wow-inequalities/02-data/intermediate/wos_sample/0a9ee46bbdd0c4731072d715dd3944cc-sagbakken-mette-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Non-adherence to tuberculosis (TB) treatment is an important
barrier for TB control programs because incomplete treatment may result
in prolonged infectiousness, drug resistance, relapse, and death. The
aim of the present study is to explore enablers and barriers in the
management of TB treatment during the first five months of treatment in
Addis Ababa, Ethiopia.
Methods: Qualitative study which included 50 in-depth interviews and two
focus groups with TB patients, their relatives and health personnel.
Results: We found that loss of employment or the possibility to work led
to a chain of interrelated barriers for most TB patients. Daily
treatment was time-consuming and physically demanding, and rigid
routines at health clinics reinforced many of the emerging problems.
Patients with limited access to financial or practical help from
relatives or friends experienced that the total costs of attending
treatment exceeded their available resources. This was a barrier to
adherence already during early stages of treatment. A large group of
patients still managed to continue treatment, mainly because relatives
or community members provided food, encouragement and sometimes money
for transport. Lack of income over time, combined with daily
accumulating costs and other struggles, made patients vulnerable to
interruption during later stages of treatment. Patients who were poor
due to illness or slow progression, and who did not manage to restore
their health and social status, were particularly vulnerable to
non-adherence. Such patients lost access to essential financial and
practical support over time, often because relatives and friends were
financially and socially exhausted by supporting them.
Conclusion: Patients'' ability to manage TB treatment is a product of
dynamic processes, in which social and economic costs and other burdens
change and interplay over time. Interventions to facilitate adherence to
TB treatment needs to address both time-specific and local factors.'
affiliation: 'Sagbakken, M (Corresponding Author), Univ Oslo, Sect Int Hlth, Inst
Gen Practice \& Community Med, POB 1130, NO-0318 Oslo, Norway.
Sagbakken, Mette, Univ Oslo, Sect Int Hlth, Inst Gen Practice \& Community Med,
NO-0318 Oslo, Norway.
Frich, Jan C., Univ Oslo, Res Unit Gen Practice, Inst Gen Practice \& Community
Med, NO-0318 Oslo, Norway.
Bjune, Gunnar, Univ Oslo, Sect Int Hlth, Inst Gen Practise \& Community Med, NO-0318
Oslo, Norway.'
article-number: '11'
author: Sagbakken, Mette and Frich, Jan C. and Bjune, Gunnar
author-email: 'mette.sagbakken@medisin.uio.no
j.c.d.frich@medisin.uio.no
g.a.bjune@medisin.uio.no'
author_list:
- family: Sagbakken
given: Mette
- family: Frich
given: Jan C.
- family: Bjune
given: Gunnar
da: '2023-09-28'
doi: 10.1186/1471-2458-8-11
files: []
issn: 1471-2458
journal: BMC PUBLIC HEALTH
keywords-plus: 'DIRECTLY OBSERVED THERAPY; PATIENT COMPLIANCE; RURAL DISTRICT; TB
CLUBS;
COMMUNITY; OPPORTUNITIES; AFRICA; DOTS; CARE; DETERMINANTS'
language: English
month: JAN 11
number-of-cited-references: '46'
orcid-numbers: Frich, Jan C./0000-0001-9079-7508
papis_id: efcdd653a5c199ee374205bd213bebea
ref: Sagbakken2008barriersenablers
times-cited: '75'
title: 'Barriers and enablers in the management of tuberculosis treatment in Addis
Ababa, Ethiopia: a qualitative study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000253869300001
usage-count-last-180-days: '1'
usage-count-since-2013: '10'
volume: '8'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2008'