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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Diagnostic and treatment delay in tuberculosis in 7 countries of the Eastern Mediterranean Region
Infectious Diseases in Clinical Practice, Volume 16, No. 1, Year 2008
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Description
OBJECTIVES: A multicountry study was conducted during 2003-2004 to study the extent of delay in the diagnosis and treatment of patients with tuberculosis and its determinants. METHODS: The study was conducted in 7 countries of the Eastern Mediterranean Region. Five thousand fifty-three newly diagnosed, adult, smear-positive, pulmonary tuberculosis cases were enrolled in the study. They were interviewed according to a pretested and structured questionnaire about the various factors affecting timely treatment. RESULTS AND CONCLUSIONS: The mean delay duration between the onset of symptoms until treatment with antituberculosis drugs ranged from 1.5 to 4 months in different countries.Patient delay-defined as the time interval between the onset of symptoms and first health-seeking behavior-ranged from a mean of 9.9 days in Pakistan to 69 days in Somalia, whereas system delay-defined as the time interval between the first health-seeking behavior and treatment-ranged from 5 days in Iraq to 90.7 days in Pakistan.The private sector was the first choice for more than two thirds of patients. The main determinants of delay were sociodemographic, economic, stigma, time to reach the health facility, seeking care at nonspecialized individuals, and visiting more than 1 health care encounter before diagnosis. © 2008 Lippincott Williams & Wilkins, Inc.
Authors & Co-Authors
Bassili, Amal
Switzerland, Geneva
Organisation Mondiale de la Santé
Egypt, Cairo
Who Regional Office for the Eastern Mediterranean
Seita, Akihiro
Switzerland, Geneva
Organisation Mondiale de la Santé
Baghdadi, S.
Switzerland, Geneva
Organisation Mondiale de la Santé
Alabsi, Amin
Yemen, Sana'a
National Tuberculosis Control Programme
Abdilai, Ismail
Somalia
National Tuberculosis Control Programme
Agboatwalla, Mubina
Pakistan, Karachi
Health Oriented Preventive Education, Karachi
Maamari, Fadia
Syrian Arab Republic, Damascus
National Tuberculosis Control Programme
Nasehi, M.
Iran, Tehran
National Malaria Control Programme
Nasir, Hashim
Iraq, Baghdad
University of Baghdad
Soliman, Sahar
Egypt, Cairo
Egyptian Ministry of Health and Population
Enarson, Donald A.
France, Paris
International Union Against Tuberculosis and Lung Disease
Statistics
Citations: 65
Authors: 11
Affiliations: 10
Identifiers
Doi:
10.1097/IPC.0b013c31815d8d61
ISSN:
10569103
Research Areas
Health System And Policy
Study Locations
Somalia