Program Promoting Children’s Adherence to Tuberculosis Treatment in Developing Countries: A Literature Review
Tuberculosis (TB) treatment in children requires a duration of at least six months and long-term treatment can lead to poor adherence. Interventions to promote adherence to TB treatment are very important to decrease TB in children. The aim of this review is to identify the existing programs and propose the program to promote children’s adherence to TB treatment in developing countries. Data were searched from the databases ProQuest, CINAHL, Cochrane, and Google Scholar. The keyword used the terms of “tuberculosis in children AND (adherence OR compliance) AND promotion”. Criteria for searching included studies that examined adherence to TB treatment, described perspectives of patients, care givers or health providers, enrolled children and adolescents, and studies reported in English. Nine articles were found consisting of programs that included a technology-based program and behavioral-based program. Both programs can improve adherence to TB treatment, but may not be appropriate to implement in developing countries. Modifying the programs by adding children self-monitoring with parental supervision would be appropriate. Also, support from health providers during treatment will be needed to improve children’s adherence to TB treatment in developing countries.