Table 5 Examples of interview extracts of Tb patients, health extension workers and health professionals concerning barriers for anti-Tb non-adherence
Barriers for non-adherence | Patient and health professionals citations |
|---|---|
Distance and travelling cost | “Against to the national tuberculosis guide line, we give at least two days medication to their home during intensive phase…. to decrease the distance burden and traveling cost” TB clinic nurse from health center “Treatment adherence of patient in our facilities is relatively improving but majorities of patients do not return for sputum re-examination specially for 5th and 6th month check up due to distance” TB clinic nurse from hospital |
Drug pick-ups decentralization | “To improve the patient’s adherence health post should provide the DOTS service. Health extension workers are providing family planning service including injectable, so why not DOTS service?” Health extension worker |
Distance, cost of transportation and DOTS service decentralization | “Patients like me, who come from long distance can’t complete the treatment even if we have enough money. Because, we have another business in our home. But if the service is near to my home, I know I can complete the treatment easily. For example our health post is very close to me. Due to the absence of this access, we are forced to travel this long distance and pay more than 40 ETB daily.” Patient from health center |