TITLE

Journeys to tuberculosis treatment: a qualitative study of patients, families and communities in Jogjakarta, Indonesia

AUTHOR(S)
Rintiswati, N.; Mahendradhata, Y.; Suharna; Susilawati; Purwanta; Subronto, Y.; Varkevisser, C. M.; van der Werf, M. J.
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Many tuberculosis (TB) patients in Indonesia are diagnosed late. We seek to document patient journeys toward TB diagnosis and treatment and factors that influence health care seeking behavior. Methods: TB patients in Jogjakarta municipality (urban) and Kulon Progo district (rural) were recruited from health care facilities participating in the DOTS strategy and health care facilities not participating in the DOTS strategy, using purposive sampling methods. Data were collected through in-depth interviews with TB patients and members of their family and through Focus Group Discussions (FGD) with community members. Results: In total, 67 TB patients and 22 family members were interviewed and 6 FGDs were performed. According to their care seeking behavior patients were categorized into National TB program's (NTP) dream cases (18%), 'slow-but-sure patients' (34%), 'shopaholics' (45%), and the NTP's nightmare case (3%). Care seeking behavior patterns did not seem to be influenced by gender, place of residence and educational level. Factors that influenced care seeking behavior include income and advice from household members or friends. Family members based their recommendation on previous experience and affordability. FGD results suggest that the majority of people in the urban area preferred the hospital or chest clinic for diagnosis and treatment of TB whereas in the rural area private practitioners were preferred. Knowledge about TB treatment being free of charge was better in the urban area. Many community members from the rural area doubted whether TB treatment would be available free of charge. Conclusion: Most TB patients took over a month to reach a DOTS facility after symptoms appeared and had consulted a number of providers. Their income and advice from household members and friends were factors that influenced their care seeking behavior most.
ACCESSION #
43227015

 

Related Articles

  • Treatment delay among pulmonary tuberculosis patients in pastoralist communities in Bale Zone, Southeast Ethiopia. Hussen, Awol; Biadgilign, Sibhatu; Tessema, Fasil; Mohammed, Shikur; Deribe, Kebede; Deribew, Amara // BMC Research Notes;2012, Vol. 5 Issue 1, p320 

    Background: Tuberculosis (TB) is a major public health problem in Africa with Ethiopia being the most affected. Treatment delay is an important indicator of access to TB diagnosis and treatment. However, little is known about factors associated with treatment delay of pulmonary TB among...

  • Are Tuberculosis Patients in a Tertiary Care Hospital in Hyderabad, India Being Managed According to National Guidelines? Kondapaka, Kiran Kumar; Prasad, Surapaneni Venkateswara; Satyanarayana, Srinath; Kandi, Subhakar; Zachariah, Rony; Harries, Anthony David; Nagaraja, Sharath Burugina; Tetali, Shailaja; Anchala, Raghupathy; Kannuri, Nanda Kishore; Murthy, Krishna; Koppu, Dhanamurthy; Vangari, Latha; Rao, Sreenivas // PLoS ONE;Jan2012, Vol. 7 Issue 1, p1 

    Setting: A tertiary health care facility (Government General and Chest hospital) in Hyderabad, India. Objectives: To assess a) the extent of compliance of specialists to standardized national (RNTCP) tuberculosis management guidelines and b) if patients on discharge from hospital were being...

  • Incidence of Tuberculosis in Olmsted County, Minnesota, 1990-2001. Jump, Sarah M .; Sauver, Jennifer L. St.; Weaver, Amy L.; Bagniewski, Stephanie M .; Wilson, John W.; Huskins, W. Charles.; Aksamit, Timothy R.; Brutinel, W. Mark.; Scalcini, Marcella C .; Sia, Irene G .; Correa, Armando G .; McCoy, Kevin; Boyce, Thomas G . // Mayo Clinic Proceedings;Sep2004, Vol. 79 Issue 9, p1119 

    The article discusses the incidence of tuberculosis in Olmsted County, Minnesota, 1990-2001. In Olmsted County, the incidence of tuberculosis increased notably between January 1, 1990, and December 31, 2001. This increase was seen almost exclusively among foreign-born persons, primarily those...

  • Barriers and enablers in the management of tuberculosis treatment in Addis Ababa, Ethiopia: a qualitative study. Sagbakken, Mette; Frich, Jan C.; Bjune, Gunnar // BMC Public Health;2008, Vol. 8 Issue 1, p11 

    Background: Non-adherence to tuberculosis (TB) treatment is an important barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse, and death. The aim of the present study is to explore enablers and barriers in the management of...

  • Desfechos clínicos do tratamento de tuberculose utilizando o esquema básico recomendado pelo Ministério da Saúde do Brasil com comprimidos em dose fixa combinada na região metropolitana de Goiânia. Ferreira, Anna Carolina Galvão; Júnior, José Laerte Rodrigues da Silva; Conde, Marcus Barreto; Rabahi, Marcelo Fouad // Jornal Brasileiro de Pneumologia;ene/feb2013, Vol. 39 Issue 1, p76 

    Objective: To describe the rates of cure, treatment failure, and treatment abandonment obtained with the basic regimen recommended by the Brazilian National Ministry of Health (rifampin, isoniazid, pyrazinamide, and ethambutol for two months, followed by isoniazid and rifampin for four months)...

  • Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru. Kiefer, Elizabeth; Shao, Theresa; Carasquillo, Olveen; Nabeta, Pamela; Seas, Carlos // Journal of Infection in Developing Countries;2009, Vol. 3 Issue 10, p783 

    Background: Expansion of the health care workforce in Peru to combat tuberculosis (TB) includes both professional health care providers (HCPs) such as doctors and nurses, and non-professional HCPs such as community health workers (CHWs). We describe the knowledge and attitudes of these HCPs, and...

  • Tuberculosis Transmission in a Renal Dialysis Center -- Nevada, 2003.  // MMWR: Morbidity & Mortality Weekly Report;9/24/2004, Vol. 53 Issue 37, p873 

    Summarizes the results of a contact investigation on tuberculosis transmission in a Nevada renal dialysis center through a health-care worker in 2003. Number of contacts identified as of August 2004; Percentage of reported evaluated contacts that reported tuberculosis symptoms; Percentage of...

  • Factors associated with patient and health care system delay in diagnosis for tuberculosis in the province of Luanda, Angola. Lusignani, Luigi Segagni; Quaglio, Gianluca; Atzori, Andrea; Nsuka, Joseph; Grainger, Ross; Conceiçao Palma, Maria Da; Putoto, Giovanni; Manenti, Fabio // BMC Infectious Diseases;2013, Vol. 13 Issue 1, p1 

    Background: Tuberculosis (TB) is still a great challenge to public health in sub-Saharan Africa. Most transmissions occur between the onset of coughing and initiation of treatment. Delay in diagnosis is significant to disease prognosis, thus early diagnosis and prompt effective therapy represent...

  • Perceptions of tuberculosis and treatment seeking behaviour in Ilala and Kinondoni Municipalities in Tanzania. KILALE, A. M.; MUSHI, A. K.; LEMA, L. A.; KUNDA, J.; MAKASI, C. E.; MWASEBA, D.; RANGE, N. S.; MFINANGA, G. S. // Tanzania Journal of Health Research;Jun2008, Vol. 10 Issue 2, p89 

    This study was carried out in Ilala and Kinondoni Municipalities in Tanzania to explore the perceptions of Tuberculosis (TB), and treatment seeking behaviour, among patients attending healthcare facilities. The study was conducted in four randomly selected health facilities providing directly...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics