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dc.contributor.authorGele, Abdi Ali
dc.contributor.authorSagbakken, Mette
dc.contributor.authorAbebe, Fekadu
dc.contributor.authorBjune, Gunnar Aksel
dc.date.accessioned2011-02-07T14:34:59Z
dc.date.available2011-02-07T14:34:59Z
dc.date.issued2010-03-30
dc.identifier.citationGele, A.A., Sagbakken, M., Abebe, F. & Bjune, G.A. (2010). Barriers to tuberculosis care: a qualitative study among Somali pastoralists in Ethiopia. BMC Research Notes, 3 (86)en_US
dc.identifier.issn1756-0500
dc.identifier.urihttps://hdl.handle.net/10642/561
dc.description.abstractBackground At the dawn of the third millennium, while the control of the second biggest infectious killer in the world (tuberculosis [TB]) is an international priority, millions of pastoralist communities in the Horn of Africa are struggling to access TB care. Prompt diagnosis and treatment of pastoralist TB patients remain to be a challenge in TB control programs in many countries in this region, where pastoralism is a common means of livelihood. Better understanding of community perceptions of TB and its management could help identify reasons for the delay in diagnosis of TB among pastoral communities. The aim of this study is to explore barriers delaying diagnosis among pastoralist TB patients in the Somali Regional State (SRS) of Ethiopia. Methods A qualitative study, including 19 respondents was conducted in the SRS of Ethiopia. Participatory Rural Appraisal (PRA) and informal interview techniques were employed to explore pastoralists' migration patterns, their perceptions of TB and their access to TB services. The influence of these factors on the delay of TB patients in receiving biomedical diagnosis was then assessed. Results We found that lack of access to formal health services as well as traditional beliefs leading to self treatment were barriers to prompt bio-medical diagnosis of TB among pastoralist TB patients in the SRS of Ethiopia. This study highlights that limited access to TB control programs is the most important barrier in early seeking of biomedical diagnosis of TB among pastoral communities with nomadic pastoralist being the most affected. Conclusions Diagnostic and treatment facilities should be established in strategic villages that pastoralist can reach in both dry and wet seasons. Such facilities may alleviate the observed long distance to health facilities and thus long delay in diagnosis of TB. This strategy should be compounded with a community based TB control approach, whereby basic medical training on TB management such as provision of health education, drug distribution and observations is provided to local traditional healers and religious leaders. This approach may improve pastoralists' perceptions of TB, hence eliminating the observed traditional believes associated with TB in pastoralists' context of the SRS.en_US
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofseriesBMC Research Notes;3 (86)
dc.subjectTuberculosisen_US
dc.subjectEthiopiaen_US
dc.subjectTBen_US
dc.subjectPastoralismen_US
dc.subjectDelayed diagnosisen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.subjectVDP::Samfunnsvitenskap: 200::Sosialantropologi: 250en_US
dc.titleBarriers to tuberculosis care : a qualitative study among Somali pastoralists in Ethiopiaen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
dc.identifier.doihttp://www.biomedcentral.com/1756-0500/3/86
dc.identifier.doihttp://dx.doi.org/10.1186/1756-0500-3-86


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