||Dick J & Lombard C
||Shared vision - a health education project designed
to enhance adherence to anti-tuberculosis treatment
||INT J TB & LUNG DIS 1997, 1, 181-86
Two adjacent Cape Town Local Authority health clinics
in Cape Town, South Africa, were selected. Clinic A was designated
the "intervention clinic" and Clinic B the control
clinic. To asses whether the combined strategy of a patient-centred
interview plus the issuing of a patient education booklet would
have the effect of increasing the adherence of notified pulmonary
TB patients to prescribed treatment.
A controlled intervention study was implemented
using a cohort of the first 60 consecutive patients notified with
pulmonary TB at both Clinic A and Clinic B; the patient cohort thus
consisted of 120 patients. The risk of patient non-adherence to
anti-TB treatment was significantly reduced at the intervention
clinic compared to the control clinic.
The results of this study indicate the need for
further operational research to assist health providers in developing
standardised protocols of health education to enhance adherence
to treatment in patients who require protracted treatment regimens.
|KEY WORDS: SOCIAL COST; COMPLIANCE; HEALTH EDUCATION;