Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of Bangladesh: a qualitative study

BMC Research Notes

Mirak Raj Angdembe²  Hussein Karimjee Dossajee²  Rajshree Thapa¹  Lokesh Prasad Bhatt²  Kiran Bam² 

[1] Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University, Kathmandu, Nepal;James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh

关键词: Bangladesh;    Health seeking practice;    Illness perception;    Slum;    Urban;    Tuberculosis;   

Others  :  1130158
DOI  :  10.1186/1756-0500-7-572

 received in 2014-03-15, accepted in 2014-08-18,  发布年份 2014

【 摘 要 】

Background

Combating tuberculosis (TB) in urban slums is more complex than in rural areas due to reasons such as over-crowding, unhygienic living conditions and poverty. This study aimed to assess illness perception of TB and identify barriers and facilitators for health seeking practice among the residents of Badda slum, Dhaka, Bangladesh.

Methods

The Badda slum was purposively selected. Convenience sampling was carried out to select participants aged 18 years and above. Twenty two in-depth interviews, two key informants’ interviews and participatory rapid appraisal (PRA) were conducted. Data were analyzed manually by using defined a priori codes and color coding of the quotes in data matrix table.

Results

TB was commonly recognized as Jokkha (pulmonary TB), Sas rog (disease associated to breathing) followed by TB. More females than males had knowledge about TB related illness. Very few perceived of being at risk of TB despite the high risk behavior and environment. Prime barriers for health seeking practice of TB were cost along with other barriers like prevailing stigma on TB, lack of information on service sites and unavailability of accompanying person. Training and orientation to community organizations and people, awareness on TB and free treatment through advertisements/media, community level diagnostic and home based care were identified as the facilitators for the health seeking practice of TB.

Conclusions

Perceptions of TB and knowledge associated with the disease shape the health seeking practice, therefore promotion of media awareness campaign, targeting the people of urban slums for reducing misconceptions and promotion of home based service is needed to encourage health seeking practice in the future.

【 授权许可】

   
2014 Bam et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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