TY - JOUR KW - Adolescent KW - Adult KW - Attitude to Health KW - Drug Therapy, Combination KW - Female KW - Humans KW - Leprostatic Agents KW - leprosy KW - Male KW - Middle Aged KW - National Health Programs KW - Philippines KW - Primary Prevention KW - Risk Factors KW - Rural Population KW - Social Perception KW - Surveys and Questionnaires KW - Treatment Refusal KW - World Health Organization AU - Honrado E AU - Tallo V AU - Balis AC AU - Chan GP AU - Cho SN AB -
The success of current World Health Organization (WHO) key strategy for leprosy elimination (ie, multidrug therapy [MDT] regimen) depends largely on the efficiency of health care delivery services and patient compliance. A high rate of noncompliance with this regimen has serious implications for the leprosy control program because it can set the stage for the emergence of drug resistance, eventually resulting in treatment failure and failure of the program. A community-based descriptive study using pretested interviews conducted in 12 leprosy endemic areas in Cebu, Philippines, showed that the noncompliance rate with the WHO-MDT regimen among 233 study subjects was 30%. The causes of noncompliance are drug-related, health care provider-triggered, or patient-inducted, or some combination of these. Recommendations on strategic interventions to obviate the cause for noncompliance are presented.
BT - Dermatologic clinics C1 - http://www.ncbi.nlm.nih.gov/pubmed/18346553?dopt=Abstract DA - 2008 Apr DO - 10.1016/j.det.2007.11.007 IS - 2 J2 - Dermatol Clin LA - eng N2 -The success of current World Health Organization (WHO) key strategy for leprosy elimination (ie, multidrug therapy [MDT] regimen) depends largely on the efficiency of health care delivery services and patient compliance. A high rate of noncompliance with this regimen has serious implications for the leprosy control program because it can set the stage for the emergence of drug resistance, eventually resulting in treatment failure and failure of the program. A community-based descriptive study using pretested interviews conducted in 12 leprosy endemic areas in Cebu, Philippines, showed that the noncompliance rate with the WHO-MDT regimen among 233 study subjects was 30%. The causes of noncompliance are drug-related, health care provider-triggered, or patient-inducted, or some combination of these. Recommendations on strategic interventions to obviate the cause for noncompliance are presented.
PY - 2008 SP - 221 EP - 9 EP - vi T2 - Dermatologic clinics TI - Noncompliance with the world health organization-multidrug therapy among leprosy patients in Cebu, Philippines: its causes and implications on the leprosy control program. VL - 26 SN - 0733-8635 ER -