Hospitalized care for MDR-TB in Port Harcourt, Nigeria: a qualitative study

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• 作者：Kingsley Lezor Bieh ; Ralf Weigel ; Helen Smith
• 关键词：Nigeria ; MDR ; TB ; Patients ; Providers ; Treatment ; Qualitative ; Psychological ; Stigma ; Hospitalised care ; Experience
• 刊名：BMC Infectious Diseases
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：364KB
• 刊物主题：Infectious Diseases; Parasitology; Medical Microbiology; Tropical Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2334
• 卷排序：17

文摘

BackgroundIn Nigeria multidrug-resistant tuberculosis (MDR-TB) is prevalent in 2.9% of new TB cases and 14% of retreatment cases, and the country is one of 27 with high disease burden globally. Patients are admitted and confined to one of ten MDR-TB treatment facilities throughout the initial 8 months of treatment. The perspectives of MDR-TB patients shared on social media and in academic research and those of providers are limited to experiences of home-based care. In this study we explored the views of hospitalised MDR-TB patients and providers in one treatment facility in Nigeria, and describe how their experiences are linked to accessibility of care and support services, in line with international goals. We aimed to explore the physical, social and psychological needs of hospitalized MDR TB patients, examine providers’ perceptions about the hospital based model and discuss the model’s advantages and disadvantages from the patient and the provider perspective.