10.1 Adherence to treatment

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Good treatment adherence is that when the patient follows the treatment as prescribed. Adherence to regular and complete treatment is the key to relapse free cure from TB. Failure to take anti-TB drugs regularly as advised or stopping the treatment too soon, can lead to treatment failure or relapse. Additionally, it may contribute to the development of drug resistance, which may complicate subsequent treatment, thereby may decrease the chance of successful outcomes. There are several factors that can influence adherence such as barriers related to the patient, the treatment or the therapeutic environment. All the factors; especially the patient factors are not always possible to control but the treatment and therapeutic environment-related factors may be controlled by proper monitoring of TB programme.