Title:
Analysis of factors that influence early tuberculosis case detection Analysis of factors that influence early tuberculosis case detection among aged 15 years and above in Liberia
Authors:
Dunbar, Nelson Konteh
Year:
2014
PAGE:
x, 56
Language:
En
Subject:
Health and Nutrition
Keywords:
Tuberculosis, Diagnostic Delays, Patient Delays, Health Services
Abstract:
Background: The burden of tuberculosis is high in Liberia with 87% of new smear positive TB cases notified among age group (15-54 years). WHO estimate reveals a TB prevalence of 453 per 100,000 population and incidence of 299 per 100,000 population with TB mortality rate of 46 per 100,000 population. Objective: To analyze factors influencing early TB case detection among 15 years and above in Liberia, in order to recommend to the Ministry of Health & Social Welfare evidence based interventions for decision making. Methodology: Literature review of articles was done through internet search. WHO Action Framework for TB case detection was used as a guide to obtain relevant literature and analyzed systematically. Findings: Patient, access and health services delays are challenges for implementing TB services in Liberia. Limited knowledge and awareness on recognition of TB signs and symptoms and misconceptions about TB are primary patient delays. Longer distances, transportation cost, poor quality of services and stigma, are access delays hindering TB diagnosis. Under staffing, poor motivation, out-dated protocols, limited laboratory supplies and screening among high risk groups, and poor data quality and feedback systems, were challenges of health services. Conclusion and Recommendations: The study concludes that access and health facility delays are the main contributing factors influencing early TB diagnosis in Liberia, though there are patient delays challenges that need to be addressed. The MOH should develop TB communication strategy, strengthen community-based DOTs and intensify screening among high risk group in health facilities with involvement of all stakeholders.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development Policy & Practice
Country:
Liberia, Republic of
Region:
West Africa
Training:
Master of Public Health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2014 Dunbar
Document type:
Thesis/dissertation
File:
q7RBcuAAQE_2016102415582565.pdf