n African Journal for Physical Health Education, Recreation and Dance - Factors contributing to tuberculosis default rate in Buffalo City Metropolitan municipality, Eastern Cape Province, South Africa

Volume 21 Number 2.2
  • ISSN : 1117-4315


Tuberculosis (TB) kills approximately three million people per year worldwide. Defaulting from treatment has been one of the major obstacles to treatment management and an important challenge for tuberculosis control. The main purpose of this study was to explore factors contributing to the high default rate of tuberculosis in Buffalo City Metropolitan, Eastern province. This was a qualitative study consisted of all TB clients who were defaulting treatment from January to December 2012 in Zanempilo, Gonubie and Chris Hani clinics in the East London Primary Health care facilities under the Buffalo City Metropolitan Municipality (BCMM). Using a non-probability purposive sampling method, TB registers from January to December 2012 served as a source of information to get the names and addresses of TB defaulters. In-depth unstructured face-to-face interviews were used to collect data from 14 participants. The study revealed that patient behaviour, sickness, feeling better, nurses’ attitudes, work issues and temporary change of residence are the reasons for TB default among the patients. It is imperative to understand predictive factors for treatment default so that programmes can implement specific measures that target the population at risk, since other strategies such as simpler treatment regimens and directly observed treatment seems to be presenting unsatisfactory results.

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