Addressing constraints to informal providers' involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
| Autor: | Emeka Onwe Ogah, Cosmas Kenan Onah, Edmund Ndudi Ossai, Isaac Alobu, Adaoha Pearl Agu, Victoria Chioma Azuogu, Benedict Ndubueze Azuogu |
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| Rok vydání: | 2021 |
| Předmět: |
Health (social science)
Tuberculosis Referral Epidemiology Job description Nigeria Nonprescription Drugs Patent medicine Chronic cough medicine Humans Patent medicine dealers Constraint (mathematics) Qualitative Research Presumptive tuberculosis referral DOTS Tuberculosis control business.industry Health Policy Research Public Health Environmental and Occupational Health Public relations Focus Groups medicine.disease Focus group Incentive Cross-Sectional Studies Public aspects of medicine RA1-1270 business Qualitative research |
| Zdroj: | Global Health Research and Policy Global Health Research and Policy, Vol 6, Iss 1, Pp 1-12 (2021) |
| ISSN: | 2397-0642 |
| Popis: | Background A major constraint to tuberculosis control is low case finding with under-reporting to national authorities. Evidence shows that Patent Medicine Dealers are first port of call for most people with symptoms of tuberculosis, yet there is poor referral of such clients to tuberculosis treatment facilities for further evaluation. This study investigated constraints to involvement of Patent Medicine Dealers in tuberculosis control. Methods This was a cross-sectional qualitative study among Patent Medicine Dealers and Tuberculosis Control Programme Managers in Ebonyi State Nigeria. Sixty-four Patent Medicine Dealers and five Tuberculosis Control Programme Managers were interviewed using Focus Group Discussion and In-Depth Interview respectively. Data was collected with electronic audio-recording device and analyzed using thematic approach. Results There are some knowledge gaps about tuberculosis signs, symptoms, free-treatment policy and mode of operation of care service among Patent Medicine Dealers. Patent Medicine Dealers and Tuberculosis Control Programme Managers are willing to collaborate in tuberculosis control effort but constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to keep up with such demands are obvious constraints. Conclusions Knowledge gaps in tuberculosis, its control, constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to satisfy such demands are constraints to involvement of Patent Medicine Dealers in tuberculosis control. More robust engagement of Patent Medicine Dealers in tuberculosis control with clear job description through tuberculosis education and provision of incentives to support them are recommended policy approaches to improve linkage of clients to tuberculosis treatment facilities. |
| Databáze: | OpenAIRE |
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