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    Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of Bangladesh: a qualitative study

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    Date
    2014
    Publisher
    © 2014 BioMed Central Ltd.
    Author
    Bam, Kiran
    Prasad Bhatt, Lokesh
    Thapa, Rajshree
    Karimjee Dossajee, Hussein
    Raj Angdembe, Mirak
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/10361/7554
    Citation
    Bam, K., Bhatt, L. P., Thapa, R., Dossajee, H. K., & Angdembe, M. R. (2014). Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of bangladesh: A qualitative study. BMC Research Notes, 7(1) doi:10.1186/1756-0500-7-572
    Abstract
    Background: Combating tuberculosis (TB) in urban slums is more complex than in rural areas due to reasons such as over-crowding, unhygienic living conditions and poverty. This study aimed to assess illness perception of TB and identify barriers and facilitators for health seeking practice among the residents of Badda slum, Dhaka, Bangladesh. Methods. The Badda slum was purposively selected. Convenience sampling was carried out to select participants aged 18 years and above. Twenty two in-depth interviews, two key informants' interviews and participatory rapid appraisal (PRA) were conducted. Data were analyzed manually by using defined a priori codes and color coding of the quotes in data matrix table. Results: TB was commonly recognized as Jokkha (pulmonary TB), Sas rog (disease associated to breathing) followed by TB. More females than males had knowledge about TB related illness. Very few perceived of being at risk of TB despite the high risk behavior and environment. Prime barriers for health seeking practice of TB were cost along with other barriers like prevailing stigma on TB, lack of information on service sites and unavailability of accompanying person. Training and orientation to community organizations and people, awareness on TB and free treatment through advertisements/media, community level diagnostic and home based care were identified as the facilitators for the health seeking practice of TB. Conclusions: Perceptions of TB and knowledge associated with the disease shape the health seeking practice, therefore promotion of media awareness campaign, targeting the people of urban slums for reducing misconceptions and promotion of home based service is needed to encourage health seeking practice in the future.
    Keywords
    Bangladesh; Health seeking practice; Illness perception; Slum; Tuberculosis; Urban
     
    Description
    This article was published in BMC Research Notes [© 2014 BioMed Central Ltd.] and the definite version is available at: http://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-7-572
    Publisher Link
    http://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-7-572
    DOI
    http://doi.org/10.1186/1756-0500-7-572
    Department
    James P Grant School of Public Health, BRAC University
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