%0 Journal Article
%T Healthcare Worker-Related Factors Contributing to Tuberculosis Treatment Non-Adherence among Patients in Kisumu East Sub-County
%A Marlyn Ochieng
%A Jackline Nyaberi
%A Susan Mambo
%A Charles Wafula
%J Journal of Tuberculosis Research
%P 13-33
%@ 2329-8448
%D 2024
%I Scientific Research Publishing
%R 10.4236/jtr.2024.121002
%X Background: Treatment non-adherence poses significant risks to
health outcomes and impedes the health system¡¯s efficiency, hence curtailing
progress towards the end Tuberculosis (TB) strategy under SDG 3.3. Despite
interventions to address TB treatment non-adherence, Kenya still reports high
TB treatment non-adherence rates of 35% and consequently poor treatment outcome
rates. Health Care Workers (HCWs) play a critical role in linking the
population to health services, yet little is known of their influence on
patients¡¯ TB treatment non-adherence in Kenya. Objective: To analyze HCW-related factors associated with TB treatment non-adherence among patients in
Kisumu East Sub-County. Methods: Health facility-based analytical cross-sectional mixed-method study. A Semi-structured
questionnaire on treatment adherence and patients¡¯ perceptions of HCWs
during the clinic visit was administered to 102 consenting adult (out of a
total census of 107 adults) drug-susceptible TB patients. 12 purposively
selected HCWs by rank from 6 health facilities participated in Key Informant
Interview sessions. Medication adherence was measured using the Morisky
Medication Adherence Scale and then expressed as a dichotomous variable.
Quantitative analysis utilized STATA version 15.1 while qualitative deductive
thematic analysis was done using NVIVO version 14.