Appropriate health-seeking behavior and associated factors among people who had cough for at least two weeks in northwest Ethiopia: a population-based cross-sectional study

Senbeto, Meseret; Tadesse, Sebsibe; Tadesse, Takele; Melesse, Tesfahun

doi:10.1186/1471-2458-13-1222

Cited by 25 publications

(28 citation statements)

References 15 publications

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“…TB case-finding strategies for RIF resistant TB cases in Ethiopia focus on previously treated TB patients and the following groups of patients (HIV positive persons, contacts of patients with MDR-TB cases, refugees, prisoners and persons aged less than 15 years) [1,14,21,22]. Therefore, the present study was designed to assess the prevalence and assess the risk factors for RIF resistant TB at Dubti general hospital, Afar, north Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Rifampicin resistant tuberculosis in presumptive pulmonary tuberculosis cases in Dubti Hospital, Afar, Ethiopia

Gebrehiwet

Kahsay

Welekidan

et al. 2019

J Infect Dev Ctries

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Introduction: Ethiopia stood third in drug-resistant tuberculosis (TB) in Africa, and more than 5,000 MDR-TB patients are reported each year. Greater than 90% of rifampicin (RIF) resistant strains are resistant to isoniazid (INH) and hence the objective of this study was to determine the prevalence and risk factors of RIF resistant MTB among presumptive TB cases at Dubti General Hospital, Afar, Ethiopia. Methodology: In this cross-sectional study, 384 presumptive TB cases were recruited and a structured questionnaire was used to collect socio-demographic and clinical data. Sputum samples were collected and examined using X-pertMTB/RIF assay. Bivariate, multivariate logistic regressions, and fishers' exact analysis were done to assess the associations between the prevalence of TB and MDR-TB with different socio-demographic and clinical variables. Results: In the present study, the overall prevalence of pulmonary TB was 24.5% (94/384), of this 4 (4.3%) isolates were resistant to RIF. History of anti-TB treatment (AOR = 2.4, 95% CI: 1.3-4.4 and TB contact (AOR = 3.6, 95% CI: 2.1-6.2 were significantly associated with gene X-pert MTB/RIF positive TB. Moreover, resistance to rifampicin was statistically associated with the history of TB contact with multi-drug resistant TB (P = 0.027) and khat chewer cases (P = 0.04). Conclusions: The overall prevalence of TB and its drug-resistant were relatively higher than that of in the general population in Ethiopia. History of anti-TB treatment and TB contact were significantly associated with X-pert MTB/RIF positive MDR-TB.

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Section: Introductionmentioning

confidence: 99%

Rifampicin resistant tuberculosis in presumptive pulmonary tuberculosis cases in Dubti Hospital, Afar, Ethiopia

Gebrehiwet

Kahsay

Welekidan

et al. 2019

J Infect Dev Ctries

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“…Similar findings were reported in Nigeria (Biya et al, 2014). A lack of sufficient knowledge regarding tuberculosis was the main reason contributing to delay in patients seeking healthcare (Biya et al, 2014); scholars have recommended intensifying health education programs to improve HSB (Biya et al, 2014;Senbeto et al, 2013). The most important descriptive factor influencing HSB was found to be the characteristics of the healthcare service itself (Adegoke, 2010).…”

Section: Health Seeking Behavior Of Menmentioning

confidence: 56%

“…Healthcare providers have been reported to be more welcoming to women in comparison to men (Galdas et al, 2005;Gerald & Ogwuche, 2014). A population-based cross-sectional study in Ethiopia demonstrated that, in general, men with a cough for at least two weeks were reluctant to seek healthcare services (Senbeto, Tadesse, Tadesse, & Melesse, 2013). Similar findings were reported in Nigeria (Biya et al, 2014).…”

Section: Health Seeking Behavior Of Menmentioning

confidence: 63%

Factors Contributing Toward Men’s Engagement With HIV Services: A Narrative Review

Dzinamarira¹,

Mashamba-Thompson²

2019

GJHS

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Within low- and middle-income countries, Human Immunodeficiency Virus (HIV) falls among the main causes of adult morbidity and mortality. In order to achieve epidemic control, targeted testing with the aim of identifying those unaware of their infection with HIV remains the first step in a series of efforts that include constant extension of HIV treatment programs, as well as other prevention interventions. HIV self-testing (HIVST) is a new intervention that is capable of increasing the uptake of HIV-testing services (HTS) within traditionally hard-to-reach populations, such as men. We sought to review the literature on factors contributing to male aversion of HTS, health education for men and their engagement in health services, and the rate of HIVST acceptability among men. We reveal poor health-seeking behavior as the underlying factor contributing to poor uptake of HTS by men. Furthermore, our review reveals that health education programs have been recommended to address poor health-seeking behavior and improve HTS uptake among men. Studies reported high acceptability of HIVST among men. We conclude by proposing a framework to help improve men’s engagement in health services in general.

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“…Based on the outcome of quality assessments, no studies were excluded; instead, the information was considered during data synthesis and interpretation. 129 [29], 201 [30], 226 [31] Presumptive TB cases Case-control 838 [32] Crosssectional 476 [33], 843 [34], 1006 [35] 663 [36], 763 [37] Mozambique People with TB Crosssectional 622 [38] Tanzania People with TB Crosssectional 639 [39] 206 [ bStudy quality was assessed using the Newcastle-Ottawa scale. Highest possible score for cross-sectional studies was 10 (5 for selection, 2 for comparability, and 3 for outcome).…”

Section: Study Characteristics and Quality Assessmentsmentioning

confidence: 99%

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

Teo¹,

Singh

Prem

et al. 2020

Preprint

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Background: Globally, 30 countries with the highest tuberculosis (TB) burden bears 87% of the world’s TB cases. Delayed diagnosis and treatment are detrimental to TB prognosis and sustain TB transmission in the community, making TB elimination a great challenge, especially in these countries. Our objective was to elucidate the determinants and duration of delayed diagnosis and treatment of pulmonary TB in high TB burden countries. Methods: We conducted a systematic review and meta-analysis of quantitative and qualitative studies by searching four databases for literature published between 2008 and 2018 following PRISMA guidelines. For quantitative studies, we performed narrative synthesis of the covariates that were significantly associated with patient, health system, treatment, and total delays. The pooled median duration of delay and effect sizes of covariates were estimated using random-effects meta-analyses. We identified key qualitative themes using thematic analysis. Results: We included 124 articles from 14 low-and lower-middle-income countries (LIC and LMIC) and five upper-middle-income countries (UMIC) in this review. The pooled median duration of patient, health system, and treatment delay were 28 days (95%CI 20–30), 11.5 days (95%CI 3.9–24.7), and six days (95%CI 1–28.4), respectively. We found that the duration of delays was consistently shorter among UMIC compared to LIC and LMIC. There was consistent evidence that being female and rural residence was associated with longer patient delay. Furthermore, patient delay was also associated with other individual, interpersonal, and community risk factors such as poor TB knowledge, long chains of care-seeking through private/multiple providers, perceived stigma, financial insecurities, and poor access to healthcare. Health system and treatment delay were mediated by organizational and policy factors. These factors included the lack of resources and complex administrative procedures and systems at the health facilities. We identified data gaps in 11 high burden countries. Conclusions: This review detailed the determinants of delayed TB diagnosis and treatment in high burden countries. The gaps identified at different socio-ecological levels could be addressed through tailored approaches, education, and at a higher level, through health system strengthening and provision of universal health coverage to reduce delays and improve access to TB diagnosis and care.

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Appropriate health-seeking behavior and associated factors among people who had cough for at least two weeks in northwest Ethiopia: a population-based cross-sectional study

Cited by 25 publications

References 15 publications

Rifampicin resistant tuberculosis in presumptive pulmonary tuberculosis cases in Dubti Hospital, Afar, Ethiopia

Rifampicin resistant tuberculosis in presumptive pulmonary tuberculosis cases in Dubti Hospital, Afar, Ethiopia

Factors Contributing Toward Men’s Engagement With HIV Services: A Narrative Review

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

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