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dc.contributor.authorDobler, C.
dc.contributor.authorKorver, S.
dc.contributor.authorBatbayar, O.
dc.contributor.authorOyungtsetseg, S.
dc.contributor.authorTsolmon, B.
dc.contributor.authorWright, Cameron
dc.contributor.authorSolongo, B.
dc.contributor.authorMarais, B.
dc.identifier.citationDobler, C. and Korver, S. and Batbayar, O. and Oyungtsetseg, S. and Tsolmon, B. and Wright, C. and Solongo, B. et al. 2015. Success of community-based directly observed anti-tuberculosis treatment in Mongolia. The International Journal for Tuberculosis and Lung Disease. 19 (6): pp. 657-662.

BACKGROUND: Many countries restrict access to directly observed therapy (DOT) for tuberculosis (TB) to government health facilities. More innovative approaches are required to reduce non-adherence, improve patient outcomes and limit the risk of selecting drug-resistant strains. METHODS: We performed a retrospective cohort study in sputum smear-positive patients treated with community-based DOT (home-based DOT or 'lunch' DOT, whereby DOT is provided with a free daily meal once sputum smear conversion has been documented), and conventional clinic-based DOT in Ulaanbaatar, the capital of Mongolia, in 2010-2011. We compared treatment success using community-based home DOT vs. conventional clinic DOT and describe treatment completion rates using lunch DOT. RESULTS: The overall treatment success among new sputum smear-positive TB patients was 85.1% (1505/1768). Patients receiving community DOT had higher cure rates (294/327, 89.9% vs. 1112/1441, 77.2%; aOR 2.66, 95%CI 1.81-3.90) and higher treatment success (306/327, 93.6% vs. 1199/1441, 83.2%; aOR 2.95, 95%CI 1.85-4.71, P < 0.001) than those treated with clinic DOT. Apart from one death, treatment completion was 100% among patients who received lunch DOT after sputum smear conversion. CONCLUSIONS: Community DOT improved treatment success in Ulaanbaatar, Mongolia. It should now be scaled up to be made available for more patients and in all regions of the country.

dc.publisherChurchill Livingstone, Journal production department
dc.titleSuccess of community-based directly observed anti-tuberculosis treatment in Mongolia
dc.typeJournal Article
dcterms.source.titleThe international journal for tuberculosis and lung disease

Copyright © 2015 The Union

curtin.departmentDepartment of Health Policy and Management
curtin.accessStatusOpen access

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