scholarly journals Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China

Author(s):  
Yeqing Tong ◽  
Xuhua Guan ◽  
Shuangyi Hou ◽  
Li Cai ◽  
Yadong Huang ◽  
...  

Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors for the spread of TB. Objectives The aim of this study was to understand the situation of health care-seeking delay among rural tuberculosis patients in Hubei Province, and explore its risk factors. Methods A total of 1408 rural tuberculosis patients were surveyed using a standard structured questionnaire in three cities of Hubei Province during the past two years. Results For the 1408cases of pulmonary tuberculosis, 39.70% of them were health care-seeking delayed. Logistic regressions indicate that the Han nationality, farming careers, the over 45 min walk to the township’s hospital, and awareness of the national TB free treatment policy, were significantly associated with higher odds of a delay in care seeking. Conclusions The prevalence of health care-seeking delay among tuberculosis patients was high in rural areas. It is essential to take comprehensive targeted interventions to reduce care-seeking delay.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haileselasie Berhane Alema ◽  
Sisay Asgedom Hailemariam ◽  
Kebede Haile Misgina ◽  
Meresa Gebremedhin Weldu ◽  
Yosef Sibhatu Gebregergis ◽  
...  

2020 ◽  
Vol 8 (1) ◽  
pp. 47-50
Author(s):  
Chanda Sah ◽  
Srijana Aryal ◽  
Gita Neupane

INTRODUCTION: Cancer is a leading public health problem worldwide. Low awareness on cancer leads to increase in burden of cancer diagnosis and treatment. MATERIAL AND METHODS: Descriptive cross-sectional study was conducted to find out awareness regarding cancer among people. Total 100 samples were selected by using non-probability purposive sampling method. Semi-structured interview schedule was developed with the guide of the Cancer Awareness Measure (CAM) to collect data. Collected data were analysed by using descriptive and inferential statistics. RESULTS: The findings of the study showed that none of the study respondents were aware of all the nine warning signs of cancer. Majority (80%) of the respondents were aware that “a sore that doesn’t heal” and minority (15%) knew about “change in bowel and bladder habit” as warning signs of cancer. Regarding risk factors, majority knew chemical fertilizer and pesticides and unseasonal fruits and vegetables (90%), smoking (88%) as risk factors of cancer and minority (32%) knew about excessive sun exposure. There was statistically significant association between respondents’ level of awareness regarding cancer with education status (p= 0.011). CONCLUSION: Findings of the study revealed that more than half (68%) of the adults had low awareness regarding cancer. Emotional barriers (88%) were known to be affecting health care seeking behaviours for cancer. Therefore, it is recommended to organize health awareness campaigns addressing emotional barriers might improve in early diagnosis and treatment of cancer.


Author(s):  
Mahra Nooruddin Kazim ◽  
Tagried Hamdan AbouMoussa ◽  
Fatima Ahmed AL-Hammadi ◽  
Asma Al Ali ◽  
Fariba Mohammad Abedini ◽  
...  

2019 ◽  
Vol 113 (9) ◽  
pp. 545-554 ◽  
Author(s):  
Sebastian von Huth ◽  
Poul-Erik Kofoed ◽  
Uffe Holmskov

Abstract Background Gastrointestinal (GI) parasitic infections cause significant morbidity and mortality in tropical and subtropical countries. We aimed to investigate the prevalence of GI parasitic infections in children from Bissau, Guinea-Bissau and to identify the possible risk factors for these infections. Methods We performed an observational study on two comparable cohorts of children 2–15 y of age: one study covering health care–seeking children (n=748) and one study covering children from the background population (n=851). A total of 1274 faecal samples from the two cohorts were investigated for parasites by microscopy and the risk factors for infection were identified by logistic regression. Results Intestinal parasitic infections were found in 54.8% of health care–seeking children and 55.5% of children from the background population. Helminth infections were more common among health care–seeking children and were mainly due to hookworms. Pathogenic protozoa included Entamoeba histolytica/dispar and Giardia lamblia. The risk factors for infections included increasing age, household crowding and poor sanitation and water supply. Conclusions We found a high prevalence of intestinal parasites among both health care–seeking children and children from the background population. Compared with previous studies, we found a decreasing prevalence of intestinal helminths. This study further identifies potential risk factors for infections, including inadequate sanitation and water supply.


2018 ◽  
Vol 5 (5) ◽  
pp. 1919
Author(s):  
Lakshmi L. ◽  
Bharathi Tulasi Penta ◽  
Ragavendra S. K.

Background: Children below five year constitute 14 % of total population in our country. They are vulnerable group deserving special health care. children are considered to be susceptible to host of disease and infection and the most important causes of under-five mortality are Acute Respiratory Infection (ARI), Preterm birth Complications, Diarrheal diseases, Intrapartum related complication, Malaria, Neonatal Sepsis, Meningitis and Tetanus. The objective of the present study was to study the health care seeking pattern of under five children in rural areas of Mandya District.Methods: A cross sectional study was conducted at Adichunchanagiri Institute of Medical Sciences, Bellur Cross from January 2017 to June 2017. All the children under the age of five years in the Rural Field Practise area of the AIMS, were included in the study.Results: Out of the 324 male children in present study only 90 (27.7%) of them had suffered from any kind of illness in the past three months of duration and 59 (29.4%) out of 201 Female children had fallen ill. Fever, Diarrhoea, Pnemonia were the most common illness seen among the children. The association between the gender and illness was found to be statistically not significant.Conclusions: Large number of parents availed government service due to fact that large number of families belonged to lower socioeconomic class. IEC activities should be enhanced so as to change the behavior of 100% mothers to seek the timely reference from a qualified Doctor for the illness and proper adherence to the treatment.


Author(s):  
K. Yamini ◽  
B. T. Rao ◽  
K. Valleswary

Background: Health care seeking behavior explains that people differ in their willingness to seek help from  health  care services. It is difficult to identify which determinants are most influential in the decision to utilize health care. The health belief model proposes that a person's health-related behaviour depends on the person's perception in critical areas. The aims and objectives of the study was planned to determine the socio demographic factors of sputum positive tuberculosis patients and to assess the health care seeking behaviour of patients by health belief model.Methods: Cross sectional descriptive study was conducted on sputum positive tuberculosis patients above 15 years in Tuberculosis wards of Rajiv Gandhi Institute of Medical Sciences, Ongole from April to September 2014. Results: Mean age group of the 100 participants was 48.89±5.93 years, 92% were males and 49.5% were labourers. Accessibility of the health care services was good in 95% of the cases, diagnostic tests and ATT treatment were accepting in good way by 71% of cases. In first contact, 36% of the cases contacted rural RMPs and 39% of the patients visited private practitioners. Symptoms of the tuberculosis were recognized by 20% of the patients and only 22% of them were perceived about the signs and symptoms. Significant association observed between the recognition of severity of symptoms and awareness on threat of tuberculosis among Tuberculosis patients (p<0.5). Conclusions: Heath education can be done by using the results of health belief model to increase awareness on perception, susceptibility, threat and understanding about the tuberculosis, there by patient’s intake of the drugs will be increased so that we can prevent chances of transmission of the disease. 


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