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Determinants of Non-Adherence to Anti-Tuberculosis Treatment in a Public Primary Healthcare Clinic in South Africa: Improving the Quality of Long-Term Care

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  • Lucky Norah Katende-Kyenda

    (Department of Internal Medicine and Pharmacology, Faculty of Medicine and Health Sciences, Walter Sisulu University, Sissons Street, Fortgale, Mthatha 5117, Eastern Cape, South Africa)

Abstract

Background: Non-adherence to anti-tuberculosis treatment remains a major obstacle to increasing tuberculosis treatment success rates and enhancing healthcare expenditure. The aim of this study was to identify determinants contributing to non-adherence to anti-tuberculosis treatment in a public primary healthcare clinic in South Africa. Method: A cross-sectional study was carried out to collect data from 65 participants using face-to-face interviews with a structured questionnaire. Data were analyzed using SPSS. Results: Of the 65 participants interviewed, 41 (63.08%) were males and 24 (36.92%) were females. A total of 45 (69.23%) were adherents and 20 (30.77%) were non-adherents. Gender was the major predictor of non-adherence with more males committed to treatment than females with a significant association (X 2 = 65.00 and p of <0.001). Conclusions: The major contributing factors to non-adherence were long dis-tances to the clinics, a lack of family support, and unemployment. Comprehensive programs addressing these multifactorial factors are needed for successful treatment and eradication of tuberculosis.

Suggested Citation

  • Lucky Norah Katende-Kyenda, 2025. "Determinants of Non-Adherence to Anti-Tuberculosis Treatment in a Public Primary Healthcare Clinic in South Africa: Improving the Quality of Long-Term Care," IJERPH, MDPI, vol. 22(8), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:8:p:1209-:d:1714897
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