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Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco

Author

Listed:
  • Seup Park

    (Global Care International, Seoul 08377, Korea)

  • Narae Moon

    (Global Care International, Seoul 08377, Korea)

  • Byungkwon Oh

    (Global Care International, Seoul 08377, Korea)

  • Miyeon Park

    (Global Care International, Seoul 08377, Korea)

  • Kilho Kang

    (VF Partners, Seoul 06732, Korea)

  • Ilham Sentissi

    (Chief Public Health Service and Epidemiological Surveillance, Moroccan League Against Tuberculosis (Ligue Marocaine de Lute Contre la Tuberculosis, LMCT), Rabat 10000, Morocco)

  • Sung-Heui Bae

    (College of Nursing, Graduate Program in System Health Science and Engineering, Ewha Womans University, Seoul 03760, Korea)

Abstract

In Morocco, there are challenges in the management of high-risk tuberculosis (TB) patients, including paper-based management and a shortage of healthcare workers related to TB. Additionally, TB management has not been accounted for in various patient types, which affects treatment adherence. This study aims to examine the delivery model of TB management and the outcomes of an integrated patient management system that uses a patient-centered and community-based approach, along with mobile health technology. A total of 3605 TB patients were enrolled in this program in Morocco’s five prefectures (Rabat, Salé, Kénitra, Khemisset, Skhirat–Témara) from January 2018 to December 2019. Patients were managed based on demographic characteristics, socioeconomic status, areas (rural or urban), health literacy levels, and distance to primary health centers. Our mobile health intervention “smart pillbox” was interposed with high-risk TB patients, along with patient education. The rate of successful treatment was 92.2%, which was higher than the national rate (88%). The “lost to follow-up” rate was 4.1%, which was significantly lower than the existing non-adherence rate of 7.9%. Therefore, integrated patient management for TB patients in Morocco is more effective than the existing conventional programs. This comprehensive approach provides an alternative method for countries with limited resources.

Suggested Citation

  • Seup Park & Narae Moon & Byungkwon Oh & Miyeon Park & Kilho Kang & Ilham Sentissi & Sung-Heui Bae, 2021. "Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:9991-:d:641030
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    References listed on IDEAS

    as
    1. Narges Alipanah & Leah Jarlsberg & Cecily Miller & Nguyen Nhat Linh & Dennis Falzon & Ernesto Jaramillo & Payam Nahid, 2018. "Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies," PLOS Medicine, Public Library of Science, vol. 15(7), pages 1-44, July.
    2. Imad Cherkaoui & Radia Sabouni & Iraqi Ghali & Darya Kizub & Alexander C Billioux & Kenza Bennani & Jamal Eddine Bourkadi & Abderrahmane Benmamoun & Ouafae Lahlou & Rajae El Aouad & Kelly E Dooley, 2014. "Treatment Default amongst Patients with Tuberculosis in Urban Morocco: Predicting and Explaining Default and Post-Default Sputum Smear and Drug Susceptibility Results," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-9, April.
    3. Seup Park & Ilham Sentissi & Seung Jae Gil & Won-Seok Park & ByungKwon Oh & Ah Reum Son & Young Ju Kong & Sol Park & Eunseong Paek & Yong Joon Park & Seung Heon Lee, 2019. "Medication Event Monitoring System for Infectious Tuberculosis Treatment in Morocco: A Retrospective Cohort Study," IJERPH, MDPI, vol. 16(3), pages 1-9, January.
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