Formal Education Vs Health Literacy: An Insight into Treatment Outcome of the Randomized Control Trial of MDR-TB Patients in Pakistan

Ankasha Arif, Eatzaz Ahmad, F. Khan, R. Fatima
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Abstract

This study analyzes the impact of education, health policy initiatives i.e. selection of treatment arms of ambulatory vs. hospital care and financial incentives under taken by the National Tuberculosis Program of Pakistan (NTP) on the outcome of cure of multi-drug resistance tuberculosis patients. The data of 370 patients enrolled in randomized control trial is collected from three TB centers of Lahore, Karachi and Murree and multi-variate logistic regression method is applied. The empirical findings show that formal education and selection of treatment arm do not significantly affect the outcome of the cure. However, health literacy provided by the NTP plays vital role in improving the treatment outcomes. Therefore, it is suggested that health literacy should be focused in our formal education for the improvement of the health-status of the nation. Moreover, WHO (2011) recommendation of shift towards ambulatory care is applicable for Pakistan and financial incentives should continue as it reduces the treatment burden for patients.
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正规教育Vs健康素养:巴基斯坦耐多药结核病患者随机对照试验治疗结果的洞察
本研究分析了巴基斯坦国家结核病规划(NTP)所采取的教育、卫生政策举措(即门诊与医院护理治疗手段的选择)和财政激励措施对耐多药结核病患者治愈结果的影响。从拉合尔、卡拉奇和穆里三个结核病中心收集了370例纳入随机对照试验的患者数据,并采用多因素logistic回归方法。实证结果表明,正规教育和治疗臂的选择对治疗结果没有显著影响。然而,国家结核控制规划提供的卫生知识在改善治疗结果方面发挥着至关重要的作用。因此,建议在我国的正规教育中重点开展健康素养教育,以提高国民的健康水平。此外,世卫组织(2011年)关于转向门诊护理的建议适用于巴基斯坦,财政激励措施应继续下去,因为它减轻了患者的治疗负担。
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