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Screening for pulmonary tuberculosis: an acceptable intervention for antenatal care clients and providers?

Sangala, W. T., Briggs, P., Theobald, Sally ORCID:, Squire, Bertie ORCID: and Kemp, J. (2006) 'Screening for pulmonary tuberculosis: an acceptable intervention for antenatal care clients and providers?'. International Journal of Tuberculosis and Lung Disease, Vol 10, Issue 7, pp. 789-794.

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SETTING: Five purposively sampled health facilities in Kasungu District, Malawi.
OBJECTIVES: To explore 1) the acceptability of introducing pulmonary tuberculosis (PTB) screening into antenatal care (ANC) clinics amongst ANC clients and ANC service providers; and 2) the acceptability of tuberculosis (TB) treatment during and after pregnancy among women registered for TB treatment.
METHODS: Fourteen focus group discussions and 40 indepth interviews with ANC clients (15), ANC service providers (10) and women registered for TB treatment (15).
RESULTS: Most clients found the introduction of PTB screening into ANC clinics acceptable. Some expressed concern at submitting a second sputum specimen, citing transportation/distance as the main obstacle. Other concerns were stigma and fear relating to the human immunodeficiency virus and the acquired immune-deficiency syndrome (HIV/AIDS) and taking TB treatment during pregnancy and breast-feeding. All ANC service providers supported the idea, but were concerned about increased workload.
CONCLUSION: PTB screening in the ANC setting would be an acceptable intervention and could serve to increase PTB case notification in Malawi. However, alternative diagnostic strategies need to be explored. The negative associations with HIV/AIDS and some of the misconceptions surrounding TB treatment need to be addressed to avoid PTB screening becoming a potential barrier to seeking ANC. The main challenge will be whether overstretched staff will be able to cope with this additional service.

Item Type: Article
Uncontrolled Keywords: qualitative research pulmonary tuberculosis screening antenatal care active case finding
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Groups (2002 - 2012) > International Health Group
Related URLs:
Depositing User: Faye Moody
Date Deposited: 26 Jan 2011 16:22
Last Modified: 17 Jul 2020 10:58


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