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rdf:type |
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lifeskim:mentions |
umls-concept:C0009462,
umls-concept:C0018684,
umls-concept:C0024752,
umls-concept:C0041296,
umls-concept:C0042960,
umls-concept:C0087111,
umls-concept:C0220825,
umls-concept:C1510802,
umls-concept:C1549078,
umls-concept:C1997894,
umls-concept:C2349975
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pubmed:issue |
3
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pubmed:dateCreated |
1996-10-22
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pubmed:abstractText |
A voluntary health worker project (Operation Elsies River) was started in a high incidence tuberculosis (TB) area in the Western Cape of South Africa, in order to assist the local TB Control programme with case-holding.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Behavior,
http://linkedlifedata.com/resource/pubmed/keyword/Cohort Analysis,
http://linkedlifedata.com/resource/pubmed/keyword/Community Workers,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Evaluation,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Personnel,
http://linkedlifedata.com/resource/pubmed/keyword/Infections,
http://linkedlifedata.com/resource/pubmed/keyword/Monitoring,
http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/SOUTH AFRICA,
http://linkedlifedata.com/resource/pubmed/keyword/Southern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/TUBERCULOSIS,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/User Compliance,
http://linkedlifedata.com/resource/pubmed/keyword/VOLUNTARY WORKERS
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0962-8479
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
77
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
274-9
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pubmed:dateRevised |
2004-11-17
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pubmed:otherAbstract |
PIP: A cohort study conducted in South Africa's Western Cape region found that the use of voluntary health workers as supervisors of tuberculosis treatment did not significantly improve treatment adherence among adult patients. The Western Cape Region, representing 9% of South Africa's population, accounts for 28% of tuberculosis cases. The tendency of tuberculosis patients to discontinue their medication once clinical symptoms of disease abate constitutes a primary obstacle to tuberculosis control. The Operation Elsies River Project recruited and trained 88 community volunteers, primarily married women who had suffered from tuberculosis or experienced the disease in their family, to administer tablets and observe that they were swallowed. In a 6-month period in 1992, there were 351 ambulatory patients (203 children under 15 years old and 148 adults) with primary or pulmonary tuberculosis in the Elsies River region. The volunteer group supervised the treatment regimen of 82 (23%) of these patients. Supervision of the remaining patients was provided by the primary health care center nurse (175 patients) or designated persons at workplaces, schools, or nurseries. Adherence was defined as the patient taking 75% or more of the prescribed medication during the first 6 months of treatment. The overall mean adherence rate for all types of supervision was 68% (73% among children and 62% among adults). Among children, the supervision provided by volunteers or at a nursery achieved higher adherence results than the health center. Among adults, however, no one supervision option performed significantly better than any other.
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pubmed:meshHeading |
pubmed-meshheading:8758113-Adolescent,
pubmed-meshheading:8758113-Adult,
pubmed-meshheading:8758113-Age Factors,
pubmed-meshheading:8758113-Aged,
pubmed-meshheading:8758113-Child,
pubmed-meshheading:8758113-Child, Preschool,
pubmed-meshheading:8758113-Cohort Studies,
pubmed-meshheading:8758113-Community Health Services,
pubmed-meshheading:8758113-Female,
pubmed-meshheading:8758113-Humans,
pubmed-meshheading:8758113-Infant,
pubmed-meshheading:8758113-Infant, Newborn,
pubmed-meshheading:8758113-Male,
pubmed-meshheading:8758113-Middle Aged,
pubmed-meshheading:8758113-Patient Compliance,
pubmed-meshheading:8758113-Pilot Projects,
pubmed-meshheading:8758113-Program Evaluation,
pubmed-meshheading:8758113-Risk Factors,
pubmed-meshheading:8758113-South Africa,
pubmed-meshheading:8758113-Tuberculosis,
pubmed-meshheading:8758113-Voluntary Workers
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pubmed:year |
1996
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pubmed:articleTitle |
Tuberculosis in the community: 1. Evaluation of a volunteer health worker programme to enhance adherence to anti-tuberculosis treatment.
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pubmed:affiliation |
National Tuberculosis Research Programme, SA Medical Research Council, South Africa.
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pubmed:publicationType |
Journal Article
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