TB is a disease that goes biological hemisphere into individual living patterns and working conditions; therefore, professionals have the responsibility to have technical skills, competencies and knowledge to deal with the disease progression.
DOT is a method of drug administration that a health provider monitors a TB patient as he/she takes her medication, noting the patient’s response to treatment. Self-administration therapy is in which a person takes medicines without being observed or monitored by a health provider.DOT includes components such as the political commitment by the government, improved laboratory commitment, continuous supply of good quality drugs, documentation of individual care progression.DOT has a higher cure rate compared to unsupervised therapy. According to NICE, patients receiving DOT complete therapy compare to those on unsupervised treatment.DOT helps patients complete their therapy fast as compared to self-administration therapy.DOT remains the standard health care of patients, especially those with multidrug resistance. Monitors patients’ adherence to the treatment, thereby minimising the spread of TB, promotes case detection and reduces treatment rejections and abandon when physical symptoms subsidise compared to unsupervised therapy. It should be patient-centred with rigorous monitoring.
Provides a regular venue for assessing, detecting adverse effects, and planning care for TB patients due to community health agents who are closer to the patients.
DOT enables a medical practitioner to assess a patient’s response to therapy. It is encouraging adherence to drug regimens that are difficult to tolerate.
DOT works when patients are helped keep their medical appointments, educating patients on current TB trends, connecting patients with community resources such as social services for continuity of service delivery.
Limits: require leadership and a lot of resources to be put into operation.
Health policymakers may be attempting to alter DOT guidelines because of the persistence required to maintain the programme functional.
TB is associated with how society is organised. Individuals with poor living conditions may limit his/her access to resources, thus making them distance themselves from the health service, which hinders treatment.
DOTS are difficult and tiresome since health care providers feel they are responsible for patient treatment who become vulnerable given TB.
Lack of enough resources to cater to healthcare providers and the patients can hinder service delivery.
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