Tuberculosis treatment delay and contributing factors within tuberculosis patients in Ethiopia: A systematic review and meta-analysis.

Autor:	Fetensa G; Department of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.; Department of Health, Behavior, and Society, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia., Wirtu D; Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia., Etana B; Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia., Wakuma B; Department of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia., Tolossa T; Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.; Deakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia., Gugsa J; Oromia Physician Association, Addis Ababa, Ethiopia.; Batu General Hospital, Oromia Regional Health Bureau, Addis Ababa, Ethiopia., Gobena D; Public Health Emergency Management and Health Research Directorate, Oromia Health Bureau, Addis Ababa, Ethiopia.; School of Medical Laboratory Science, Institute of Health, Jimma University, Jimma, Ethiopia., Fekadu G; Department of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia., Ragasa MT; Department of Midwifery, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia., Ejeta E; Department of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.; Department of Public Health, Ambo University, Ambo, Ethiopia.
Jazyk:	angličtina
Zdroj:	Heliyon [Heliyon] 2024 Mar 23; Vol. 10 (7), pp. e28699. Date of Electronic Publication: 2024 Mar 23 (Print Publication: 2024).
DOI:	10.1016/j.heliyon.2024.e28699
Abstrakt:	Background: Tuberculosis (TB) is a significant public health disease and a major contributor to illness and death worldwide, including in Ethiopia. There are many information from first source which had inconclusive result in Ethiopia. Therefore, this review aimed to produce pooled evidence on the TB treatment delay and factors associated with it. Methods: The absence of a similar study with a systematic review and meta-analysis was confirmed. Articles from online available and unpublished sources conducted within Ethiopia between 2002 and 2024, were thoroughly screened using electronic sources such as Medline, Embase, Hinari, PubMed, the Cochrane Library, the Web of Science, and Google Scholar. Data analysis was performed using STATA version 14. Heterogeneity was assessed using Inverse of Variance (I 2 ) and Cochrane Q tests. The funnel plot was employed to rule existence of publications subjectively while bias was checked using Egger's statistical method to quantify the bias. Result: Prevalence of TB treatment delay in Ethiopia was 50.42% at 95% (43.21, 57.64). Factors such as knowledge about TB, distance to health facilities less than 10 km, initial contact at a government service providing center for TB, having some educations, having pulmonary Tuberculosis, urban residency, were prtotective towards treatment delay. Female in gender, no chest pain symptom, disease severity with no restriction on daily activity, alcohol drinkers, and unmarried respondents were at higher risk to miss on time tuberculosis treatment. Conclusion and Recommendation: The tuberculosis treatment delay in Ethiopia was considerably unexpected and basic personal variables and facility related variables were statistically associated with treatment. Therefore, Ethiopian TB control programs have to recognize and tackle the problem, obstacles, and vulnerability across the continuum patient care taking down and connecting to treatment post-diagnosis. This can be achieved by capacitating both government and non-governmental service provision centers and minimizing unfilled difference across professional awareness and skill, which will contribute further to minimizing delay. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu