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Rural poverty and delayed presentation to tuberculosis services in Ethiopia

Cambanis, A., Yassin, Mohammed A., Ramsay, Andrew, Squire, Bertie ORCID: https://orcid.org/0000-0001-7173-9038, Arbide, I. and Cuevas, Luis ORCID: https://orcid.org/0000-0002-6581-0587 (2005) 'Rural poverty and delayed presentation to tuberculosis services in Ethiopia'. Tropical Medicine & International Health, Vol 10, Issue 4, pp. 330-335.

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Abstract

To measure time to initial presentation and assess factors influencing the decision to seek medical attention, we interviewed 243 patients undergoing sputum examination for the diagnosis of tuberculosis (TB) at a rural health centre near Awassa, Ethiopia. A structured questionnaire was used. Median (mean + SD) patient delay was 4.3 (9.8 + 12.4) weeks. Delays over 4 weeks were significantly associated with rural residence, transport time over 2 h, overnight travel, transport cost exceeding US$1.40, having sold personal assets prior to the visit, and use of traditional medicine. The majority of patients cited economic or logistical barriers to health care when asked directly about causes of delay. Case-finding strategies for TB must be sensitive to patient delay and health systems must become more accessible in rural areas.

Item Type: Article
Uncontrolled Keywords: patient delay tuberculosis ethiopia socio-economic factors poverty positive pulmonary tuberculosis health seeking behavior diagnostic delay hiv-epidemic care-system malawi district patient gender area
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WF Respiratory System > Tuberculosis > WF 300 Pulmonary tuberculosis
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1111/j.1365-3156.2005.01393.x
Depositing User: Martin Chapman
Date Deposited: 13 Oct 2011 14:39
Last Modified: 06 Feb 2018 13:03
URI: http://archive.lstmed.ac.uk/id/eprint/1981

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