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February 26, 20260 citationsOpen Access

Community Health Worker Contact Rates and Adherence to Tuberculosis Treatment Among Patients in Mombasa, Kenya: A Longitudinal Study

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KKKipsang KoechMMMuthambari Mbugua

Key Points

  • The study aims to analyze the impact of community health worker (CHW) contact rates on tuberculosis treatment adherence.
  • Conducted a longitudinal analysis using healthcare data from Mombasa, Kenya.
  • Employed logistic regression models to evaluate adherence based on CHW contact rates.
  • Assessed variations in monthly contact rates across different healthcare facilities.
  • Average monthly contact rate of CHWs was 15%, with significant variation across facilities.
  • Indicated a need for tailored strategies to improve TB treatment adherence.
  • Highlighted that targeted CHW interventions can enhance treatment outcomes.

Abstract

Tuberculosis (TB) is a significant public health issue in Kenya, with Mombasa being an endemic region. A longitudinal study was conducted using data from to. The study employed logistic regression models to analyse treatment adherence based on CHW contact rates. CHWs had an average monthly contact rate of 15%, with significant variation between different healthcare facilities, indicating the need for tailored strategies to improve adherence. The study highlights the importance of consistent and targeted CHW interventions in enhancing TB treatment outcomes among patients in Mombasa. Intensified training programmes should be provided to CHWs, coupled with regular performance evaluations to ensure high contact rates and effective patient engagement. Tuberculosis, Community Health Workers, Adherence, Logistic Regression, Mombasa Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.

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Cite This Study

Koech et al. (2003) studied this question.

synapsesocial.com/papers/699fe38b95ddcd3a253e7801https://doi.org/10.5281/zenodo.18761438
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