Perceptions on the effectiveness of directly observed treatement [i.e. treatment] short course (DOTS) strategy for control of tuberculosis in the outer west area of the Durban Metro-Western subdistrict of KwaZulu-Natal Province
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Date
2004
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Abstract
The aim of this study was to assess the perceptions on the effectiveness of directly observed treatment short course (DOTS) strategy for control of tuberculosis implemented In the Outer West area of the Durban Metro-Western subdistrict of Natal-Natal province.
A descriptive survey design was undertaken. Three sets of questionnaires were designed for the different groups of participants, that are, DOTS supporters, TB patients and nursing personnel. An eclectic approach comprising systematic, purposive, stratified and random sampling respectively was used to select the participants from different study population groups. The total sample comprised of two hundred and fifty (250) TB patients, thirty (30) DOTS supporters and thirty two (32) nursing personnel involved in the implementation of DOTS programme.
The study revealed perceptions that DOTS programme in this district is not effective. The current cure rates of sputum smear positive patients, as indicated in the health facilities report 2002 are far too low to reach the global target of at least 85% cure rates of all smear positive patients, as indicated by WHO.
The level of public awareness and the financial commitment to DOTS is inadequate, as a result, the global epidemic continues to worsen, undermining the development of families communities and the national economy.
Based on the findings, recommendations were made developing and implementing strategies for the development of sufficient, sustainable human and financial resources to meet the challenges of combating tuberculosis.
A model entitled "The Cross of Lorraine Model" for effective and sustainable DOTS Community Involvement was developed."
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Submitted in fulfillment of the requirements fro the degree M.A. Curationis in Nursing Science Department at the University of Zululand, South Africa, 2004.
Keywords
Tuberculosis--Treatment--South Africa--KwaZulu-Natal., Tuberculosis--Patients--South Africa--KwaZulu-Natal.