AI Article Synopsis
- Tuberculosis is a major public health issue in Nigeria, particularly in Oyo and Osun State, where high transmission rates and low detection are prevalent.
- A study involving focus group discussions and key informant interviews revealed that many TB contacts are reluctant to take preventive therapy, believing medication should only be for those who are sick.
- The research highlights the negative impact of community stigma and hostility towards contact tracers, suggesting that tailored community engagement strategies are crucial for improving cooperation and effectiveness in TB prevention efforts.
Article Abstract
Tuberculosis (TB) remains a significant public health challenge in Nigeria, with high rates of transmission and low case detection rates. This paper presents the challenges of screening and investigation of contacts of patients with TB in Oyo and Osun State, Nigeria. This descriptive-qualitative study was conducted in eight Local Government Areas with high TB burdens. Twenty-four focus group discussions and 30 key informant interviews were conducted among TB patients, household TB contacts, and government TB staff, among others. Respondents ages ranged from 17-85 years with a mean of 42.08 ± 14.9 years, and (4.0%) had a postgraduate degree. This study identified that the majority of TB contacts who tested negative for TB were unwilling to be placed on TB preventive therapy because of the belief that only a sick person should take drugs. Also, hostility from the TB contacts to the contact tracers during the house-to-house screening of presumptive TB cases due to community stigma associated with TB was another existing gap reported in TB contact investigations. The findings emphasise the importance of tailored approaches in TB prevention and control, addressing challenges in testing and contact investigations; this necessitates investments in community engagement strategies to enhance the cooperation of TB contacts.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11281629 | PMC |
| http://dx.doi.org/10.3390/tropicalmed9070144 | DOI Listing |
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