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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study
BMC Health Services Research, Volume 9, Article 196, Year 2009
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Description
Background. Delay in Tuberculosis (TB) case detection may worsen the disease and increase TB transmission. It is also a challenge to the National TB and Leprosy control Program (NTLP). Methods. We conducted a cross sectional study in four out of six districts in Pwani region to estimate the extent and factors responsible for delay in TB case detection in Pwani region. Delays were divided into patient, health facility and total delay. Results. We enrolled a total of 226 smear positive TB patients. Out of 226 patient's results were available for 206. The majority (66.5%) of the patients were males. Mean age for males and females were 37.3 and 33.7 years respectively. Mean (SD) total delay was 125.5 (98.5) days (median 90). Out of 206 patients, 79 (38.35%) delayed to seek TB health care. Health facility delay was observed among 121 (58.7%) patients. Risk factors for delay was poor knowledge that chest pain may be a TB symptom (OR = 2.9; 95%CI 1.20- 7.03) and the belief that TB is always associated with HIV/AIDS (OR = 2.7; 95%CI 1.39-5.23). Risk for delay was low among patients who first presented to a government health facility (OR = 0.3; 95%CI 0.12- 0.71) and those presenting with chest pain (OR = 0.2; 95%CI 0.10-0.61). Conclusion. There is a considerable delay in TB case detection in Pwani mainly contributed by patients. Risk factors for delay include misconception about TB/HIV and poor knowledge of TB symptoms. © 2009 Ngadaya et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Ngadaya, Esther Stanslaus
Norway, Bergen
Universitetet I Bergen
Tanzania, Tanga
National Institute for Medical Research Tanga
Mfinanga, Godfrey S.
Tanzania, Tanga
National Institute for Medical Research Tanga
Wandwalo, Eliud R.
Tanzania, Dar es Salaam
National Tuberculosis and Leprosy Control Programme
Tanzania, Dar es Salaam
Management Sciences for Health
Mørkve, Odd
Norway, Bergen
Universitetet I Bergen
Statistics
Citations: 69
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1186/1472-6963-9-196
e-ISSN:
14726963
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
Tanzania
Participants Gender
Female