Adherence to Childhood Tuberculosis Treatment in Mozambique

Elisa Lopez-Varela1,2, Victor Guillermo Sequera1,3, Alberto L García-Basteiro1,2,4

  • 1ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic - Universitat De Barcelona, Barcelona, Spain c/ Rosselló, 132, 5° 2 (08036).

Insights

Adherence to tuberculosis (TB) treatment in children in Mozambique was assessed. Incomplete adherence was observed in 31.3% of cases, linked to malnutrition or having a migrant mother.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Limited literature exists on pediatric tuberculosis (TB) treatment adherence.
  • Tuberculosis remains a significant global health challenge, particularly in resource-limited settings.

Purpose of the Study:

  • To describe TB treatment outcomes in Mozambican children.
  • To evaluate factors associated with poor adherence to TB treatment in this population.

Main Methods:

  • A sub-study of a community TB incidence study involving children under 3 years old.
  • Incomplete adherence was defined as lost-to-follow-up or treatment delays exceeding 3 weeks.

Main Results:

  • Of 50 TB treatments assessed, 88% completed treatment successfully.
  • Incomplete adherence was found in 31.3% of cases (15/48).
  • Factors associated with incomplete adherence included malnutrition and a history of a migrant mother.

Conclusions:

  • Despite generally good treatment outcomes, a substantial proportion of children exhibited incomplete adherence.
  • Further research with larger pediatric TB cohorts and qualitative methods is necessary to confirm factors influencing non-adherence.
Abstract

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