The purpose of the study was to investigate the factors associated with the interruption of tuberculosis treatment in the Swakopmund district of Namibia. A descriptive cross-sectional survey was conducted. Data was collected using a structured questionnaire administered by interviewers. The population consisted of both treatment interrupters and non-interrupters. The total sample was 143 respondents. The findings revealed that three factors were significantly associated with TB treatment interruption, namely a lack of formal education (p = 0.032), lack of access to media (p = 0.017), and clinic opening times (p = 0.000). Recommendations made include improving the support given to TB patients, increasing their understanding of TB and adopting new research and technology. / Health Studies / M.A. (Public Health)

This report investigates the possibilities to model the causal effect of treatment within the insurance domain to increase return on investment of sales through telemarketing. In order to capture the causal effect, two or more subgroups are required where one group receives control treatment. Two different uplift models model the causal effect of treatment, Class Transformation Method, and Modeling Uplift Directly with Random Forests. Both methods are evaluated by the Qini curve and the Qini coefficient. To model the causal effect of treatment, the comparison with a control group is a necessity. The report attempts to find the optimal treatment group allocation in order to maximize the precision in the difference between the treatment group and the control group. Further, the report provides a rule of thumb that ensure that the control group is of sufficient size to be able to model the causal effect. If has provided the data material used to model uplift and it consists of approximately 630000 customer interactions and 60 features. The total uplift in the data set, the difference in purchase rate between the treatment group and control group, is approximately 3%. Uplift by random forest with a Euclidean distance splitting criterion that tries to maximize the distributional divergence between treatment group and control group performs best, which captures 15% of the theoretical best model. The same model manages to capture 77% of the total amount of purchases in the treatment group by only giving treatment to half of the treatment group. With the purchase rates in the data set, the optimal treatment group allocation is approximately 58%-70%, but the study could be performed with as much as approximately 97%treatment group allocation.

Trata-se de estudo qualitativo desenvolvido por meio de análise de discurso cujo objetivo foi analisar a discursividade dos gestores em diferentes níveis de gestão sobre transferência da política do tratamento diretamente observado (TDO) no controle da tuberculose. Para isto, esta análise parte do contexto de decisão macropolítico para o contexto micropolítico tendo como cenário local o município de Ribeirão Preto-SP, considerado prioritário para o controle da doença. Foram entrevistados quatro sujeitos-gestores envolvidos com a política do TDO nas instâncias estadual, regional, municipal e no nível intermediário entre a regional e o município, mediante aceite de termo de compromisso. Os dados foram coletados no período de agosto a dezembro de 2013, as entrevistas foram audiogravadas, transcritas, respeitando-a na sua íntegra. O corpus da pesquisa foi composto por recortes, formação discursiva e marcas linguísticas, quais foram selecionados dos discursos dos sujeitos. A análise ocorreu mediante a fundamentação teórico-metodológica da Análise de Discurso (AD) de matriz francesa, que se sustenta sobre três vertentes teóricas: o Materialismo Histórico, a Linguística e a Psicanálise. Este tipo de análise não visa uma análise exaustiva horizontal ou de toda extensão do objeto de pesquisa, por entender que este não se esgota e que um discurso institui-se sempre em relação aos outros. Busca-se apoiar na exaustividade vertical com o intuito de contemplar o objetivo do trabalho e da temática abordada. Os dados foram organizados sob o eixo da temática da transferência de políticas e da temática da TB os quais apontaram para diferentes efeitos de sentido durante a transferência da política do TDO como o silenciamento, apagamento, polifonia, polissemia e contradição durante o processo de transferência desta política nos diferentes níveis de gestão, que passou gradativamente pelo processo de transferência autoritária para a transferência voluntária da maior instancia política para a menor. Destaca-se que no município este processo ocorreu de forma incompleta visto que não houve a superação do paradigma da desconcentração das ações de TB para a Atenção Primária em Saúde (APS) / This qualitative study was conducted using discourse analysis, the objective of which was analyzed the reports of different level managers regarding policy transfer of Directly Observed Treatment (DOT) in the control of tuberculosis. This analysis starts with the context of macro-political decisions in the micro-political context and the local setting was the city of Ribeirão Preto, SP, Brazil, considered a priority in the control of the disease. Four managers involved with the DOT policy at the state, regional, and city levels and another manager in the intermediate level between region and city were interviewed after signing consent forms. Data were collected from August to December 2013. The interviews were recorded, transcribed, respecting it in its entirety. The study\'s corpus was composed of excerpts, discursive formations and linguistics marks, which were selected from the participants\' reports according to the guiding question. Analysis was based on the French theoretical-methodological framework of Discourse Analysis, which in turn is grounded on three theoretical aspects: the Historical Materialism, Linguistics and Psychoanalysis. An exhaustive horizontal analysis, or an analysis that encompasses the entire extent of the research\'s object, is not intended in this type of analysis because the topic is not exhausted and discourses are always instituted in relation to others. The objective is to be supported in vertical exhaustiveness to contemplate the objective of the study and the topic under study. Data were organized under policy transfer\' and tuberculosis\' thematic axis, which indicate different effects of meanings during DOT policy transfer, such as muting, blanking, polyphony, polysemy, and contradictions during this policy transfer process at the different levels of management, which gradually moved from an authoritative transfer to a voluntary transfer, from a higher political instance to a lower one. Nonetheless, this process was not completed in the city because the paradigm decentralizing TB actions from Primary Health Care (PHC) was not overcome

O presente trabalho oferece uma análise crítica das hipóteses de contratação direta previstas na Lei Geral de Licitações e Contratos brasileira, Lei Federal n.º 8.666, de 21 de junho de 1993, com atenção especial para o caso da contratação direta de serviços advocatícios. A dissertação encontra-se dividida em quatro partes. A primeira delimita o tema do trabalho no estágio atual de evolução do Direito Administrativo brasileiro. A segunda parte do trabalho explora o tema da licitação e sua importância para o Direito Administrativo. Nessa etapa, são apresentados os princípios norteadores da licitação e sua importância para o ideal republicano, tal qual previsto pela Constituição Federal. A terceira parte do trabalho analisa as hipóteses de contratação direta previstas na Lei 8.666/93, procurando identificar suas possíveis razões e as características em comum que existem entre elas. Elaborou-se uma classificação própria aglutinando os incisos do artigo 24 da Lei 8.666/93 em 6 categorias, a saber: a) dispensa de licitação em função do valor do objeto contratado; b) dispensa de licitação em função de situação excepcional; c) dispensa de licitação em função de problemas em contratação anterior; d) dispensa de licitação em função dos atores envolvidos; e) dispensa de licitação em função de políticas de fomento; e f) dispensa de licitação em função de especificidades do objeto. A quarta parte do trabalho contém uma análise sobre o caso da contratação direta de serviços externos de advocacia nos tribunais superiores: o Supremo Tribunal Federal e o Superior Tribunal de Justiça. Ao olhar para as decisões proferidas por essas Cortes, espera-se alcançar dois objetivos: captar os argumentos usados pelas partes que tomam posição nesse debate e identificar o posicionamento das maiores instâncias do Poder Judiciário sobre o tema da contratação direta de serviços advocatícios e o dever de licitar. Não se trata, portanto, de uma análise de jurisprudência, que foi usada como fonte de pesquisa para identificar situações reais envolvendo a contratação direta de serviços advocatícos, suas razões, e os argumentos forenses favoráveis e contrários a ela. / This paper offers a critical analysis of the cases of direct hiring as prescribed by the Brazilian General Law of Public Bids and Contracts, i.e., Federal Law No. 8.666, of June 21, 1993, with due regard for the direct hiring of legal services. The paper is divided into four parts. The first defines the theme of the paper viewed from the current standpoint of evolution of the Brazilian Administrative Law. The second part of the paper analyzes the issue of bidding per se, and its importance to Administrative Law. At this stage the bidding guiding principles and their importance to the republican ideal are presented, as set forth in the Brazilian Federal Constitution. The third part of the paper looks into the cases of direct hiring set out under Law No. 8.666/93, seeking to identify the possible reasons therefor and the common characteristics existing among them. Under a specific classification the items of article 24 of Law number 8.666/93 were combined in order to fall under six categories: a) waiver of bidding in view of the amount of the contracted object; b) waiver of bidding due to exceptional circumstances; c) waiver of bidding due to problems occurred in previous hiring; d) waiver of bidding due to the players involved; e) waiver of bidding based on development policies; and f) waiver of bidding based on the specific characteristics of the object. The fourth part of the paper analyzes the case of external legal services directly hired, as viewed by the higher courts, i.e., the Supreme Court and the Superior Court of Justice. When looking into the decisions handed down by these courts, two goals are expected to be met: to raise the arguments used by the parties involved in this debate and identify the standing of the Judiciary Branch highest instances on the subject of directly hiring legal services, as well as and the duty to promote competitive bids. This is not an analysis of case law, which was used as a research source to identify real situations involving direct hiring of legal services, their reasons, and forensic arguments for and against them.

This thesis deals with thermal management aspects of electric machinery used in high-performance  applications  with  particular  focus put  on electric machines designed for hybrid electric vehicle applications. In the first part of this thesis,  new thermal models of liquid (water and oil) cooled electric machines are proposed.  The proposed thermal models are based on a combination of lumped parameter (LP)  and numerical methods. As  a first  case study,  a permanent-magnet  assisted  synchronous reluctance machine (PMaSRM) equipped with a housing water jacket is considered.  Particular focus is put on the stator winding and a thermal model is proposed that divides the stator slot into a number of elliptical copper and impregna- tion layers.  Additionally, an analysis, using results from a proposed simplified thermal finite element (FE)  model representing only a single slot of the sta- tor and its corresponding end winding, is presented in which the number of layers and the proper connection between the parts of the LP thermal model representing the end winding and the active part of winding are determined. The approach is attractive due to its simplicity  and the fact  that it closely models the actual temperature distribution for common slot geometries.  An oil-cooled induction machine where the oil is in direct contact with the stator laminations  is also considered.  Here, a multi-segment structure is proposed that  divides  the  stator,  winding and cooling  system  into  a number  of an- gular  segments.   Thereby,  the  circumferential  temperature  variation  due to the  nonuniform distribution  of the  coolant  in the  cooling  channels  can be predicted. In the  second part  of this  thesis,  the  thermal  impact  of using  different winding impregnation  and steel  lamination  materials  is  studied.   Conven- tional varnish, epoxy and a silicone based thermally conductive impregnation material are investigated and the resulting temperature distributions in three small induction machines are compared. The thermal impact of using different steel lamination materials is investigated by simulations using the developed thermal  model  of the water  cooled  PMaSRM. The  differences  in alloy con- tents and steel lamination thickness are studied separately and a comparison between the produced iron losses and the resulting hot-spot temperatures is presented. Finally, FE-based approaches  for  estimating  the  induced  magnet  eddycurrent losses in the rotor of the considered PMaSRM are reviewed and compared in the  form  of a case  study  based on simulations.   A  simplified three-dimensional  FE model  and an analytical  model,  both  combined  with time-domain 2D FE analysis, are shown to predict the induced eddy current losses with a relatively good accuracy compared to a complete 3D FE based model.  Hence, the two simplified approaches are promising which motivates a possible future experimental verification. / <p>QC 20130528</p>

Made available in DSpace on 2014-12-17T14:46:43Z (GMT). No. of bitstreams: 1 FranciscoSC_DISSERT.pdf: 1500210 bytes, checksum: cd4a1fbd01929e10f33c27206d5abfb1 (MD5) Previous issue date: 2009-10-28 / Tuberculosis is considered one of the most ancient human diseases, cases were registered 3900 years before Christ, and it is currently regarded as a serious public health problem in the world due to several factors such as income mismanagement, precarious standard of life and some sort of prejudice comprised by the word tuberculosis. Taking this into consideration, it was developed a descriptive and exploratory study aiming at analyzing the social representations of tuberculosis made by its patient from the Unidades de Sa?de da Fam?lia (Family Health Units a public health program) in Campina Grande City PB, in relation to the decentralization of the policies that administrate the disease. It was interviewed 34 tuberculosis patient that were being treated from 2007 to 2008. The age group of the interviewees varied from 10 to 60 years old, but most of them were between 36 and 60 years old (58,8%, n=20), some were young adult and adult (21 35 years old), with 11 (32,3%) respondents, and, less frequent, children and teenagers (11 20 years old), with 03 (8,8%) participants. Data was collected through semi-structured interview. The questions that guided the research were elaborated based on the operational recommendations of DOTS strategy; that is: access to laboratory examinations; medication guarantee; directly observed treatment. Besides that, the experiences of the patient were considered in their relation with the family and the different social groups. The analysis of the discursive material was submitted to the Analyse Lexicale par Context d un Ensemble de Segments de Texte software - ALCESTE 4.7. Data interpretation showed five categories for the social representations of the tuberculosis patient that participated in DOTS strategy: 1) the accessibility of the health assistance service; 2) the patient perspective of the disease; 3) the change in the operation of the productive life; 4) the signals and symptoms of the tuberculosis disease; 5) the rearrangement and mechanisms used to face the disease. The Central Nucleus reveals that tuberculosis is a transmissible disease that can be prevented by people through educational practices, health promotion, active search for symptomatic respiratory and control of the carriers communication; these mechanisms should be incorporated to the routine of all participants of the family health groups. The Intermediate Elements, based on quotidian life, as well as the individual experiences of the tuberculosis patient, reveals prejudiced attitude and beliefs that lead to isolation and restriction of interpersonal relationship. Peripheral Elements were constituted by themes that showed the patient feelings of indignation because of the social barriers they had to face in the Family Health Units during the treatment. These elements demonstrate a negative perspective of the representation concerning the accessibility, i.e. inadequate structure of the health service; long distance to the Health Centre, this factormakes it difficult for the patient to continue the treatment; scheduling delay; and limited service regarding other requests (doctor, dentist etc). One expects to contribute for the construction of a new perspective of the health question between the different agents who make the assistencial institutions and formation of professionals, either in central or local scope / A tuberculose, considerada uma das mais antigas doen?as que acometem a humanidade, cujos registros datam desde o ano 3900 antes de Cristo, atualmente constitui-se, no cen?rio mundial, como um grave problema de sa?de p?blica, reflexo da m? distribui??o de renda e conseq?ente precariedade das condi??es de vida, dentre outros fatores. Nesse sentido, desenvolveu-se um estudo explorat?rio e descritivo, com o objetivo de analisar as representa??es sociais da tuberculose pelos usu?rios das Unidades de Sa?de da Fam?lia do Munic?pio de Campina Grande-PB, frente ? descentraliza??o das a??es de controle da doen?a. Entrevistou-se 34 doentes de Tuberculose que realizaram tratamento no per?odo de 2007 a 2008. A faixa et?ria dos entrevistados variou entre 10 e 60 anos, com predom?nio dos 36 aos 60 (58,8%, n=20); em seguida, adulto jovem e adulto (21- 35 anos), com 11 (32,3%) respondentes e, em menor freq??ncia, a faixa correspondente a crian?as e adolescentes (11-20 anos), com 03 (8,8%) participantes. Os dados foram coletados atrav?s de entrevista semi-estruturada. As quest?es norteadoras foram elaboradas com base nas recomenda??es operacionais propostas pela Estrat?gia DOTS, a saber: acesso aos exames laboratoriais; garantia de medicamentos; tratamento diretamente observado. Al?m disso, foram consideradas as experi?ncias do usu?rio nas rela??es familiares e com os diferentes grupos sociais. A an?lise do material discursivo foi submetida ao software Analyse Lexicale par Context d un Ensemble de Segments de Texte - ALCESTE 4.7. A interpreta??o dos dados apontou cinco categorias tem?ticas em que est?o organizadas as representa??es sociais relacionadas aos doentes de tuberculose atendidos na estrat?gia DOTS: 1) A acessibilidade sobre o atendimento nos servi?os de sa?de; 2) A doen?a entendida pelos usu?rios; 3) A mudan?a de funcionamento na vida produtiva; 4) Os sinais e sintomas de estar doente com tuberculose; 5) Os rearranjos e mecanismos de enfrentamento. O N?cleo Central evidenciou a compreens?o da tuberculose como uma doen?a transmiss?vel que pode ser prevenida atrav?s de pr?ticas educativas, promo??o da sa?de, busca ativa de sintom?ticos respirat?rios, controle dos comunicantes; mecanismos que devem estar incorporados ? rotina de atividades de todos os membros das equipes de sa?de da fam?lia. Os Elementos Intermedi?rios, ancorados no cotidiano, e experi?ncias individuais dos doentes de tuberculose, apontam quest?es relacionadas a atitudes e cren?as circundadas pelo preconceito, levando ao isolamento, bem como ? restri??o dos relacionamentos interpessoais. Os Elementos Perif?ricos foram constitu?dos por temas cercados por sentimentos de indigna??o do doente de tuberculose frente ?s barreiras encontradas nas Unidades B?sicas de Sa?de da Fam?lia durante o tratamento. Estes elementos denotam um conte?do negativo da representa??o quanto ? acessibilidade, a saber: estrutura inadequada dos servi?os de sa?de; dist?ncia para o Centro de Refer?ncia (Centro de Sa?de), o que dificulta a continuidade do atendimento; demora no agendamento e resultados dos exames; limita??o dos servi?os em responder a outras demandas (m?dico, dentista, entre outras). Espera-se contribuir para a constru??o de uma nova perspectiva da quest?o sa?de entre os diferentes agentes que fazem as institui??es assistenciais e de forma??o de profissionais, seja em ?mbito central ou local.

Trata-se de estudo qualitativo desenvolvido por meio de análise de discurso cujo objetivo foi analisar a discursividade dos gestores em diferentes níveis de gestão sobre transferência da política do tratamento diretamente observado (TDO) no controle da tuberculose. Para isto, esta análise parte do contexto de decisão macropolítico para o contexto micropolítico tendo como cenário local o município de Ribeirão Preto-SP, considerado prioritário para o controle da doença. Foram entrevistados quatro sujeitos-gestores envolvidos com a política do TDO nas instâncias estadual, regional, municipal e no nível intermediário entre a regional e o município, mediante aceite de termo de compromisso. Os dados foram coletados no período de agosto a dezembro de 2013, as entrevistas foram audiogravadas, transcritas, respeitando-a na sua íntegra. O corpus da pesquisa foi composto por recortes, formação discursiva e marcas linguísticas, quais foram selecionados dos discursos dos sujeitos. A análise ocorreu mediante a fundamentação teórico-metodológica da Análise de Discurso (AD) de matriz francesa, que se sustenta sobre três vertentes teóricas: o Materialismo Histórico, a Linguística e a Psicanálise. Este tipo de análise não visa uma análise exaustiva horizontal ou de toda extensão do objeto de pesquisa, por entender que este não se esgota e que um discurso institui-se sempre em relação aos outros. Busca-se apoiar na exaustividade vertical com o intuito de contemplar o objetivo do trabalho e da temática abordada. Os dados foram organizados sob o eixo da temática da transferência de políticas e da temática da TB os quais apontaram para diferentes efeitos de sentido durante a transferência da política do TDO como o silenciamento, apagamento, polifonia, polissemia e contradição durante o processo de transferência desta política nos diferentes níveis de gestão, que passou gradativamente pelo processo de transferência autoritária para a transferência voluntária da maior instancia política para a menor. Destaca-se que no município este processo ocorreu de forma incompleta visto que não houve a superação do paradigma da desconcentração das ações de TB para a Atenção Primária em Saúde (APS) / This qualitative study was conducted using discourse analysis, the objective of which was analyzed the reports of different level managers regarding policy transfer of Directly Observed Treatment (DOT) in the control of tuberculosis. This analysis starts with the context of macro-political decisions in the micro-political context and the local setting was the city of Ribeirão Preto, SP, Brazil, considered a priority in the control of the disease. Four managers involved with the DOT policy at the state, regional, and city levels and another manager in the intermediate level between region and city were interviewed after signing consent forms. Data were collected from August to December 2013. The interviews were recorded, transcribed, respecting it in its entirety. The study\'s corpus was composed of excerpts, discursive formations and linguistics marks, which were selected from the participants\' reports according to the guiding question. Analysis was based on the French theoretical-methodological framework of Discourse Analysis, which in turn is grounded on three theoretical aspects: the Historical Materialism, Linguistics and Psychoanalysis. An exhaustive horizontal analysis, or an analysis that encompasses the entire extent of the research\'s object, is not intended in this type of analysis because the topic is not exhausted and discourses are always instituted in relation to others. The objective is to be supported in vertical exhaustiveness to contemplate the objective of the study and the topic under study. Data were organized under policy transfer\' and tuberculosis\' thematic axis, which indicate different effects of meanings during DOT policy transfer, such as muting, blanking, polyphony, polysemy, and contradictions during this policy transfer process at the different levels of management, which gradually moved from an authoritative transfer to a voluntary transfer, from a higher political instance to a lower one. Nonetheless, this process was not completed in the city because the paradigm decentralizing TB actions from Primary Health Care (PHC) was not overcome

O presente trabalho oferece uma análise crítica das hipóteses de contratação direta previstas na Lei Geral de Licitações e Contratos brasileira, Lei Federal n.º 8.666, de 21 de junho de 1993, com atenção especial para o caso da contratação direta de serviços advocatícios. A dissertação encontra-se dividida em quatro partes. A primeira delimita o tema do trabalho no estágio atual de evolução do Direito Administrativo brasileiro. A segunda parte do trabalho explora o tema da licitação e sua importância para o Direito Administrativo. Nessa etapa, são apresentados os princípios norteadores da licitação e sua importância para o ideal republicano, tal qual previsto pela Constituição Federal. A terceira parte do trabalho analisa as hipóteses de contratação direta previstas na Lei 8.666/93, procurando identificar suas possíveis razões e as características em comum que existem entre elas. Elaborou-se uma classificação própria aglutinando os incisos do artigo 24 da Lei 8.666/93 em 6 categorias, a saber: a) dispensa de licitação em função do valor do objeto contratado; b) dispensa de licitação em função de situação excepcional; c) dispensa de licitação em função de problemas em contratação anterior; d) dispensa de licitação em função dos atores envolvidos; e) dispensa de licitação em função de políticas de fomento; e f) dispensa de licitação em função de especificidades do objeto. A quarta parte do trabalho contém uma análise sobre o caso da contratação direta de serviços externos de advocacia nos tribunais superiores: o Supremo Tribunal Federal e o Superior Tribunal de Justiça. Ao olhar para as decisões proferidas por essas Cortes, espera-se alcançar dois objetivos: captar os argumentos usados pelas partes que tomam posição nesse debate e identificar o posicionamento das maiores instâncias do Poder Judiciário sobre o tema da contratação direta de serviços advocatícios e o dever de licitar. Não se trata, portanto, de uma análise de jurisprudência, que foi usada como fonte de pesquisa para identificar situações reais envolvendo a contratação direta de serviços advocatícos, suas razões, e os argumentos forenses favoráveis e contrários a ela. / This paper offers a critical analysis of the cases of direct hiring as prescribed by the Brazilian General Law of Public Bids and Contracts, i.e., Federal Law No. 8.666, of June 21, 1993, with due regard for the direct hiring of legal services. The paper is divided into four parts. The first defines the theme of the paper viewed from the current standpoint of evolution of the Brazilian Administrative Law. The second part of the paper analyzes the issue of bidding per se, and its importance to Administrative Law. At this stage the bidding guiding principles and their importance to the republican ideal are presented, as set forth in the Brazilian Federal Constitution. The third part of the paper looks into the cases of direct hiring set out under Law No. 8.666/93, seeking to identify the possible reasons therefor and the common characteristics existing among them. Under a specific classification the items of article 24 of Law number 8.666/93 were combined in order to fall under six categories: a) waiver of bidding in view of the amount of the contracted object; b) waiver of bidding due to exceptional circumstances; c) waiver of bidding due to problems occurred in previous hiring; d) waiver of bidding due to the players involved; e) waiver of bidding based on development policies; and f) waiver of bidding based on the specific characteristics of the object. The fourth part of the paper analyzes the case of external legal services directly hired, as viewed by the higher courts, i.e., the Supreme Court and the Superior Court of Justice. When looking into the decisions handed down by these courts, two goals are expected to be met: to raise the arguments used by the parties involved in this debate and identify the standing of the Judiciary Branch highest instances on the subject of directly hiring legal services, as well as and the duty to promote competitive bids. This is not an analysis of case law, which was used as a research source to identify real situations involving direct hiring of legal services, their reasons, and forensic arguments for and against them.

PHD (Health Sciences) / Department of Advanced Nursing Sciences

Text in English with questionnaire in Amharic / Purpose: The purpose of the study was to evaluate the effectiveness of the tuberculosis directly observed treatment, short-course (DOTS) strategy with respect to patient centeredness and satisfaction, and propose a model in support of the DOTS strategy in Addis Ababa, Ethiopia. Method: The study was conducted in Addis Ababa, Ethiopia using a mixed-method approach. An interviewer-administered questionnaire was used to collect quantitative data from 601 randomly selected TB patients who were on TB treatment followup in 30 health facilities.Three focus group discussions were conducted with 23 TB experts purposefully selected from 10 sub-city health offices and health bureau. Moreover, telephonic interviews were conducted with 25 defaulted TB patients who had been attending TB treatment in the health facilities. The quantitative data were described using mean, median, percentage and frequencies. Logistic regression and exploratory factor analysis were used to extract associated factors using SPSS version 21 software. Thematic analysis was used for qualitative data analysis. Deductive and inductive reasoning was used to propose a descriptive model with substantiating literatures. Findings: Of the 601 TB patients included, 40% of them perceived they had not received a patient-centred TB care (PC-TB care) with DOTS strategy. Gender (AOR=0.45, 95%CI 0.3, 0.7), good communication (AOR=3.2, 95%CI 1.6, 6.1), treatment supporter (AOR=3.4, 95%CI 2.1, 5.5) were associated with the perceived PC-TB care. Thirty-seven percent of TB patients were following their TB treatment with feeling of dissatisfaction with DOTS strategy. Gender (AOR=2.2; 95%CI 1.3, 3.57), place of residence (AOR=3.4; 95%CI 1.6, 7.6), presence of symptoms (AOR=0.6, 95%CI 0.40, 0.94) and treatment-supporter (AOR=4.3, 95%CI 2.7, 6.8) were associated with satisfaction of TB patients. TB experts and defaulted TB patients pointed out that DOTS strategy is not providing comprehensive PC-TB care except the provision of facility choice where to follow during initiation of the treatment. DOTS delivery system inflexibility, loose integration, HCPs’ characteristic, communication skill and motivation and the community awareness were explored factor with patient centeredness of DOTS. DOTS delivery system, incompatible of diagnosis and patient beliefs were the identified categories to default. The proposed PC-TB care model core constructs are patient, community, health care providers, health care organisation and TB care delivery system. The core constructs are directed by policy and monitoring and evaluation components. Conclusion: DOTS strategy is limited to provide fully integrated PC-TB care and did not provide full satisfaction to TB patients. Therefore, a support that makes the TB care patient-centred are important and the proposed PC-TB care model needs to be tested, practiced and evaluated for its performance toward increments of patient centeredness of TB care. / Health Studies / D.Litt. et Phil. (Health Studies)