http://hdl.handle.net/10386/186 Sun, 12 Apr 2026 19:27:51 GMT 2026-04-12T19:27:51Z http://hdl.handle.net/10386/876 The Causes of non-compliance to tuberculosis treatment in patients at Matlala District Hospital Linzamo, Freddy Moba Thesis (M Med (Family Medicine)) -- University of Limpopo(Medunsa Campus), 2011. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/10386/876 2011-01-01T00:00:00Z http://hdl.handle.net/10386/874 Monitoring of the Road to Health Chart by nurses in the public service at primary health care level in the community of Makhado, Limpopo Province South Africa Kitenge, Tshibwila Gabin Thesis (M Med (Family Medicine)) -- University of Limpopo,2011. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/10386/874 2011-01-01T00:00:00Z http://hdl.handle.net/10386/781 Factors associated with pulmonary tuberculosis treatment outcomes at Potchefstroom Prison in North West Province, South Africa Mnisi, Joseph Thabo BACKGROUND AND OBJECTIVE Tuberculosis remains an important curable disease particularly in the developing world. One third of the world's population is infected with T8 and new infections are occurring at a rate of about one per second(Tuberculosis Wikipedia Encyclopedia 2009).The distribution globally is not uniform with eighty percent of cases in Africa and Asia(Tuberculosis Wikipedia Encyclopedia 2009). Treatment is challenging because it requires compliance to long courses of multiple antibiotics. WHO highlights the global failure of health service providers to deal with the burden of tuberculosis (Fourie et aI1999). The researcher observed that socio-economic factors, political and intrapersonal aspects associated with T8 infection might as well be important to the treatment outcome. It was therefore important to explore factors that could be associated with treatment outcomes in the prison environment where the full impact of these factors could be found. This study was conducted at Potchefstroom prison in North Westprovince of South Africa. METHODS A quantitative cross-sectional study was done. A record review of all T8 patients in Potchefstroom prison who initiated their treatment in 2007 and ending their treatment up to 2010 was conducted. Data was recorded on data collection sheet and results were then analyzed. Descriptive analysis was done to provide frequencies, mean and standard deviation. Measures of association between characteristics and treatment outcome using odds ratio was done. RESULTS 202 T8 patients in this prison had T8 during the period covered by the study. The age group distribution of the patients shows that majority, 142(70.3%) belong to the age group 21- 37 years while those aged 38 - 53 years was 48(23.8%) and their mean age was 33.7yrs. There were 197(97.5%) male and 4(2.0%) female and 1 (0.5%) no records. Of these, therewere 92(45.5%) patients cured 4 (2%) death, 1 (0.5%) treatment failure and 102 recorded as other outcomes belonging to the transferred and treatment interruption cluster. Factors compared with these outcomes were, age, gender, initial body weight, level of education, treatment initiation time, regimen type, social support, co morbidities, smoking, application of DOT ant the type of T8. Factors that were significantly associated with favorable outcomes were occasional visits providing some social support (39.4%, OR 3.78, 95% CI1.25-11.54), DOT application (37.4%, OR 3.99, 95% CI 2.35-11.23), young age (32.6% OR 3.14, 95% CI 2.1-5.3) and Regimen 1 (34.0%, OR 1.5, 95% CI0.11-12.61) Social habits like smoking were significantly higher in patients with other treatment outcome(OR=1.56, 95% CI=1.92 to 2.05), other factors found to be aligned to negative outcomes but lacking statistical significance were extra-pulmonary tuberculosis, non application of DOT, regimens other than regimen 1, and lack of social visits. Factors like co-morbidity and gender were found not to be significantly associated with any treatment outcome because there was no point of difference in the association of different grouping in these categories with particular outcome. CONCLUSION Many factors could be associated with treatment outcomes to some varying degree, but only significant factors explored in this study were considered important. Factors that were ultimately identified as important in determining treatment outcome were age, smoking status, social support, DOT and regimen type. These were factors that were found to be contributory to the pathology of TB in many other studies and which are amenable to interventions that would improve the outcomes. Thesis (M Med(Family Medicine)) -- University of Limpopo, 2010. Fri, 01 Jan 2010 00:00:00 GMT http://hdl.handle.net/10386/781 2010-01-01T00:00:00Z http://hdl.handle.net/10386/780 The Profile of patients diagnosed with type 2 diabetes mellitus at Vanga Hospital, Dr Congo Pepe, Banza Kalenga Background In the Vanga Health Zone, diabetic patients have idea that diabetes is due to witchcraft, which idea can interfere with the prevention and management of their disease. The purpose of this study was to determine the profile of patients diagnosed with type 2 diabetes mellitus at Vanga Hospital, Democratic Republic of Congo (DR Congo). Methods A cross-sectional study was designed with use of a questionnaire to a systematic sample of type 2 diabetic patients attending the diabetic clinic of Vanga hospital for at least six months and resident at Vanga health zone. Results Only 2.1 % of the participants believe in a scientific cause for diabetes; 53.5 % of them do not think that their disease is due to the fact that they crossed over a path where some ritual was performed and, 89.2 % of the participants believe that God deserted the person who suffered from diabetes and expect that prayer will rectify the disease. The majority of participants (65.6 %) had poor glycaemic control. Correlation analysis has shown that glycaemia level was not significantly associated with sociodemographic characteristics or health belief factors. Conclusion The majority of patients at the Vanga diabetic clinic have a greater need for management strategies to improve their glycaemic control. Keywords: type 2 diabetes mellitus, health beliefs, knowledge, sub-Saharan Africa, rural Thesis (Family Medicine)) -- University of Limpopo, 2010. Fri, 01 Jan 2010 00:00:00 GMT http://hdl.handle.net/10386/780 2010-01-01T00:00:00Z