TY - JOUR
T1 - Noncompliance with the World Health Organization-Multidrug Therapy Among Leprosy Patients in Cebu, Philippines
T2 - Its Causes and Implications on the Leprosy Control Program
AU - Honrado, Elsie R.
AU - Tallo, Veronica
AU - Balis, Angelita C.
AU - Chan, Gertrude P.
AU - Cho, Sang Nae
N1 - Funding Information:
This research was funded by the Culion Foundation, Inc. study grant and the Amador R. Honrado Jr. study grant.
PY - 2008/4
Y1 - 2008/4
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.
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.
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U2 - 10.1016/j.det.2007.11.007
DO - 10.1016/j.det.2007.11.007
M3 - Review article
C2 - 18346553
AN - SCOPUS:40849098794
SN - 0733-8635
VL - 26
SP - 221
EP - 229
JO - Dermatologic Clinics
JF - Dermatologic Clinics
IS - 2
ER -