The human dimension of tuberculosis control

Grange, John M.; Festenstein, Freda

doi:10.1016/0962-8479(93)90046-z

Cited by 30 publications

(20 citation statements)

References 23 publications

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“…Also, studies focused on human dimension [28] and on subjective experiences of health care consumers [285] may provide information on patient experiences of TB treatment adherence which may serve as a tool to better promote treatment and effectuate more patient-centered interventions [286]. …”

Section: Discussionmentioning

confidence: 99%

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Pachi

Bratis

Moussas

et al. 2013

Tuberculosis Research and Treatment

138

155

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As the overall prevalence of TB remains high among certain population groups, there is growing awareness of psychiatric comorbidity, especially depression and its role in the outcome of the disease. The paper attempts a holistic approach to the effects of psychiatric comorbidity to the natural history of tuberculosis. In order to investigate factors associated with medication nonadherence among patients suffering from tuberculosis, with emphasis on psychopathology as a major barrier to treatment adherence, we performed a systematic review of the literature on epidemiological data and past medical reviews from an historical perspective, followed by theoretical considerations upon the relationship between psychiatric disorders and tuberculosis. Studies reporting high prevalence rates of psychiatric comorbidity, especially depression, as well as specific psychological reactions and disease perceptions and reviews indicating psychiatric complications as adverse effects of anti-TB medication were included. In sum, data concerning factors affecting medication nonadherence among TB patients suggested that better management of comorbid conditions, especially depression, could improve the adherence rates, serving as a framework for the effective control of tuberculosis, but further studies are necessary to identify the optimal way to address such issues among these patients.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Pachi

Bratis

Moussas

et al. 2013

Tuberculosis Research and Treatment

138

155

View full text Add to dashboard Cite

show abstract

“…In particular, the identification of the sociocultural determinants of "patient compliance" has proved critical in the success or failure of tuberculosis therapies. Researchers have ascertained that factors such as health beliefs, etiologies, perceptions of severity, and differential degree of medical knowledge are fundamental variables that play crucial roles in patients' compliance, or lack thereof (Barnhoorn and Adriaanse 1992;Grange and Festenstein 1993;Liefooghe et al 1995;Menzies et al 1993;Van Der Werf et al 1990;Westaway 1990;Westaway and Wessie 1994). The notion of health culture should encompass also the vast array of pythotherapeutic practices utilized by the great majority of patients in developing countries (Etkin 1986;Kokwaro 1976;Sofowora 1982).…”

Section: Ethnomedical Knowledge Health Culture and Tuberculosismentioning

confidence: 99%

Sociocultural Aspects of Tuberculosis Control in Ethiopia

Vecchiato¹

1997

Med Anthropol Q

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This article examines ethnomedical knowledge and practices related to tuberculosis conceptualization and management in a rural southern Ethiopian community. An adult health-status survey, administered to 217 adults selected through quota sampling procedures, investigated prevailing nosological structures. Additionally, disease-enhancing behaviors were identified through qualitative-research methods. The findings show that while symptomatological concepts coincide with biomedicine, the local etiological model postulates empirically based causational factors unrelated to tubercle bacilli. Therapeutic preference hinges on the utilization of ethnobotanical remedies and their expected emetic effects. The relevance of tuberculosis-related ethnomedical knowledge and management practices is discussed in relation to primary health care and disease-control programs in Ethiopia. It is recommended that health-education interventions, illustrating the nature and transmission avenues of tuberculosis and the effects of biomedical therapies, precede and/or accompany vaccination campaigns or chemotherapy. Teaching materials should valorize existing ethnomedical notions that emphasize contagion as an avenue of disease transmission, and the importance of nutritional adequacy in fighting the disease.

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“…Personal experiences, attitudes of the social network and health beliefs interact and influence health-seeking behaviour. Several authors agree that the human element in TB control has often been overlooked (Rubel & Garro 1992;Grange & Festenstein 1993;Westaway & Wolmarans 1994). According to Rubel & Garro (1992), TB control could improve significantly if more consideration were given to the health culture of the population.…”

Section: Introductionmentioning

confidence: 99%

From their own perspective. A Kenyan community's perception of tuberculosis

Liefooghe

Baliddawa

Kipruto

et al. 1997

Tropical Med Int Health

127

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SummaryEarly passive case finding and treatment compliance are the cornerstones of tuberculosis (TB) control programs. As human behaviour plays a critical role in both strategies, a better understanding of it is important for the planning and implementation of a successful TB programme, especially for the health education component. Our qualitative study in Uasin Gishu, Kenya, aimed at a better understanding of the community's beliefs and perceptions of TB, recognition of early symptoms and health-seeking behaviour. Five focus groups with a total of 49 people were held: one with hospitalised TB patients, two with rural and two with urban participants.Tuberculosis is well known in the communities and many vernacular names for the disease exist. TB is perceived as a contagious, 'sensitive' disease difficult to diagnose and treat. Community members believe that TB should be diagnosed and treated in a hospital or by a medical doctor and not at the peripheric level. TB treatment is perceived as long, agonising and cumbersome. Traditional treatment is considered a valid alternative to modern treatment, believed to be as effective and much shorter. Initial symptoms such as cough and fever are often overlooked and/or confused with malaria or a common cold. Symptoms associated with the disease refer to the later stage of TB. TB is attributed to causes such as smoking, alcohol, hard work, exposure to cold and sharing with TB patients. Many participants believe TB is hereditary. Prolonged selftreatment and consultation with the traditional health sector as well as the social stigma attached to the disease increase patient's delay. Only after symptoms persist for some time and/or the suspect's health deteriorates, are modern health services consulted. These social conditions necessitate culturally sensitive health education, taking into account local perceptions of TB.

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The human dimension of tuberculosis control

Cited by 30 publications

References 23 publications

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Sociocultural Aspects of Tuberculosis Control in Ethiopia

From their own perspective. A Kenyan community's perception of tuberculosis

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