A mixed-methods evaluation of adherence to preventive treatment among child tuberculosis contacts in Indonesia

• DOI: 10.5588/ijtld.15.0952
• Publication Date: 2016-07-28T23:06:30Z
• Authors: R. Triasih; R. S. Padmawati; T. Duke; C. Robertson; S. M. Sawyer; S. M. Graham
• Keywords: Thematic Analysis; Regimen; Directly Observed Therapy

Tuberculosis (TB) can be prevented using isoniazid preventive therapy (IPT) among child contacts. However, the benefits of IPT depend on adherence to at least 6 months daily treatment. A greater understanding barriers and facilitators in resource-poor settings is required optimise benefits.We prospectively evaluated its associated factors contacts (age 0-5 years) eligible for IPT. We undertook in-depth interviews with care givers a focus group discussion health workers, which were thematically analysed explore from perspective both workers.Of 99 children, 49 (49.5%) did not complete Children whose giver collected their medications primary centres more likely have incomplete than those who them hospitals (aOR 2.9, 95%CI 1.1-7.8). Thematic analyses revealed major adherence: regimen-related, giver-related care-related factors, social support access. Many these are readily modifiable.Providing information about improving accessibility receive facility should priorities facilitate implementation.