Determinants of Non-Adherence to Drug Regimen among TB Patients Attending a Specialist Hospital, Edo State Nigeria (Published)
Tuberculosis is one of the leading causes of death globally and in Nigeria that poses a threat. This study examine the determinants of non- adherence to drug regimen among TB patients in a Specialist Hospital, Edo state. The study adopted a descriptive research design. A simple random sampling technique was used in selecting the respondents of the study. The data were collected through the use of questionnaire with reliability index of 0.78. The data collected were analyzed using descriptive statistics of frequency, simple percentage and inferential statistics (chi-square). The findings of the study revealed that 222 (56.6%) respondents do not adhere to drug regimen while 171 (43.5%) does. There was a significant relationship between distance of health facility (p=0.001), waiting time (p=0.000), absence of family support( p=0.000), forgetfulness (p=0.000) , individual’s occupation (p=0.000), improvement in TB symptoms( p=0.000) and non-adherence to TB drugs but client provider interaction and TB drug side effect do not have a significant relationship on non-adherence to TB drugs. The study recommends that government should make TB clinic should accessible by building and employing enough health workers. Also, families should be encouraged to support TB patients and TB patients on TB drugs should be educated on the needs to comply with drugs and not to discontinue it even when symptoms improve.
Nigeria: Can Cross River State Achieve The Millennium Development Goals (MDGs) In The Health Sector By 2015? (Published)
The paper reviews outcomes of efforts made by the Cross River State Government towards the achievement of MDGs in the health sub-sector in Nigeria. Using descriptive statistics and comparative analysis to illustrate deviations from set targets the paper reveals that, in spite of the robust effort of government, achieving the MDGs in the health sub-sector in Cross River State by 2015 will be very challenging, partly due to inadequate responses to bring about the required decrease in the burden of malaria, tuberculosis and HIV/AIDS in the State. To bridge the observed gap, the paper recommends rehabilitation of health facilities and provision of equipment and personnel in existing health facilities; increased budget provision for health care services; building strong and robust partnership with support agencies and other sector actors; development of effective health sector policy in the State, as possible quick wins.