The study was conducted in Mulago national referral hospital (NRH) (TB ward, that is, wards 5 and 6) and Mbarara regional referral hospital (RRH) (TB ward) in Uganda. Mulago NRH is the largest public hospital in Uganda. It’s located on Mulago Hill in the northern part of Kampala, less than five kilometers (km) from Kampala’s central business district. The MDR-TB site in Mulago NRH serves the central region that includes districts such as Mpigi, Luwero, Kayunga, Buikwe, Kampala divisions, and Wakiso. It leads the national MDR-TB panel and has the greatest number of patients initiated on treatment. Mbarara RRH is located in Mbarara district, Ankole sub-region within the central business district by road, it is approximately 268 km south-west of Kampala, Uganda’s capital city. The hospital has an MDR-TB site that serves districts such as Mbarara, Isingiro, Bushenyi, Kiruhura, Ibanda, Ntugamo, Sheema, and Mitooma. The hospital serves a population of over four million people and has a bed capacity of over 350 beds. Both facilities are responsible for coordinating and training follow up facilities (FUFs) in administering DOTs to MDR-TB patients in their respective regions. Both Mulago NRH and Mbarara RRH were selected because of the great numbers of MDR-TB patients that are seen at these two facilities. The facilities had updated records of their MDR-TB patients compared to other MDR-TB facilities.
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