BACKGROUND: Care-seeking behaviour of individuals with TB symptoms is a critical factor in early detection and treatment. Thorough understanding of determinants of the care-seeking process helps TB programme managers to improve TB case finding. The aim of this study was to assess determinants of care-seeking behaviour among patients with suspected TB at the population level. METHODS: A cross-sectional survey was conducted among adults with cough for >2 weeks. Data on sociodemographics, onset of TB symptoms, TB knowledge, health facility visited and duration of each visit were collected. RESULTS: Of the 746 respondents interviewed, approximately 10% had not yet sought care. Of those who sought care, less than one-half presented directly to medical healthcare providers. Being female and having multiple symptoms were associated with care-seeking action. The duration of patient delay (i.e. time between onset of symptoms and visiting a health provider) was relatively short, which may be due to the availability of an extended network of healthcare providers in Jogjakarta Province. Being male, a student or self-employed were associated with longer delay in presentation. CONCLUSIONS: Patient delay was relatively short. Efforts need to be focused on encouraging individuals with suspected TB to seek appropriate services through health education and quality improvement of health providers.
BACKGROUND: Care-seeking behaviour of individuals with TB symptoms is a critical factor in early detection and treatment. Thorough understanding of determinants of the care-seeking process helps TB programme managers to improve TB case finding. The aim of this study was to assess determinants of care-seeking behaviour among patients with suspected TB at the population level. METHODS: A cross-sectional survey was conducted among adults with cough for >2 weeks. Data on sociodemographics, onset of TB symptoms, TB knowledge, health facility visited and duration of each visit were collected. RESULTS: Of the 746 respondents interviewed, approximately 10% had not yet sought care. Of those who sought care, less than one-half presented directly to medical healthcare providers. Being female and having multiple symptoms were associated with care-seeking action. The duration of patient delay (i.e. time between onset of symptoms and visiting a health provider) was relatively short, which may be due to the availability of an extended network of healthcare providers in Jogjakarta Province. Being male, a student or self-employed were associated with longer delay in presentation. CONCLUSIONS:Patient delay was relatively short. Efforts need to be focused on encouraging individuals with suspected TB to seek appropriate services through health education and quality improvement of health providers.
Authors: Bach Xuan Tran; Giang Thu Vu; Huong Thi Le; Hai Quang Pham; Hai Thanh Phan; Carl A Latkin; Roger Cm Ho Journal: J Glob Health Date: 2020-12 Impact factor: 4.413
Authors: Caroline Thomas; Sonjelle Shilton; Catherine Thomas; Deepshikha Batheja; Srishti Goel; Claudius Mone Iye; Elena Ivanova; Guillermo Z Martínez-Pérez Journal: Trop Med Int Health Date: 2022-04-05 Impact factor: 3.918
Authors: Bony Wiem Lestari; Susan McAllister; Panji Fortuna Hadisoemarto; Nur Afifah; Ira Dewi Jani; Megan Murray; Reinout van Crevel; Philip C Hill; Bachti Alisjahbana Journal: Lancet Reg Health West Pac Date: 2020-11-28