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Journal of Community Health
Published in: Journal of Community Health 6/2009

01-12-2009 | original paper

A Classification and Meta-analysis of Community-based Directly Observed Therapy Programs for Tuberculosis Treatment in Developing Countries

Authors: Shreya Kangovi, Joia Mukherjee, Richard Bohmer, Garret Fitzmaurice

Published in: Journal of Community Health | Issue 6/2009

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Abstract

In many developing countries, Directly Observed Therapy (DOT) for tuberculosis has been undertaken mainly in the clinic setting. However, clinic-based DOT may create a high patient load in already overburdened health facilities and increase barriers to care by requiring patients to travel to clinic frequently for therapy. Community-based DOT (CBDOT) may overcome some of these problems. This aims of this review are (a) to describe the main features of CBDOT programs, and (b) to compare features and outcomes of CBDOT programs that do and do not offer financial reward for CBDOT providers. Ten major features define CBDOT program structure and function. Programs that paid their CBDOT providers tended to differ from unpaid programs based on all of these features. CBDOT programs in which providers received financial reward had success rates of 85.7 versus 77.6% in programs without financial reward for providers. This difference was not statistically significant. CBDOT programs fall into two major archetypes, which differ in their structure and possibly in their outcomes.
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Metadata
Title
A Classification and Meta-analysis of Community-based Directly Observed Therapy Programs for Tuberculosis Treatment in Developing Countries
Authors
Shreya Kangovi
Joia Mukherjee
Richard Bohmer
Garret Fitzmaurice
Publication date
01-12-2009
Publisher
Springer US
Published in
Journal of Community Health / Issue 6/2009
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-009-9174-4

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