ArticlePloS one2014
The effects on tuberculosis treatment adherence from utilising community health workers: a comparison of selected rural and urban settings in Kenya.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effective community-based interventions to prevent and control infectious diseases in urban informal settlements in low- and middle-income countries: a systematic review.Systematic reviews · 2024Pooled it
- Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies.PLoS medicine · 2018Pooled it
- Knowledge, practices, and concerns of tuberculosis healthcare workers at primary settings in western China: a multi-center cross-sectional study.Infectious diseases of poverty · 2025Article
- Community Empowerment through Cadres in the Tuberculosis Program: A Scoping Review.Iranian journal of public health · 2025Review
- Bridging the gaps in the unmet needs of hypertension care in Nigeria: post-intervention evaluation of the community action against non-communicable diseases (COMAAND) project.BMC public health · 2025Article
- Examining the referral of patients with elevated blood pressure to health resources in an under-resourced community in South Africa.BMC public health · 2024Article
- Understanding patient-level costs of weekly isoniazid-rifapentine (3HP) among people living with HIV in Uganda.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023Article
- Improving hypertension awareness and management in Vietnam through a community-based model.Scientific reports · 2022Article
- Community health workers to improve adherence to anti-seizure medication in rural South Africa: Is it cost-effective?Epilepsia · 2021Article
- Determinants of tuberculosis treatment interruption among patients in Vihiga County, Kenya.PloS one · 2021Article
- Community health volunteers' contribution to tuberculosis patients notified to National Tuberculosis program through contact investigation in Kenya.BMC public health · 2020Article
- Implementation status of household contact tuberculosis screening by health extension workers: assessment findings from programme implementation in Tigray region, northern Ethiopia.BMC health services research · 2020Article
- Treatment of drug-susceptible tuberculosis among people living with human immunodeficiency virus infection: an update.Current opinion in HIV and AIDS · 2018Review
- The feasibility of task-sharing the identification, emergency treatment, and referral for women with pre-eclampsia by community health workers in India.Reproductive health · 2018Article
- A multi-site community randomized trial of community health workers to provide counseling and support for patients newly entering HIV care in rural Ethiopia: study design and baseline implementation.HIV clinical trials · 2018Article
- Home Based Care as an Approach to Improve the Efficiency of treatment for MDR Tuberculosis: A Quasi-Experimental Pilot Study.Journal of clinical and diagnostic research : JCDR · 2017Article
- Interventions to improve adherence to treatment for paediatric tuberculosis in low- and middle-income countries: a systematic review and meta-analysis.Bulletin of the World Health Organization · 2015Review
- Adherence to anti-tuberculosis treatment in Tigray, Northern Ethiopia.Public health action · 2014Article
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4 authors.
Funding
Abstract
introductionCommunity Health Workers (CHWs) have been utilised for various primary health care activities in different settings especially in developing countries. Usually when utilised in well defined terms, they have a positive impact. To support Kenya's policy on engagement of CHWs for tuberculosis (TB) control, there is need to demonstrate effects of utilising them.
objectivesThis study assessed TB treatment adherence among patients who utilised CHWs in management of their illness in comparison to those who did not in urban and rural settings.
methodsA retrospective cohort study was conducted in selected health facilities using standard clinical records for each TB patient registered for treatment between 2005 to 2011. Qualitative data was collected from CHWs and health care providers.
resultsThe study assessed 2778 tuberculosis patients and among them 1499 (54%) utilized CHWs for their TB treatment. The urban setting in comparison with the rural setting contributed 70% of patients utilising the CHWs (p<0.001). Overall treatment adherence of the cohort was 79%. Categorizing by use of CHWs, adherence among patients who had utilized CHWs was 83% versus 68% among those that had not (p<0.001). In comparison between the rural and urban settings adherence was 76% and 81.5% (p<0.001) respectively and when categorized by use of CHWs it was 73% and 90% (p<0.001) for the rural and urban set ups respectively. Utilisation of CHWs remained significant in enhancing treatment adherence in the cohort with unadjusted and adjusted ORs; OR 2.25, (95% 1.86-2.73) p<0.001 and OR 1.98 (95% 1.51-2.5) p<0.001 respectively. It was most effective in the urban set-up, OR 2.65 (95% 2.02-3.48, p<0.001) in comparison to the rural set up, OR 0.74 (95% 0.56-0.97) p = 0.032.
conclusionUtilisation of CHWs enhanced TB treatment adherence and the best effects were in the urban set-up.
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