TREATMENT OUT COMES AND ASSOCIATED FACTORS AMONG TUBERCULOSIS PATIENT ATTENDING IN GURAGA ZONE PUBLIC HOSPITAL IN SOUTH WEST ETHIOPA

Abstract

Back ground: WHO estimates that Tuberculosis annually causes to 3 million deaths and till 2020 the global burden of Tuberculosis infection will reach to more than one billion. Tuberculosis remains top killer in 2016, 90% disease burden comes from poor resourced countries where the rate of re-emergence is faster due to poor Tuberculosis control and spreading extremely inadequate. Objectives: To determine treatment out come and associated factors among tuberculosis patient attending in Guraga Zone public hospitals, south west Ethiopia, 2021 Methodology: Facility based Retrospective cross-sectional study design was used and the study was conducted from three hospitals from July 20, 2021-July 30, 2021. To assess Tuberculosis treatment out come and associated factors among Tuberculosis patient who were treated in Guraga Zone public hospitals and who were registered from July 8, 2016-July 8, 2021. Data was retrieving from record of patient registration book .data were analyzed using SPSS version 25 and binary and multivariate logistic regression methods were used Results: Out of 440 samples 396 were completed data. Out of 396 TB patients (204 were male in sex, 191 patients between 21-40 years in age) including all type of TB, 77% had successful outcome and 23% had unsuccessful outcome. In final multivariate logistic model :- TB with HIV positive patients more likely to have unsuccessful treatment outcome compared to TB with HIV negative patients with (AOR=2.85,95%CL:1.17-6.96), female (AOR=2.08,95CL:1.23-3.52) times more likely to achieve successful outcome, patients with malnutrition, smear positive PTB, living in urban area age 40 and above, patients not having supporter(widowed, divorce), having sputum result positive at second months, patients were less likely to achieve treatment successful outcome., Conclusion and recommendations: in this study 77% of successful outcome this is less than WHO target. Therefore:-in order to improve successful treatment outcome it is necessary to make a strategically plan for modifying in patients with TB with HIV co-infection and other risk factors (predictors) and we suggest that TB patients on treatment it need strictly follow up