African Health Sciences
Makerere University Medical School
Vol. 20, No. 2, 2020, pp. 633-640
Bioline Code: hs20027
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 20, No. 2, 2020, pp. 633-640
© Copyright 2020 - Ekuka G et al.
Pre-diagnostic drop out of presumptive TB patients and its associated factors at Bugembe Health Centre IV in Jinja, Uganda|
Ekuka, Godfrey; Kawooya, Ismael; Kayongo, Edward; Ssenyonga, Ronald; Mugabe, Frank; Chaiga, Peter Awongo; Nsawotebba, Andrew; Tweya, Hannock & Mijumbi-Deve, Rhona
Background: Drop out of presumptive TB individuals before making a final diagnosis poses a danger to the individual and
their community. We aimed to determine the proportion of these presumptive TB drop outs and their associated factors in
Bugembe Health Centre, Jinja, Uganda.
Methods: We used data from the DHIS2, presumptive and laboratory registers of Bugembe Health Centre IV for 2017.
Descriptive statistics were used to summarize the population characteristics. A modified Poisson regression model via the
generalized linear model (GLM) with log link and robust standard errors was used for bivariate and multivariate analysis.
Results: Among the 216 registered presumptive TB patients who were less than 1% of patients visiting the outpatients’
department, 40.7% dropped out before final diagnosis was made. Age and HIV status were significantly associated with
pre-diagnostic drop out while gender and distance from the health center were not.
Conclusion: A high risk to individuals and the community is posed by the significant proportion of presumptive TB patients dropping out before final diagnosis. Health systems managers need to consider interventions targeting young persons, male patients, HIV positive persons.
Tuberculosis (TB); Pre-diagnostic drop out; Presumptive TB; SORT IT.