[Reasons for stopping and restarting tuberculosis treatment in Libreville (Gabon)]

Sante. 2010 Jan-Mar;20(1):31-4. doi: 10.1684/san.2010.0189.
[Article in French]


Tuberculosis is an important public health problem in Gabon, and the DOTS strategy recommended by the World Health Organisation has not been successfully applied. In 2006, 45% of patients abandoned treatment during the first phase. A pilot cross-sectional study was thus conducted from September 1 to November 30, 2006, at the Nkembo Tuberculosis Centre in Libreville, Gabon. Thirty patients with positive microscopy results who returned after having interrupted treatment completed a standardised questionnaire. They were mainly young men: their mean age was 33 years old and the male/female ratio was 2.7. Reasons for having abandoned treatment were a lack of money to pay for it (43%) and an impression that they had been cured (23%). The motivations for resuming treatment were the return of symptoms (73%). The risk of drug resistance requires that the Gabonese government play a greater role in the fight against tuberculosis.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antitubercular Agents / therapeutic use*
  • Female
  • Gabon
  • HIV Seronegativity
  • HIV Seropositivity / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Patient Compliance
  • Patient Dropouts / psychology
  • Sex Ratio
  • Surveys and Questionnaires
  • Tuberculosis / drug therapy*
  • Tuberculosis / psychology


  • Antitubercular Agents