ISSN 2756-3332
African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 12 (11), pp. 001-007, November, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals
Full Length Research Paper
A model for improving treatment outcome of patient with drug-resistant tuberculosis in Ethiopia
Addisalem Yilma Tefera1; Sheila Mokoboto-Zwane1
1Affiliation: College of Human Sciences, Department of Health Studies, University of South Africa, Pretoria, South Africa.
Sheila Mokoboto-Zwane1(co-author).
Received 24 April, 2023; Revised 6 June, 2023; Accepted 7 June, 2023 and Published 25 November, 2024
Abstract
Objective: To develop and describe a model for improving the treatment outcomes of patients with drug-resistant tuberculosis in Ethiopia. Methods: The study was conducted at Nineteen health facilities designated to provide service for patients with drug-resistant tuberculosis in Ethiopia. The researcher used a mixed method research design, both Quantitative and qualitative data collected to address the research questions. The findings from the quantitative cross sectional along with a qualitative, exploratory, descriptive, and contextual research design was used to identify the main concept, which is the initial step in theory/model development. The structure and process of the model were visually illustrated and described. Result: The findings of this study suggest that addressing the holistic need of patients at early phase of treatment could improve the patient's final treatment outcome. This could be strengthened by improving health care personnel' competence, creating a friendly environment, and involving family, community, and social support organizations in treatment planning and adherence support activities. Competence and supportive environment were identified as the main concept. Based on this, a model for improving the treatment outcomes of drug-resistant tuberculosis patients for health care practitioners was designed, visualized, and described. Conclusion: This model primarily developed to provide healthcare providers with a guide to the intervention required to provide individual patient care throughout the treatment process, as well as the required resources to support healthcare providers in improving service quality and, ultimately, to improve the treatment outcome of patients with drug-resistant tuberculosis in Ethiopia.
Key concepts: Communication; competence; counselling; drug-resistant tuberculosis; influence; patient-centred care; patient support; supportive environment; treatment adherence; treatment outcome.