Access and adhering to tuberculosis treatment: barriers faced by-patients and communities in Burkina Faso

Sanou, A., Dembele, M., Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X and Macq, J. (2004) 'Access and adhering to tuberculosis treatment: barriers faced by-patients and communities in Burkina Faso'. International Journal of Tuberculosis and Lung Disease, Vol 8, Issue 12, pp. 1479-1483.

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Abstract

SETTING: Three selected districts in Burkina Faso.
OBJECTIVES: 1) To explore patients' and community members' perceptions and problems associated with accessing formal tuberculosis (TB) treatment; and 2) to identify patients' and community members' perceptions and problems associated with adhering to formal TB treatment.
METHODS: Twenty-eight focus group discussions and 68 in-depth interviews with TB patients, community representatives, members of the health centre management committee, traditional healer's and health professionals.
RESULTS: Attending the health centre was the last resort for patients with symptoms indicative of TB. When on treatment, patients faced a number of barriers in adhering to care. These related to the centralised nature of direct observation and the problems faced whilst at the treatment unit.
CONCLUSION: Patients experience three sets of inextricably linked barriers to successfully treating TB: attending the health centre initially, attending the health centre repeatedly and experiences whilst at the health centre. These barriers are further complicated by geography, poverty and gender. The challenge ahead lies in moving beyond documenting barriers from patients' perspectives to addressing them in resource-poor contexts.

Item Type:	Article
Uncontrolled Keywords:	access adherence barriers community burkina faso pulmonary tuberculosis health-seeking malawi decentralization africa
Subjects:	W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WF Respiratory System > Tuberculosis > WF 300 Pulmonary tuberculosis
Faculty: Department:	Groups (2002 - 2012) > International Health Group
Depositing User:	Sarah Lewis-Newton
Date Deposited:	26 Jan 2012 17:27
Last Modified:	06 Feb 2018 13:03
URI:	https://archive.lstmed.ac.uk/id/eprint/2171

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