Journal of Epidemiology and Global Health

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Volume 9, Issue 4, December 2019, Pages 300 - 308

What Constitutes Health Care Seeking Pathway of TB Patients: A Qualitative Study in Rural Bangladesh

Authors
Tanvir Shatil1, Nusrat Khan1, 2, Fakir Md. Yunus1, 3, Anita Sharif Chowdhury1, Saifur Reza4, Shayla Islam4, Akramul Islam4, Mahfuzar Rahman1, 5, *
1BRAC Research and Evaluation Division, BRAC Centre, 75 Mohakhali, Dhaka 1212, Bangladesh
2Department of Public Health and Primary Care, University of Cambridge, 2 Worts’ Causeway, Cambridge CB1 8RN, UK
3College of Pharmacy and Nutrition, The University of Saskatchewan, 104 Clinic Place, Saskatoon SK S7N2Z4, Saskatchewan, Canada
4BRAC Tuberculosis Control Programme, BRAC Centre, 75 Mohakhali, Dhaka 1212, Bangladesh
5Centre for Injury Prevention, Health Development and Research, Bangladesh (CIPRB), House # B-162, Road # 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
*Corresponding author. Email: mahfuzar_r@yahoo.com
Corresponding Author
Mahfuzar Rahman
Received 30 March 2019, Accepted 22 September 2019, Available Online 14 October 2019.
DOI
10.2991/jegh.k.190929.001How to use a DOI?
Keywords
Tuberculosis; health care seeking; pathway; Bangladesh
Abstract

Given the targeted 4–5% annual reduction of tuberculosis (TB) cure cases to reach the “End TB Strategy” by 2020 milestone globally set by WHO, exploration of TB health seeking behavior is warranted for insightful understanding. This qualitative study aims to provide an account of the social, cultural, and socioeconomic breadth of TB cases in Bangladesh. We carried out a total of 32 In-depth Interviews (IDIs) and 16 Key Informant Interviews (KIIs) in both rural and urban areas of Bangladesh. We covered both BRAC [a multinational Non-governmental Organization (NGO)] and non-BRAC (other NGOs) TB program coverage areas to get an insight. We used purposive sampling strategy and initially followed “snowball sampling technique” to identify TB patients. Neuman’s three-phase coding system was adopted to analyze the qualitative data. Underestimation of TB knowledge and lack of awareness among the TB patients along with the opinions from their family members played key roles on their TB health seeking behavior. Quick decision on the treatment issue was observed once the diagnosis was confirmed; however, difficulties were in accepting the diseases. Nevertheless, individual beliefs, intrinsic ideologies, financial abilities, and cultural and social beliefs on TB were closely inter-connected with the “social perception” of TB that eventually influenced the care seeking pathways of TB patients in various ways. Individual and community level public health interventions could increase early diagnosis; therefore, reduce recurrent TB.

Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
9 - 4
Pages
300 - 308
Publication Date
2019/10/14
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.2991/jegh.k.190929.001How to use a DOI?
Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Tanvir Shatil
AU  - Nusrat Khan
AU  - Fakir Md. Yunus
AU  - Anita Sharif Chowdhury
AU  - Saifur Reza
AU  - Shayla Islam
AU  - Akramul Islam
AU  - Mahfuzar Rahman
PY  - 2019
DA  - 2019/10/14
TI  - What Constitutes Health Care Seeking Pathway of TB Patients: A Qualitative Study in Rural Bangladesh
JO  - Journal of Epidemiology and Global Health
SP  - 300
EP  - 308
VL  - 9
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.190929.001
DO  - 10.2991/jegh.k.190929.001
ID  - Shatil2019
ER  -