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Tuberculosis knowledge, attitudes and health-seeking behaviour in rural Uganda

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dc.contributor.author Buregyeya, E.
dc.contributor.author Kulane, A.
dc.contributor.author Colebunders, R.
dc.contributor.author Wajja, A.
dc.contributor.author Kiguli, J.
dc.contributor.author Mayanja, H.
dc.contributor.author Musoke, P.
dc.contributor.author Pariyo, G.
dc.contributor.author Mitchell, E. M.
dc.date.accessioned 2011-06-30T08:12:36Z
dc.date.available 2011-06-30T08:12:36Z
dc.date.issued 2011
dc.identifier.issn 1027-3719
dc.identifier.doi http://dx.doi.org/10.5588/ijtld.10.0211
dc.identifier.other ITG-C1B
dc.identifier.other ITG-C3A
dc.identifier.other CLINIC
dc.identifier.other U-HIVCLI
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Abstract
dc.identifier.other UPD35
dc.identifier.other FTC
dc.identifier.uri http://hdl.handle.net/10390/6599
dc.description.abstract OBJECTIVES: To assess tuberculosis (TB) knowledge, attitudes and health-seeking behaviour to inform the design of communication and social mobilisation interventions. SETTING: Iganga/Mayuge Demographic Surveillance Site, Uganda. DESIGN: Between June and July 2008, 18 focus group discussions and 12 key informant interviews were conducted, including parents of infants and adolescents and key informant interviews with community leaders, traditional healers and patients with TB. RESULTS: People viewed TB as contagious, but not necessarily an airborne pathogen. Popular TB aetiologies included sharing utensils, heavy labour, smoking, bewitchment and hereditary transmission. TB patients were perceived to seek care late or to avoid care. Combining care from traditional healers and the biomedical system was common. Poverty, drug stock-outs, fear of human immunodeficiency virus (HIV) testing and length of TB treatment negatively affect health-seeking behaviour. Stigma and avoidance of persons with TB often reflects an assumption of HIV co-infection. CONCLUSION: The community's concerns about pill burden, quality of care, financial barriers, TB aetiology, stigma and preference for pluralistic care need to be addressed to improve early detection. Health education messages should emphasise the curability of TB, the feasibility of treatment and the engagement of traditional healers as partners in identifying cases and facilitating adherence to treatment. en
dc.language English en
dc.subject Bacterial diseases en
dc.subject Tuberculosis en
dc.subject Mycobacterium tuberculosis en
dc.subject Epidemiology en
dc.subject KAP en
dc.subject Knowledge en
dc.subject Attitudes en
dc.subject Practices en
dc.subject Health care seeking behavior en
dc.subject Etiology en
dc.subject Diagnosis delay en
dc.subject Communication en
dc.subject Social mobilization en
dc.subject Traditional medicine en
dc.subject Traditional healers en
dc.subject Drug availability en
dc.subject Quality of care en
dc.subject Cost en
dc.subject Stigma en
dc.subject Health education en
dc.subject Rural en
dc.subject Uganda en
dc.subject Africa, East en
dc.title Tuberculosis knowledge, attitudes and health-seeking behaviour in rural Uganda en
dc.type Article en
dc.citation.issue 7 en
dc.citation.jtitle International Journal of Tuberculosis and Lung Disease en
dc.citation.volume 15 en
dc.citation.pages 938-942 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/21682968
dc.citation.jabbreviation Int J Tuberc Lung Dis en


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