Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa

ABSTRACT: Background: In low- and middle-income countries with a high burden of tuberculosis (TB), a large proportion of people who are tested for TB do not return to the health facility to collect their test results and initiate treatment, thus putting themselves at increased risk of adverse outco...

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Autores principales:	Ronelle Burger, Judy Caldwell, Mareli Claassens, Khanya Mama, Pren Naidoo, Matthias Rieger, Laura Rossouw, Eddy van Doorslaer, Adam Wagstaff
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Tuberculosis, South Africa, primary care, pre-treatment loss to follow-up Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/d58d118cc0be496fabf8c41d8f009b83
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spelling	oai:doaj.org-article:d58d118cc0be496fabf8c41d8f009b832021-11-14T04:31:14ZWho is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa1201-971210.1016/j.ijid.2021.10.015https://doaj.org/article/d58d118cc0be496fabf8c41d8f009b832021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S120197122100802Xhttps://doaj.org/toc/1201-9712ABSTRACT: Background: In low- and middle-income countries with a high burden of tuberculosis (TB), a large proportion of people who are tested for TB do not return to the health facility to collect their test results and initiate treatment, thus putting themselves at increased risk of adverse outcomes. Methods: This prospective study aimed to identify predictors of returning to the primary health care (PHC) facility to collect TB test results. From 15 August to 15 December 2017, 1105 people who tested for pulmonary TB at three Cape Town PHC facilities were surveyed. Using multi-variate logistic regressions on an analysis sample of 1097 people, three groups of predictors were considered: (i) demographics, health and socio-economic status; (ii) costs and benefits; and (iii) behavioural factors. Results: Forty-four percent of people tested returned to the PHC facility to collect their test results within the stipulated 2 days, and 68% returned before the end of the study period. Return was strongly and positively correlated with expecting a TB-positive result, cognitive avoidance and postponement behaviour. Conclusion: Interventions to improve pre-treatment loss to follow-up should target patients who think they do not have TB, and those with a history of postponement behaviour and cognitive avoidance.Ronelle BurgerJudy CaldwellMareli ClaassensKhanya MamaPren NaidooMatthias RiegerLaura RossouwEddy van DoorslaerAdam WagstaffElsevierarticleTuberculosis, South Africa, primary care, pre-treatment loss to follow-upInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 113, Iss , Pp 259-267 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tuberculosis, South Africa, primary care, pre-treatment loss to follow-up Infectious and parasitic diseases RC109-216
spellingShingle	Tuberculosis, South Africa, primary care, pre-treatment loss to follow-up Infectious and parasitic diseases RC109-216 Ronelle Burger Judy Caldwell Mareli Claassens Khanya Mama Pren Naidoo Matthias Rieger Laura Rossouw Eddy van Doorslaer Adam Wagstaff Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
description	ABSTRACT: Background: In low- and middle-income countries with a high burden of tuberculosis (TB), a large proportion of people who are tested for TB do not return to the health facility to collect their test results and initiate treatment, thus putting themselves at increased risk of adverse outcomes. Methods: This prospective study aimed to identify predictors of returning to the primary health care (PHC) facility to collect TB test results. From 15 August to 15 December 2017, 1105 people who tested for pulmonary TB at three Cape Town PHC facilities were surveyed. Using multi-variate logistic regressions on an analysis sample of 1097 people, three groups of predictors were considered: (i) demographics, health and socio-economic status; (ii) costs and benefits; and (iii) behavioural factors. Results: Forty-four percent of people tested returned to the PHC facility to collect their test results within the stipulated 2 days, and 68% returned before the end of the study period. Return was strongly and positively correlated with expecting a TB-positive result, cognitive avoidance and postponement behaviour. Conclusion: Interventions to improve pre-treatment loss to follow-up should target patients who think they do not have TB, and those with a history of postponement behaviour and cognitive avoidance.
format	article
author	Ronelle Burger Judy Caldwell Mareli Claassens Khanya Mama Pren Naidoo Matthias Rieger Laura Rossouw Eddy van Doorslaer Adam Wagstaff
author_facet	Ronelle Burger Judy Caldwell Mareli Claassens Khanya Mama Pren Naidoo Matthias Rieger Laura Rossouw Eddy van Doorslaer Adam Wagstaff
author_sort	Ronelle Burger
title	Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
title_short	Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
title_full	Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
title_fullStr	Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
title_full_unstemmed	Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa
title_sort	who is more likely to return for tb test results? a survey at three high-burden primary healthcare facilities in cape town, south africa
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/d58d118cc0be496fabf8c41d8f009b83
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Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa

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