Knowledge, attitudes, and practice of tuberculosis among Maasai in Simanjiro district, Tanzania.

The objectives of this study are to determine knowledge, attitudes, and practice among Maasai concerning tuberculosis (TB), and to gain insight into the role of traditional healers in diagnosis and treatment. We conducted a descriptive-explorative study using questionnaires, semi-structured interviews collating information to assess and compare TB knowledge, attitudes, and practice. The study population consisted of the Maasai population. The Maasai have insufficient understanding concerning TB. Schooling has a significant positive effect on knowledge. The Maasai believe TB is manifest as a punishment from god and is treatable with herbs, roots, and bark. The Maasai have numerous other erroneous health assumptions and beliefs concerning TB. Traditional healers act as family doctors and play a key role in TB treatment initiation and adherence. Traditional healers have substantial influence over primary diagnosis and treatment of TB. Education could positively affect initiation of diagnosis and treatment, resulting in better TB control.