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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Beyond patient delay, navigating structural health system barriers to timely care and treatment in a high burden TB setting in Papua New Guinea
Global Public Health, Volume 18, No. 1, Article 2184482, Year 2023
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Description
Tuberculosis (TB) is a major public health issue in Papua New Guinea, with incidence rates particularly high in the South Fly District of Western Province. We present three case studies, along with additional vignettes, that were derived from interviews and focus groups carried out between July 2019 and July 2020 of people living in rural areas of the remote South Fly District depicting their challenges accessing timely TB diagnosis and care; most services within the district are only offered offshore on Daru Island. The findings detail that rather than ‘patient delay’ attributed to poor health seeking behaviours and inadequate knowledge of TB symptoms, many people were actively trying to navigate structural barriers hindering access to and utilisation of limited local TB services. The findings highlight a fragile and fragmented health system, a lack of attention given to primary health services, and undue financial burdens placed on people living in rural and remote areas associated with costly transportation to access functioning health services. We conclude that a person-centred and effective decentralised model of TB care as outlined in health policies is imperative for equitable access to essential health care services in Papua New Guinea. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Authors & Co-Authors
Graham, Stephen Michael
Australia, Melbourne
Burnet Institute
Australia, Melbourne
University of Melbourne
Bauri, Mathias
Unknown Affiliation
Majumdar, Suman S.
Australia, Melbourne
Burnet Institute
Australia, Melbourne
University of Melbourne
Pomat, William S.
Australia, Sydney
Unsw Sydney
Papua new Guinea, Goroka
Papua new Guinea Institute of Medical Research
Marais, Ben J.
Australia, Sydney
The University of Sydney
Marks, Guy B.
Australia, Sydney
Woolcock Institute of Medical Research
Australia, Sydney
Unsw Sydney
Kaldor, John M.
Australia, Sydney
Unsw Sydney
Vallely, Andrew J.
Australia, Sydney
Unsw Sydney
Papua new Guinea, Goroka
Papua new Guinea Institute of Medical Research
Kelly-Hanku, Angela M.
Australia, Sydney
Unsw Sydney
Papua new Guinea, Goroka
Papua new Guinea Institute of Medical Research
Statistics
Authors: 9
Affiliations: 8
Identifiers
Doi:
10.1080/17441692.2023.2184482
ISSN:
17441692
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Guinea