| المستخلص: |
Tuberculosis is a big health problem facing the almost whole world. Treatment Default is a major obstacle in the fight against the disease. Persons who default from tuberculosis treatment are at risk for clinical deterioration and complications including worsening drug resistance and death. Khartoum state had 268 defaulter Patients out of 1791, which equals 15%.and the same percentage in 2012. but in the third quarter of 2013 increase to 18%. The overall objective of this study was to study the determinants of tuberculosis treatment default among defaulters in Khartoum (Sudan) State in order to improve treatment adherence among tuberculosis patients. A cross sectional facility¬-based study conducted in Khartoum State (tuberculosis management unites). A standardized administered questionnaire was developed. Pre -tested was done for five patients. The questionnaire was filled by researcher and three assistants. The estimated sample size mounted to tow hundred and four participants. Questionnaire contained a number of personal information to participants and has fifty-three questions about the general information about the determinants of defaulting treatment among tuberculosis patients (Socio economic status). The collected data were analyzed by the computer program statistical package for social sciences version 20 and presented as tables, pies and pillars coupled with narrative description. Regarding test of significance, p-value was accepted as 0.05. aged between 20-40, Men and those living in urban areas, workers, had family members 1-4, married, had secondary education, financial problem, were found to be at higher risk of default TB patients. The study revealed that it was association between Commitments to visits set by the doctor by financial problem P value=.016. Thus, it is of utmost importance to educate patients about tuberculosis and its treatment to reduce the default rate. In addition to follow up and support for tuberculosis patients particularly for those aged 20- 40 years, living in urban areas married and those who had financial problem.
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