Health service delay among pulmonary tuberculosis patients presenting to a National Referral Hospital, Kampala, Uganda: a cross sectional study

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dc.contributor.authorKansiime, Catherine
dc.contributor.authorKiwuwa, Stephen M.
dc.contributor.authorLevi, Mugenyi
dc.contributor.authorAsiimwe, Benon B.
dc.contributor.authorKatamba, Achilles
dc.date.accessioned2023-01-18T16:58:10Z
dc.date.available2023-01-18T16:58:10Z
dc.date.issued2013
dc.description.abstractDelay in the diagnosis of pulmonary tuberculosis (PTB) is common in many countries in Sub-Saharan Africa. Timely diagnosis of active tuberculosis is crucial in minimizing morbidity and mortality in the community as well as nosocomial transmission in health care facilities. This study aimed at determining factors associated with health service delay in the diagnosis and initiation of treatment among new PTB patients presenting to the National Referral Hospital-Mulago. Methods: This was a cross-sectional study among eligible new PTB patients presenting at the National referral TB treatment center Mulago hospital, between March to May 2009. The patients were consecutively recruited and interviewed using a semi-structured questionnaire to assess socio- demographic and health service factors. Multivariate logistic regression using odds ratios and 95% confidence intervals was done. Results: Two hundred and sixty six newly diagnosed PTB patients were enrolled, of which 65.4% experienced health systems delay. The median health service delay was 9days (IQR=8-19). Factors associated with health service delay were: 1n-patient (OR= 4.68, 95% CI: 1.91-11.45), secondary as highest level of education attained (OR= 3.56, 95% CI: 1.18-10.74), primary as highest level of education attained (OR= 6.70, 95% CI: 2.13-21.02), presence of fever (OR= 3.28, 95% CI: 1.05-10.79), and patient delay at health facility (OR= 5.01, 95% CI: 1.33-18.9). Conclusion: The study found a significant proportion of Health service delay among pulmonary tuberculosis patients presenting at the referral hospital. Being an in-patient and having fever as a symptom of tuberculosis needs further attention in order to have timely diagnosis. There is need for awareness on TB especially that most of the TB symptoms present like other febrile illnesses such as malaria and needs consideration when patients present to a health facility.en_US
dc.identifier.citationKansiime, C., Kiwuwa, S. M., Levi, M., Asiimwe, B. B., & Katamba, A. (2013). Health service delay among pulmonary tuberculosis patients presenting to a National Referral Hospital, Kampala, Uganda: a cross sectional study. Pan African Medical Journal, 15(1). doi:10.11604/pamj.2013.15.84.2692en_US
dc.identifier.other10.11604/pamj.2013.15.84.2692
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7040
dc.language.isoenen_US
dc.publisherPan African Medical Journalen_US
dc.subjectTuberculosisen_US
dc.subjectHealth service delayen_US
dc.subjectTreatment delay,en_US
dc.subjectDiagnostic delayen_US
dc.subjectPulmonary tuberculosisen_US
dc.titleHealth service delay among pulmonary tuberculosis patients presenting to a National Referral Hospital, Kampala, Uganda: a cross sectional studyen_US
dc.typeArticleen_US
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