Title:
Tuberculosis Diagnosis and Treatment in Chad: Exploring the Utilisation of the National Tuberculosis Progamme Services
Authors:
Abdelkerim, Mariam
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
xi, 45
Language:
En
Subject:
Health and Poverty
Keywords:
Tuberculosis, utilisation, barriers, enablers and Chad
Abstract:
Background: Tuberculosis (TB) is a public health concern in Chad. In 2015, the notification rate was 46% lower than the World Health Organization (WHO) estimation of 152/100,000. This study aims at understanding factors that may underlie the TB service utilisation in Chad in order to formulate recommendation(s) for the National TB Program (NTP). Methods: The study included a literature review of factors that may hinder or enable TB patients to utilize NTP services and a spatial analysis of the 2015 NTP TB cohort. The Andersen Model was adapted to structure the search, data analysis and interpretation of results of the literature review. Findings: TB was more reported in the south, it was higher among adults aged 25-34 years, found in 2 males for every female, while 22% of this cohort suffered from TB and HIV co-infection and 17% were lost to follow-up. The smear positive rate amongst tested was high (16-31%) in the south. Literature review revealed that where the services where available, the degree of knowledge about the disease was found to predominantly determine its use. Other factors associated to the services utilization were the rural/urban disparity, age, sex, income level, service providers’ availability and knowledge, distance, beliefs and illness level. Conclusion and recommendation: Overall underutilisation of services and non-adherence to treatment was found. Apart from male’s burden that requires to be addressed, the decentralization of TB services to the peripheral level, the community involvement and a patient centred approach would result in a higher notification particularly in the north.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Chad
Region:
Central Africa
Training:
Master of International Health
Category:
Research
Right:
@ 2017 Abdelkerim
Document type:
Thesis/dissertation
File:
DcCfyC5I8W_20180412153000214.pdf