Assessment of Healthcare Providers Compliance with Standard of MDR TB Care and Treatment Outcome

The acquisition of MDR-TB results mainly from health system/service and patient-related factors. Previous studies showed that factors that affect health outcome can be human (patient, healthcare provider) and health system related. Poor quality of care provided to TB patients affects treatment outcome which could trigger development and spread of multidrug resistant TB. This study was conducted to assess treatment outcome of Multidrug resistant clients in Drug Resistant TB treatment centers in North Central Nigeria and assess also compliance of healthcare provider with the standard of MDR TB care and services they render. Data of 300 MDR TB clients were retrospectively collected after a review of the register and drug charts. Twenty-seven (27) participants were selected at random from the 3 states TB program and 18 health facility staff were also selected to answer questions related to compliance of facility and healthcare providers with MDR TB care/services. Response with scores zero (0) and 50% were seen as areas where compliance with the standard was lacking. Identification, training, supervision, and compensation for community treatment supporters, infection control, Socioeconomic and psychological support (including incentives, enablers), expert committee to routinely provide clinical/programmatic consultation prompt treatment initiation, use of electronic drug management system, support groups, adherence to standard operating procedures at facilities. The treatment outcome documented in the study were cured (61.7%), completed treatment (7.3%), still on treatment (17.7%), defaulted (1.3%), failed treatment (0.7%), Pre-XDR TB (4.7%), lost to follow up (1.3%), transferred out (0.7%) and died (9.7%). The study disclosed the treatment outcome of MDR TB clients and areas that compliance with standard is lacking. There is need for TB programmers to periodically assess their services and clients for continuous improvement of the program.