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

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Global Health Research and Policy 2021年第1期6卷 65-76页

作者： Cosmas Kenan Onah Benedict Ndubueze Azuogu Edmund Ndudi Ossai Adaoha Pearl Agu Victoria Chioma Azuogu Isaac Alobu Emeka Onwe Ogah Department of Community medicine Alex Ekwueme Federal University Teaching HospitalAbakaliki(AEFUTHA)P.M.B:102AbakalikiEbonyi StateNigeria Department of Community medicine College of Health SciencesEbonyi State UniversityAbakalikiNigeria African Institute for Health Policy and Health Systems Ebonyi State UniversityAbakalikiNigeria Department of Nursing Services AE-FUTHAAbakalikiEbonyi StateNigeria National Tuberculosis Leprosy and Buruli Ulcer Control ProgrammeEbonyi State Ministry of HealthAbakalikiNigeria Department of Paediatrics AE-FUTHAAbakalikiEbonyi StateNigeria

Background:A major constraint to tuberculosis control is low case finding with under-reporting to national *** 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 *** study investigated constraints to involvement of patent medicine dealers in tuberculosis ***:This was a cross-sectional qualitative study among patent medicine dealers and Tuberculosis Control Programme Managers in Ebonyi State ***-four patent medicine dealers and five Tuberculosis Control Programme Managers were interviewed using Focus Group Discussion and In-Depth Interview *** was collected with electronic audio-recording device and analyzed using thematic ***:There are some knowledge gaps about tuberculosis signs,symptoms,free-treatment policy and mode of operation of care service among patent medicine *** 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 ***: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 *** 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.

关键词： Tuberculosis control patent medicine dealers Chronic cough Presumptive tuberculosis referral DOTS Nigeria

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