Original Article

Missed opportunity for tuberculosis screening among patients presenting at two health centres in Manafwa district, Uganda

Titus Wamulima, John P.M. Masaba, David Musoke, David Mukunya, Joseph K.B. Matovu
Journal of Public Health in Africa | Vol 14, No 11 | a59 | DOI: https://doi.org/10.4081/jphia.2023.2682 | © 2024 Titus Wamulima, John P.M. Masaba, David Musoke, David Mukunya, Joseph K.B. Matovu | This work is licensed under CC Attribution 4.0
Submitted: 15 March 2024 | Published: 30 November 2023

About the author(s)

Titus Wamulima, Faculty of Health Sciences, Busitema University, Mbale, Uganda; and, Bubulo HCIV, Manafwa district, Uganda; and, Butiru HCIII, Manafwa district, Uganda
John P.M. Masaba, Makerere University School of Public Health, Kampala, Uganda
David Musoke, Faculty of Health Sciences, Busitema University, Mbale, Uganda
David Mukunya, Faculty of Health Sciences, Busitema University, Mbale, Uganda
Joseph K.B. Matovu, Faculty of Health Sciences, Busitema University, Mbale, Uganda; and, Makerere University School of Public Health, Kampala, Uganda

Full Text:

PDF (3MB)

Abstract

Background: Missed Tuberculosis (TB) screening opportunities are key drivers of continued tuberculosis transmission. Objective: To determine the proportion of and factors associated with missing TB screening amongst patients who attended two health centres in the Manafwa district to inform future TB prevention and control efforts in Uganda. Methods: A facility-based, cross-sectional study was conducted at two public health centres offering comprehensive TB services in Manafwa district, Uganda, among patients (≥ 18 years) who presented with at least one symptom suggestive of TB. Using exit interviews, data on demographics and TB symptoms were collected using an electronic structured questionnaire. A logistic regression model was performed to determine the factors associated with missed opportunities for TB symptom screening. Results: Of the 125 patients enrolled in the study, the majority 76.0%, (n=70) of patients presented with cough for 2 weeks or more (cough of any duration for HIV positive patients) and a big proportion, 68% (n=85) of patients missed the opportunity to be screened for TB. Having a; post-primary education level (Adjusted Odds Ratio [AOR] =5.9; 95% Confidence Interval [95% CI] = 1.3, 27.1) and attending Bubulo HCIV (AOR= 0.01; 95% CI: 0.01, 0.2) were significantly associated with having a missed opportunity for TB screening. Conclusion: Slightly more than two-thirds of the patients who presented to the study health facilities with symptoms suggestive of TB missed the opportunity to be screened for TB. We suggest a need for a multifaceted intervention to improve TB screening, particularly among better-educated TB patients.

Keywords

Facility-based; cross-sectional study; TB symptoms

Metrics

Total abstract views: 142
Total article views: 20


Crossref Citations

No related citations found.