Browsing by Author "Oguya, Francis"

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    Effect of Health Education on Costs of Treatment and Household´S Income among Tuberculosis Patients in Kenya: A Randomized Control Trial
    (PAMJ - One Health, 2022-04) Kimani, Humphrey Mbuti; Mwaniki, Elizabeth; Oguya, Francis; Warutere, Peterson
    introduction: directly observed therapy, shortcourse strategy for TB treatment, in combination with patient education has proved to be effective in reducing TB incident than the DOTS strategy alone. Although tuberculosis care for patients is free in Kenya, other expenses associated with the disease during treatment have been known to increase costs at the patient and household level. This study sought to determine effect of health education on costs to treatment and household´s income among tuberculosis patients in Kenya. Methods: the study was conducted between September 2019 and February 2020 in selected public health facilities in Kenya. A cluster randomized controlled trial preceded by crosssectional study was conducted among the TB patients. Four hundred and fifty (450) patients were recruited from the TB clinics by random sampling. Three hundred and seventy-three met eligibility criteria and were assigned into experimental and control groups by simple random sampling. Health education intervention was given to the experimental group and not in the control group. However, all the study patients (experimental and control) received the standard tuberculosis treatment. After six months of treatment the two groups were compared. Results: at the baseline, patients incurred almost similar total treatment costs (experimental (USD 16,071) and control (USD 16,543) groups but after the health education intervention, patients in the experimental group were found to have incurred less cost (USD 59,073) than those in the control group (USD 67,750). The difference was statistically significant (p=0.001). Conclusion: health education was found to impart knowledge to the patient contributing to reduced expenditure while seeking TB care