Tuberculosis knowledge, attitudes and health-seeking behaviour in rural Uganda

E Buregyeya, A Kulane, R Colebunders, A Wajja, J Kiguli, H Mayanja, P Musoke, G Pariyo, EM Mitchell

    Research output: Contribution to journalA1: Web of Science-article

    Abstract

    OBJECTIVES: To assess tuberculosis (TB) knowledge, attitudes and health-seeking behaviour to inform the design of communication and social mobilisation interventions. SETTING: Iganga/Mayuge Demographic Surveillance Site, Uganda. DESIGN: Between June and July 2008, 18 focus group discussions and 12 key informant interviews were conducted, including parents of infants and adolescents and key informant interviews with community leaders, traditional healers and patients with TB. RESULTS: People viewed TB as contagious, but not necessarily an airborne pathogen. Popular TB aetiologies included sharing utensils, heavy labour, smoking, bewitchment and hereditary transmission. TB patients were perceived to seek care late or to avoid care. Combining care from traditional healers and the biomedical system was common. Poverty, drug stock-outs, fear of human immunodeficiency virus (HIV) testing and length of TB treatment negatively affect health-seeking behaviour. Stigma and avoidance of persons with TB often reflects an assumption of HIV co-infection. CONCLUSION: The community's concerns about pill burden, quality of care, financial barriers, TB aetiology, stigma and preference for pluralistic care need to be addressed to improve early detection. Health education messages should emphasise the curability of TB, the feasibility of treatment and the engagement of traditional healers as partners in identifying cases and facilitating adherence to treatment.
    Original languageEnglish
    JournalInternational Journal of Tuberculosis and Lung Disease
    Volume15
    Issue number7
    Pages (from-to)938-942
    Number of pages5
    ISSN1027-3719
    DOIs
    Publication statusPublished - 2011

    Keywords

    • B780-tropical-medicine
    • Bacterial diseases
    • Tuberculosis
    • Mycobacterium tuberculosis
    • Epidemiology
    • KAP
    • Knowledge
    • Attitudes
    • Practices
    • Health care seeking behavior
    • Etiology
    • Diagnosis delay
    • Communication
    • Social mobilization
    • Traditional medicine
    • Traditional healers
    • Drug availability
    • Quality of care
    • Cost
    • Stigma
    • Health education
    • Rural
    • Uganda
    • Africa-East

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