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Memani B, Beko B, Dumile N, Mohr-Holland E, Daniels J, Sibanda B, Damse Z, Scott V, von der Heyden E, Pfaff C, Reuter A, Furin J. Causes of loss to follow-up from drug-resistant TB treatment in Khayelitsha, South Africa. Public Health Action 2022; 12:55-57. [PMID: 35734003 PMCID: PMC9176197 DOI: 10.5588/pha.21.0083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 02/22/2022] [Indexed: 01/24/2023] Open
Abstract
Patients initiated on drug-resistant TB(DR-TB) treatment in 2019 in Khayelitsha, South Africa, with a loss to follow-up outcome were evaluated to better understand reasons for loss to follow-up and to determine if any had returned to care. Of a total of 187 patients, 28 (15%) were lost to follow-up (LTFU), 24 (86%) of whom were traced: 20/24 (83%) were found when they re-presented to facilities and 8/28 (29%) were linked back to DR-TB care. People with DR-TB continue to seek care even after being LTFU; thus better coordination between different components of the healthcare system are required to re-engage with these patients. Interventions to mitigate the socio-economic challenges of people on DR-TB treatment are needed. Many people who were LTFU and symptomatic were willing to re-engage with DR-TB care, which highlights the importance of for compassionate interventions to welcome them back.
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Affiliation(s)
- B. Memani
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - B. Beko
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - N. Dumile
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - E. Mohr-Holland
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
, MSF Southern Africa Medical Unit, Cape Town, South Africa
| | - J. Daniels
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - B. Sibanda
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - Z. Damse
- City of Cape Town Department of Health, Eastern Area, Cape Town, South Africa
| | - V. Scott
- City of Cape Town Department of Health, Eastern Area, Cape Town, South Africa
| | | | - C. Pfaff
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - A. Reuter
- Médecins Sans Frontières (MSF), Khayelitsha, South Africa
| | - J. Furin
- Harvard Medical School, Boston, MA, USA
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