Abstract:
Background:
If the patient brought at least one household contact for TB screening within two months of
initial diagnosis ,they will be considered as adherent and otherwise not-adhere. Since there
was no research-based information in South West Shoa Zone regarding household contact
screening adherence among TB patients, this study assessed the magnitude and factors
associated with household contact screening adherence.
Objective: This study aimed to assess magnitude of household contact screening adherence
and associated factors among TB patients attending directly observed treatment at health
facilities in South West Shoa Zone, Oromia, Ethiopia ,2022.
Methods: Health facility based cross-sectional study design was conducted among
tuberculosis patients attending directly observed treatment at health facilities in South West
Shoa Zone, Oromia, Ethiopia, 2022. Systematic random sampling method was used to select
377 study subjects from each selected health facilities. Pre-tested and structured interviewer
administered questionnaire was used to collect data. The data was entered in to Epi-Info
version 7 and then exported to SPSS version 20 software for analysis. Descriptive statistics
were carried out to illustrate the means, standard deviations, and frequencies. Binary logistic
regression analysis was done to identify variables having a significant association with the
dependent variable.
Results: A total of 362 study participants, participated in this study making a response rate
of 96.02% .The magnitude of household TB contact screening adherence was 59.1% .
Knowledge of patient on TB (AOR=2.095 (95%CI:1.291,3.400), household visiting by HEW
in the last 6 months prior to the study (AOR = 2.532(95% CI: 1.175,5.454), having TB
treatment supporter (AOR = 2.585 (95% CI: 1.235,5.409) and health education on TB by
HCW/HEW (AOR= 1.795 (95% CI: 1.083,2.977) were significantly associated with
household contact screening adherence.
Conclusions and recommendations: Knowledge of patients on TB, visiting household by
HEW, having TB treatment supporter and health education on TB by HCW/HEW were
significantly associated with household TB contact screening adherence. Therefore, it is
better focusing on the factors associated with the household TB contact screening
adherence
