four counties of one municipality; record assessment at one TB centre; patient and village doctor in-depth interviews. RESULTS Sixteen per cent (64/401) reported being directly observed every time they took treatment; less than 5% of TB patients (17/401) were observed by health staff. Overall, 12.5% (50/401) reported they had not taken any TB drugs in the previous week, but this varied between the four counties (range 6.2 to 21.7%). We used survival analysis with medical records at one centre: 74.1% of new patients collected their drugs for their sixth month of treatment, and 50.3% attended the final visit at 6 months. Qualitative research indicated direct observation is neither well understood nor thought to be necessary, and that patients reported being charged expensive fees for ancillary treatments, such as liver protection drugs. CONCLUSION In China, direct observation is not well implemented and may not be a feasible policy option. Official completion rates are higher than we found in this study. The concept of free treatment has become blurred, with charges for additional tests and drugs, especially liver protection drugs. The government is already actively tackling these issues, and involvement of managers and others in this process will be helpful.

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Publishing Authors By Initials

D Hu,X Liu,J Chen,Y Wang,T Wang,W Zeng,H Smith,P Garner,D Hu,X Liu,J Chen,Y Wang,T Wang,W Zeng,H Smith,P Garner,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Health policy and planning

VOLUME: 23

Page Numbers: 43-55

Journal Abbreviation:

ISSN: 0268-1080

DAY: 24

MONTH: Jan

YEAR: 2008

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8610614

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study.

AFFILIATION: International Health Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. xliu@liv.ac.uk.

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Health Policy Plan

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study Related Publications

• A mathematical model of human respiration at altitude.
• A robust biomarker discovery pipeline for high-performance mass spectrometry data.
• A year of unprecedented progress in Down syndrome basic research.
• An Efficient Synthetic Approach to Cyanocycline A and Bioxalomycin beta2 via [C+NC+CC] Coupling.
• Analysis of apolipoprotein E nuclear localization using green fluorescent protein and biotinylation approaches.
• Arsenical polyneuritis.
• Availability of the magnesium of grass to the ruminant.
• Baylisascaris procyonis infection in a Moluccan cockatoo (Cacatua moluccensis).
• Carcinoma of the cecum in a tuberculous patient.
• Cell surface marker and cell cycle analysis, hedgehog signaling, and flow cytometry.
• Claudin-4 overexpression in epithelial ovarian cancer is associated with hypomethylation and is a potential target for modulation of tight junction barrier function using a C-terminal fragment of Clostridium perfringens enterotoxin.
• Creating a guide for float nurses.
• Dear bioethics, the country needs you.
• Detection of length-dependent effects of tandem repeat alleles by 3-D geometric decomposition of craniofacial variation.
• Deworming drugs for treating soil-transmitted intestinal worms in children: effects on growth and school performance.
• Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study.
• Directly observed therapy for treating tuberculosis.
• Déjà vu--a study of duplicate citations in Medline.
• Ensemble-based RNA secondary structure characterization.
• Hartmann's solution in haemorrhagic shock -- now and the future.
• Influence of povidone-iodine preoperative showers on skin colonization in elective plastic surgery procedures.
• Myriocin slows the progression of established atherosclerotic lesions in apolipoprotein E gene knockout mice.
• Nome della Proteina: a protein identification resolution database.
• Obtaining medical histories by indirect questioning.
• Over-inhibition: a model for developmental intellectual disability.
• Proctoscopy in physical diagnosis.
• The Role Of An External Counter-moment On The Perceived Pain Of Tennis Elbow: 2526: Board #73 June 2 8:00 AM - 9:30 AM.
• The SPf66 Malaria Vaccine: What is the Evidence for Efficacy?
• Upward bias in odds ratio estimates from genome-wide association studies.
• What is your diagnosis? Proventriculus and food material in the gizzard.