Exploring local realities: Perceptions and experiences of healthcare workers on the management and control of drug-resistant tuberculosis in Addis Ababa, Ethiopia


Autoři: Kirubel Manyazewal Mussie aff001;  Solomon Abebe Yimer aff002;  Tsegahun Manyazewal aff004;  Christoph Gradmann aff001
Působiště autorů: Institute of Health and Society, University of Oslo, Oslo, Norway aff001;  Department of Microbiology, Unit for Genome Dynamics, University of Oslo, Oslo, Norway aff002;  Coalition for Epidemic Preparedness Innovations, Oslo, Norway aff003;  Addis Ababa University, College of Health Sciences, Center for Innovative Drug Development and Therapeutic Trials for Africa, Addis Ababa, Ethiopia aff004
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224277

Souhrn

Background

Drug-resistant tuberculosis (DR-TB) remains a major health security threat worldwide. The effectiveness of implementation of DR-TB control strategies has been a subject of research and controversy. In resource-limited settings, using conventional medicine as the only framework to explain DR-TB gives a rather incomplete picture of the disease. This study intended to explore the perceptions and experiences of healthcare workers on the management and control of DR-TB in Addis Ababa, Ethiopia.

Methods

The study employed a qualitative methodology with an inductive approach and a thematic analysis. It involved in-depth interviews with healthcare workers providing clinical services to DR-TB patients in 10 public healthcare facilities in Addis Ababa, Ethiopia.

Results

A total of 18 healthcare workers participated until data saturation, which included 12 clinical nurses, four health officers and two medical laboratory technicians. The findings show that healthcare workers perceive DR-TB as a growing public health threat in Ethiopia, due to factors such as poverty, poor nutrition, crowded settings, healthcare worker and general public awareness of DR-TB, lack of good governance and culture.

Conclusion

The perspectives drawn from the healthcare workers shed more light on the image of DR-TB in a developing country context. It has been shown that understanding DR-TB is not confined to what can be drawn from the sphere of biomedicine. There are also interconnected barriers, which predict a dystopia in the epidemiology of DR-TB. Bringing DR-TB under control requires taking a step back from an overwhelming focus on the biomedical facets of the disease, and employ critical thinking on the wider social and structural forces as equally important targets.

Klíčová slova:

Allied health care professionals – Ethiopia – Health care facilities – Health education and awareness – Nurses – Social systems – Socioeconomic aspects of health – Tuberculosis


Zdroje

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Článek vyšel v časopise

PLOS One


2019 Číslo 11