Health Seeking Behaviour and Associated Factors among Pulmonary Tuberculosis Suspects in Lay Armachiho District, Northwest Ethiopia: A Community-Based Study

Engeda, Eshetu Haileselassie; Dachew, Berihun Assefa; Woreta, Hiwot Kassa; Mekonnen, Mengistu; Ashenafie, Tesfaye Demeke

doi:10.1155/2016/7892701

Cited by 23 publications

(30 citation statements)

References 18 publications

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“…Younger people may have better information, while older people may have less awareness and traditional cultural beliefs. 23,24 With regard to occupation, farmers and merchants were more delayed compared with government employees; this could be related to lack of awareness, accessibility, and difference in beliefs. Patients with EPTB were more delayed compared with PTB; this could be due to the nature of EPTB, which has unspecified signs and symptoms.…”

Section: Discussionmentioning

confidence: 99%

Patients' Delay in Seeking Health Care for Tuberculosis Diagnosis in East Gojjam Zone, Northwest Ethiopia

Asres

Gedefaw

Kahsay

et al. 2017

The American Society of Tropical Medicine and Hygiene

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Abstract. Patients' delay in seeking diagnosis is a major problem in the management of tuberculosis (TB). Relative to the burden of TB, there is lack of data on the magnitude of delays in seeking care and why patients fail to seek early care at health facilities in Ethiopia. A facility-based cross-sectional study was conducted from April to July 2013 in East Gojjam Zone, Amhara, Ethiopia, to assess patients' delays and associated factors in TB patients. Using simple random sampling, 605 (327 male and 278 female) participants were recruited. Of the total, 323 (53.4%) TB patients were delayed in seeking health care (median = 45 days; mean = 78.5 days). The following independent variables were associated with patient delays: age ≥ 45 years (adjusted odds ratio [AOR] = 8.74, 95% confidence interval [CI] = 4.71-16.23, P < 0.001); working as a farmer (AOR = 4.18, 95% CI = 1.44-12.11, P = 0.009); prior visit to holy water sites, traditional healers, and/or private drug shops (AOR = 69.11, 95% CI =13.91-343.29, P < 0.001; AOR = 14.74, 95% CI = 1.43-152.31, P = 0.024; AOR = 2.10, 95% CI = 1.22-3.59, P = 0.007, respectively); poor knowledge about TB (AOR = 2.79, 95% CI = 1.74-4.92, P = 0.006), and extrapulmonary TB (AOR = 14.69, 95% CI = 8.21-26.26, P < 0.001). Generally, patients' delay in seeking care at health facilities was high (53.4%). Most of TB patients getting treatment from holy water (95.3%; 101/106) and traditional healers (84.6%; 11/13) were delayed. Therefore, for early seeking in modern health care, a combination of interventions is required to encourage TB patients. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Patients' Delay in Seeking Health Care for Tuberculosis Diagnosis in East Gojjam Zone, Northwest Ethiopia

Asres

Gedefaw

Kahsay

et al. 2017

The American Society of Tropical Medicine and Hygiene

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“…This is not surprising since we have already concluded that gender and age has no statistically signi cant explanatory power in explaining variations in choosing public health care facilities (Amin et al, 2010). In contrast, the study of Engeda et al, (2016) found that the age was signi cantly associated with visiting modern health care facility.…”

Section: Resultsmentioning

confidence: 87%

“…Socio-demographic factors such as age is a factor which varies the health care seeking behavior from person to person. A study of Engeda et al, (2016) found that age was signi cantly associated with visiting modern health care facility. In contrast, Amin et al, (2010) study examined that age and education factors were less pronounced in the differentials of health seeking behavior of maternal care and child health care in rural Bangladesh (Amin et al 2010).…”

mentioning

confidence: 99%

“…Health literacy is a direct in uencing factor of health behavior, but its effect is weaker than that of prior knowledge. Engeda et al (2016) demonstrates that the more the educational level of people is, the better their understanding of diseases processes, availability of diagnosis, treatment options, and the risk of delay in medical care seeking will be. Sun et al, (2013) explains education is one of the powerful tools that affect seeking of health services.…”

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confidence: 99%

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The Impact of Socio-Economic and Demographic Factors on Health Seeking Behavior of Urban Households, Bangladesh

Islam

Begum

2020

Preprint

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Aim: As households’ health-seeking behavior depends enormously on socio-economic and demographic factors particularly in developing county like Bangladesh, it contributes differently to health-care seeking behavior varying household to household. This study intends to explore the nature of the health seeking behavior of urban residents in Sylhet city through assessing the socio-economic and socio-demographic factors. Subject and Methods: A 150 household survey has been completed in Sylhet city, using a multistage cluster sampling method. A household survey questionnaire was used to collect data on socio-demographic and socio-economic factors and their impacts on health-seeking behavior. Chi-square test and logistic regression analysis investigate the extent of association between different socio-economic and demographic factors and health-seeking behavior. Results: We found that among the 150 participants, the majority (88%) of household heads are male because gender is significantly associated with priority in choosing health care in the study. The result of binary logistic regression indicates the households who have a minimum level of education (primary or above) are 10.617 more likely to use public health care facilities. Income is statistically associated with the main source of health service. The interference of income in seeking treatment has a relationship with the employment sectors (public or private). Moreover, the reasons for choosing a specific source of health care have a significant relationship with the main source of health care (public or private). Conclusion: This study recommends that government should introduce health insurance policy for city dwellers for reducing the inequalities in health services among city dwellers.

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“…That is the patients fail or delayed to seek health care. These may result in increased costs and disease severity in the individuals, as well as increased morbidity and mortality of TB in the community from increased risk of transmission of TB [4,9,10] Delay in diagnosis and treatment of TB patients could be due to patients' delay in seeking health care. There is growing evidence that access to treatment remains difficult for a high number of TB cases.…”

Section: Introductionmentioning

confidence: 99%

Patient Delay and Associated Factors Among Pulmonary Tuberculosis Patients at Hadiya Zone Public Health Facilities in South Ethiopia, 2017

Getahun¹

2018

EJCBS

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Early diagnosis and immediate initiation of treatment are essential for an effective TB control program. Delay in treatment is significant to both disease prognoses at the individual level and within the community. Patient delay and associated factors were assessed among pulmonary tuberculosis patients who are on treatment for the first two months at Hadiya zone public health facilities, south Ethiopia, 2017. Facility based cross sectional study triangulated by Qualitative study was employed on 340 Pulmonary Tuberculosis patients from March 10-April 20, 2017. Simple random sampling technique was used to select study health facility. Directly Observed Treatment Short-course User at the beginning of data collection was consecutively recruited in to the study until the intended 340 sample sizes were fulfilled. Data was collected from the participants using a pretested structured interviewer administered questionnaire. Multivariable binary Logistic regressions were used to identify independent predictors of Tuberculosis treatment delay for those variables which are candidate in bivariate analysis. A P-value < 0.05 at 95 % confidence intervals was considered statistical significance between dependent and predictors variables. Three hundred and Forty PTB patients with a response rate of 97.7% were enrolled from seven diagnostics and treatment centers. Among 340 Pulmonary Tuberculosis patients enrolled in the study, of which 49.1% experienced patient delay. The median patient delay was 31. Unable to read and write (AOR 6, 95% CI (3.11 21.36), Poor knowledge of Tuberculosis (AOR 3.96, 95% CI (2.286.86), self-treatment (AOR: 2, 95% CI (1.143.93), and financial constraint (AOR: 2.092, 95% CI (1.113.945) were the independent predictors of patient delay. Nearly half of the patients seek their first consultation after thirty days cut-off point. Unable to read and write, Poor knowledge of Tuberculosis, self-treatment and financial constraints were found to have association with patient delay. This may lead to continues existence of Tuberculosis cases which probably leads to the emergence of multiple drugs resistant. Implementation of well-designed information education, communication/behavioral change communication strategy for Tuberculosis control program to overcome high prevalence of patient delay.

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Health Seeking Behaviour and Associated Factors among Pulmonary Tuberculosis Suspects in Lay Armachiho District, Northwest Ethiopia: A Community-Based Study

Cited by 23 publications

References 18 publications

Patients' Delay in Seeking Health Care for Tuberculosis Diagnosis in East Gojjam Zone, Northwest Ethiopia

Patients' Delay in Seeking Health Care for Tuberculosis Diagnosis in East Gojjam Zone, Northwest Ethiopia

The Impact of Socio-Economic and Demographic Factors on Health Seeking Behavior of Urban Households, Bangladesh

Patient Delay and Associated Factors Among Pulmonary Tuberculosis Patients at Hadiya Zone Public Health Facilities in South Ethiopia, 2017

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