Author(s): Abdullah Noor-Hashimah, Nyi Nyi Naing, Che Wan Aminuddin, Wan Mohammad Wan Mohd Zahiruddin, Hamzah Wan Mansor, Hussin Hani, Salleh Rosemi, Nadiah Wan-Arfah

Email(s): syedhatim@unisza.edu.my

DOI: 10.5958/0974-360X.2018.00681.9   

Address: Abdullah Noor-Hashimah1, Nyi Nyi Naing2*, Che Wan Aminuddin3, Wan Mohammad Wan Mohd Zahiruddin4, Hamzah Wan Mansor5, Hussin Hani5, Salleh Rosemi3, Nadiah Wan-Arfah2
1State Health Department of Kelantan, Ministry of Health, Malaysia
2Institute for Community (Health) Development (i-CODE), Universiti Sultan Zainal Abidin, Block E, Level 1, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia
3Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
4Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
5State Health Department of Kelantan, Ministry of Health, Malaysia
*Corresponding Author

Published In:   Volume - 11,      Issue - 8,     Year - 2018


ABSTRACT:
The trend of tuberculosis is increasing globally. The morbidity, mortality and transmission of tuberculosis significantly increase in delaying the treatment. Hence this study was aimed to determine the prevalence of health service, diagnosis, and initiation delay and to identify the factors influencing the unacceptable health service delay. A cross sectional study was conducted from January to June 2005 among 178 smear positive pulmonary tuberculosis patients in four districts in Kelantan, Malaysia. All sputum smear positive pulmonary tuberculosis patients from September 2004 to June 2005 who fulfilled the inclusion and exclusion criteria and gave consent were recruited due to limited number of patients using the interviewer guided questionnaire. Multiple logistic regression was used in identifying the factors influencing the unacceptable health service delay. The prevalence of unacceptable delays; health service delay, diagnosis delay and initiation delay were 45.5%, 48.3% and 37.6% respectively. The significant factors associated with health service delay were negative results of initial sputum smear (Adjusted OR: 14.48; 95%CI: 2.30, 91.34), number of visits to health facilities (Adjusted OR: 4.99; 95%CI: 2.76, 9.03) and types of first health care facilities attended (Adjusted OR: 5.78; 95%CI: 1.58, 21.11). Health care personnel in government sectors should be reminded on the important of early diagnosis and prompt treatment of tuberculosis.


Cite this article:
Abdullah Noor-Hashimah, Nyi Nyi Naing, Che Wan Aminuddin, Wan Mohammad Wan Mohd Zahiruddin, Hamzah Wan Mansor, Hussin Hani, Salleh Rosemi, Nadiah Wan-Arfah. Health Service Delays in Diagnosis and Treatment among Tuberculosis Patients in Kelantan, Malaysia. Research J. Pharm. and Tech 2018; 11(8): 3711-3717. doi: 10.5958/0974-360X.2018.00681.9

Cite(Electronic):
Abdullah Noor-Hashimah, Nyi Nyi Naing, Che Wan Aminuddin, Wan Mohammad Wan Mohd Zahiruddin, Hamzah Wan Mansor, Hussin Hani, Salleh Rosemi, Nadiah Wan-Arfah. Health Service Delays in Diagnosis and Treatment among Tuberculosis Patients in Kelantan, Malaysia. Research J. Pharm. and Tech 2018; 11(8): 3711-3717. doi: 10.5958/0974-360X.2018.00681.9   Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2018-11-8-86


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RNI: CHHENG00387/33/1/2008-TC                     
DOI: 10.5958/0974-360X 

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