Delayed consultation among pulmonary tuberculosis patients: a cross sectional study of 10 DOTS districts of Ethiopia

Abstract

Background: Delays seeking care increase transmission of pulmonary tuberculosis and hence the burden of tuberculosis, which remains high in developing countries. This study investigates patterns of health seeking behavior and determines risk factors for delayed patient consultation at public health facilities in 10 districts of Ethiopia.

Delay in the treatment of pulmonary tuberculosis: a report from Afghanistan

“…The findings of this study parallel those from other studies in which associations were found between longer patient delays and recourse to private or unqualified HCPs [11,22,23]. In Kunar, during the study period, even though the private health sector was frequently used, the tuberculosis control program was not extended to that sector.…”

The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis

“…494,495 Furthermore, from a programmatic point of view, focusing solely on prevention of infection risk late in the course of the disease overlooks the fact that most transmission probably occurs before diagnosis in the community. [496][497][498][499] Enforced confinement is a poor strategy to prevent transmission at a community level, might drive the epidemic underground, and is not justified as a routine measure.…”

Atraso no diagnóstico da tuberculose em sistema prisional: a experiência do doente apenado

“…This last criterion is based on scientific studies that present a definition for the delay in the diagnosis of TB attributed to patient. [9][10] Through access to the hospitalization information system, patients were identified who were in the position of prisoners, and consequently, the study sample was constituted by those who, during the data collection period, were being treated in the sector, met the sampling criteria cited and agreed to participate in the study.…”

“…8 In the present study, a length of time greater than thirty days elapsed between the onset of signs and symptoms and the first medical consultation for the diagnosis is considered a delay in diagnosis of TB, attributed to the patient, based on categories presented in scientific productions. [9][10] Contextualizing the problem of TB control in the prison system, and considering the conditions of production of the experience of becoming sick in prisons, this study aims to analyze the causes of delay in the diagnosis of TB in the prison system, according to the experience of the incarcerated patient.…”