Barriers and enablers in the management of tuberculosis treatment in Addis Ababa, Ethiopia: a qualitative study

BMC Public Health
Mette SagbakkenGunnar Bjune

Abstract

Non-adherence to tuberculosis (TB) treatment is an important barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse, and death. The aim of the present study is to explore enablers and barriers in the management of TB treatment during the first five months of treatment in Addis Ababa, Ethiopia. Qualitative study which included 50 in-depth interviews and two focus groups with TB patients, their relatives and health personnel. We found that loss of employment or the possibility to work led to a chain of interrelated barriers for most TB patients. Daily treatment was time-consuming and physically demanding, and rigid routines at health clinics reinforced many of the emerging problems. Patients with limited access to financial or practical help from relatives or friends experienced that the total costs of attending treatment exceeded their available resources. This was a barrier to adherence already during early stages of treatment. A large group of patients still managed to continue treatment, mainly because relatives or community members provided food, encouragement and sometimes money for transport. Lack of income over time, combined with daily accumulating co...Continue Reading

References

Apr 1, 1990·Obstetrics and Gynecology·L E Nachtigall
Jan 1, 1985·Social Science & Medicine·J J Christensen-Szalanski, G B Northcraft
Oct 1, 1995·Tubercle and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·T Lee, M Price
Sep 1, 1996·Medical Anthropology Quarterly·L Menegoni
Nov 20, 1998·Journal of Tropical Pediatrics·D Wilkinson, G R Davies
Feb 6, 1997·Health Policy and Planning·D M NairK T Chacko
Jan 25, 2002·Annals of the New York Academy of Sciences·J D Porter, J A Ogden
Sep 26, 2002·BMC Public Health·Meaza DemissieYemane Berhane
Apr 17, 2003·Social Science & Medicine·M DemissieB Lindtjørn
May 22, 2003·Tuberculosis·Dermot Maher
Jun 28, 2003·Tropical Medicine & International Health : TM & IH·A JaiswalR C Jain
Dec 12, 2003·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sabina De Geest, Eduardo Sabaté
Jan 17, 2004·Health Policy·Dale M NeedhamPeter Godfrey-Faussett
Jul 2, 2004·Tropical Medicine & International Health : TM & IH·Christian Lienhardt, Jessica Ann Ogden
Dec 17, 2004·Culture, Medicine and Psychiatry·Jeremy A Greene
Aug 17, 2005·Transactions of the Royal Society of Tropical Medicine and Hygiene·Emmanuel Atsu Dodor, Godwin Yao Afenyadu
Mar 3, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Christopher C Whalen
Apr 21, 2006·The Cochrane Database of Systematic Reviews·J Volmink, P Garner
Jun 1, 2007·BMC International Health and Human Rights·Degu JereneBernt Lindtjørn
Feb 19, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sarita ShahLisa J Nelson
Jun 21, 2011·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·R ZachariahA D Harries
Feb 2, 2012·Indian Journal of Cancer·S PaksereshtM M Singh
Jan 1, 2009·Ethiopian Journal of Health Sciences·Abebe G MariamDavid Lindstrom
Apr 17, 2016·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·P NakaggwaE Bloss

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Citations

Jun 21, 2013·BMC Public Health·Ana Angélica Lima DiasRosely Moralez de Figueiredo
Jul 4, 2013·BMC Medical Ethics·Mette SagbakkenJohn D H Porter
Oct 7, 2011·International Archives of Medicine·Fastone M GomaAdamson S Muula
Aug 27, 2013·Archives of public health = Archives belges de santé publique·Joshua Amo-Adjei, Kofi Awusabo-Asare
Jul 19, 2012·PloS One·Thomas N NissenPernille Ravn
Mar 30, 2010·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Mette SagbakkenGunnar A Bjune
Jul 11, 2013·Tropical Medicine & International Health : TM & IH·Petros IsaakidisKarina Kielmann
May 5, 2016·Tuberculosis Research and Treatment·Wongsa LaohasiriwongKriangsak Vaeteewootacharn
Jan 1, 2010·International Quarterly of Community Health Education·Ramona K C FinniePatricia Dolan Mullen
Sep 23, 2014·PloS One·Rachel M Anderson de CuevasSally J Theobald
Aug 31, 2011·Revista latino-americana de enfermagem·Tiemi ArakawaTereza Cristina Scatena Villa
Aug 16, 2008·Qualitative Health Research·Mette SagbakkenGunnar A Bjune
Oct 21, 2016·International Journal for Equity in Health·Chengchao ZhouShitong Huan
Jan 7, 2018·Journal of Health, Population, and Nutrition·Frezghi Hidray GebreweldNebiat Ghirmay Wahd
Nov 2, 2016·Infectious Diseases of Poverty·Belete GetahunTsegahun Manyazewal
May 31, 2018·BMC Women's Health·Janne L GjerdeAstrid Blystad
Feb 13, 2020·Tuberculosis Research and Treatment·Amrita N ShamanewadiSharath Burugina Nagaraja

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