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

Abstract 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 tuberculosi...

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Autores principales: Cosmas Kenan Onah, Benedict Ndubueze Azuogu, Edmund Ndudi Ossai, Adaoha Pearl Agu, Victoria Chioma Azuogu, Isaac Alobu, Emeka Onwe Ogah
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Publicado: BMC 2021
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spelling oai:doaj.org-article:d384f6a484a14695b4621f0edde0eae72021-11-14T12:27:33ZAddressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers10.1186/s41256-021-00227-x2397-0642https://doaj.org/article/d384f6a484a14695b4621f0edde0eae72021-11-01T00:00:00Zhttps://doi.org/10.1186/s41256-021-00227-xhttps://doaj.org/toc/2397-0642Abstract 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.Cosmas Kenan OnahBenedict Ndubueze AzuoguEdmund Ndudi OssaiAdaoha Pearl AguVictoria Chioma AzuoguIsaac AlobuEmeka Onwe OgahBMCarticleTuberculosis controlPatent medicine dealersChronic coughPresumptive tuberculosis referralDOTSNigeriaPublic aspects of medicineRA1-1270ENGlobal Health Research and Policy, Vol 6, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Tuberculosis control
Patent medicine dealers
Chronic cough
Presumptive tuberculosis referral
DOTS
Nigeria
Public aspects of medicine
RA1-1270
spellingShingle Tuberculosis control
Patent medicine dealers
Chronic cough
Presumptive tuberculosis referral
DOTS
Nigeria
Public aspects of medicine
RA1-1270
Cosmas Kenan Onah
Benedict Ndubueze Azuogu
Edmund Ndudi Ossai
Adaoha Pearl Agu
Victoria Chioma Azuogu
Isaac Alobu
Emeka Onwe Ogah
Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
description Abstract 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.
format article
author Cosmas Kenan Onah
Benedict Ndubueze Azuogu
Edmund Ndudi Ossai
Adaoha Pearl Agu
Victoria Chioma Azuogu
Isaac Alobu
Emeka Onwe Ogah
author_facet Cosmas Kenan Onah
Benedict Ndubueze Azuogu
Edmund Ndudi Ossai
Adaoha Pearl Agu
Victoria Chioma Azuogu
Isaac Alobu
Emeka Onwe Ogah
author_sort Cosmas Kenan Onah
title Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
title_short Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
title_full Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
title_fullStr Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
title_full_unstemmed Addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
title_sort addressing constraints to informal providers’ involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers
publisher BMC
publishDate 2021
url https://doaj.org/article/d384f6a484a14695b4621f0edde0eae7
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