Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study

Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study

Winters Muttamba,1 Mudarshiru Bbuye,1 Joseph Baruch Baluku,1,2 Stephen Kyaligonza,1 Joanitah Nalunjogi,1 Ivan Kimuli,1 Bruce Kirenga1,3 1Makerere University Lung Institute, College of Health Sciences, Makerere University, Kampala, Uganda; 2Department of Medicine, Mulago National Referral Hospital, K...

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Autores principales: Muttamba W, Bbuye M, Baruch Baluku J, Kyaligonza S, Nalunjogi J, Kimuli I, Kirenga B
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
adolescent tb
adolecent health
school schedules
adolescent friendly tb services
Public aspects of medicine
RA1-1270
Acceso en línea:https://doaj.org/article/3d6df4d714ff4872918d18329aa99b57
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spelling oai:doaj.org-article:3d6df4d714ff4872918d18329aa99b572021-11-30T18:50:37ZPerceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study1179-1594https://doaj.org/article/3d6df4d714ff4872918d18329aa99b572021-11-01T00:00:00Zhttps://www.dovepress.com/perceptions-of-adolescents-and-health-workers-towards-adolescents-tb-d-peer-reviewed-fulltext-article-RMHPhttps://doaj.org/toc/1179-1594Winters Muttamba,1 Mudarshiru Bbuye,1 Joseph Baruch Baluku,1,2 Stephen Kyaligonza,1 Joanitah Nalunjogi,1 Ivan Kimuli,1 Bruce Kirenga1,3 1Makerere University Lung Institute, College of Health Sciences, Makerere University, Kampala, Uganda; 2Department of Medicine, Mulago National Referral Hospital, Kampala, Uganda; 3Division of Pulmonary Medicine, College of Health Sciences, Makerere University, Kampala, UgandaCorrespondence: Winters MuttambaMakerere University Lung Institute, College of Health Sciences, Makerere University, P.O Box 7749, Kampala, UgandaTel +256 772 512261Email muttamba@gmail.comPurpose: Prompt diagnosis of TB among adolescents may reduce transmission and improve individual outcomes. However, TB diagnosis in adolescents is challenging. This study sought to understand challenges to adolescent TB diagnosis.Methods: We conducted qualitative focus group discussions (FGDs) to explore adolescents’ and health workers’ perspectives on challenges to TB diagnosis among adolescents seeking care at four secondary health care facilities in Uganda. Eight FGDs were conducted: four with 32 adolescents consulting for medical care and four with 34 health workers involved in TB care.Results: Adolescents were aware of TB and associated risk factors and believed behaviours like smoking and alcohol use are risk factors for TB. They reported school schedules limit them from seeking TB care and have to miss school or wait for holidays to seek TB diagnosis. They noted school nurses do not take much interest in diagnosing TB and do not refer them to hospitals for further evaluation when they present with TB symptoms. Furthermore, adolescents reported cross-cutting issues like loss of trust in public health systems, encountering unfriendly, judgmental and uncooperative health workers. Health workers mentioned the school environment exposes adolescents to TB as the dormitories they sleep in are overcrowded. They indicated that it was difficult to make a diagnosis of TB in adolescents as the adolescents do not disclose health information. They reported fellow health workers perceive adolescents as being at low risk of TB as they believe most often adolescents are HIV negative and thus have reduced risk of TB.Conclusion: Adolescents present unique challenges that need to be addressed if TB diagnosis is to improve. These challenges could be handled by interventions that lead to minimal disruptions on school schedules, provision of adolescent-friendly services and intervention to build capacity of health care workers in the provision of adolescent-friendly services.Keywords: adolescent TB, adolescent health, school schedules, adolescent friendly TB servicesMuttamba WBbuye MBaruch Baluku JKyaligonza SNalunjogi JKimuli IKirenga BDove Medical Pressarticleadolescent tbadolecent healthschool schedulesadolescent friendly tb servicesPublic aspects of medicineRA1-1270ENRisk Management and Healthcare Policy, Vol Volume 14, Pp 4823-4832 (2021)
institution DOAJ
collection DOAJ
language EN
topic adolescent tb
adolecent health
school schedules
adolescent friendly tb services
Public aspects of medicine
RA1-1270
spellingShingle adolescent tb
adolecent health
school schedules
adolescent friendly tb services
Public aspects of medicine
RA1-1270
Muttamba W
Bbuye M
Baruch Baluku J
Kyaligonza S
Nalunjogi J
Kimuli I
Kirenga B
Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
description Winters Muttamba,1 Mudarshiru Bbuye,1 Joseph Baruch Baluku,1,2 Stephen Kyaligonza,1 Joanitah Nalunjogi,1 Ivan Kimuli,1 Bruce Kirenga1,3 1Makerere University Lung Institute, College of Health Sciences, Makerere University, Kampala, Uganda; 2Department of Medicine, Mulago National Referral Hospital, Kampala, Uganda; 3Division of Pulmonary Medicine, College of Health Sciences, Makerere University, Kampala, UgandaCorrespondence: Winters MuttambaMakerere University Lung Institute, College of Health Sciences, Makerere University, P.O Box 7749, Kampala, UgandaTel +256 772 512261Email muttamba@gmail.comPurpose: Prompt diagnosis of TB among adolescents may reduce transmission and improve individual outcomes. However, TB diagnosis in adolescents is challenging. This study sought to understand challenges to adolescent TB diagnosis.Methods: We conducted qualitative focus group discussions (FGDs) to explore adolescents’ and health workers’ perspectives on challenges to TB diagnosis among adolescents seeking care at four secondary health care facilities in Uganda. Eight FGDs were conducted: four with 32 adolescents consulting for medical care and four with 34 health workers involved in TB care.Results: Adolescents were aware of TB and associated risk factors and believed behaviours like smoking and alcohol use are risk factors for TB. They reported school schedules limit them from seeking TB care and have to miss school or wait for holidays to seek TB diagnosis. They noted school nurses do not take much interest in diagnosing TB and do not refer them to hospitals for further evaluation when they present with TB symptoms. Furthermore, adolescents reported cross-cutting issues like loss of trust in public health systems, encountering unfriendly, judgmental and uncooperative health workers. Health workers mentioned the school environment exposes adolescents to TB as the dormitories they sleep in are overcrowded. They indicated that it was difficult to make a diagnosis of TB in adolescents as the adolescents do not disclose health information. They reported fellow health workers perceive adolescents as being at low risk of TB as they believe most often adolescents are HIV negative and thus have reduced risk of TB.Conclusion: Adolescents present unique challenges that need to be addressed if TB diagnosis is to improve. These challenges could be handled by interventions that lead to minimal disruptions on school schedules, provision of adolescent-friendly services and intervention to build capacity of health care workers in the provision of adolescent-friendly services.Keywords: adolescent TB, adolescent health, school schedules, adolescent friendly TB services
format article
author Muttamba W
Bbuye M
Baruch Baluku J
Kyaligonza S
Nalunjogi J
Kimuli I
Kirenga B
author_facet Muttamba W
Bbuye M
Baruch Baluku J
Kyaligonza S
Nalunjogi J
Kimuli I
Kirenga B
author_sort Muttamba W
title Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
title_short Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
title_full Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
title_fullStr Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
title_full_unstemmed Perceptions of Adolescents and Health Workers Towards Adolescents’ TB Diagnosis in Central Uganda: A Cross-Sectional Qualitative Study
title_sort perceptions of adolescents and health workers towards adolescents’ tb diagnosis in central uganda: a cross-sectional qualitative study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/3d6df4d714ff4872918d18329aa99b57
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