Pilot Study to Develop a Rapid Assessment of Tuberculosis Care-Seeking and Adherence Practices in Rural Limpopo Province, South Africa
| Autor: | Tiyane Mabunda, Patricia Dolan Mullen, Bart van den Borne, Beatrice J. Selwyn, Ramona K. C. Finnie, L.B. Khoza |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice Health (social science) Tuberculosis Adolescent Social stigma Social Stigma MEDLINE Stigma (botany) HIV Infections Pilot Projects Comorbidity Rural Health Education Interviews as Topic South Africa Young Adult Nursing Humans Medicine Aged business.industry Rural health Public Health Environmental and Occupational Health Health services research General Medicine Middle Aged Patient Acceptance of Health Care medicine.disease Female Health education Health Services Research Rural area business |
| Zdroj: | International Quarterly of Community Health Education. 31:3-19 |
| ISSN: | 1541-3519 0272-684X |
| DOI: | 10.2190/iq.31.1.b |
| Popis: | Studies of factors influencing tuberculosis (TB) care-seeking and treatment adherence in high TB/HIV co-burden African countries have typically surveyed urban patients' sociodemographic characteristics. To understand community perceptions and guide rapid assessment interviews, we interviewed key informants (nurses, tribal leaders, n = 9) and local researchers ( n = 3) in poor, rural areas of South Africa. HIV-related stigma and misperceptions about TB causes and symptoms were cited as barriers. Key informants said older people preferred traditional healers; local researchers heard a preference for “western” care and suggested supporting clinic staff travel to remote villages with health education and diagnostic services. Key informants said not understanding the consequences of incomplete treatment and reluctance to relinquish disability grants decreased adherence. All reported that non-family DOTS supporters provided invaluable support. Rapid assessment should include drop-outs, re-treated, and co-infected patients and ask questions examining origins of misperceptions, stigma of testing, and pre-test messages to improve community perceptions about TB care-seeking and treatment adherence. |
| Databáze: | OpenAIRE |
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