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    Lost in care pathway: a qualitative investigation on the health system delay of extra pulmonary tuberculosis patients in Bangladesh

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    JPGSPH_BRAC University 5.pdf (1.342Mb)
    Date
    2017-03-28
    Publisher
    BRAC Univeristy
    Author
    Sarker, Malabika
    Mohammad, Din
    Paul, Sukanta
    Akter, Rahima
    Islam, Shayla
    Biswas, Goutam
    Hossain, Asheque
    Islam, Akramul
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    URI
    http://hdl.handle.net/10361/8910
    Citation
    Sarker, M., Mohammad, D., Paul, S., Akter, R., Islam, S., Biswas, G., … Islam, A. (2017). Lost in care pathway: a qualitative investigation on the health system delay of extra pulmonary tuberculosis patients in Bangladesh. BMC Health Services Research, 17(1), 1–10. https://doi.org/10.1186/s12913-017-2181-8
    Abstract
    Background: Although extra pulmonary tuberculosis (EPTB) has long been known as a major public health concern globally, the complex healthcare-seeking pathways of EPTB patients are not widely studied. This study aims to explore the pattern of healthcare-seeking pathways of rural and urban EPTB patients registered with the BRAC TB control programme. BRAC is a Bangladesh-based non-governmental organization dedicated to alleviating poverty through empowering the poor. Method: Data were collected through 60 in-depth interviews with rural and urban EPTB patients in Bangladesh. Results: The findings reveal that the rural EPTB patients encountered a substantial diagnostic delay as compared to the urban patients. However, the difference between the average number of healthcare providers consulted by the rural verses the urban EPTB patients was not significant. This study also shows that the healthcare-seeking journey of rural and urban EPTB patients usually starts either at pharmacies or private facilities. Through exploring the detailed nature of the pathway, this study reveals the ways in which non-medical informants, mainly relatives and friends, can benefit patients. Conclusions: The private and informal healthcare providers should receive appropriate training on the diagnosis of EPTB. Such training could effectively shorten the long and complex healthcare-seeking pathways of EPTB patients.
    Keywords
    Extra pulmonary; Tuberculosis; ealthcare-seeking pathway; DOTS; Health
     
    Description
    This article was published in the BMC Infectious Diseases [© 2017 BMC Infectious Diseases] and the definite version is available at : https://doi.org/10.1186/s12913-017-2181-8 . The Journal's website is at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2181-8
    Publisher Link
    https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2181-8
    DOI
    https://doi.org/10.1186/s12913-017-2181-8
    Department
    James P Grant School of Public Health, BRAC University
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    • Journal Articles (2017)

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