Patient and health system delay among TB patients in Ethiopia: Nationwide mixed method cross-sectional study

BMC Public Health
Daniel G DatikoPedro Suarez

Abstract

Effective tuberculosis (TB) control is the end result of improved health seeking by the community and timely provision of quality TB services by the health system. Rapid expansion of health services to the peripheries has improved access to the community. However, high cost of seeking care, stigma related TB, low index of suspicion by health care workers and lack of patient centered care in health facilities contribute to delays in access to timely care that result in delay in seeking care and hence increase TB transmission, morbidity and mortality. We aimed to measure patient and health system delay among TB patients in Ethiopia. This is mixed method cross-sectional study conducted in seven regions and two city administrations. We used multistage cluster sampling to randomly select 40 health centers and interviewed 21 TB patients per health center. We also conducted qualitative interviews to understand the reasons for delay. Of the total 844 TB patients enrolled, 57.8% were men. The mean (SD) age was 34 (SD + 13.8) years. 46.9% of the TB patients were the heads of household, 51.4% were married, 24.1% were farmers and 34.7% were illiterate. The median (IQR) patient, diagnostic and treatment initiation delays were 21 (10-45), 4 ...Continue Reading

References

Sep 26, 2002·BMC Public Health·Meaza DemissieYemane Berhane
Jun 1, 2004·BMC Public Health·Olumuyiwa O Odusanya, Joseph O Babafemi
Apr 6, 2005·Tropical Medicine & International Health : TM & IH·Alexis CambanisLuis E Cuevas
Mar 1, 2006·BMC Infectious Diseases·Mohamed Guled FarahGunnar Bjune
Aug 19, 2007·Health Policy and Planning·Fazlul KarimVinod K Diwan
Oct 24, 2007·Tropical Medicine & International Health : TM & IH·Alexis CambanisLuis E Cuevas
Jan 16, 2008·BMC Public Health·Dag Gundersen StorlaGunnar Aksel Bjune
Jun 13, 2009·BMC Infectious Diseases·Chandrashekhar T SreeramareddyJ Van den Ende
Sep 29, 2011·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·C RundiP Mangtani
Aug 4, 2012·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Reinaldo Antonio Silva-SobrinhoTereza Cristina Scatena Villa
Mar 29, 2014·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·C T SreeramareddyM Pai
Jun 12, 2014·BMC Public Health·Esther BuregyeyaRobert Colebunders
Nov 20, 2014·Mediterranean Journal of Hematology and Infectious Diseases·Giorgia SulisMario C Raviglione
Apr 1, 2011·African Journal of AIDS Research : AJAR·Valerie MøllerStella A Kwizera
Mar 18, 2017·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·Z X ZhangF K Yong
Nov 9, 2017·The Journal of Infectious Diseases·Lelisa FekaduDaniel Chin
Nov 9, 2017·The Journal of Infectious Diseases·Christy L HansonDaniel P Chin
Feb 11, 2018·BMC Research Notes·Terefe Gone FugeTadele Yohannes Hegana
Feb 8, 2020·BMC Public Health·Daniel G DatikoPedro Suarez

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Citations

Aug 20, 2021·Risk Management and Healthcare Policy·Sandul YasobantDeepak Saxena

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