Therapeutic Monitoring of Tuberculosis among Detainees in the Prison of Antanimora, Madagascar

Abstract

Therapeutic Monitoring of Tuberculosis among Detainees Prison Abstract Introduction: This study was carried out to describe the problems encountered in the implementation of the tuberculosis control program within the diagnostic and treatment center of the prison of Antanimora in order to evaluate the therapeutic performance. Methods: This is a retrospective cross-sectional and descriptive study from January 2016 to December 2018 carried out among inmates with tuberculosis treated in the Results: Out of 3,000 male inmates, eighty-seven (87) cases of tuberculosis were diagnosed. More than half of the prisoners treated were cured (78.2%), five (05) died (5.7%), twelve (12) (13.8%) were transferred and two (02) were lost sight of (2.3%). The highest proportion of cure was observed in tuberculosis patients aged 35 and over, with a normal weight at the time of diagnosis, working in the tertiary sector and having carried out the three controls during treatment. The highest mortality rate was recorded among tuberculosis patients who underwent medical evacuation (100%). Conclusion: The socio-demographic parameters, the conditions of detention and the quality of care constitute both a risk factor for the onset of the disease and a factor for the success or failure of the treatment.