Addressing constraints to informal providers’involvement in tuberculosis control:a qualitative study of patent medicine dealers and tuberculosis programme managers  

作　　者：Cosmas Kenan Onah Benedict Ndubueze Azuogu Edmund Ndudi Ossai Adaoha Pearl Agu Victoria Chioma Azuogu Isaac Alobu Emeka Onwe Ogah 

机构地区：[1]Department of Community Medicine,Alex Ekwueme Federal University Teaching Hospital,Abakaliki(AEFUTHA),P.M.B:102,Abakaliki,Ebonyi State,Nigeria [2]Department of Community Medicine,College of Health Sciences,Ebonyi State University,Abakaliki,Nigeria [3]African Institute for Health Policy and Health Systems,Ebonyi State University,Abakaliki,Nigeria [4]Department of Nursing Services,AE-FUTHA,Abakaliki,Ebonyi State,Nigeria [5]National Tuberculosis,Leprosy and Buruli Ulcer Control Programme,Ebonyi State Ministry of Health,Abakaliki,Nigeria [6]Department of Paediatrics,AE-FUTHA,Abakaliki,Ebonyi State,Nigeria

出　　处：《Global Health Research and Policy》2021年第1期65-76,共12页全球健康研究与政策（英文）

摘　　要：Background:A major constraint to tuberculosis control is low case finding with under-reporting to national authorities.Evidence shows that Patent Medicine Dealers are first port of call for most people with symptoms of tuberculosis,yet there is poor referral of such clients to tuberculosis treatment facilities for further evaluation.This study investigated constraints to involvement of Patent Medicine Dealers in tuberculosis control.Methods:This was a cross-sectional qualitative study among Patent Medicine Dealers and Tuberculosis Control Programme Managers in Ebonyi State Nigeria.Sixty-four Patent Medicine Dealers and five Tuberculosis Control Programme Managers were interviewed using Focus Group Discussion and In-Depth Interview respectively.Data was collected with electronic audio-recording device and analyzed using thematic approach.Results:There are some knowledge gaps about tuberculosis signs,symptoms,free-treatment policy and mode of operation of care service among Patent Medicine Dealers.Patent Medicine Dealers and Tuberculosis Control Programme Managers are willing to collaborate in tuberculosis control effort but constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to keep up with such demands are obvious constraints.Conclusions:Knowledge gaps in tuberculosis,its control,constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to satisfy such demands are constraints to involvement of Patent Medicine Dealers in tuberculosis control.More robust engagement of Patent Medicine Dealers in tuberculosis control with clear job description through tuberculosis education and provision of incentives to support them are recommended policy approaches to improve linkage of clients to tuberculosis treatment facilities.

关 键 词：Tuberculosis control Patent medicine dealers Chronic cough Presumptive tuberculosis referral DOTS Nigeria 

分 类 号：R52[医药卫生—内科学]