Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study

Ngadaya, Esther; Mfinanga, Godfrey S; Wandwalo, Eliud; Mørkve, Odd

doi:10.1186/1472-6963-9-196

Cited by 49 publications

(51 citation statements)

References 7 publications

(11 reference statements)

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“…It is also relatively higher than reports from South Africa and Malawi (median 14 days), and Chad (median 15 days) [17] [19]. However the median delay in this study is much lower than reports from Somali Region, Bale Zone, Addis Ababa Ethiopia, Mozambique, Nepal, Brazil and Tanzania ( median 60, 63, 60, 61, 50, 56, 62 days respectively) [7] [27]. The observed differences among these studies may be due to differences between countries and their health system, policies and infrastructure of the countries, differences in socio-demographic characteristics of the study population that is rural versus urban setups, and pure agrarian versus pastoralist communities.…”

Section: Discussioncontrasting

confidence: 53%

Delay in Tuberculosis Diagnosis among Tuberculosis Patients at the Three Hospitals: Asella, Robe and Abomsa of Arsi Zone, Oromia Regional State, March, 2015

Hamza¹,

Demissie²,

Gare³

et al. 2015

OALib

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Background: Tuberculosis (TB) remains a major global health problem. Delay in tuberculosis diagnosis may worsen the disease and increase transmission within the general population. This study estimated the prevalence of diagnosis delay and its determinants. Objective: To measure the magnitude of patient and health service delay and identify the factors associated with the delay. Methodology: A facility based cross-sectional study design was conducted at the three hospitals of Arsi Zone from December 2014-March 2015. All above 15 years old, all forms of TB patient who were on intensive phase and who were diagnosed during the data collection period were included in the study. Data were collected using semi-structured questionnaire and patient record review. Binary and multivariate logistic regressions were done using SPSS Ver. 20, to investigate determinants of patient, health system and total dely. The P-value of <0.05 was taken as significance. Result: Three hundred sixty two (362) all forms of TB patients enrolled in the study, of which 36.7% experienced patient delay, 49.7% health system delay and 48.9% total delay. The median patient, health system and total delay were 30, 9, 40 days respectively. The Health Extension Workers (HEWs) should be supported to strengthen the activities of health education. A well-designed information education, communication/behavioral change communication (IEC/BCC) strategy for TB might improve the TB control program.

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Section: Discussioncontrasting

confidence: 53%

Delay in Tuberculosis Diagnosis among Tuberculosis Patients at the Three Hospitals: Asella, Robe and Abomsa of Arsi Zone, Oromia Regional State, March, 2015

Hamza¹,

Demissie²,

Gare³

et al. 2015

OALib

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“…Studies conducted in Tanzania and Botswana showed that patients from village areas, patients with low education level, site of first visit, lack of TB information and female sex were associated with TB delay. 20 A study in South India found longer diagnostic delay among men. 21 Another study in Nepal summarized that male patients experienced higher diagnostic delay 22 but several studies in developing countries reported longer diagnostic delay among women.…”

Section: Discussionmentioning

confidence: 99%

“…But the result does not match with other studies which revealed that propensity to make delay was higher among females. 5,16,20,24 Several studies has highlighted that illiteracy was significantly associated with diagnostic delay. [25][26][27] Our study revealed that education is one of the most significant factors that closely associated with delay in diagnosis among patients.…”

Section: Discussionmentioning

confidence: 99%

Delay in Diagnosis of Tuberculosis among Under Treatment Patients in Rajshahi City, Bangladesh

Chowdhury

Rahman²,

Mondal

et al. 2015

SAARC J. Tuber. Lung Dis. HIV/AIDS

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“…In Bangladesh, women tend to have longer diagnostic and treatment delays compared to men 8 . Lack of TB knowledge has been shown to be associated with diagnostic delay and in some case it is associated with poverty [9][10][11][12] . Bangladesh is considered to be a low human development country based on the value of Human Development Index (HDI=0.500), placed 146 out of 187 countries and territories 13 .…”

mentioning

confidence: 99%

Socio-demographic factors affecting knowledge level of Tuberculosis patients in Rajshahi City, Bangladesh

Mondal¹,

Nazrul²,

Chowdhury³

et al. 2015

Afr H. Sci.

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Background: The Tuberculosis (TB) control program in Bangladesh is still unsatisfactory due to insufficient knowledge and stigma about TB. Patients with low knowledge may be at higher risk of experiencing delays in diagnosis and appropriate treatment. Objectives: The aims of this study were to identify the knowledge levels of TB and investigate the factors associated with knowledge level among the TB patients in Bangladesh. Methods: A cross-sectional study was conducted at Rajshahi City, Bangladesh. A total of 384 TB patients were interviewed through a pretested, structured questionnaire using purposive sampling techniques. Logistic regression analysis was used to evaluate the effects of selected socio-demographic factors on TB knowledge level. Results:The results revealed that pulmonary TB patients had greater knowledge than that of extra-pulmonary patients, and that sex, age, educational status and TB type were significantly associated with knowledge level. Conclusions: In general, males and young adults, ages 21-35, had greater awareness about transmission and prevention of TB than females and adults over 35. Individuals with higher education and urban area patients were comparatively better informed about TB infection. Patients with greater knowledge about TB were also less likely to experience delays in seeking treatment.

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Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study

Abstract: Background: Delay in Tuberculosis (TB) case detection may worsen the disease and increase TB transmission. It is also a challenge to the National TB and Leprosy control Program (NTLP).

Cited by 49 publications

References 7 publications

Delay in Tuberculosis Diagnosis among Tuberculosis Patients at the Three Hospitals: Asella, Robe and Abomsa of Arsi Zone, Oromia Regional State, March, 2015

Delay in Tuberculosis Diagnosis among Tuberculosis Patients at the Three Hospitals: Asella, Robe and Abomsa of Arsi Zone, Oromia Regional State, March, 2015

Delay in Diagnosis of Tuberculosis among Under Treatment Patients in Rajshahi City, Bangladesh

Socio-demographic factors affecting knowledge level of Tuberculosis patients in Rajshahi City, Bangladesh

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